The nominal group technique gives each member of the team an opportunity to select
the most important ideas from an affinity diagram. This technique allows groups to do
which of the following? - answer Narrow the focus of discussion without extended
involvement
You are asked to write a report to capture patient injuries by diagnosis code. To
determine which injuries happened while the patient was in the hospital, you look to the
present on admission indicator. Which indicator would show you the injuries occurring
while the patient was in the hospital? – answer N
Which of the following is a system which may include alerts, reminders, and links for
clinical care providers? - answer Clinical decision support system
Which data element would be used to verify if the present on admission coding was
correct on a patient with an admitting diagnosis to decubitus ulcer? - answer Skin exam
HEDIS (HealthCare Effectiveness Data Information Set) is a set of measures to be used
by consumers and purchasers of healthcare to compare performance of managed care
plans. Which hospital department would be responsible for entering and tracking data
for this? - answer Quality
One way to examine readmissions with a given timeframe at your facility is to retrieve
patient data for that time frame, and look for duplicates of which attribute common in
clinical data sets? - answerMedical record number
A hospital that is installing beside monitoring devices that must feed data into the
electronic health record should be sure to conform to which of the following standards? -
answerDICOM(Digital Imaging and Communications in Medicine)
What entity is responsible for maintaining vital statistics data? - answerState
government
Which of the following items are packaged under the Medicare hospital outpatient
prospective payment system (HOPPS)? - answerSurgical procedures
DRGs or MS-DRGs may be grouped into categories called - answerMDCs (Major
Diagnostic Categories)
The amount of copay or deductible due from a patient is transmitted to the provider via
a - answerclaims processing code
, If the total practice expense for a group is $1,500,000 and the total RVUs provided by
that practice is 125,000, what is the break even conversion factor? - answer$12
Once all data are posted to a patient's account, the claim can be reviewed for accuracy
and completeness. Many facilities have internal auditing system that runs each claim
through a set of edits. These internal auditing systems are called - answerScrubber
Which information found on the chargemaster describes payment codes for services or
items, and is usually a three or four digit number? - answerRevenue Code
In which of the following phases of systems selection and implementation would the
process of running a mock query to assess the functionality of a database be
performed? - answerTesting
Which national database includes data on all discharged patients regardless or payer? -
answerHealthcare Cost and Utilization Project
OASIS data is used to assess the ____ of home health services. - answerOutcomes
The federal initiative to collect data for research about the delivery and organization of
healthcare in the United States is called _____. - answerHCUP (Healthcare Cost and
Utilization Project)
Benchmarking may be used to ________ - answerDetermine areas of improvement
Mary Smith, RHIA has been asked to work on the development of a hospital trauma
data registry. Which of the following data sets would be most helpful in developing this
registry? - answerDEEDS (Data Elements for Emergency)
A patient born with a neural tube defect would be included in which type of registry? -
answerBirth Defects
Which work measurement tool uses random sample observations to obtain information
about the performance of an entire department? - answerWork Sampling
Resource-based relative value (RBRVS) rates are calculated based on practice,
expense, malpractice cost, and physician work and are then adjusted by a -
answerGeographical practice cost index
What term refers to information that provides physicians with pertinent health
information beyond the health record itself used to determine treatment options? -
answerClinical practice guidelines
A clinical documentation improvement (CDI) program facilities accurate coding and
helps coders avoid - answerusing non-specific codes
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