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Question 1

Arrange the following numbers in terminal digit order: 01-30-49, 01-31-40, 02-30-49, 02-36-40, 20-39-50, 03-40-50.

01-30-49, 01-31-40, 02-30-49, 02-36-40, 03-40-50, 20-39-50

01-30-49, 02-30-49, 01-31-40, 02-36-40, 20-39-50, 03-40-50

01-31-40, 02-36-40, 01-30-49, 02-30-49, 20-39-50, 03-40-50

01-31-40, 02-36-40, 01-30-49, 02-30-49, 03-40-50, 20-39-50

2 points

Question 2

The admission date and discharge date are considered:

medical information

clinical information

financial information

demographic information

2 points

Question 3

The Smith family consists of father Bob, mother Betty, and three children. Hillcrest Clinic uses the family numbering system. If Bob’s number is 01-1346, what is the number of his second-born child?

04-1346

03-1346

02-1346

01-1349

2 points

Question 4

Hillcrest Hospital and Endwell Hospital are merging. The new HIM director for both hospitals needs to ensure that the two MPIs are accurately merged. Each hospital currently uses manual MPIs, and they will convert to one automated MPI. Which activity below should the director avoid?

establish a merger plan for the hospital MPIs

perform a manual alphabetical search to identify duplicate MPI files

shred the manual MPI within four weeks after the conversion

use software to identify and correct errors in the automated MPI

2 points

Question 5

The premature newborn death rate is calculated by dividing the _____by the number of premature newborn patients and multiplying by 100.

number of newborn deaths

number of newborn patients

number of newborns admitted

number of premature newborn deaths

2 points

Question 6

Terrace View Hospital is located in a community that has a large population of Hispanic and foreign patients. Which system can help facilitate the organization of the master patient index?

color coding

serial

Soundex

alphabetical

2 points

Question 7

Hillcrest Hospital uses a unit numbering system. Patient Tom Jones, admitted on January 4, was assigned patient record number 456789. Patient Mary Black, the next patient admitted, had a previous admission to the facility and at that time was assigned patient number 422223. On this admission, Mary should be assigned record number:

422223

422224

456789

466787

2 points

Question 8

When a set of data is displayed using charts, graphs, and tables _____ statistics are being used.

comparative

aggregate

demographic

descriptive

2 points

Question 9

A formal recording of items, names, or actions is known as a:

index.

register.

line graph.

chart.

2 points

Question 10

Sunny View Hospital is part of a large university hospital with a very active and congested file area. Records are filed and refiled throughout the day. Which filing system should be used to distribute the records equally in the file area?

serial unit

numeric

serial

terminal digit

2 points

Question 11

Select the correct sequence of the following names: A. Chris Batts, Andrew C. Batts Sr., Adam Charles Batts, Sister Anne Batts, Andrew C. Batts Jr., A. Douglas Batts.

A. Chris Batts, Adam Charles Batts, Sister Anne Batts, A. Douglas Batts, Andrew C. Batts Jr., Andrew C. Batts Sr.

A. Chris Batts, Sister Anne Batts, Andrew C. Batts Jr., Andrew C. Batts Sr., Adam Charles Batts, A. Douglas Batts

A. Chris Batts, Adam Charles Batts, A. Douglas Batts, Andrew C. Batts Sr., Andrew C. Batts Jr., Sister Anne Batts

A. Chris Batts, Sister Anne Batts, Andrew C. Batts Sr., Andrew C. Batts Jr., Adam Charles Batts, A. Douglas Batts

2 points

Question 12

Calculating health care statistics is commonly a function of the _____ department.

health information

medical

finance

admission

2 points

Question 13

Hillcrest Hospital uses envelopes to store discharged patient records. The HIM director wants to purchase new folders to ensure that the pages of the records are not lost on the open-shelving units. The best type of folder to purchase is:

top-tab folder

top- tab folder with adhesive strip

end-tab folder

end-tab folder with adhesive strip

2 points

Question 14

Rebecca Brown was born at Mercy Hospital in 1967 and assigned patient number 576890. She was admitted in 1974 for a tonsillectomy and reassigned number 576890. All of her admissions are filed in a single folder. The system being used is:

serial-unit numbering

numerical

unit numbering

serial numbering

2 points

Question 15

The heath information management (HIM) department has purchased end-tab folders and is now selecting file equipment. Which type of file equipment should be purchased?

file cabinets

open shelf files

vertical files

lateral files

2 points

Question 16

If a shelving unit has eight shelves with 20 inches of storage on each shelf, how many inches of filing can the unit hold?

320 inches

140 inches

120 inches

160 inches

2 points

Question 17

Ms. RHIT is writing a policy for filing alphabetic records. Which statement below should be included in the policy?

Prefixes included as part of the patient’s last name are filed alphabetically.

When a hyphen is used in a patient’s name, ignore the letters that follow the hyphen.

Arrange patient names according to given name, then surname.

When a patient is a senior or junior, file the record using senior or junior as the surname.

2 points

Question 18

Happy Hospital uses the family numbering system. Tom Short is considered the head of the household and is assigned patient number 01-345678. What numbers would be assigned to his wife and third-born child, respectively?

02-345678, 05-345678

01-345679, 01-345683

01-345678-02, 01-345678-05

02-345678, 03-345678

2 points

Question 19

Hillcrest Health System includes an acute care hospital, a nursing facility, and primary care clinics. All records are stored in the HIM department, thus making the file area very active. For scheduled visits to primary care providers, records must be requisitioned 24 hours in advance. This is a(n) ____ requisition.

planned

nonemergency

emergency

nonscheduled

2 points

Question 20

The HIM department is responsible for generating reports and statistics on the types of patients treated by the facility. This function is called:

patient record abstracting

utilization review

quality management

case mix analysis

2 points

Question 21

The newborn death rate is calculated by dividing the number of newborn deaths by _____ and multiplying by 100.

number of pregnant women admitted

number of newborn patients

number of mothers discharged

number of fetal deaths

2 points

Question 22

Dr. Smith is applying for health care privileges at Hilltop Hospital. As part of the process Sally Jones, medical staff coordinator, needs to obtain information about Dr. Smith’s licensure, medical malpractice history, and record of clinical privileges. This information can best be obtained from the:

National Practitioner Data Bank

Medical Information Bureau

American Medical Association

medical staff director

2 points

Question 23

The type of file that resembles a file cabinet and stores records in a drawer is known as:

vertical files

open files

lateral file

visible files

2 points

Question 24

A disadvantage of the serial numbering system is that:

computer software must be purchased to manage the system

multiple locations must be accessed to retrieve patient records

staff training is difficult and time consuming

previous folders must remain in the file system

2 points

Question 25

Susan Clerk works in the admissions office at Hillcrest Medical Center, a large teaching hospital. She would like to obtain a job in the HIM department entering and abstracting data from the disease and procedure indexes for various projects. The hospital offers “minicourses” on a variety of topics. Which course topics would apply to the job she hopes to obtain?

Medicare regulations

ICD-9-CM/ICD-10-CM and CPT/HCPCS coding

health care finance

ICD-9-CM/ICD-10-CM coding

2 points

Question 26

Sally Jones presents to the department (ED) with lower-left abdominal pain. The ED physician asks the ED clerk to determine if the patient was previously seen in the facility. The quickest way for the ED clerk to obtain this information is to reference the:

ED log

disease index

master patient index

patient’s record

2 points

Question 27

The director of the HIM department at Sunny Valley Hospital needs to prepare a presentation for the finance committee to convince them to fund an automated MPI system. Which statement would best support her argument?

Staff training time is decreased when an automated MPI is implemented.

An automated MPI is less expensive than a manual master patient index.

The security of information is increased when an automated MPI is implemented.

An automated MPI allows for rapid retrieval of patient information.

2 points

Question 28

Which of the following describes alphabetic filing systems?

Files expand at an even rate.

Record security is high.

A master patient index is required.

Changed patient names are cross-referenced.

2 points

Question 29

Ms. HIT files the following records: 13-40-05, 14-40-05, 14-41-05, 15-41-05, and 16-41-05. Which system is being used?

straight numeric filing

terminal digit filing

middle digit filing

numeric filing

2 points

Question 30

The process of translating data into information utilized for an application is known as:

data warehousing

data collection

data application

data analysis

2 points

Question 31

Sunny Valley Hospital uses the serial numbering system. The master patient index card should contain:

the most recent number issued to the patient

all the numbers issued to the patient

the first number issued to the patient

the one number issued to the patient

2 points

Question 32

Which of the following is true with regard to terminal digit filing?

Files expand unevenly.

Inactive records are difficult to retrieve.

It provides a high degree of record security.

Large gaps in files occur.

2 points

Question 33

During the month of May there were 130 births, of which 127 were full-term births and three were premature births. There were five newborn deaths. The newborn death rate is:

5.4%

3.8%

2.3%

7.2%

2 points

Question 34

For the month of June there were six newborn deaths and 260 newborn patients. What is the newborn death rate?

2.3%

1.3%

.86%

1.86%

2 points

Question 35

The health information department is purchasing new filing equipment. Currently, 6,500 linear filing inches are used to store records. The new filing equipment selected has six shelves with 44 linear inches each. The total filing inches in one unit would be

44

147

264

1,084

2 points

Question 36

Hillcrest Hospital is conducting research on Alzheimer’s disease and wishes to obtain information from its state’s registry. Which information below would be unavailable from the registry?

patient names

number of cases

incidence of disease

types of patients

2 points

Question 37

Hillcrest Hospital uses terminal-digit numbering to file records and color codes only the primary number. Using the table below, what would be the color pattern for record number 39-09-15?

Number

Color Bar

0

Orange

1

Red

2

Yellow

3

Purple

4

Light pink

5

Dark green

6

Dark pink

7

Light green

8

Brown

9

Black

red, dark green

purple, black

orange, black

dark green, light green

2 points

Question 38

Hillcrest Hospital is writing a retention policy for the health information management (HIM) department. Which index must be retained permanently?

procedure index

master patient index

disease index

operative index

2 points

Question 39

Sunny View Hospital is purchasing new filing equipment. The number of linear filing inches storing current patient records is 1,600. The projected five-year expansion of the files is 600. The shelving unit to be purchased has five shelves with 30 inches of storage on each shelf. How many units are needed?

15

14

14.66

13

2 points

Question 40

Ms. RHIT is given an alphabetical listing of patients who had surgery during the time period January 2 through March 1. She needs to determine their patient numbers and pull the records. Her first step would be to reference the:

surgery index

number index

surgery schedule

master patient index

2 points

Question 41

The Uniform Clinical Data Set is maintained by the ___________________________________, which collects approximately 1,800 data elements.

5 points

Question 42

Decentralized filing systems require ____________________ staff than do centralized filing systems.

5 points

Question 43

A blend of the serial and unit numbering systems is known as ____________________.

5 points

Question 44

In a unit numbering system, a patient is assigned a patient number ____________________.

5 points

Question 45

All patient information must be secured in a locked file or ____________________.

5 points

Question 46

Explain the advantages of a unit numbering system.

Path: p

Words:0

10 points

Question 47

Define each of the following: daily census count, daily inpatient census, and average daily census.

Path: p

Words:0

10 points

Question 48

Discuss how numbers are assigned and records are filed in a serial-unit numbering system.

Path: p

Words:0

10 points

Question 49

Explain how birth and death certificates are completed.

Path: p

Words:0

10 points

Question 50

Summarize the advantages and disadvantages of an alphabetic filing system.

Path: p

Words:0

10 points

Question 51

Patient records are filed in one location in the filing system when a unit or serial unit numbering system is used.

True

False

2 points

Question 52

There are no universally accepted rules for filing alphabetic records.

True

False

2 points

Question 53

The National Center for Health Statistics is the federal agency responsible for registration of vital events such as births.

True

False

2 points

Question 54

Outguides are beneficial in locating records that have been removed and are unreturned.

True

False

2 points

Question 55

A registry is used to collect and sort data, and to perform statistical analysis and study.

True

False

2 points

Question 56

Middle-digit filing uses three digits in the primary number position.

True

False

2 points

Question 57

Only authorized personnel should have access to file areas, and the file area should be secured when a file staff member is not in the file area.

True

False

2 points

Question 58

Automated case abstracting systems allow facilities to calculate prospective payment system reimbursement.

True

False

2 points

Question 59

Centralized filing systems require additional staff to handle the filing and retrieval of records.

True

False

2 points

Question 60

A lateral file contains shelving with retractable doors and uses side-tab folders.

True

False

2 points

Question 61

Registers are primary sources of patient information.

True

False

2 points

Question 62

A manual master patient index (MPI) is less expensive to purchase compared with an automated MPI.

True

False

2 points

Question 63

The Uniform Clinical Data Set is collected for ambulatory health care records.

True

False

2 points

Question 64

Alphabetic filing expands the files evenly when new records are added.

True

False

2 points

Question 65

A unit numbering system requires the retrieval of a patient’s record from multiple locations in the filing system when previous records are requested by a physician.

True

False

2 points

Question 66

The process of translating data into information utilized for an application is data warehousing.

True

False

2 points

Question 67

Federal agencies are the only organizations that maintain disease registers.

True

False

2 points

Question 68

An admission/discharge/transfer (ADT) system is interfaced with an automated MPI to input patient registration information.

True

False

2 points

Question 69

Case mix analysis is the study of types of patients treated by a facility.

True

False

2 points

Question 70

Continuous quality improvement (QI) plays an important role in data quality.

True

False

2 points

Question 71

A lateral file resembles a bookshelf and provides twice as much space as an open-shelf file.

True

False

2 points

Question 72

A serial numbering system does not require computer software to track the assignment of patient numbers.

True

False

2 points

Question 73

In a family numbering system, each family member is given a two-digit modifier that serves as a prefix (or suffix) to the household patient number.

True

False

2 points

Question 74

The number of inpatients present at census taking time is called the daily census count.

True

False

2 points

Question 75

The Health Insurance Portability and Accountability Act (HIPAA) privacy rule prohibits fax transmissions for transporting patient information.

True

False

2 points

Question 76

Case mix analysis is the study of types of patients treated by a facility.

True

False

2 points

Question 77

Filing controls are established to ensure accurate filing and timely retrieval of patient records.

True

False

2 points

Question 78

The Medical Information Bureau was legislated by the Health Care Quality and Improvement Act of 1986.

True

False

2 points

Question 79

Information should be entered into a master patient index by various departments to ensure accuracy and to avoid the creation of duplicate records.

True

False

2 points

Question 80

Continuous quality improvement plays a role in the quality of clinical elements but not in data quality.

True

a.

01-30-49, 01-31-40, 02-30-49, 02-36-40, 03-40-50, 20-39-50

b.

01-30-49, 02-30-49, 01-31-40, 02-36-40, 20-39-50, 03-40-50

c.

01-31-40, 02-36-40, 01-30-49, 02-30-49, 20-39-50, 03-40-50

d.

01-31-40, 02-36-40, 01-30-49, 02-30-49, 03-40-50, 20-39-50

Explanation / Answer

Q1 . The answer is (c)01-31-40, 02-36-40, 01-30-49, 02-30-49, 20-39-50, 03-40-50

The reason is while filling the digits first fill the primary digit spots in ascending then proceed to secondary if primary digits are same.Now if primary and secondary digits are same , then consider the tertiarry digit and arrange accordingly. the digits at right are primary, in the middle are secondary and on left are tertiarry.

Q2 The answer is (b) clinical information

The information yields admission and discharge dates .

Demographic information is statistical analysis regarding population.

Medical information is stats of an individual.

Financial information forms stats regarding financial activity.

Q3 (a) 04-1346

Bob is represented as 01-1346

Mother as 02-1346

First born 03-1346 hence the result follows

Q4 (b)perform a manual alphabetical search to identify duplicate MPI files.

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