SOLVED

1.  Which of the following abbreviations is correctly translated and described? A. ALF stands for accredited living facility and refers to a nursing home accredited by The Joint Commission. B. Skilled nursing facilities (SNFs) are residential nursing units that provide nursing care for patients, either on a short- or long-term basis. C. ECF stands for electronic case files and refers to the legal process by which insurance companies receive authorized copies of patient health records. D. A living will is drafted by an attorney to apportion a patient’s worldly possessions among inheritors after death. 2. Which of the following statements is NOT true regarding CPT codes? A. CPT stands for Current Procedural Terminology. B. The American Medical Association publishes and annually updates CPT codes. C. For inpatients, CPT codes are combined with ICD-9-CM codes to formulate Medicare reimbursement for hospitalized patients. D. HCPCS level I codes are based on CPT codes. 3.Which of the following healthcare professionals is NOT a midlevel provider, meaning that he or she cannot prescribe medications, make diagnoses, or initiate and manage treatment plans? A. Physician assistant (PA) B. Nurse practitioner (APRN or ARNP) C. Primary care provider (PCP) D. Medical assistant (MA) 4.Which of the following workers reviews records for the Centers for Medicare and Medicaid Services, looking for fraud and evidence of overcharging by facilities? A. Recovery Audit Contractor B. Registered Health Information Technician C. Release of Information specialist D. Registered Health Information Administrator 5. Which of the following is a set of diagnosis codes developed and copyrighted by the World Health Organization that are used to track diagnoses and surgical procedures for reimbursement purposes in the US? A. Groupers B. ICD-9 and ICD-10 C. Diagnosis Related Groups D. Healthcare Common Procedure Coding System 6.Which of the following is NOT a purpose of the healthcare record? A. Evaluation of care quality B. Planning and communication among caregivers C. Serves as proof of work done for reimbursement purposes D. Often a combination of electronic and paper-based formats 7. The creation of an individual patient’s medical record is usually the responsibility of which of the following departments? A. Admissions department B. Outpatient registration department C. Emergency department D. All of these departments can be responsible for originating a patient record. 8.Which of the following CORRECTLY sequences the creation of a patient’s healthcare record? A. HIM clerk picks up records from nursing floor and unit secretary on nursing floor adds more forms for doctors’ orders and progress notes B. Chart is sent to offsite storage, abstracted, and audited. C. Chart assembler puts pages in the correct order, then sends the chart to the chart analyst D. Admissions clerk obtains patient consent for procedures and treatment, transports patient to nursing floor, and collects patient’s name and insurance information 9.In the following list of steps in processing an inpatient record, which step is out of the correct order? A. Missing documents such as discharge summaries are noted in the chart tracking system as deficiencies. B. Coders ensure that physicians’ listed diagnoses are supported by existing chart documentation. C. Grouper software generates diagnosis-related group for reimbursement. D. Coders apply ICD codes to all diagnoses and surgical procedures. 10.Which of the following is the most correct statement about RAC audits? A. One discrepancy in a chart’s coding could cause the hospital to have to give up all money paid for the care of that patient during the audited admission. B. RAC audits are performed by employees of the healthcare facility on request of the medical staff. C. As long as no discrepancies are found, RAC audits do not cost the facility any extra money or staff time. D. RAC stands for Recovery Audit Costs.