Question 136 you have been asked by the medical staf

This preview shows page 49 - 53 out of 54 pages.

QUESTION 136 You have been asked by the Medical Staf Peer Review Committee to print a list of patient record names and numbers who had CABGs performed in the past 12 months at your facility. Which secondary data source would you use that would quickly gather this information? Operation index Physician index Master patient index Disease index
1 points QUESTION 137 What is the name of the federally funded program that pays the medical bills of the spouses and dependents of persons on active duty in the uniformed services?
CHAMPVA Medigap HHS-CMS 1 points QUESTION 138 A health record technician is preparing a bill for a patient who has two diferent third-party payers. Verification of the payers has been performed. Before either of the payers can be billed, the health record technician has to:
1 points QUESTION 139 The amount of money owed a healthcare facility when claims are pending is called:
1 points QUESTION 140 Which of the following has access to personality identifiable data without authorization or subpoena? Insurance company for life insurance eligibility Workers’ compensation for disability claim settlement The patient’s attorney Public health department for disease reporting purposes
1 points QUESTION 141 Which of the following is the goal of quantitative analysis performed by HIM professionals? Ensuring that the health record is legible Verifying that health professionals are providing appropriate care Ensuring bills are correct Identifying deficiencies early so they can be corrected 1 points QUESTION 142 In a managed fee-for-service arrangement, which of the following would be used as a cost-control process for inpatient surgical services? Pay only 80% of the inpatient bill Require the patient to pay 20% of the inpatient bill Determine that services can be bundled Prospectively pre-certify the necessity of inpatient services 1 points QUESTION 143 You are auditing the health record of a patient who is admitted with septicemia, fever, and systematic inflammatory response syndrome (SIRS) due to complications of a peripherally inserted central catheter (PICC) line. What is the correct principal diagnosis? Fever Septicemia PICC line infection SIRS 1 points QUESTION 144
What type of patient care record includes documentation of a family bereavement period? Ambulatory care record Home health care record Hospice record Long term care record 1 points QUESTION 145 You are reviewing health records to ensure that the patients' medical record numbers are entered correctly. This is an example of ensuring __________.

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture