CHDA Practice Exam 2 Questions With 100% Correct Answers., Exams of Nursing

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CHDA Practice Exam 2 Questions With 100%

Correct Answers.

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? Answer- Medical 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? Answer- DICOM(Digital Imaging and Communications in Medicine) What entity is responsible for maintaining vital statistics data? Answer- State government Which of the following items are packaged under the Medicare hospital outpatient prospective payment system (HOPPS)? Answer- Surgical procedures DRGs or MS-DRGs may be grouped into categories called Answer- MDCs (Major Diagnostic Categories) The amount of copay or deductible due from a patient is transmitted to the provider via a Answer- claims 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- $ 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 Answer- Scrubber Which information found on the chargemaster describes payment codes for services or items, and is usually a three or four digit number? Answer- Revenue 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? Answer- Testing Which national database includes data on all discharged patients regardless or payer? Answer- Healthcare Cost and Utilization Project OASIS data is used to assess the of home health services. Answer- Outcomes The federal initiative to collect data for research about the delivery and organization of healthcare in the United States is called. Answer- HCUP (Healthcare Cost and Utilization Project) Benchmarking may be used to Answer- Determine 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? Answer- DEEDS (Data Elements for Emergency) A patient born with a neural tube defect would be included in which type of registry? Answer- Birth Defects Which work measurement tool uses random sample observations to obtain information about the performance of an entire department? Answer- Work Sampling Resource-based relative value (RBRVS) rates are calculated based on practice, expense, malpractice cost, and physician work and are then adjusted by a Answer- Geographical 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? Answer- Clinical practice guidelines A clinical documentation improvement (CDI) program facilities accurate coding and helps coders avoid Answer- using non-specific codes Under RBRVS, which elements are used to calculate a Medicare payment?

Answer- work value and practice expenses

Total fees received by Physician Group A is $130,500. If the break-even conversion factor is $29.00, how many claims were paid? Answer- 4, You have been asked to build a survey to measure patient health literacy to a given degree of precision. Which of the following statements accurately describes the relationship between variability in literacy levels, precision (as measured by confidence interval), and the minimum number of patients you must survey to attain the precision? Answer- As variability in levels of literacy increases, the needed sample size increases It is the year 20XX. The federal government is determined to lower the overall payments to physicians. To incur the least administrative work, which of the following elements of the physician payment system would the government reduce? Answer- Conversion factor The practice of using code that results in a higher payment to the provider than the code that actually reflects the service or item provided is known as Answer- Upcoding Architectural models are used for information systems to do which of the following? Answer- Provide a structure or framework for the data flow Microsoft Access is typically run from a work station and is appropriate for smaller department-specific applications. Microsoft Access is an example of which of the following? Answer- Relational database management software The term in a data dictionary used to specify an attribute which must not be duplicated is Answer- primary key Which of the following is the term that describes a method of combining data that may be categorized by clinical classification systems as well as those classified by clinical nomenclatures? Answer- Ontology Your organization has contracted with CMS to participate in an initiative. As part of this, CMS will send you large extracts of data monthly. Which of the following is the best type of tool to store these extracts in? Answer- A relational database A column of one table that corresponds to a primary key in another table is called a Answer- foreign key The process of integrating the health IT systems within a healthcare facility requires the creation of Answer- enterprise master patient index A key technology in the development of a universal language to aid storage and transmission of web-based data id Answer- XML The goal of LONIC is to Answer- serve as the standard terminology for sharing laboratory results

A map of a single CPT code that is used to report any/all allergen tests to a LONIC code for a test for a unique allergen is an example of Answer- broad-to-narrow map SNOWMED-CT has been used in EHRs to facilitate Answer- all of the above Which type of architecture has one powerful central computer that performs all processing and storage functions while sending and receiving data to or from various terminals and printers? Answer- mainframe Which of the following is a graphical display of the relationships between tables in database? Answer- ERD The primary key in a data table primarily serves what purpose? Answer- a unique row identifier Protocols that support communication between applications are often referred to as Answer- messaging standards The SELECT keyword in a SQL query defines Answer- the data elements to be extracted The field of artificial intelligence is most closely related to Answer- clinical decision support system Anywhere Hospital has mandated that the social security number will be displayed in the XXX-XX-XXXX format for their patients. The information may be found in the Answer- data dictionary The personal health record model that maintains provider control on content while allowing online access to the authorized patient is the Answer- EHR extension model Which IT activity best fits the domain of the health information management profession? Answer- Promoting interoperability Which of the following is a database from the National Health Care Survey that uses the health record as a data source? Answer- National Ambulatory Medical Care Survey Technology that electronically stores, manages, and distributes documents that are generated in a digital format and whose output data are report-formatted and print- stream originated is called Answer- computer output laser disk (COLD) technology Which of the following is an example of a 1:M relationship? Answer- primary care physicians to patients An example of an attribute about a hospital patient that is derived from other data is Answer- length of stay Place of service codes are used on what type of billing form? Answer- CMS- 1500

What are the General Equivalence Mappings (GEMs)? Answer- Mapping of ICD-9- CM and ICF-10-CM/PCS content The most common architecture used in EHRs in hospitals today is: Answer- client/server What keyword is missing from the following SQL statement: Select patient_id where state="NY"? Answer- from A database contains two tables:physicians and specialty. If a physician may be linked to only one specialty and specialties may be related to many physicians, what is the cardinality of the relationship between the two tables? Answer- One-to-many The name of the government agency that has led the development of basic data sets for health records and computer databases is the: Answer- The National Committee on Vital and Health Statistics Which of the following is the SQL clause used to aggregate data? Answer- GROUP BY Which of the following statements is true of structured query language (SQL)? Answer- it defines data elements and manipulates and controls data What key word is missing from the following query:Select patient_name where patient_city = "Buffalo" Answer- From Which of these best describes the nature of the relationship between a table of CPT codes and a table of the APCs? Answer- One-to-many A manager at your facility believes that elderly females take advantage of free clinical education offerings more often than elderly males. If proven true, she plans to revamp the educational tools for the elderly males. Which of the following is the statisitical test you would use to test for a relationship between gender and use of educational offerings? Answer- Chi-square test of independence Standard deviation is intended to measure the of a set of data. Answer- variability Which of the following is the mathematical term defined as the square root of the variance? Answer- standard deviation The extent of which results are in agreement when difference individuals administer the same instrument to the same individuals or groups is called which of the following? Answer- interrater reliability Which of the following is the statistical test used for differences among more than two means? Answer- analysis of variance

If a health plan analyst wanted to determine if the readmissions rates for two hospitals were statistically different, what is the null hypothesis? Answer- The morality rate is equal to the standard Using claims data for quality measurement is an example of Answer- secondary data analysis If a survey question asks an open-ended question what type of data is collected? Answer- qualitative Which of the following should be considered when selecting an alpha level for a hypothesis test? Answer- the cost of incorrectly rejecting the null hypothesis A sample of 10 patients from General Hospital was selected to determine the rate that prescriptions were filled after discharge from the facility, 8 of the 10 patients did fill their prescriptions. If the target for this rate is 95 percent, what hypothesis test should be completed to determine if GH meets the standard? Answer- one-sample Z-test for proportions Binary variables are useful in calculating Answer- rates proportions percentages Which of the following measures of central tendency is most affected by extreme values? Answer- mean You are conducting a one-sample t-test; the sample contains 30 observations. The number of degrees of freedom for the one-sample t- test is Answer- 29 After collection data for a sample of patient an analyst determines that the patient's BMI explains 31 percent of the variance in the post- operative length of stay for heart bypass patients. What is the correlation between patient BMI and post-op length of stay? Answer- 0.56 or -0. If the last squares regression line modeling wait time as a function of the number of surgeries scheduled is Y=10+5 x X. Where Y is wait time and X is the number of surgeries. What is the predicted wait time for patients on a day when there are 12 surgeries scheduled? Answer- 70 You are conducting a patient satisfaction survey in an outpatients clinic. Because you typically see about 300 people per day in the clinic, you decide to have the interviewers administer the questionnaire on every tenth patient. You are using Answer- Systematic sampling What is a random number seed? Answer- The starting point for the random number generator Which sampling technique includes dividing the population into subsets and randomly selecting a sample of the members of each subset? Answer- stratified sampling

An analyst wishes to test the impact fo a new patient schedule system on number of MRI tests performed per day. What statistical test should be used? Answer- Paired t-test Which of these software packages is RDMS? Answer- Access The first step in hypothesis testing is Answer- determining the null and alternative hypotheses Which of the following is true of the median? Answer- It is based on the whole distribution The CPT codes for emergency department visits are Answer- ordinal data During the influenza outbreak, a nursing home reports 25 new cases of influenza in a given month. These 25 cases represent 30 percent of the nursing home's population. This rate represents the Answer- incidence rate There were 25 inpatient deaths, including newborns, at Community Memorial Hospital during the month of June. The hospital performed five autopsies during the same period. The gross autopsy rate for the hospital for June was: Answer- 20 percent The null hypothesis that the mean time it takes insurance companies to comply with new regulations is four months is rejected in favor of an alternative hypothesis that it takes longer than four months. However, the population mean is four months. What type of error is this? Answer- Type 1 error The descriptive statistic most often used with nominal and ordinal data is Answer- frequency distribution If a sample size of 3 is to be selected from a population of 20 using systematic random sampling, the analysis should select every observation. Answer- 6 What statistics is also known as the coefficient of determination? Answer- R squared An analyst wishes to determine the amount of time coders require to code inpatient records. She samples all records from 10 randomly selected dates. This is an example of Answer- cluster sampling Graphing the results of an employee engagement survey would best be done in which of the following programs? Answer- excel graph Answer- graph Answer-

DSM-IV-TR is used most frequently in what type of healthcare setting? Answer- behavioral health centers If an analyst wishes to predict future ancillary charges for hip replacement patients based on the age of the patient, which of the following is a correct statement? Answer- Age is the independent variable; ancillary charges is the dependent variable Which work measurement tool uses random sample observations to obtain information about the performance of an entire department? Answer- work sampling The relationship between patient gender and readmission to the hospital is best displayed using a Answer- contingency table The capture of secondary diagnoses that increase the incidence of CCs and MCCs at final coding may have an impact on: Answer- case-mix index In terms of grouping and reimbursement, how are the MS-LTC-DRGs and acute care MS-DRGs similar? Answer- divided into medical and surgical partitions The most recent coding audit has revealed a tendency to miss secondary diagnoses that would have increased reimbursement for the case. Which of the following strategies will help to identify and correct this problem in the long term? Answer- facility top 10 to 15 DRGs by volume and charges CMS is using what data analytic technique to assist in pre-payment audits? Answer- predictive modeling Relative value unit's primary use is to Answer- determine the payment from Medicare HCUP is a family of databases maintained by Answer- AHRQ (Agency for Healthcare Research and Quality) Which graph will provide the best presentation of patient gender for a clinic? Answer- pie chart This type of data displayed tool is used to show the relationship of each part to the whole: Answer- pie charts In general, which of the following statements about secondary data is true? Answer- There is an increased need for and use of secondary data Data on the geometric length of stay for various long-term care DRGs is used in determining adjustments. Answer- short stay outlier Secondary data sources provide information that is available by looking at individual health records. Answer- not easily

Which graph is the best choice to use when comparing the relative volumes of the no CC, CC, or MCC versions of the DRGs for congestive heart failure? Answer- pie chart An HIM director wants to conduct research to learn about the physicians' view of the department's image. What type of scale should she use to collect data? Answer- Semantic differential scale graph Answer- You want to graph the average length of stay by sex and service for the month of April. Which graphic tool would you use? Answer- bar graph The health plan reimburses Dr.Tan $15 per patient per month. In January, Dr.Tan saw 300 patients so he received $4,500 from the health plan. What method is the health plan using to reimburse Dr.Tan? Answer- Capitated rate This type of chart is used to focus attention on any variation in the process and helps the team to determine whether that variation is normal or a result of special circumstances: Answer- control chart What is the desired outcome of analyzing for a specific purpose? Answer- information What is the average of the relative weights of all patients treated during a specified time period? Answer- case-mix index What tool is used to sort data in a variety of ways to assist in the study of certain data elements? Answer- indexes What type of data display tool us sued to display discrete categories? Answer- bar graph Formatting and/or structuring of captured information that includes the process of analyzing, organizing, and presenting recorded patient information for authentication and inclusion in the patient's healthcare record defines Answer- report generation graph Answer- graph Answer- Which graph is the best choice to use when comparing lengths of stay across three hospitals? Answer- bar chart Which graph is the best choice to use when exploring the relationship between length of stay and charge for a set of patients? Answer- scatter diagram The monthly trend in readmission to the hospital is best displaying using a Answer- contingency table

Audit control standard recognizes that regardless of the controls put into place to prevent unauthorized access, there must be a way to track and record user activities in the system. Tracking using the audit control standard can be used to do which of the following? Answer- to monitor intentional and unintentional actions by users You notice that end users are frequently making errors keying date values. For example, they often enter the wrong year in the discharge date. What is the one system safeguard you could put in place for values keyed into date fields? Answer- an edit check Which of the following statements about a firewall is false? Answer- firewalls are effective for preventing all types of attacks on a healthcare system Which of the following characteristics is not a characteristic of data quality? Answer- precise Highland Hospital requires all dates be recorded in its clinical information system as MM/DD/YYYY. This required data definition and format should be part of the. Answer- data dictionary Standardizing medical terminology to avoid differences in naming various medical conditions and procedures (such as the synonyms bunionectomy, McBride procedure, and repair of hallus valgus) is one purpose of: Answer- vocabulary standards Which of the following is an organization that develops standards related to the interoperability of health information technology? Answer- Health Level 7 Which of the following statements is true of data quality management? Answer- It affects the collection, application, warehousing, and analysis of data to improve information quality The technology that allows a healthcare organization to logically (or conceptually) link multiple physical data repositories is Answer- OLTP (Online transaction processing) The emerging wireless technology that could potentially replace bar codes for tracking patients, clinicians, medications, and equipment is. Answer- RFID (Radio-frequency identification) In data quality management, the purpose for which data are collected is Answer- application In general, the X12N workgroup of the American National Standards Workgroup focuses on standards related to Answer- electronic data interchange The mandated the development of transaction and code set standards for electronic health records. Answer- Health Insurance Portability And Accountability Act of 1996

The researcher's informed consent form stated that the patients' information would be anonymous. Later, in the application form for IRB approval, the researcher described a coding system to track respondents and nonrespondents. The IRB returned the application to the researcher with the stipulation that the informed consent must be changed. What raised the red flag? Answer- The description of the use of a coding system to track respondents and nonrespondents Which of the following is not an identifier under the Privacy Rule? Answer- Age 75 Which organization has created a standard for EHR system functions? Answer- HL Which of the following statements is true of data quality management? Answer- It affects the collection, application, warehousing, and analysis of data to improve information quality Information standards that provide clear descriptions of data elements to be included in electronic health record systems are called standards. Answer- structure and content A core data set developed by ASTM to communicate a patient's past and current health information as the patient's transitions from one care setting to another is: Answer- continuity of care record Which of following is an identifier under the Privacy Rule? Answer- vehicle license plate Bar coding technology is an example of. Answer- Automatic recognition technology A protocol to pass data from the R-ADT system of one vendor to the laboratory information system of another vendor is called: Answer- interface