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Lesson 2 Quiz

13. Measurement of the ability of health care facilities to deliver care that is
safe and adequate in accordance with federal law and regulation is called feder
al
accreditation.
certification.*
licensure.
regulation.
14. What numerical coding system is used to classify outpatient/ambulatory proce
dures and services?
ICD-9-CM
HCPCS
Current Procedural Terminology *
SNO-MED
15. Which association grants the Registered Health Information Technician (RHIT)
credential?
American Health Information Association *
American Academy of Professional Coders (AAPC)
American Association of Medical Assistants (AAMA)
AMRA
16. Which of the following agencies supports research designed to improve the ou
tcomes and quality of health care, reduce costs, address patient safety and medi
cal errors, and broaden access to effective services?
ACF
AoA
AHRQ *
CDC
17. An Internet-based third-party entity that manages and distributes software-b
ased services across a WAN from a central data center is known as a(n)______prov
ider.
application service
Internet-based service
software service
wide area network *
18. AHIMA requires RHITs and RHIAs to submit proof of continuing education every
:
year.
two years *
three years.
four years.
19. Preadmission certification (PAC) is defined as a form of utilization managem
ent that
controls health care costs by reviewing cases for appropriateness.
includes a review of patient cases to determine that quality health care is prov
ided.
involves the review for medical necessity of inpatient care prior to inpatient a
dmission. *
requires the documentation of services needed for diagnosis or treatment of a me
dical condition.
20. A consideration when discussing hospital organization is to identify the "po
pulation served by a health care facility." This means that health care is provi
ded to specific groups of people. Which is a true statement?
A facility that specializes in the treatment of inpatient children is usually ca
lled a pediatric hospital.
Facilities that serve as "mini-intensive care units" are called emergency hospit
als.
The hospital's longest length of stay (LOS) determines whether the hospital is c
lassified as short- or long-term.
The inpatient bed size licensed by the state determines whether the hospital is
general or specialized. *
21. To calculate an inpatient length of stay (LOS), count the day of admission b
ut not the day of discharge. A patient admitted on July 25 and discharged on Aug
ust 3 has which LOS?
7 days
8 days
9 days *
10 days
22. Patients who have experienced a recent decline in function due to a stroke o
r head injury may be admitted to what type of facility?
chemical dependency program
partial hospitalization program
rehabilitation facility *
crisis service program
23. Health services managers plan, direct, coordinate, and supervise the deliver
y of health care. They include specialists who
complete physician credentialing procedures.
coordinate a health care facility's quality improvement program.
direct clinical departments or services. *
perform routine administrative and clinical tasks.
24. A risk manager investigates incident reports to
ensure they are filed in the patient record.
prepare patients for testimony against the facility.
provide copies to the plaintiff's attorney.
recommend appropriate corrective action. *
25. Mr. Lambert was seen in the office two months ago. He returns today because
his insurance company has denied payment of that claim. Which professional would
review Mr. Lambert's claim to verify it against third-party payer guidelines to
determine if payment is authorized?
coding specialist
health insurance specialist *
health services manager
utilization manager