CCS Health Information Management & Data Accuracy 2

Question 1

What is the primary purpose of the Master Patient Index (MPI)?

Accepted Answer

To uniquely identify each patient and link all their records across encounters

Answer

The MPI is the permanent database that assigns a unique medical record number to each patient and links all their visits and records within a health system, ensuring record integrity.

Question 2

Which data quality characteristic ensures that health information is available when needed by authorized users?

Accepted Answer

Accessibility

Answer

Accessibility refers to data being available and retrievable by authorized users when needed - a core characteristic of high-quality health information.

Question 3

A hospital's inpatient coding is found to have a 12% query rate for physician clarification. What does this primarily indicate?

Accepted Answer

Clinical documentation is frequently insufficient to code accurately without clarification

Answer

A high physician query rate indicates that clinical documentation lacks the specificity or completeness needed for accurate coding, requiring coders to ask physicians for clarification.

Question 4

Under HIPAA, what is the minimum necessary standard as it applies to health information access?

Accepted Answer

Covered entities must make reasonable efforts to limit PHI access to the minimum needed for the intended purpose

Answer

The minimum necessary standard requires covered entities to limit PHI use, disclosure, and requests to the minimum amount necessary to accomplish the intended purpose.

Question 5

What does the Health Insurance Portability and Accountability Act (HIPAA) transaction code set standard mandate for claims submission?

Accepted Answer

Electronic healthcare transactions must use HIPAA-mandated standard formats (X12 transactions)

Answer

HIPAA's administrative simplification provisions mandate that covered entities use X12 standard electronic transaction formats (e.g., 837P, 837I) for electronic claims submission.

(CCS) Certified Coding Specialist Practice Test

(CCS) Certified Coding Specialist Practice Test

CCS Health Information Management & Data Accuracy 2