AHIMA Level 1

Question 1

Patient data collecting criteria differ per health care facility. A data piece you expect to be gathered in the MDS but not in the UHDDS is ______________.

Accepted Answer

cognitive patterns

Answer

procedures and dates

Answer

personal identification

Answer

principal diagnosis

Question 2

A good opening step toward maintaining the security of data included in a health information computer system would be ______________________.

Accepted Answer

define security levels for various sorts of information based on their sensitivity.

Answer

offer online access to facility records.

Answer

create a good tracking system.

Answer

offer remote terminals for easier access to the records.

Question 3

What does the prefix "99" indicate in the tumor registry accession number "99-0001"?

Accepted Answer

the year the case was put into the registry's database

Answer

the case's sequence number

Answer

the tumor's stage according to the TNM staging method

Answer

the total number of primary cancers recorded for that patient

Question 4

A risk manager must locate a complete record of a patient's fall from his bed, including witness statements and likely causes of the incident. She would probably discover this knowledge in the __________________.

Accepted Answer

incident report

Answer

nurses’ notes

Answer

doctors’ progress notes

Answer

integrated progress notes

Question 5

Ambulatory care professionals are more likely than acute care providers to use the information available in the ______________________.

Accepted Answer

problem list

Answer

discharge summary

Answer

interdisciplinary patient care plan

Answer

transfer record

Question 6

The Joint Commission does not authorize automatic authentication of health record inputs. The fundamental argument against this approach is:

Accepted Answer

evidence cannot be presented that the physician really reviewed and authorized each report

Answer

electronic signatures are not accepted in all states

Answer

it is too simple to delegate the usage of computer passwords

Answer

tampering happens too often with this type of authentication

Question 7

As a new CTR, you want to identify all reportable cancer cases from the preceding year. A crucial resource will be the facility's _____________.

Accepted Answer

disease index

Answer

physicians’ index

Answer

patient index

Answer

number control index

Question 8

A person stole and used another person's insurance information to get medical treatment. This action will be considered:

Accepted Answer

Medical identity theft

Answer

Abuse

Answer

Violation of bioethics

Answer

Fraud and abuse

Question 9

A clerical employee describes an event in which the clerk felt the first-line supervisor discriminated against her because of her gender. The greatest step for you to take now is to:

Accepted Answer

thoroughly explore the situation and record your findings.

Answer

tell the clerk to give objective proof of the discrimination.

Answer

inquire with other clerical personnel whether they have had similar issues.

Answer

consult the first-line supervisor to discover what occurred.

Question 10

Encoding software was deployed at your facility two years ago. The coders are well-trained in it and like utilizing it. It works great and just requires ICD code revisions once a year. In terms of the Information Systems Life Cycle stages, the coding system is probably in the ________________.

Accepted Answer

operation and maintenance phase

Answer

design phase

Answer

obsolescence or decline phase

Answer

implementation phase