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Where do the data originate that are used to prove Accountable Care Organization (ACO) success?


A) a federal government database
B) the insurance exchanges
C) the Master Patient Index
D) the patients' health records

E) A) and B)
F) A) and C)

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Part of the payer information required by HIPAA includes a ______________ number that is obtained when an insurance plan requires procedures to be approved in advance of the procedure being done.

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This number is refer...

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In a multiprovider practice, when making an appointment with a particular care provider, what is the first step to finding an open appointment?

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The appointment system is arranged by ca...

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The required code set for documenting diagnoses on all patients in any care setting is known as


A) CPT.
B) HCPCS.
C) ICD-10-CM.
D) ICD-10-PCS.

E) B) and D)
F) C) and D)

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Demographic data is a subset of ____________________ data.


A) clinical
B) administrative
C) medical
D) billing

E) None of the above
F) All of the above

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What are the advantages to a facility of selecting software that is able to communicate among different applications?

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Answers may vary slightly, since there are so many different applications within a system (for instance, the practice management applications as opposed to the electronic health record applications). Should an office staff review three or four PM/EHR software packages, and the general consensus is that the EHR applications meet their needs but the PM applications do not, then the practice may choose one vendor for the PM applications and one for the EHR. The advantages include getting a system that meets the needs of the practice; the disadvantage is making sure that the systems are able to interface.

County Hospital offers inpatient, outpatient diagnostic laboratory, emergency department, and ambulatory surgery services. Each of these services has its own registration area. What kind of registration does County Hospital use?

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Since County Hospital does not...

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In order for ACOs to prove that they have provided quality care while controlling costs, what is/are necessary?


A) additional staff
B) ancillary services (lab, radiology, rehab, etc.) available 24/7
C) data
D) one health record for each patient regardless of which provider or facility within the ACO is utilized

E) A) and B)
F) B) and D)

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Each staff member must collect data from patients consistently. What is used to explain the intent of each data field?

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A data dictionary is...

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In a hospital, what piece of data is included in the Master Patient (Person) Index (MPI) that allows a hospital to locate the corresponding health (medical) record for each patient?


A) patient's full name
B) Social security number
C) Date of admission
D) medical (health) record number

E) B) and D)
F) A) and C)

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The MPI and patient list should be kept


A) five years.
B) ten years.
C) twenty-five years.
D) permanently.

E) B) and C)
F) B) and D)

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The subscriber and patient information section of a claim form includes all of the following except


A) assignment of benefits authorization.
B) policyholder's name.
C) policy number.
D) patient's relationship to the policyholder.

E) None of the above
F) All of the above

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A

Daniel Allen has been a patient at Greenway Hospital for the following ailments: January 8, 2012, inpatient for appendicitis; April 16, 2012, emergency department for an asthma attack; May 12, 2013, urgent care for a viral illness; May 13, 2013, inpatient for pneumonia; and June 4, 2013, emergency department for a sprained arm. How many times will Daniel Allen's name and demographic information be entered in the MPI of Greenway Hospital?


A) one
B) three
C) four
D) five

E) None of the above
F) A) and C)

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In which healthcare setting is a patient registered prior to receiving care?


A) acute care hospital
B) physician's office
C) dental office
D) both acute care hospital and dental office
E) patients are registered in all of these settings

F) All of the above
G) C) and E)

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List and define the term for what records are filed by in a hospital setting. In addition, indicate how this may relate to the MPI?

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The medical record number, also known as the health record number, is a unique identifier that is assigned to every patient. It is part of the MPI data for each patient; thus if the MPI is lost, then the ability to find the patient's health record may also be lost.

Carolyn Ware is a billing coordinator at Memorial Hospital. She files claims for all patients using which form?

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The form used to bil...

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Explain the significance of a unique identifier for each patient in a hospital setting.

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Answers will vary. It is a requirement o...

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Michael Malone's health (medical) record number at Memorial Medical Center is 482638. This is an example of a/an ______________________.


A) index number
B) provider number
C) unique identifier
D) account number

E) All of the above
F) None of the above

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The amount of time allotted for a patient's office appointment is largely dependent on the _______________________.


A) reason for the visit
B) the amount of time open on the schedule for that day
C) the amount of time requested by the patient
D) whether this is an established or new patient

E) A) and B)
F) A) and C)

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Explain ways that medical practices may have patients communicate changes in their demographic information.

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Patients may verbally communicate change...

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