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HS 422 Midterm Exam | Questions with Verified Answers

Study Material May 23, 2025
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HS 422 Midterm Exam | Questions with Verified Answers

Communications, information sharing, and decision making that include the patient and
are managed by both the patient and the provider are part of:
a. patient-centric care.
b. health information management.
c. clinical decision support.
d. meaningful use of documentation.
The professional association of physicians specializing in surgery with the purpose of
improving quality of care by setting patient care and surgical standards is the:
a. American College of Surgeons.
b. American Medical Association.
c. American Surgical Association.
d. American College of Physicians.
The act that required Peer Review Organizations (PROs) to report substandard care to
licensing agencies is:
a. OBRA.
b. ARRA.
c. HIPAA.
d. TEFRA.
The Hill-Burton Act requires hospitals to provide care for patients for free or at a
reduced rate in exchange for:
a. funding to create new medical schools.
b. funding for the modernization of hospitals or for building new ones.
c. income tax abatements.
d. lower liability and malpractice insurance.
A voluntary pay-for-performance incentive program is:
a. Medicare.
b. TEFRA.
c. Deficit Reduction Act.
d. PQRI.
The maximum range for incentive payments among Medicare and Medicaid incentive
programs for the electronic health record is:
a. $50,000-$75,750.
b. $10,000-$20,000.
c. $25,775-$50,755.
d. $44,000-$63,750.
A large research hospital facility, such as the Mayo Clinic, that performs procedures on
a clinical trial basis and trains various levels of interns and residents would be referred
to as what type of care?
a. Primary
b. Secondary
c. Tertiary
d. Quarternary
Insurance plans that promote quality, cost-effective healthcare through the monitoring of
patients, preventative care, and performance measures are called:
a. primary physician care.
b. managed care insurance.
c. second-party payer.
d. Centers for Medicare Services.
Legislation that resulted in a shift from retrospective to prospective payment for hospital
inpatients is:
a. OBRA of 1986.
b. the Hill-Burton Act.
c. Title XVIII of the Social Security Act.
d. TEFRA.
This organization was founded in 1924 to improve medical care by tracking and trending
healthcare-related issues for hospitals and all other types of healthcare facilities:
a. AHA
b. APA
c. ACS
d. AMA
The health record is the source document that:
a. only documents the health status of the patient.
b. is not used by other ancillary personnel.
c. serves as a means of communication among the healthcare team.
d. is not protected from legal proceedings.
What person is responsible for monitoring activities that are susceptible to fraud,
misuse, or overutilization and is often a HIM professional?
a. Information officer
b. Compliance officer
c. Chief executive officer
d. Clinical documentation specialist
A key advantage of using EHRs over paper is that:
a. EHRs do not have to be as secure as the paper record.
b. EHRs take less time for the physician to access.
c. EHRs can be used simultaneously by more than one provider.
d. EHRs are less expensive.
The internal RAC coordinator position requires that a person do which of the following?
a. Send bills to insurance companies
b. Coordinate claims reimbursement
c. Audit charts for deficiencies
d. Code charts

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