1. You are developing a complete data dictionary for your facility. Which of the following resources will be most helpful in providing standard definitions for data commonly collected in acute care hospitals?

2. According to the following table, the most serious record delinquency problem occurred in

3. The most common type of vaginitis is

4. The Health care Cost and Utilization Project (HCUP) consists of a set of databases that include data on inpatients whose care is paid for by third-party payers. HCUP is an initiative of the

5. To compute the reimbursement to a particular hospital for a particular MS-DRG, multiply the hospital

6. CMS adjusts the Medicare Severity DRGs and the reimbursement rates every

7. Out of 2,543 records requested from the HIM Department, 2375 were located. What is the filing accuracy ratio?

8. A fiscal year is a yearly accounting period. It is the 12-month period on which a budget is planned. The federal fiscal year is

9. Skilled nursing facilities may choose to submit MDS data using RAVEN software, or software purchased commercially through a vendor, provided that the software meets

10. If a participating provider

11. As supervisor of the cancer registry, you report the registry

12. In retrieval of optical image files, cache memory

13. Which one of the following is NOT a data retrieval technology?

14. The nursing initial assessment upon admission documents the presence of a decubitus ulcer. There is no mention of the decubitus ulcer in the physician documentation until several days after admission.

15. A system of preferred terminology for naming diseases processes is known as a

16. The following coding system(s) is/are utilized in the Impatient Psychiatric Facilities (IPFs) prospective payment methodology for assignment and proper reimbursement.

17. The presence of fluid in the alveoli of the lungs I s characteristic of

18. Which of the following is a DISADVANTAGE of terminal digit filing as compared to straight numeric filing?

19. The first stage of alcoholic liver disease is

20. A disadvantage of adopting SNOMED for diagnosis coding is that it

21. A patient was admitted to the hospital with hemiplegia and aphasia. The hemiplegia and aphasia were resolved before discharge and the patient was diagnosed with cerebral thrombosis. What is the correct coding and sequencing?

22. You have been appointed as chair of the Health Record Committee at a new hospital. Your committee has been asked to recommend time-limited documentation standards for inclusion in the Medical Staff Bylaws, Rules and Regulations. The committee documentation standards must meet the standards of both the Joint Commission and the Medicare Conditions of Participation. The standards for the history and physical exam documentation are discussed first. You advise them that the time period for completion of this report be should be set at

23. In preparation for an HER, you are conducting a total facility inventory of all forms currently used. You must name each form for bar coding and indexing into a document management system. The unnamed document in front of you includes a microscopic description of tissue excised during surgery. The document type you are most likely to give to this form is

24. Which of the following issues would be of LEAST concern when storing health records in off-site storage?

25. For continuity of care, ambulatory care providers are more likely than providers of acute care services to rely on the documentation found in the