Indicate whether the statement is true or false.1 point each question.

F 1. A nurse is an allied health professional.

T 2. Bylaws are the framework used to identify the roles and responsibilities of the
board and its members.

T 3. Licensing controls the number of individuals who are permitted to practice an

occupation or provide a service.

T 4. Professional groups developed as the result of efforts to standardize the patient

health record.

T 5. The focus of E-HIM is electronic health data and the manner in which it is
collected, validated, stored, and disseminated.

F 6. Health information technicians are responsible for collecting, interpreting, and

analyzing patient health data in settings across the continuum of care.

F 7. Opportunities for health information managers exist primarily in the traditional

health care system.

T 8. Those who hold the CCA credential should be able to perform basic coding,
billing, and abstracting functions in a health care facility.

F 9. Quality assurance refers to the process of comparing pre-established criteria

against the health care provided to the patient to determine whether that care is necessary.
T 10. Typically, mental health, dental, and clinical services are provided to inmates.

Multiple Choice Questions (1 point each)

Identify the choice that best completes the statement or answers the question.2 points each
question.

1. The continuum of care refers to: (C)

a. the coordination of all aspects of the patients health care

b. the care provided by the health care professional at the initial point of contact

c. matching an individuals ongoing needs with the appropriate level and type of care

d. ensuring that the same professionals care for the patient to maintain continuity of
care

2. A patient is referred to a cardiologist for further evaluation. This is what type of care?
(B)

a. primary

b. secondary

c. tertiary

d. quaternary
 3. Medical Record Committees review records for all of the following EXCEPT: (B)

a. Accuracy

b. Authentication

c. Completeness

d. Timeliness

4. What are the three main types of managed care arrangements? (A)

a. HMO, PPO, IPA

b. HMO, PPO, POS

c. PPO, IRA, POS

d. PPO, POS, HMO

5. What is the term for care given to patients who are not confined to an institutional bed
as inpatients at the time care is rendered? (B)

a. Home Health

b. Ambulatory

c. Palliative

d. Both a and b, not c

 6. Which of the following activities would most likely be considered for outsourcing?
(B)

a. performing laboratory tests on specimens

b. medical transcription

c. doing routine physical examinations

7. The HIM professional working in a correctional facility would notice the greatest
difference in which of the following? (C)

a. Clinical research studies are prohibited on the inmate population.

b. Records management varies by type and degree of detail.

c. Increased involvement with the judicial system.

8. The Health Information Technology for Economic and Clinical Health Act (HITECH)
is part of the (A)

a. American Recovery and Reinvestment Act.

b. Healthcare Information and Management Systems Society.

c. Health Insurance Portability and Accountability Act.

d. Health Information Technology Professional.

 9. Quality assurance refers to those actions taken to (D)

a. establish.

b. promote.

c. protect.

d. all of the above.

10. An electronic health record (EHR) is a record that resides in an electronic system
specifically designed to support users by providing accessibility to all aspects of an
individuals health record EXCEPT: (D)

a. complete and accurate data.

b. alerts.

c. reminders.

d. timeliness.
Short Answer (3 points each)

1. Prior to the 1960s, those portions of the general population who had health insurance
obtained it as a fringe benefit of their employment. This excluded two portions of the
general population. In response, the federal government amended the Social Security Act
in 1965 to provide two government subsidized health care programs. What are these two
programs and what population do they cover? (4 Points)

The two government subsidized programs are: Medicare and Medicaid. Medicare
provides funding for all persons 65 and over. On the other hand, Medicaid covers
health care funding for low income individuals.

2. Explain the three main types of managed care arrangements that have proliferated in the
United States. (4 Points)

The three main types of managed care arrangements that have proliferated in the
United States are:

1. Health Maintenance Organization (HMO)- a prepaid organized system that covers

comprehensive care, especially preventative care, within a specified geographical
area.
2. Independent Practice Association (IPA)-a community based group of independent
practitioners who contract to provide care for prepaid, enrolled members.
3. Preferred Provider Organizations (PPO)- a network of healthcare providers who
contract with a sponsor to provide care for those enrolled.

3. How do the terms licensing, registration, and accreditation differ? (4 Points)

 Licensing refers to proving capability and gaining proof through conferment by a
government entity that one can operate in a certain specialization. Registration
refers to gaining permission through a nongovernmental entity to operate in a
certain sector after completion of an exam. Additionally, accreditation occurs when
an organization is reviewed by an external entity to ensure that mandatory
standards are met.

4. What does the abbreviation AHIMA stand for? List two of the credentials it awards. (4
Points)

AHIMA- American Health Information Management Association.

Two credential AHIMA awards are:

-Registered Health Information Technician

-Registered Health Information Administrator

5. At the professional level, two categories of health information management exist: health
information administrator and health information technician. Explain what each
credential focuses on in the department.(4 Points)

Health Information Administrator-focuses on managing an electronic or paper

based recording system and ensuring compliance with both external and internal
standards.

Health Information Technician-focuses on completeness, accuracy, and proper entry

of data by utilizing computer applications to improve patient care and control
health costs.
6. How does health information informatics differ from health information management? (5
Points)

Health information differs from health management mainly because Health

information informatics focuses on the use of technology to support data whilst
Health Information management focuses on the quality of the data used.

7. What does the abbreviation HIPAA stand for? List the three credentials that denote a
mastery level of competency in health care privacy and security management. (5 points)

HIPPA stands for Health Insurance Portability and Accountability Act.

The three credentials that denote a mastery level of competency in health care
privacy and security management are:
1. Certified in Healthcare Privacy
2. Certified in Healthcare Security
3. Certified in Healthcare Security Privacy and Security.