Q&A Hero

Q: icd-10 implementation assumes that inpatient coders will lose productivity during an initial time period. it is further assumed that the coders productivity would: a. increase month by month over the first year b. increase month by month over the initial six-month period c. decrease month by month over the initial six-month period d. decrease month by month over the first year e none of the above

Q: icd-10 implementation assumes that inpatient coders will lose productivity during an initial time period. cms estimated this productivity loss in dollars and cents. first cms estimated a cost per hour, in dollars, for an inpatient coder. then cms estimated how many extra minutes an inpatient coder would take for each inpatient claim. it was then possible to calculate a cost per claim. to do so, first calculate a cost per minute. then multiply the cost per minute times which of the following? a. the extra minutes per claim b. the cost per hour c. the total number of claims d. none of the above

Q: assume your team is preparing a swot matrix concerning the icd-10 adoption issue, and they are now considering all the governmental compliance requirements to be met. where would you place these compliance requirements within the swot matrix? in the: a. strengths b. internal weaknesses c. external opportunities d. external threats e. any of the above f. none of the above

Q: other examples of vendor software and systems that will need revising due to the change from icd-9 to icd-10 include how many of the following: a. billing systems b. medical records abstraction c. reporting programs and external interfaces d. a & b e. a & c f. b & c g. all of the above

Q: examples of vendor software and systems that will need revisions due to the change from icd-9 to icd-10 include how many of the following: a. physician office systems b. contract management programs c. claims submission d. a & b e. a & c f. b & c g. all of the above

Q: when preparing a swot matrix for an information technology analysis concerning the icd-10 adoption issue, in which of the four components would the team logically enter the governments incentive payment? a. strengths b. weaknesses c. opportunities d. threats e. any of the above f. none of the above

Q: examples of systems used to model or calculate that are impacted by the change from icd-9 to icd-10 include how many of the following: a. presentation of clinical content for support of plans of care b. business rules guided by patient condition or procedure c. selection criteria within electronic medical records d. a & b e. a & c f. b & c g. all of the above

Q: examples of specifications that will need revising due to the change from icd-9 to icd-10 include how many of the following: a. data file extracts b. analytic software that performs business analysis c. analytic software that provides business support d. a & b e. a & c f. b & c g. all of the above

Q: transition to the new diagnosis codes provides how many of the following benefits: a. detail improves the accuracy of data used for medical research b. precisely defines procedures with detail about body parts and any device used c. supports interoperability and the exchange of health data between other countries and the united states d. a & b e. a & c f. b & c g. all of the above

Q: transition to the new procedure codes provides how many of the following benefits: a. provides detailed descriptions of methodology and approach for procedures b. provides detailed descriptions for body parts c. precisely defines procedures with detail about body parts, approach, any device used and qualifying information d. a & b e. a & c f. b & c g. all of the above

Q: cms acknowledges which of the following in regard to transition costs from icd-9-cm to icd-10 code sets: a. large providers and institutions will most likely need to make system changes and software upgrades b. small providers will most likely also need to make system changes as well as software upgrades c. some transition costs are unavoidable d. a & b e. a & c f. b & c g. all of the above

Q: management must make decisions about major icd-10 transition costs incurred by their own organization. which of the following will generally be true? a. if proper standards are adopted (version 5010 is an example), there should not be any other transition costs to the organization b. some costs to the organization will be one-time costs c. other costs to the organization will become recurring costs d. b & c e. none of the above

Q: other benefits of transitioning to icd-10 that have been identified by cms include the following: a. more accurate payments for new procedures b. fewer improper claims c. guaranteed governmental financial assistance in transitioning d. a & b e. a & c f. b & c g. all of the above

Q: according to cms, benefits of transitioning to icd-10 include the following: a. improved disease management b. improved health conditions and outcomes c. compatibility of worldwide disease monitoring and reporting d. a & b e. a & c f. b & c g. all of the above

Q: the icd-10 copyright is owned by the: a. national center for health statistics (nchs) b. centers for medicare and medicaid services (cms) c. centers for disease control and prevention (cdc) d. none of the above

Q: the national center for health statistics (nchs) is: a. an agency within the centers for medicare and medicaid services (cms) b. the federal agency that is responsible for use of the icd-10 in the united states c. one of the international centers collaborating with the who to develop and revise the icd d. a & b e. a & c f. b & c

Q: according to the national center for health statistics, the international classification of diseases, 10th revision (icd-10) is designed to promote international comparability in the: a. processing of certain statistics b. classification of certain statistics c. presentation of certain statistics d. a & b e. a & c f. b & c g. all of the above h. none of the above

Q: the international classification of diseases is: a. the international standard diagnostic classification b. used for all general epidemiological purposes c. used for many health management purposes and clinical use d. a & b e. a & c f. b & c g. all of the above h. none of the above

Q: the centers for medicare and medicaid services has developed a procedure classification system termed the icd-10-pcs. the icd-10-pcs procedure classification system has been developed for use in: a. all types of healthcare treatment settings in the united states b. inpatient hospital settings only within the united states c. all types of healthcare treatment settings in any of the international centers that are collaborating with the world health organization regarding this project d. a & b e. a & c f. b & c g. none of the above

Q: the national center for health statistics has developed a clinical modification of the icd-10, termed the icd-10-cm. the icd-10-cm diagnosis classification system has been developed for use in: a. all types of healthcare treatment settings in the united states b. inpatient hospital settings only within the united states c. all types of healthcare treatment settings in any country that has adopted icd-10 d. a & b e. a & c f. b & c g. none of the above

Q: cms estimated that hospital coders would incur productivity losses after icd-10 implementation over a period of: a: 6 months b. 12 months c. 18 months

Q: the cms computation of icd-10 training costs includes: a. expenses of training b. lost work time c. hospital system hardware and software costs d. all of the above e. both a and b only f. none of the above

Q: the change from icd-9 to icd-10 represents a significant technological problem. chapter 26 lists twenty-five examples of various systems and applications that are affected by this change, including: a. specifications that will need revising b. vendor software and systems that will need revisions c. systems used to model or calculate that are impacted d. all of the above e. a and b only

Q: cms has extended the deadline for icd-10 compliance by one year. the compliance date is now october 1st of: a. 2013 b. 2014 c. 2015 d. none of the above

Q: the three stages of meaningful use are summarized as follows: -stage 1 includes data capture and sharing -stage 2 includes advanced ________ processes -stage 3 includes ________ outcomes.

Q: a fraction has two parts; the numerator is the top number and the ___________ is the bottom number.

Q: under the ehr incentive medicare program, hospital incentives are based on ____________ hospital services.

Q: meaningful use means providers must show they are meaningfully using their certified ehr technology by meeting thresholds (or minimum levels) for a number of ____________.

Q: "certified ehr technology means an electronic health record that has been especially certified for ___________________________________.

Q: at the time of this writing the current version of electronic transmission standards is version 5010.

Q: the ehr incentive initiative includes both a medicare incentive program and a medicaid incentive program. eligible professionals are able to receive the same dollar amount of payments under either the medicare or the medicaid program.

Q: menu objectives are mandatory while core objectives provide a choice for the provider.

Q: in general, under the ehr incentive medicare program an eligible hospital can receive a two-part payment that includes (1) an initial base amount and (2) a medicare share that is computed according to a formula.

Q: healthcare industry segments that are directly affected by the adoption of updated electronic transaction standards include: a hospitals and physicians b. commercial health plans c. clearinghouses and vendors d. a & b e. a & c f. b & c g. all of the above

Q: the stage 3 criteria for meaningful use focus upon how many of the following items: a. improving quality, safety, and efficiency leading to improved health outcomes b. access to comprehensive patient data through patient-center health information exchange (hie) c. begin to report clinical quality measures and public health information d. a & b e. a & c f. b & c g. all of the above

Q: the stage 2 criteria for meaningful use focus upon how many of the following items: a. more rigorous health information exchange (hie) b. increased requirements for e-prescribing and incorporating lab results c. more patient-controlled data d. a & b e. a & c f. b & c g. all of the above

Q: the stage 1 criteria for meaningful use focus upon how many of the following items: a. capture health information electronically in a standardized format b. provide patient access to self-management tools c. use that information in tracking key clinical conditions d. a & b e. a & c f. b & c g. all of the above

Q: regarding the relationship between meaningful use measures and objectives, what following statements are correct? a. each core measure is tied to its core objective b. each menu measure is tied to its menu objective c. each menu measure may be tied to either a core or a menu objective d. a & b e. a & c f. b & c g. none of the above

Q: regarding the characteristics of core and menu objectives, what following statements are correct? a. core objectives must all be met b. menu objectives provide a choice c. a minimum number of menu objectives must be met d. both core and menu measures provide a choice e. a & b f. c & d g. a, b & c h. none of the above

Q: regarding percentage-based measures of meaningful use, what following questions are correct? a. are we excluded from the measure? b. what makes up the denominator of the measure? c. what makes up the numerator of the measure? d. a & b e. a & c f. b & c g. all of the above

Q: regarding system-based measures of meaningful use, what following questions are correct? a. do we meet the required threshold? b. what actions must we take? c. what function of our certified ehr technology system must be enabled? d. a & b e. a & c f. b & c g. none of the above

Q: regarding the stages of meaningful use, what following statements are correct? a. the hitech initiative programs are supposed to advance in three stages that are sequential b. the hitech initiative programs are supposed to advance in three stages that allow automatic advancement c. each stage must be completed before progressing to the next stage d. a & c e. b & c f. none of the above

Q: a meaningful electronic health records user, in addition to using certified ehr in a meaningful manner, must also comply with how many of the following requirements? the provider must: a. be connected in a manner that provides for the electronic exchange of health information to improve the quality of health care b. be connected in a manner that provides for the electronic exchange of health information to improve the organizations health statistics outcomes c. report on measures using ehr d. a & b e. a & c f. b & c g. all of the above h. none of the above

Q: in regard to establishing meaningful use, providers must also successfully meet the criteria for how many different elements? a. one element only b. two elements c. three elements d. four elements e. none of the above

Q: meaningful use means providers must show they are meaningful using their certified ehr technology by: a. meeting thresholds for a number of objectives b. meeting thresholds for a number of performance measures c. meeting thresholds for a number of specific percentages d. none of the above

Q: how many of the following statements are correct? if an ehr system offers certified ehr technology, that means the certification: a. can help the provider meet meaningful use criteria b. offers the technological capability and data security required for such certification c. provides assurance the system can work with other systems to share information d. a & b e. a & c f. b & c g. all of the above h. none of the above

Q: it is required that the names of hospitals and physicians who are meaningful ehr users be posted on the cms web site. in terms of incentives, which of the following statements is more likely to be correct? management may believe that: a. appearing on the web site is a positive asset b. appearing on the web site is a negative liability c. neither of the above

Q: according to the chart that illustrates maximum ehr ep incentive payments, payments to eligible professionals under the medicaid ehr incentive program will cover a period of how many years? a. two years b. three years c. four years d. five years e. none of the above

Q: the ehr incentive medicare program payments to a specific eligible hospital will cover a period of how many years? a. two years b. three years c. four years d. five years e. none of the above

Q: the ehr incentive medicare program computes a certain portion of payments to eligible hospitals based on a formula. this formula commences by dividing eligible hospitals into how many classes? a. one class only b. two classes c. three classes d. four classes e. none of the above

Q: electronic transmission standards are: a. standards used to facilitate the electronic transmission of healthcare information and related business transactions b. the adoption and use of such standards is mandated by law to facilitate electronic transmission c. the healthcare industry has to use standard formats for electronic claims and claims-related transactions d. a & b e. a & c f. b & c g. all of the above

Q: which of the following statements is generally correct regarding payments to hospitals under the ehr incentive medicare program? a. payments to eligible hospitals may include a base amount plus an additional formula-driven amount only if the hospital qualifies to receive the additional amount b. payments to all eligible hospitals will include a base amount and an additional formula-driven amount c. neither of the above

Q: south fork general hospital has acquired certified ehr technology. how can south fork now meet the objectives of the ehr incentive program? a. by measuring predetermined sets of criteria b. by using performance measures c. by applying for program incentive payments d. a & b e. a & c f. b & c g. all of the above h. none of the above

Q: regarding the maximum overall dollars that an eligible professional could have received as ehr incentive payments, which of the following statements are correct? the eligible professional could have received: a. $44,000 under the medicaid program b. $63,750 under the medicare program c. $44,000 under the medicare program d. $63,750 under the medicaid program e. a & b f. c & d g. none of the above

Q: regarding the maximum ehr incentive payment that an eligible professional can receive for his or her first year in the medicaid program, which of the following statements is correct? a. medicaid first year 2016 would receive more dollars than medicaid first year 2014 b. medicaid first year 2014 would receive more dollars than medicaid first year 2012 c. medicaid first year 2014 would receive fewer dollars than medicaid first year 2012 d. none of the above

Q: regarding the maximum ehr incentive payment that an eligible professional can receive for his or her first year in the medicare program, which of the following statements is correct? a. medicare first year 2016 would receive more dollars than medicare first year 2014 b. medicare first year 2014 would receive more dollars than medicare first year 2012 c. medicare first year 2014 would receive fewer dollars than medicare first year 2012 d. none of the above

Q: the hitech initiative is also important to understand because: a. better understanding means better management decisions b. a managers part of the process makes more sense when possessing the underlying knowledge about this complex initiative c. a manager may be involved with its issues for years, since its implementation extends over such a long time period d. a & b e. a & c f. b & c g. all of the above h. none of the above

Q: the hitech initiative actually contains how many programs? a. one (medicare only) b. two (medicare and medicaid) c. three (medicare, medicaid and a state-specific program) c. none of the above

Q: payments as an incentive to adopt electronic health records were previously recommended in what time period? a. the mid 1960s b. the early 1980s c. the early 1990s d. none of the above

Q: in regard to the hitech initiative and its programs, managers should be able to understand which of the following: a. the necessary components of the initiative b. the required computations c. how the process works d. the reasoning behind the initiative e. a, b & c f. a, b & d g. all of the above

Q: the stage 2 hitech ehr incentive program includes the following types of meaningful use measures: a. system-based b. matrix-based c. action-based d. percentage-based e. all of the above f. b, c and d g. a, c and d h. a, b and c i. none of the above

Q: the reporting period for a hospital is: a. a fiscal year (fy) b. a calendar year (cy) c. neither of the above

Q: program payment adjustments: a. increase the providers payment b. decrease the providers payment c. do not affect the actual payment amount

Q: an idea or practice perceived as new is a definition of _________.

Q: regarding physician incentives under the hitech act, the "eligible professional" incentives are paid only to physicians as defined by law who are "meaningful ehr users". it is important to note that these incentive payments will not be made to __________ eligible professionals who might be otherwise eligible. (the determination is made on the basis of site of service.)

Q: the hitech act allows a range of transition dates for inpatient hospital service paid incentives. as of the date of this writing, the hospital transition dates range from october 1, 2011 to 2015. also as of the date of this writing, the last year that physicians can adopt electronic health records under arra without financial penalty is __________.

Q: a "qualified electronic health record" is an electronic record of health-related information on an individual that includes patient demographic and __________ health information, such as medical history and problem lists.

Q: in the medicare ehr incentive program, the maximum amount an eligible physician can receive from the program increases year by year.

Q: the hitech ehr incentive programs provide incentive payments to eligible professionals and eligible hospitals as they adopt, implement, upgrade or demonstrate meaningful use of certified ehr technology. however, these incentive programs do not specifically include eligible critical access hospitals (cahs).

Q: regarding physician incentives under the hitech act, at the time of this writing if the first payment year (year 1) is after 2014, no incentive dollars will be paid, and if adoption has not occurred by 2015, the physician's fee schedule payment amount will be reduced by a percentage.

Q: duke university health system (duke) is an example of how private sector healthcare organizations have contributed to change in healthcare information management. in this regard, how many of the following statements about the duke university health system are correct? a. duke has begun a multi-year information systems project to unify electronic medical records across the health system b. prior to implementing this unified ehr project, duke had more than 135 different clinical technology applications in use c. the projects estimated gross investment figure is reported to be $500 million, but the net new investment is a little over $300 d. a & b e. a & c f. b & c g. all of the above h. none of the above

Q: which governmental entity is charged with establishing programs to improve healthcare quality, safety and efficiency through the use of the health it infrastructure? a. the office of the national coordinator for health information technology b. the health and human services department (hhs) c. the national center for health statistics (nchs)

Q: in regard to ehr incentive program choices, how many of the following statements are correct? a. hospitals can choose to be dual eligible if so desired b. eligible professionals must choose either the medicare or the medicaid program c. both hospitals and eligible professionals may change programs only once before 2015 d. a & b e. a & c f. b & c g. all of the above h. none of the above

Q: when is the last year to receive a medicare ehr incentive payment? a. 2014 b. 2015 c. 2016 d. 2021 e. none of the above

Q: when is the last year to receive a medicaid ehr incentive payment? a. 2014 b. 2015 c. 2016 d. 2021 e. none of the above

Q: kaiser permanente (kp) is one example of how a private sector healthcare organization has led the way in demonstrating how electronic health records can successfully be conceived and implemented. in this regard, how many of the following statements about kaiser permanente are most correct? a. kp is believed to have the largest private sector electronic health record system in the u.s b. kp is believed to have the largest private sector electronic health record system in the world c. kp has implemented an electronic personal health record application that is connected to the individual patients electronic medical record d. kps electronic personal health record application will also manage prescriptions e. a, c & d f. b, c & d g. c & d h. none of the above

Q: in what year do medicare payment adjustments begin for eligible professionals and eligible hospitals that are not meaningful users of ehr technology? a. 2014 b. 2015 c. 2016 d. 2021 e. none of the above

Q: in regard to the federal infrastructure goal and its funding of initiatives, the hitech act provides approximately how many dollars in incentives for hospitals and physicians? a. 17 million dollars b. 71 million dollars c. 17 billion dollars d. none of the above

Q: which governmental entity is instructed to work toward the goal of developing a nationwide health information technology infrastructure that allows for the electronic use and exchange of information? a. the office of the national coordinator for health information technology b. the health and human services department (hhs) c. the office of the inspector general (oig)

Q: how many of the following statements about electronic data interchange (edi) are correct? a. edi requires the use of a standard format when electronically transferring information such as electronic media claims b. edi allows the electronic transfer of information between trading partners c. edi allows the electronic exchange of medical, billing and other information and process transactions in a fast and cost effective manner d. a & b e. a & c f. b & c g. all of the above h. none of the above