HIM Unit 3

Created by foltsha 

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True or False

In family numbering, the head of household's patient number ends with the digits 00

False

True or False

Only authorized personnel should have access to file areas, and the file area should be secured when a file staff member is not in the file area.

True

The Smith family consists of father Bob, mother Betty, and three children. Hillcrest Clinic uses the family numbering system. If Bob's number were 01-1346, what would be the number of his second-born child?

04-1346

True or False

The Health Insurance Portability and Accountability Act (HIPAA) privacy rule prohibits fax transmissions for transporting patient information.

False

Ms. HIT files the following records: 13-40-05, 14-40-05, 14-41-05, 15-41-05, and 16-41-05. Which system is being used?

terminal digit filing

True or False

Social Security numbering systems are used in Veteran Affairs medical centers.

True

True or False

The use of a serial numbering system does not need computer software to track the assignment of patient numbers.

True

Tom Jones is admitted to Sunny View Hospital on February 3 and assigned patient number 123456. One year later he is readmitted and assigned number 133890. The patient record from the folder labeled 123456 is renumbered as 133890 and filed in the newly-created folder (also numbered 133890). Folder 123456 remains in the filing system with a note indicating the new patient number. The system being used is called

serial-unit numbering.

True or False

Outguides are beneficial in locating records that have been removed and are unreturned.

True

True or False

Terminal digit numbers are usually written with a hyphen separating each part of the number.

True

Ms. RHIT is given an alphabetical listing of patients who had surgery during the time period January 2 through March 1. She needs to determine their patient numbers and pull the records. Her first step would be to reference the

master patient index.

True or False

Master patient index cards are filed by patient number.

False

True or False

In consecutive numeric filing, records are filed in strict chronological order according to patient number.

True

Which of the following indexes is considered to be the authoritative key to locating a health record?

master patient index

Critique this statement: Version control is not an issue in the EHR.

There are issues related to versions of documents such as there must be a flag indicating a previous version.

I am arguing against the use of the copy/paste function in the EHR. Which of the following would be my argument?

I am unable to identify the author.

Which of the following tools is usually used to track health records that have been removed from their permanent storage locations?

outguides

The annual volume statistics for New Town Hospital are noted below. How many shelving units will be required to store this year's inpatient discharge records?
Average inpatient discharges = 12,000
Average inpatient record thickness = ¾ inch
Shelving units shelf width = 36 inches
Number of shelves per unit = 6

42

Sunny View Hospital is purchasing new filing equipment. The number of linear filing inches storing current patient records is 1,600. The projected five-year expansion of the files is 600. The shelving unit to be purchased has five shelves with 30 inches of storage on each shelf. How many units are needed?

15

True or False

Terminal digit filing divides a 9 digit patient number into three parts.

True

True or False

A unit numbering system requires the retrieval of a patient's record from multiple locations in the filing system when previous records are requested by a physician.

False

Sunny Valley Hospital uses the serial numbering system. The master patient index card should contain

all the numbers issued to the patient.

The HIM department has purchased end tab folders and is now selecting file equipment. Which type of file equipment should be purchased?

open shelf files

A filing unit has six shelves and holds 180 inches of filing. How many inches of filing does each shelf hold?

30 inches

True or False

In a unit numbering system, each time the patient is admitted the patient is assigned a new patient number, but the record is always filed under the original patient number assigned.

False

The first point of data collection and the area where the health record number is most commonly assigned in an acute care hospital is the ___.

patient registration department

Which of the following filing methods is considered the most efficient?

terminal digit filing

Which committee oversees the development and approval of new forms for the health record?

forms committee

A statement or guideline that directs decision making or behavior is called a ____.

policy

True or False

A lateral file contains shelving with retractable doors and uses side tab folders.

False

Terrace View Hospital is located in a community that has a large population of Hispanic and foreign patients. Which system can help to facilitate the organization of the master patient index?

soundex

Hillcrest Hospital is converting from a serial to unit numbering system. Which of the following will decrease?

number of file folders used

True or False

In middle digit filing, patient numbers should be limited to 9 digits to easily divide the numbers.

False

True or False

In middle digit filing, patient numbers should be limited to 9 digits to easily divide the numbers.

False

True or False

Filing controls are established to ensure accurate filing and timely retrieval of patient records.

True

Select the correct sequence of the following names: A. Chris Batts, Andrew C. Batts Sr., Adam Charles Batts, Sister Anne Batts, Andrew C. Batts Jr., A. Douglas Batts.

A. Chris Batts, Adam Charles Batts, A. Douglas Batts, Andrew C. Batts Sr., Andrew C. Batts Jr., Sister Anne Batts

Sunny View Health Care Systems files the records for their clinics at the clinic sites, the ER records on the second floor and the inpatient records on the fourth floor of the hospital. The type of filing system used is

decentralized.

Hillcrest Hospital uses envelopes to store discharged patient records. The HIM director wants to purchase new folders to ensure that the pages of the records are not lost on the open shelving units. The best type of folder to purchase is

end tab folder with adhesive strip.

Dr. Smith wants to use a lot of free text in his EHR. What should be your response?

Dr. Smith, we recommend that you use little, if any, free text in the EHR.

Reviewing the health record for missing signatures, missing medical reports and ensuring that all documents belong in the health record is an example of ___ review.

quantitative

The coding of clinical diagnoses and healthcare procedures and services after the patient is discharged is ____ review.

retrospective

Which of the following statements describes alphabetical filing?

File the record alphabetically by the last name, followed by the first name, and then the middle initial.

The release of information function requires the HIM professional to have knowledge of ___.

federal and state confidentiality laws

In which of the following systems does an individual receive a unique numerical identifier at the time of first encounter with a healthcare facility and maintain that identifier for all subsequent encounters?

unit numbering system

True or False

Centralized filing systems require additional staff to handle the filing and retrieval of records.

True

True or False

There are no universally accepted rules for filing alphabetic records.

False

True or False

Top tab folders are used for open shelf filing and end tab folders are used for lateral cabinets.

False

True or False

A lateral file resembles a bookshelf and provides twice as much space as an open-shelf file.

False

True or False

Middle digit filing uses three digits in the primary number position.

False

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