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| Section | Objectives |
|---|---|
| Health Information Systems | - System selection and evaluation - System lifecycle and implementation |
| Information Technology | - Data management and interoperability - IT infrastructure and architecture |
| Privacy, Security, and Data Governance | - Cybersecurity principles in healthcare systems - Data privacy and confidentiality |
| Healthcare Environment | - Healthcare policy, regulations, and standards - Healthcare delivery systems and stakeholders |
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NEW QUESTION # 20
A survey of the client community, sponsored by the IT department, reported a significant decline in overall satisfaction with the IT service provided. Which of the following is the FIRST step the Chief Information Officer should take?
Answer: C
Explanation:
The CIO's first step should be to evaluate the survey results to understand what is actually driving the decline and how credible and actionable the findings are. In IT service management and leadership practice, survey outcomes are an initial signal-not a diagnosis. The CIO should review response rates, sampling (which departments responded), trends by service line, and segmentation (e.g., clinical vs. administrative users, inpatient vs. ambulatory). They should also analyze which dimensions dropped (incident response time, communication, downtime experience, training, EHR support, project delivery) and whether the decline correlates with recent events such as system outages, major upgrades, staffing changes, or backlog increases.
This assessment establishes a fact base and prevents premature actions that may miss the real issues.
A follow-up survey (B) may be useful later, but only after determining what gaps already exist in the data and what additional detail is needed. Convening an all-staff meeting (C) is also premature without a clear problem statement; it risks turning into speculation rather than focused improvement planning. Hiring an external consultant (D) can be appropriate for complex or persistent issues, but it is not the first move when internal data has not yet been analyzed.
NEW QUESTION # 21
Which of the following management activities is used to increase revenue, reduce days in accounts receivable, and reduce denied claims?
Answer: C
Explanation:
Revenue cycle management (RCM) is the end-to-end set of administrative and financial processes that manage patient service revenue from pre-registration and eligibility through coding, billing, claims submission, payment posting, denial management, and collections . Because RCM spans the full lifecycle, it directly targets the three outcomes named in the question. First, it increases revenue by improving charge capture, ensuring accurate clinical documentation and coding, and preventing underbilling. Second, it reduces days in accounts receivable (A/R) by streamlining claim submission, improving first-pass claim acceptance, accelerating payment posting, and prioritizing follow-up on unpaid claims. Third, it reduces denied claims by strengthening front-end verification (coverage, authorization), enforcing coding and medical necessity rules, and implementing denial analytics and appeal workflows to fix root causes.
"Revenue optimization" is a broader, less standardized term that may describe strategic improvement efforts but does not specifically represent the operational discipline that controls A/R and denials across the full cycle. "Revenue accounting" focuses on financial reporting and recognition rather than operational claim performance. "Expense management" targets cost reduction, not revenue realization. Therefore, RCM is the management activity that best fits all elements of the prompt.
NEW QUESTION # 22
Healthcare organization executives can be held accountable for losses that result from computer system breaches if the healthcare organization fails to
Answer: C
Explanation:
Executives can be held accountable for breach-related losses if the organization fails to exercise due care in protecting computing resources. "Due care" refers to the legal and managerial obligation to take reasonable and appropriate steps to safeguard information assets from foreseeable harm. In healthcare environments, this includes implementing administrative, technical, and physical safeguards such as risk assessments, access controls, encryption, audit logging, workforce training, incident response planning, and ongoing monitoring.
Leadership is responsible for ensuring that these controls are established, maintained, and periodically evaluated.
If an organization cannot demonstrate that it exercised due care-meaning it failed to act responsibly or ignored known risks-executives may face regulatory penalties, civil liability, reputational damage, or contractual consequences. Accountability is not dependent on whether the organization purchased insurance (A), successfully prosecuted the intruder (B), or immediately identified the unauthorized user (C). While those actions may mitigate impact, they do not substitute for proactive governance and risk management.
In healthcare information management, exercising due care reflects executive-level responsibility for security oversight, policy enforcement, compliance monitoring, and continuous improvement of cybersecurity posture.
NEW QUESTION # 23
What coding system is used to identify a patient's diagnosis in an electronic health record?
Answer: C
Explanation:
The International Classification of Diseases (ICD) is the standardized coding system used to identify and classify patient diagnoses in an electronic health record (EHR). ICD codes are applied to document diseases, conditions, signs, symptoms, abnormal findings, and external causes of injury or illness. Within healthcare information systems, ICD coding ensures uniform clinical documentation, supports data analytics, enables population health reporting, and drives reimbursement processes.
By contrast, LOINC (Logical Observation Identifiers Names and Codes) is used to standardize laboratory tests and clinical observations, not diagnoses. CPT (Current Procedural Terminology) codes describe medical, surgical, and diagnostic procedures performed by providers. DRGs (Diagnosis-Related Groups) are reimbursement categories used primarily for inpatient hospital payment classification, grouping cases based on diagnoses and procedures rather than serving as the primary diagnosis coding system itself.
In healthcare information and systems management, accurate ICD coding is critical for regulatory reporting, quality measurement, epidemiological tracking, and claims submission. It also supports interoperability by allowing consistent diagnostic data exchange between organizations. Therefore, ICD is the correct system specifically designed to identify and classify patient diagnoses within the electronic health record environment.
NEW QUESTION # 24
A systematic method to verify that the system supports what users are required to do is called a
Answer: B
Explanation:
A User Acceptance Test (UAT) is a structured and systematic process conducted to verify that an information system supports real-world user requirements and workflows prior to full deployment. In healthcare information systems management, UAT occurs after system configuration and technical testing are complete, but before go-live. End users-such as clinicians, registration staff, pharmacists, and billing personnel- execute predefined scenarios based on actual job tasks to confirm that the system functions as intended in practice. The purpose is to validate that the system supports required workflows, regulatory requirements, documentation standards, reporting needs, and patient safety processes.
A task analysis is conducted earlier in the lifecycle to understand and document what users do in their roles; it informs system design but does not verify functionality. A clinical review typically evaluates clinical content or quality of care but is not a formal system validation method. A comparison test may evaluate differences between systems or versions but does not ensure user workflow requirements are met.
From a governance and implementation standpoint, UAT reduces risk by identifying workflow gaps, configuration errors, and usability issues before activation. Therefore, the correct answer is User Acceptance Test.
NEW QUESTION # 25
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