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MIS621S - MEDICAL INFORMATION SYSTEMS 2B - 1ST OPP - NOV 2024 |
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nAm I BI A un IVERSITY
OF SCIEnCE Ano TECHnOLOGY
FACULTYOFCOMMERCEH, UMANSCIENCE&S EDUCATION
DEPARTMENTOFGOVERNANCE& MANAGEMENTSCIENCES
QUALIFICATION: Bachelor of Business & Information Administration
QUALIFICATIONCODE: 07BBIA
LEVEL: 6
COURSE: Medical Information Systems 2B
DATE: November 2024
COURSECODE: MIS621S
SESSION: 1
DURATION: 2 Hours
MARKS: 100
EXAMINER:
ist OPPORTUNITYEXAMINATION QUESTION PAPER
MS A SCHROEDER
MODERATOR: MS L TRIPODI
INSTRUCTIONS
a) Answer ALL the questions and start each question on a new page.
b) Read all questions carefully before answering.
c) Number answers according to the numbering structure provided in the question paper.
THIS QUESTION PAPERCONSISTSOF 5 PAGES
(INCLUDING THIS FRONT PAGE}
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QUESTION1
[20]
Identify the letter of the choice that best completes the statement or answers the question. (10)
1.1 __ involves directing and organising all activities related to keeping and caring for
information of patients.
A. Patient confidentiality
B. Medical billing
C. SOAPmethod
D. Medical transcription
E. Health Information Management
1.2 Select the document that must be signed when Dr Weilbacher wishes to transfer Amy lita's
patient record to Dr Weber who will be treating her from now on.
A. Notice of Privacy Practices
B. Release of Information
C. Confidentiality Agreement
D. Superbill
E. Resignation
1.3 ___ involves the process of submitting and following-up on claims with medical aid
companies to receive payment for services rendered such as testing, treatment and
procedures.
A. Superbill
B. Medical billing
C. Confidentiality agreement
D. Patient information
E. Diagnosis
1.4 Patients covered by medical aids are usually asked to have their medical claims send directly
to their doctor's practice. This arrangement is called __ _
A. Release of information
B. Confidentiality agreement
C. Standards of care
D. Assignment of benefits
E. Missed appointment
1.5 __ in a medical setting involves an imposter receiving medical services and having the
services charged to another person or to his/her medical aid.
A. Confidentiality
B. Billing fraud
C. Estate claims
D. Fee splitting
E. Identify theft
1.6 __ refers to any individual, such as the subscriber's spouse or dependent, who qualifies
for benefits under that subscriber policy.
A. Premium
B. Beneficiary
C. Insurer
D. Insured
E. Competitor
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1.7 Indicate which policy will provide coverage when Nicole a worker at Rhino Park hospital is
injured, while being at her work.
A. Study policy
B. Long-term care policy
C. Group insurance policy
D. Workers' compensation policy
E. Life policy
1.8
A basic medical record of a patient may contain the following except:
A. Progress notes
B. Medication records
C. Medical history
D. Summary sheet
E. Obituaries
1.9 Refers to the person who holds the insurance policy:
A. Premium
B. Insurer
C. Insured
D. Beneficiaries
E. Competitor
1.10 The abbreviation NAMAF stands for:
A. Namibia Assurance Medical Assistance Funds
B. Namibian Assembly Medication Assistance Funds
C. Namibia Assistant Medicine Aids Funds
D. Namibia Association of Medical Aid Funds
E. Namibian Association Medicine Assistance Funds
Medical Office Assistants need to be familiar with a variety of medical abbreviations that are
commonly used in the medical office. Indicate what the following abbreviations stand for.
(10)
1.11 BM
1.12 ADHD
1.13 FH
1.14 BP
1.15 cc
1.16 DVT
1.17 MRI
1.18 HEENT
1.19 LP
1.20 Pl
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QUESTION 2
[20]
Answer all the questions. Pay attention to the mark allocation of each question.
2.1 Discuss the concept "confidentiality agreements" that all medical personnel need to
be familiar with, once they get a job at a hospital, dentist or a private practice.
(4)
2.2 Hospitals, clinics and medical practices must face many challenges in the use of
Electronic Health Records. Name and discuss any four (4) of these
obstacles/challenges that businesses may face.
(8)
2.3 Protecting the confidentiality of the health information contained in a medical record
is one of the main concerns regarding EHRs(Electronic Health Records). Examine four
(4) ways how medical institution can protect electronic health information of their
patients.
(8)
QUESTION 3
[20]
3.1 A new employee known as Ms Casseylipinge has started to work at the reception area
at Edge Dental Practice in Rehoboth. As a Medical Information Systems 2B student,
explain to her how the "assignment of benefits" concept works.
(6)
3.2 Medical Imaging Namibia often discover that certain patients are in arrear with your
accounts. Outline some of the reasons why a patient's account may not be paid.
(4)
3.3 Practices may opt to sort their records according to the SOMR or POMR. Indicate what
the abbreviations stand for and clearly distinguish between the SOMR and the POMR
records.
(6)
3.4 Legal and ethical issues in medical billing are a matter of concern for all medical
practitioners. Discuss "medical debt" as one of these legal and ethical issues
individuals and businesses must deal with.
(4)
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QUESTION4
[20]
4.1 Health care fraud affects individuals and businesses and causes tens of billions of
dollars in losseseach year. Discussany five (5) "billing fraud" practices as one of these
legal and ethical issues.
(10)
4.2 Namibia Association of Medical Aid Funds (NAMAF) is a juristic body establish in terms
of the Medical Aid Funds Act, 1995 (Act 23 of 1995). Examine three of the main
functions of NAMAF.
(6)
4.3 Medical Office Assistants will deal with a variety of patients daily. Discussthe billing
basics that he/she must keep in mind when it comes to the charges for minors.
(4)
QUESTION 5
[20]
5.1 There are different stakeholders involved in the medical aid industry. Discussfive (5)
roles of the "administrator" as one of these medical aid industry stakeholders.
(10)
5.2 Namibia Financial Institutions Supervisory Authority (NAMFISA) is an independent
institution established by virtue of Act No. 3 of 2001. Examine three functions of
NAMFISA.
(6)
5.3 Examine the concept "workers compensation" as an essential insurance that
businesses need to take out for their workers.
(4)
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