Bundle
RHIA Domain 1,2,3 & 5(7 Sets) Questions with Verified Answers,100% CORRECT
7 Items
RHIA Practice Exam Questions Domain 1 with Verified Answers,100% CORRECT
RHIA Practice Exam Questions Domain 1 with Verified Answers A method of documenting nurses' progress notes by recording only abnormal or unusual finding... [Show More] s or deviations from the prescribed plan of care is called: a. Problem-oriented progress notes b. Charting by exception c. Consultative notations d. Open charting - CORRECT ANSWER Charting by exception Mrs. Smith's admitting data indicates that her birth date is March 21, 1948. On the discharge summary, Mrs. Smith's birth date is recorded as July 21, 1948. Which quality element is missing from Mrs. Smith's health record? a. Data accuracy b. Data consistency c. Data accessibility d. Data comprehensiveness - CORRECT ANSWER Data consistency Data that have been grouped into meaningful categories according to a classification system are referred to as this type of data: a. Research b. Reference c. Coded d. Demographic - CORRECT ANSWER Coded Which of the following is an acceptable means of authenticating a record entry: a. The physician's assistant signs for the physician b. The HIM clerk stamps entries with the physician's signature stamp c. The charge nurse signs the physician name d. The physician personally signs the entry - CORRECT ANSWER The physician personally signs the entry All documentation entered in the health record relating to the patients diagnosis and treatment are considered this type of data: a. Clinical b. Financial c. Identification d. Secondary - CORRECT ANSWER Clinical In a long term care setting, these are problem-oriented frameworks for additional patient based on problem identification items (triggered conditions): a. Resident Assessment Protocols (RAPs) b. Resident Assessment Instrument (RAI) c. Utilization Guidelines (UG) d. Minimum Data Set (MDS) - CORRECT ANSWER Resident Assessment Protocols (RAPs) Conducting an inventory of the facility's records, determining the format and location of record storage, assigning each record a time period for preservation, and destroying records that are no longer needed are all components of a: a. Case-mix index b. Master patient index c. Health record matrix d. Retention program - CORRECT ANSWER retention program What is the principal function of health records? a. Determine the appropriate function of health records b. Serve as the repository of clinical documentation relevant to the care of individual patients c. Provide information for performance improvement activities d. Support billing and reimbursement processes - CORRECT ANSWER Serve as the repository of clinical documentation relevant to the care of individual patients What type of information makes it easy for hospitals to compare and combine the contents of multiple patient health records? a. Administrative information b. Demographic information c. Progress notes d. Uniform data sets - CORRECT ANSWER Uniform data sets When defining the legal health record in a healthcare entity, it is best practice to establish a policy statement of the legal health record as well as a: a. Case-mix index b Master patient index c. Health record matrix d. Retention schedule - CORRECT ANSWER Health record matrix Which of the following materials are required elements in an emergency care record? a. Patient's instructions at discharge & a complete medical history b. Time & means of the patient's arrival, treatment rendered, and instructions at discharge c. Time & means of the patient's arrival, patients complete medical history, and instructions at discharge. d. Treatment rendered, instructions at discharge, and the patient's complete medical history - CORRECT ANSWER Time & mean of the patient's arrival, treatment rendered, and instructions at discharge Charting by exception - CORRECT ANSWER a method of documenting only abnormal or unusual findings or deviations from the prescribed plan of care. *Purpose of charting by exception is to reduce repetitive recordkeeping and documentation of normal events. What is coded data? - CORRECT ANSWER data that is translated into standard nomenclature(the devising or choosing of names for things, especially in a science or other discipline) of classification so that it may be aggregated, analyzed and compared. What is a resident assessment protocols (RAPs)? - CORRECT ANSWER forms a critical link to decisions about care planning and provide guidance on how to synthesize assessment info w/in a comprehensive assessment. *RAPs guidelines help facility staff evaluate triggered conditions. *Triggers target conditions for additional assessment and review, as warranted by Minimum Data Set(MDS) item responses. Once a legal health record(LHR) is defined, its best practice is to create a: - CORRECT ANSWER health record matrix because it identifies and tracks the physical location of each paper document and the source of each electronic document that consists in the LHR. In a relational data base, which of the following is an example of many to many relationship? a. Patients to hospital admissions b. Patients to consulting physicians c. Patients to hospital records d. Primary care physician to patients - CORRECT ANSWER Patients to consulting physicians What is a relational database? - CORRECT ANSWER A group of database tables that is connected or linked by a defined relationship that ties the information together. In ICD-10-PCS, what value is used if there is a character that does not apply to a given code? a. X b. - c. 0 d. Z - CORRECT ANSWER Z Which is considered a unique identifier in the relational database patient table? a. Patient last name b. Patient last name & first name c. Patient date of birth d. Patient number - CORRECT ANSWER Patient number Which of the following is used by a long term facility to GATHER info about SPECIFIC health status factors and includes info about specific risk factors in the resident's care? a. Case management b. Minimum Data Set c. Outcomes and assessment information set d. Core measure abstracting - CORRECT ANSWER Minimum Data Set minimum data set - CORRECT ANSWER a standard established by health care institutions that specifies the information that must be collected from every patient Dr. Collins admitted Ms.Smith to University Hospital. Blue cross insurance will pay Ms.Smith's hospital bill. Upon discharge from the hospital, who owns the health record of Ms.Smith? a. Ms.Smith b. Blue cross c. University Hospital d. Dr. Collins - CORRECT ANSWER University Hospital Documenting the full depth and breadth of data use in a healthcare entity requires: a. Identifying all of the data consumers b. Identifying the needs of data consumers c. Understanding all of the functionality requirements d. Performing a gap analysis - CORRECT ANSWER Identifying the needs of data consumers The most recognizable component of the problem-oriented health record is: a. The problem list as an index b. The initial plan c. The SOAP form of progress notes d. The database - CORRECT ANSWER The SOAP form of progress notes A 45 year old women is admitted for blood loss anemia due to dysfunctional uterine bleeding. How would you code? D25.9 Leiomyoma of uterus, unspecified D50.0 Iron deficiency anemia secondary to blood loss (chronic) D62 Acute posthemorrhagic anemia N93.8 Other specified abnormal uterine and vaginal bleeding a. D50.0, N93.8 b. D62, N93.8 c. N93.8, D50.0 d. D50.0, D25.9 - CORRECT ANSWER N93.8, D50.0 (always code due to/secondary condition AFTER the primary) The insured party's member identification number is an example of this type of data: a. Demographic data b. Clinical data c. Certification data d. Financial data - CORRECT ANSWER Financial data What is the data model that is most widely used to illustrate a relational database structure? a. Entity-relationship diagram (ERD) b. Object model c. Relational model d. Unified medical language system (UMLS) - CORRECT ANSWER Entity-relationship diagram ICD 10-PCS have how many characters? - CORRECT ANSWER 7 characters, and character can't be left blank. *If value does not exist for a given character, the "Z" is used. What are ICD-10-PCS codes used report? - CORRECT ANSWER used only for inpatient, hospital settings The MDS is a component of - CORRECT ANSWER Resident assessment instrument(RAI) and used to collect info about the residents risk factors and to plan ongoing care and treatment in the long term care facility. SOAP(Subjective, Objective, Assessment, and Plan) - CORRECT ANSWER Part of the POMR(problem oriented medical records). Soap notes are intended to improve quality and continuity of client services by enhancing communication among healthcare professionals Financial data - CORRECT ANSWER include details about the patient's occupation, employer, and insurance coverage. Entity relationship modeling - CORRECT ANSWER type of conceptual modeling. - modules that are abstract and encourage high-level problem structuring; *help establish a common ground for communication b/w users and developers. *ERD was developed to depict relational database structures. many-to-many relationship - CORRECT ANSWER In databases, a relationship in which one record in Table A can relate to many matching records in Table B, and vice versa. ex: patient to consulting physician. instance of patient there could be many instances of consulting physician because patient can be seen by more than one consulting physician, and for instance where one consulting physician there could be many patients. Root operation -division - CORRECT ANSWER cutting into a body part w/out drawing fluids or gases from the body part in order to sperate or transect a body part. What is a straight numerical filing system? - CORRECT ANSWER refers to the filing of records in exact ascending order according to medical records number. *records are filed in the following order: 12-23-75 12-34-29 12-35-71 13-42-14 14-32-79 If there are 150,000 records and the HIM Department receives 3,545 requests for records within a given period of time, what is the request rate? 2.4% 3.5% 4.6% 5.1% - CORRECT ANSWER 2.4% (3,545 x 100) divided by 15,000 = 2.36% = 2.4% Which of the following is NOT an advantage of a centralized filing system? a. There is less transportation time and effort when a facility operates from several sites. b. There is less duplication of effort to create, maintain, and store records. c. Record control and security are easier to maintain. d. There is decreased cost in space and equipment. - CORRECT ANSWER There is less transportation time and effort when a facility operates from several sites. In a terminal digit filing system, what would be the record number immediately in front of record number 01-06-26? A. 00-06-26 B. 02-06-26 C. 03-06-26 D. 99-99-25 - CORRECT ANSWER 00-06-26 Color coding of record folders is used to assist in the control of A. record tracking. B. loose reports. C. record completion. D. misfiles. - CORRECT ANSWER misfiles A new Health Information Department has purchased 200 units of 6-shelf files and plans to implement a terminal digit filing system. How many shelves should be allocated to each primary number? A. 6 B. 8 C. 10 D. 12 - CORRECT ANSWER 12 200 units x 6 shelves per unit = 1,200 shelves total1, 200 shelves divided by 100 primary numbers (00-99) = 12 shelves per primary number Which filing system would provide the most convenient method for the record retrieval of 200 patients consecutively admitted to the hospital? A. terminal digit B. unit C. straight numeric D. serial unit - CORRECT ANSWER straight numeric *key word: consecutive Out of 2,543 records requested from the HIM Department, 2,375 were located. What is the filing accuracy rate? A. 6.61% B. 75.33% C. 89.01% D. 93.39% - CORRECT ANSWER 93.39% (2,375 records retrieved from proper locations x 100) divided by 2,543 records requested = 93.39% filing accuracy) Which set of records filed consecutively on a shelf displays terminal digit filing order? A. 00-79-99, 00-79-01, 99-78-99 B. 57-78-00, 57-78-01, 56-78-99 C. 99-05-26, 01-06-26, 49-04-02 D. 55-55-55, 33-33-33, 44-44-44 - CORRECT ANSWER 57-78-00, 57-78-01, 56-78-99 In the master patient index, which is filed by last name, Jill Thomas-Jones would be A. J-I-L-L-T-H-O-M-A-S-J-O-N-E-S B. T-H-O-M-A-S-J-O-N-E-S,J-I-L-L C. T-H-O-M-A-S,J-I-L-L-J-O-N-E-S D. J-O-N-E-S,J-I-L-L-T-H-O-M-A-S - CORRECT ANSWER T-H-O-M-A-S-J-O-N-E-S,J-I-L-L According to terminal digit filing, what would be the number of the record immediately after record number 99-99-30? A. 99-98-30 B. 00-00-31 C. 01-00-31 D. 99-99-31 - CORRECT ANSWER 00-00-3 How many years does the CMS regulations require that health records be maintained? Medicare's Conditions of Participation for Hospitals require that patient health records be retained for at least ________ years unless a longer period is required by state or local laws. A. 3 B. 5 C. 7 D. 10 - CORRECT ANSWER 5????????? ***do reasearch Your state regulations require health records to be kept for a statute of limitations period of 7 years. Federal law requires records to be retained for 5 years. The minimum retention period for health records in your facility should be A. 5 years. B. 7 years. C. 10 years. D. either 5 or 7 years, as determined by the facility. - CORRECT ANSWER 7 Which of the following technologies works best with automated record-tracking systems to speed the data entry process? A. discharge lists B. bar codes C. compressible filing units D. computerized chart-out slips - CORRECT ANSWER bar codes A HIM Department, currently using 2,540 linear filing inches to store records, plans to purchase new open-shelf filing units. Each of the shelves in a new 6-shelf unit measures 36 linear filing inches. It is estimated that an additional 400 filing inches should be planned for to allow for 5-year expansion needs. How many new file shelving units should be purchased? A. 11 B. 12 C. 13 D. 14 - CORRECT ANSWER 14 2,540 + 400 = 2,940 inches needed 36 x 6 = 216 inches per unit 2,940 (inches needed) divided by 216 (inches per unit) = 13.61 shelves You must buy 14 units because you cannot purchase a 0.14 filing shelf. Microfilmed records are considered A. inadmissible evidence. B. never admissible as hearsay evidence. C. acceptable as courtroom evidence. D. not admissible as secondary evidence. - CORRECT ANSWER acceptable as courtroom evidence. [Show Less]
- Exam
- $11.45
- 0
- 147
RHIA Domain 1Exam 116 Questions with Verified Answers,100% CORRECT
RHIA Domain 1Exam 116 Questions with Verified Answers Primary responsibility of coder - CORRECT ANSWER Ensure quality of coded data Responsible for q... [Show More] uality and completion of discharge summary - CORRECT ANSWER Attending Physician Data set for px that does not require an overnight stay - CORRECT ANSWER Uniform Ambulatory Care Data Set Records not completed within designated timeframe - CORRECT ANSWER Delinquent Records Provide information not easily determined from looking at records - CORRECT ANSWER Secondary Data Sources Decision-making and authority over data-related matters - CORRECT ANSWER Data Governance Number assigned according to number of entry into a registry each year - CORRECT ANSWER Accession Number Includes information about trauma cases - CORRECT ANSWER DEEDS Problem-oriented frameworks for assessment after problems have been identified - CORRECT ANSWER Resident Assessment Protocols Snapshot of patient Disease processes Critical paths Clinical pathways - CORRECT ANSWER Care Plan Dimensions of Data Quality - CORRECT ANSWER Relevancy Granularity Timeliness Currency Accuracy Precision Consistency Barrier to computer-assisted coding - CORRECT ANSWER Poor quality of documentation Graphical display of relationships between tables in a database - CORRECT ANSWER ERD Accreditation and regulatory standards require a different record for each - CORRECT ANSWER patient Component of Resident Assessment Instrument - CORRECT ANSWER A standard minimum data set Documenting when and how a record was destroyed - CORRECT ANSWER Certificate of Destruction Before list of elements to be returned from a SQL query - CORRECT ANSWER SELECT Documenting depth and breadth of data in entity requires - CORRECT ANSWER Identifying the needs of all data consumers Document imaging is part of... - CORRECT ANSWER Record creation, capture, or receipt After ERD is implemented, an entity becomes... - CORRECT ANSWER Table Most important aspect of determining record retention - CORRECT ANSWER Statute of Limitations Record that follows a patient's care over time - CORRECT ANSWER Longitudinal Record Data collected on large populations and stored in databases - CORRECT ANSWER Aggregate Data Accessing and reviewing the work of colleagues in the same profession - CORRECT ANSWER Peer Review Mandating display format (ex: xxx-xx-xxxx) - CORRECT ANSWER Mask Contains diagnosis and summary of care already given - CORRECT ANSWER Transfer Record Data related to a patient's diagnosis and treatment - CORRECT ANSWER Clinical Discrepancies between two coders compromise - CORRECT ANSWER Reliability Discharge summary must be completed within - CORRECT ANSWER 30 days Discharge summary for transfers must be completed within - CORRECT ANSWER 24 hours Discharge summaries are not requires for LOS less than - CORRECT ANSWER 48 hours Example of M:M relationship - CORRECT ANSWER Patient to Consulting Physicians Chief Complaint - CORRECT ANSWER Reason for presentation Errors in medical record should not be - CORRECT ANSWER Obliterated Coded - CORRECT ANSWER Grouped into meaningful categories by classification system Retention Program - CORRECT ANSWER Inventory of records Format Location Preservation Period Principal Function of Health Records - CORRECT ANSWER Repository of clinical documentation relevant to patient care Common form of problem-oriented format - CORRECT ANSWER SOAP form of progress notes ER Record - CORRECT ANSWER Time and means of arrival Treatment record Discharge instructions Who owns records? - CORRECT ANSWER Healthcare org Abbreviations - CORRECT ANSWER Should only have one meaning ICD-10-PCS Null Character - CORRECT ANSWER Z Same order in any location - CORRECT ANSWER Universal H&P Exam - CORRECT ANSWER Must be placed in the record before a procedure is performed Compromising Authorship Integrity - CORRECT ANSWER Borrowing records from other sources Displaying past documentation as present Occlusion - CORRECT ANSWER Restricting blood flow Backlog in transcription - CORRECT ANSWER Write a detailed note about procedure Provider examines patient at request of another provider - CORRECT ANSWER Consultation Report In the absence of data dictionary - CORRECT ANSWER Establish data dictionary policy with associated standards Destruction of Paper Records - CORRECT ANSWER Shredding, Pulping, Pulverizing No degaussing No rounding up doses - CORRECT ANSWER Precision Paper records do not have - CORRECT ANSWER Built-in control mechanism No new H&P - CORRECT ANSWER Readmitted within 30 days for same condition Principal Procedure - CORRECT ANSWER Definitive treatment of main condition Vocabulary Standards - CORRECT ANSWER Standardizing medical terminology Analog Data - CORRECT ANSWER Photographic, Film Autoauthentication - CORRECT ANSWER Provider signs statement at all records are improved unless corrections made in time frame Not allowed HIM should check for record retention - CORRECT ANSWER State and federal law Continuity of Care Record - CORRECT ANSWER ASTM, for transitions between settings Not coded here - CORRECT ANSWER Excludes1 Migration Plan - CORRECT ANSWER Steps and process for adopting system Verbal Orders - CORRECT ANSWER Person receiving should read back to ensure accuracy Analysis - CORRECT ANSWER Translating data to info Database - CORRECT ANSWER Organized collection of data stored electronically Centralized - CORRECT ANSWER All patient stored in one system Abstracting - CORRECT ANSWER Compiling info from record into data set HEDIS - CORRECT ANSWER Insurance data set Validity - CORRECT ANSWER Error detection Ancillary - CORRECT ANSWER Biomedical research Diabetes - CORRECT ANSWER Only code diabetes with manifestation If biopsy and -ectomy - CORRECT ANSWER Code both Quantitative Analysis - CORRECT ANSWER identifying deficiencies LOINC - CORRECT ANSWER Identifying test results Auditing Integrity - CORRECT ANSWER Not knowing when modified CMS - CORRECT ANSWER Sits on ICD council with NCHS Inpatient - CORRECT ANSWER Code as if it exists Provider - CORRECT ANSWER Responsible for quality of documentation Authentication - CORRECT ANSWER Proof of authorship Disaster Recovery - CORRECT ANSWER In time of disaster, how do you document CMS Record Retention - CORRECT ANSWER 5 years CPT Codes - CORRECT ANSWER Pick one with or for optiond Degaussing - CORRECT ANSWER Destroying electronic data Information Governance - CORRECT ANSWER Org structures, policies, and procedures with info Standardized Data Sets - CORRECT ANSWER Data can be compared nationally Physician Index - CORRECT ANSWER Compare number and quality of patients with operation Source-Oriented - CORRECT ANSWER Traditional paper format from a hospital patient Hybrid Health Records - CORRECT ANSWER Records consisting of multiple electronic systems First Deliverable of LHR Project - CORRECT ANSWER List of LHR stakeholders Nonrepudiation - CORRECT ANSWER Practices to defend against charges questioning integrity Object-Oriented Database - CORRECT ANSWER Contains data and relationships in a single structure If physician dies - CORRECT ANSWER File records as incomplete with notice about death NCVHS - CORRECT ANSWER Developing basic data sets Stillborn - CORRECT ANSWER Use mother's record Important to enter data into database - CORRECT ANSWER To reveal patterns Accreditation standards keep - CORRECT ANSWER Retention and Destruction guidelines Index - CORRECT ANSWER Sorts data to assist in studying Maintenance Plan - CORRECT ANSWER Regular review of polocies and procedires Principal Dx - CORRECT ANSWER Not primary Standard Deviation - CORRECT ANSWER Sq Root of Variance Disruption in Unit Numbering - CORRECT ANSWER Continuity of care issues Discharge Instructions - CORRECT ANSWER Med, Diet, Follow-Up, Condition Dialysis - CORRECT ANSWER Peritonial= abd, Hemo = artificial CPOE - CORRECT ANSWER Reduces med errors HHC - CORRECT ANSWER Suitability of residence Physician Quality Measures - CORRECT ANSWER Assessment and Screening Courtesy - CORRECT ANSWER Occasional admitting Mortician - CORRECT ANSWER Files death certificates E/M - CORRECT ANSWER MDM Exam History HHC Components - CORRECT ANSWER Equip Discharge/Term Living Arrangement If you don't agree with dr. - CORRECT ANSWER Can find another Credentials Committee - CORRECT ANSWER Review credentials, behavior, and med staff appt -otomy - CORRECT ANSWER Open OP focuses on - CORRECT ANSWER Reason for encounter Integrated - CORRECT ANSWER All together in chronological order Extirpation - CORRECT ANSWER Pulling out Do Not Use Abbreviations - CORRECT ANSWER Preventing med errors [Show Less]
- Exam
- $11.45
- 0
- 105
RHIA EXAM PREP DOMAIN II|83 Questions with Verified Answers,100% CORRECT
RHIA EXAM PREP DOMAIN II|83 Questions with Verified Answers Master or Enterprise patient index - CORRECT ANSWER is critical to identifying patients and ... [Show More] ensuring proper record linkage The health record consist of - CORRECT ANSWER handwritten notes, transcribed reports, electronic data, digital images Continuity of care - CORRECT ANSWER is improved by the sharing of patient information between providers Standards and regulations - CORRECT ANSWER have a great impact on what is documented in the health record The American College of Surgeons (ACS) - CORRECT ANSWER developed the minimum standards for hospitals in the early 20th century. The Joint Commission succeeded the ACS in standardization The health record - CORRECT ANSWER is the major source of information about any healthcare facility and is routinely surveyed to obtain knowledge about the facilities care process or performance. State Licensure - CORRECT ANSWER establishes requirements for patient records content, format, retention and use. Licensure is required for healthcare facilities to remain in operation. By laws and rules are - CORRECT ANSWER developed by the medical staff and approved by the (BOT) board of trustees or governing body in the facility. Longitudinal health record - CORRECT ANSWER contains various encounters, records from numerous health care delivery settings. It is valuable because it reduces medical errors, duplication of testing and repetition. It improves decision making for providers and care for the patients The medical record is - CORRECT ANSWER maintained in two broad areas Administrative and demographic and clinical data The legal health record - CORRECT ANSWER must identify the sources, medium, paper images, video, or audio, and location Meaningful use - CORRECT ANSWER functional and quality reporting criteria 3 subsystems of the United States legal system - CORRECT ANSWER Judicial, Regulatory, and Administrative Judicial legal system - CORRECT ANSWER allows a wronged party to seek retribution Regulatory legal system - CORRECT ANSWER regulates how an action is met of seeking retribution Administrative legal system - CORRECT ANSWER controls government administrative operations such as licensing, accrediting bodies, Medicare, Medicaid, and federal and state government programs Federal Register - CORRECT ANSWER publishes revisions to existing administrative rules for healthcare related information updated by MCOP and HIPAA Civil Law - CORRECT ANSWER most healthcare encounters fall into this category HIPAA privacy rule - CORRECT ANSWER criminal provisions only have felony crimes Torts - CORRECT ANSWER harm through wrongful conduct and seeks compensation and to discourage the wrongdoer from continuing wrongful acts Three categories of tort liability exist - CORRECT ANSWER negligence, intentional torts, and products liability Accreditation Agencies - CORRECT ANSWER are offered through non-governmental agencies Hospital standards - CORRECT ANSWER are developed by Joint Commission Accreditation - CORRECT ANSWER is voluntary but can be a requirement for some licensures Joint Commission focus - CORRECT ANSWER is not legally mandated. the focus is on the entire hospital Medicare Condition of Participation - CORRECT ANSWER sets standards for hospitals and are government regulations 1965 Griswold v. Connecticut case - CORRECT ANSWER recognized the need/right to privacy California - CORRECT ANSWER recognized the right to privacy through its states constitution. 1996 HIPAA enacted by Congress - CORRECT ANSWER addresses fraud and abuse in the healthcare system The controlled substance act - CORRECT ANSWER controls the use of narcotics, depressants and stimulants. drugs are classified into schedules The Federal Food, Drug and Cosmetic Act - CORRECT ANSWER includes medical device amendments of 1976 and covers products, most equipments and supplies Retention periods for the health record - CORRECT ANSWER is determined by federal and state laws HIPAA - CORRECT ANSWER does not provide access to oral information, psychotherapy notes, information compiled for civil, criminal or administrative action Violation of HIPAA prior to 2/18/2009 - CORRECT ANSWER $100 per violation Violation of HIPAA after 2/18/2009 and (CE) covered entity did not know - CORRECT ANSWER not less than $100 or more than 50,000/ violation not to exceed 1.5 million during a calendar year HIPAA violation due to reasonable cause and not willful neglect - CORRECT ANSWER not less than $1,000 or more than $50,000/violation HIPAA violation due to willful neglect and corrected in a 30 day period - CORRECT ANSWER not less than 10,000 or more than 50,000/ per violation HIPAA violation due to wilfull neglect and not corrected - CORRECT ANSWER not less than $50,000/violation or more than 1.5 million / violation Beneficence - CORRECT ANSWER release of information to benefit the patient such as payment for a claim Non-maleficence - CORRECT ANSWER non-release of information to groups such as the media requesting information on a famous person Autonomy - CORRECT ANSWER ensures only the patient makes decisions regarding their health Justice - CORRECT ANSWER HIM applies rules fairly and consistently for all Implied Conscent - CORRECT ANSWER is giving in emergency situations where a patient lacks the capacity to communicate Privacy - CORRECT ANSWER is the right of a patient to control how much information is disclosed HIPAA defers - CORRECT ANSWER to state laws on issues regarding minors The Freedom of Information Act (FOIA) 1996 - CORRECT ANSWER is a federal law that applies to only federal agencies such as the military. Access to the information is given without an authorization The Device and Media Controls Standards - CORRECT ANSWER require organization to develop policies and procedure for the final disposition The Device and Medical Controls four specifications - CORRECT ANSWER disposal, media reuse, accountability, and data backup NPP - CORRECT ANSWER the notice of privacy practices The Notice of Privacy Practices regarding CE - CORRECT ANSWER must include in their statement example of (TPO) treatment, payment, and healthcare operations other disclosures permitted without authorization and individual rights CE - CORRECT ANSWER Covered Entity DRS - CORRECT ANSWER designated record set The designated record set - CORRECT ANSWER is a group of records maintained by or for a covered entity that records billing, or maintains enrollment, payment, claims adjudication which may be used to make decisions about an individual How long does the Covered entity have to respond to a request for phi maintained offsite - CORRECT ANSWER 60 days The first fundamental strategy in reducing security threats - CORRECT ANSWER is establishing a security organization The Security Rule - CORRECT ANSWER outlines a set of regulations that include administrative, technical and physical safeguards intended to ensure confidentiality, integrity, and avalibility of EPHI. The Privacy Rule (HIPAA) - CORRECT ANSWER allows reasonable cost-based charges for labor, postage, and supplies involved in photocopying health information for the patient. Humans - CORRECT ANSWER are the most common threat to health information integrity Psychotherapy notes - CORRECT ANSWER patients aren't allowEd the rights to access their own notes according to HIPAA privacy rule Incident reports - CORRECT ANSWER are not considered part of the health record Competent adults - CORRECT ANSWER and those who created a living will when of sound mind, even though now incompetent, have the right to refuse treatment Healthcare Integrity & protection Data bank - CORRECT ANSWER was created to collect info on the legal actions both civil and criminal taken against licensed healthcare providers HIE - CORRECT ANSWER health information exchange NHIN - CORRECT ANSWER National Health Information Network Exchange HITECH - CORRECT ANSWER Health Information Technology for Economic and Clinical Health Act Health Information exchange - CORRECT ANSWER is the electronic movement of health information among organizations according to standards and protocol National Health Information Network Exchange - CORRECT ANSWER allows patients to receive the best coordinated care wherever a patient presents for care Stage 1 meaningful use - CORRECT ANSWER requires providers to test the exchange of HIM using a secure encrypted process Stage 2 meaningful use - CORRECT ANSWER requires a provider to transmit 10 percent of its summary of care documents during transitions of care or for the purposes of referral Health Information Technology for Economic and Clinical Health Act - CORRECT ANSWER properly trains the workforce to be meaningful users of the EHR Models of health information exchange - CORRECT ANSWER centralized, decentralized and hybrid Centralized HIE model - CORRECT ANSWER single db, returns quicker results, a question of who owns the data, changes require multiple transactions and may not update all at once Decentralized HIE model - CORRECT ANSWER db is maintained at each participant facility, no question of ownership of data The Hybrid HIE model - CORRECT ANSWER has both centralized and federated models The ultimate goal of an HIE - CORRECT ANSWER is to enhance the quality and safety of patient care Interoperability - CORRECT ANSWER allows different information systems and software applications to communicate and exchange data ONC - CORRECT ANSWER OFFICE OF THE NATIONAL COORDINATOR for HEALTH INFORMATION TECHNOLOGY The office of the national coordinator for Health Info Technology - CORRECT ANSWER is a presidential directive developed to implement a strategic plan to guide implementation of interoperable HIT Paper to EHR - CORRECT ANSWER include the upgrade from legacy data sets toward a more comprehensive core data set for continuity of care CCR - CORRECT ANSWER continuity of care record CCD - CORRECT ANSWER continuity of care document Continuity of care record /document - CORRECT ANSWER ensures the most relevant and timely health information can be sent electronically from one provider to another HIE security and privacy requires - CORRECT ANSWER the use of usernames, passwords ro security tokens such as public key infrastructure (PKI), digital certifications to access the system [Show Less]
- Exam
- $11.45
- 0
- 130
RHIA Exam Prep - Domain 1|31 Questions with Verified Answers,100% CORRECT
RHIA Exam Prep - Domain 1|31 Questions with Verified Answers Problem-Oriented Health Record - CORRECT ANSWER A patient record in which clinical problems... [Show More] are defined and documented individually SOAP - CORRECT ANSWER An acronym for a component of the problem-oriented medical record that refers to how each progress note contains documentation relative to subjective observations, objective observations, assessments, and plans. Case Management - CORRECT ANSWER 1. A process used by health professionals to manage a patient's healthcare; 2. the ongoing, concurrent review performed by clinical professionals to ensure the necessity and effectiveness of the clinical services being provided to a patient. Minimum Data Set - CORRECT ANSWER Minimum core of defined and categorized patient assessment data that serves as the basis for documentation and reimbursement in a skilled nursing facility Outcomes and Assessment Information Set (OASIS) - CORRECT ANSWER A standard core assessment data tool developed to measure the outcomes of adult patients receiving home health services under the Medicare and Medicaid programs. Core Measure - CORRECT ANSWER Standardized performance measures developed to improve the safety and quality of healthcare Authentication - CORRECT ANSWER The process by which a person or entity who authored an EHR entry or document seeks to validate that they are responsible for the data contained within it Entity Relationship Diagram (ERD) - CORRECT ANSWER A specific type of data modeling used in conceptual data modeling and the logical-level modeling of relational databases Object - CORRECT ANSWER The basic component in an object-oriented database that includes both data and their relationships within a single structure. Relational Database - CORRECT ANSWER A type of database that stores data in predefined tables made up of rows and columns Unified Medical Language System (UMLS) - CORRECT ANSWER A program initiated by the National Library of Medicine to build an intelligent, automated system that can understand biomedical concepts, words, and expressions and their interrelationships; includes concepts and terms from many different source vocabularies Resident Assessment Protocols - CORRECT ANSWER In a long-term care setting, these are problem-oriented frameworks for additional patient assessment based on problem identification items Case Mix Index - CORRECT ANSWER The average relative weight of all cases treated at a given facility or by a given physician, which reflects the resource intensity or clinical severity of a specific group in relation to the other groups in the classification system; calculated by dividing the sum of the weights of diagnosis-related groups for patients discharged during a given period by the total number of patients discharged Master Patient Index - CORRECT ANSWER A patient-identifying directory referencing all patients related to an organization and which also serves as a link to the patient record or information, facilitates patient identification, and assists in maintaining a longitudinal patient record from birth to death Health Record Matrix - CORRECT ANSWER Identifies and tracks the physical location of each paper document and the source of each electronic document that constitutes the health record Retention Schedule - CORRECT ANSWER A time line for various records retention based on factors such as federal and state laws, statutes of limitations, age of patient, competency of patient, accreditation standards, AHIMA recommendations, and operational needs Required Contents of a Patient's Record Prior to a Surgical Procedure - CORRECT ANSWER 1. A report of a complete history; and 2. Physical examination conducted no more than seven days prior to the surgery Aggregate Data - CORRECT ANSWER Data collected on large populations of individuals and stored in databases. This is used to develop information about groups of patients. Accession Data - CORRECT ANSWER Data Governance - CORRECT ANSWER Decision making and authority over data-related matters. Structured Data - CORRECT ANSWER Data that is organized and easy to retrieve and to interpret by traditional databases and data models. Principal Function of Health Records - CORRECT ANSWER Serve as the repository of clinical documentation relevant to the care of individual patients. Financial Data - CORRECT ANSWER Includes details about the patient's occupation, employer, and insurance coverage and is collected at the time of treatment. Authorship - CORRECT ANSWER The origin of recorded information that is attributed to a specific individual or entity. Ownership of the Health Record - CORRECT ANSWER Granted to the healthcare provider who generates the record - it is the business record of the healthcare provider. Chief Complaint - CORRECT ANSWER The reason a patient is seeking medical care Unstructured Clinical Information - CORRECT ANSWER Clinical documentation that is entered into the patient record as text (such as written notes, dictated reports, and legal forms) Primary Responsibility of a Coder - CORRECT ANSWER Ensure the accuracy of coded data Required Elements of an Emergency Care Record - CORRECT ANSWER 1. time and means of the patient's arrival; 2. treatment rendered; and 3. Instructions at discharge Entity-relationship Diagram (ERD) - CORRECT ANSWER The data model that is most widely used to illustrate a relational database structure. Clinical Data - CORRECT ANSWER All documentation entered in the medical record relating to the patient's diagnosis and treatment. [Show Less]
- Exam
- $10.45
- 0
- 82
RHIA Domain 2|133 Questions with Verified Answers,100% CORRECT
RHIA Domain 2|133 Questions with Verified Answers Legal Health Record - CORRECT ANSWER Formal business record to be utilized during legal procedings ... [Show More] If privacy issues emerge... - CORRECT ANSWER Determine source of problem and issue HIPAA training If patient is unable to sign... - CORRECT ANSWER Implied Consent Psychiatric patients may view records if physician determines... - CORRECT ANSWER Seeing record is not harmful to their condition or treatment Facility Directory - CORRECT ANSWER General Condition Acknowledgement of admission HIPAA's Expert Determination and Safe Harbor - CORRECT ANSWER Deidentification Log-in with standard ID and password - CORRECT ANSWER Access Control Standard Legal Hold - CORRECT ANSWER Special tracking of patient records involved in litigation to ensure no changes are made Security Risk Analysis First Consideration - CORRECT ANSWER Consider entity's characteristics and environment Audit Trail - CORRECT ANSWER Reconstructing electronic events Entity Authentication - CORRECT ANSWER Reads pre-determined criteria to ensure a user is who they claim to be Password systems Inherent Weakness of a Safeguard - CORRECT ANSWER Vulnerability Informed Consent - CORRECT ANSWER Risks and benefits of procedure Alternatives Description of procedure Done by phyisician Ensuring employees understand security measures - CORRECT ANSWER Workforce Security Awareness Training Provides entities with structural framework to build a HIPAA security plan - CORRECT ANSWER Security Risk Analysis Pre-Employment Physicals - CORRECT ANSWER Not protected by HIPAA bc part of personnel record HIPAA identifier that has not been implemented - CORRECT ANSWER Individual Preventing theft of PHI - CORRECT ANSWER Facility Access Controls Improved security of EHR - CORRECT ANSWER Access Controls Audit Trails Authentication Systems Designated Record Set - CORRECT ANSWER Includes records from other hospitals that were involved in episode of care decisions HIPAA Record Retention - CORRECT ANSWER 6 years Rendering PHI unreadable and unusable to unauthorized individuals - CORRECT ANSWER Encryption and Destruction Goal of HIPAA Administrative Simplification - CORRECT ANSWER Standardizing electronic transmission of health data Technology policies, protocols, and access controls - CORRECT ANSWER Technical Safeguards Patient Accounting of Disclosures - CORRECT ANSWER Must include disclosure requires patient authorization HIPAA Training - CORRECT ANSWER Privacy and security training should not be seperated Darling vs. Charleston Community Memorial Hospital - CORRECT ANSWER Hospital is responsible for the quality of care given by its physicians Not a Business Associate Under HITECH - CORRECT ANSWER Housekeeping Fundraising solicitations may not - CORRECT ANSWER Target a specific group or diagnosis Most Constant Threat to Health Information Integrity - CORRECT ANSWER Humans Device and Media Controls - CORRECT ANSWER Security breaches from lack of wiping data from devices Employee Physical - CORRECT ANSWER Should report family history unless specifically excluded Virtual Privacy - CORRECT ANSWER Private tunnel with Internet as transport medium for secure transmission Role-Based - CORRECT ANSWER Access determined by employee's job title and responsibilities Administrative Safeguard - CORRECT ANSWER More people-focused in nature Most of the safeguards Healthcare Integrity and Protection Data Bank - CORRECT ANSWER Legal action taken against healthcare provider Privileged Communication - CORRECT ANSWER Between patient and provider based on medical condition Privacy - CORRECT ANSWER Patient can maintain control over certain personal information Authorizations - CORRECT ANSWER Must be signed for every disclosure of PHI Consent - CORRECT ANSWER Sound mind or legal directive Deidentified - CORRECT ANSWER Not protected by HIPAA Privacy Rule NPP - CORRECT ANSWER Only informational Patients can not object to TPO uses Must inform patients of disclosures to foundations Patient Review of Records - CORRECT ANSWER Cannot dictate place bc org is responsible for integrity Privacy Rule Identifier - CORRECT ANSWER Vehicle License Plate PCP - CORRECT ANSWER Patients cannot deny PCP access to their records Office of Civil Rights - CORRECT ANSWER Oversight and enforcement of HIPAA Workforce - CORRECT ANSWER Perform functions on behalf of covered entities and business associates Includes volunteers and external orgs When federal and state law are different - CORRECT ANSWER Choose the stricter one Addressable Security Rule - CORRECT ANSWER Should be implemented unless an entity determines it is not reasonable and appropriate 500 days - CORRECT ANSWER DHHS secretary must be informed of breaches greater than this Workforce Security Standard Addressable Standards - CORRECT ANSWER Authorization and supervision Workforce clearance procedures Termination procedures Spoilation - CORRECT ANSWER Destroying a record outside of destruction standards and regulations PHR - CORRECT ANSWER In LHR when used by org to provide treatment Granting Privileges - CORRECT ANSWER Defining what services providers may perform Most Common Security Threat - CORRECT ANSWER Internal to org Employees viewing own record - CORRECT ANSWER Violates minimum necessary, Must follow standard procedure Regulation - CORRECT ANSWER From admin agency of govt Security Incident Procedure Standard - CORRECT ANSWER Identifying and responding to security events Redisclosure - CORRECT ANSWER Releasing docs originally created by another provider/facility Willful and Knowing HIPAA violation - CORRECT ANSWER $250,000, 10 yrs in jail PDSA - CORRECT ANSWER Inform patients they are entitled to advanced directive and document presence Advance Directive - CORRECT ANSWER Must be followed even if patient is declared incompetent after it is made Divorced Parents - CORRECT ANSWER Only one must consent Trigger - CORRECT ANSWER System response and notification Info Access Mgmt Standard - CORRECT ANSWER Controlling access to workstation, transaction, program, or process Utilization Review - CORRECT ANSWER Use for Operations Sending records to physician - CORRECT ANSWER Disclosure Custodian of Health Records - CORRECT ANSWER Testifies to authenticity of records Amendments cannot be made on records not in - CORRECT ANSWER DRS Automatic Session Terminations - CORRECT ANSWER Minimizes data breaches when computer is unattended Person or Entity Authentication Standard - CORRECT ANSWER No unit level password Minimum Necessary - CORRECT ANSWER Define what staff needs to complete their role ROIs must be responded to within - CORRECT ANSWER 30 days If patient private pays - CORRECT ANSWER Can restrict insurance info to info Contingency Planning - CORRECT ANSWER Disaster Recovery Planning Not redisclosure - CORRECT ANSWER If external and within DRS Private Endeavours - CORRECT ANSWER Physician needs business associate agreement with hospital If patient requests hybrid - CORRECT ANSWER Give both forms Saying name in waiting room - CORRECT ANSWER Not a HIPAA violation, but change process Social Security Number - CORRECT ANSWER Never show on documentation Accidental Deaths - CORRECT ANSWER Reported to medical examiner Documentation Retention Guidelines - CORRECT ANSWER Admin Safeguard HIPAA Security Rule - CORRECT ANSWER Ensure confidentiality, integrity, and availability UHCDA - CORRECT ANSWER Spouse, adult child, parent, adult sibling Accounting of Disclosures Timeframe - CORRECT ANSWER 3 years Respondeat Superior - CORRECT ANSWER Employer is responsible for employees negligence Job Shadowing - CORRECT ANSWER Only in areas with no PHI No Info in Directory - CORRECT ANSWER Deny requests bc that is difficult to manage and HIPAA violation can occur Revokes ROI after release - CORRECT ANSWER Protected by privacy rule QI - CORRECT ANSWER Protected from disclosure Documentation of Security Policies - CORRECT ANSWER Six years from effect HIPAA Record Charges - CORRECT ANSWER State formula Best-Of-Breed - CORRECT ANSWER Best from each vendor then interface Federated-Consistent Databases - CORRECT ANSWER HIE operates like ASP Best-Of-Fit - CORRECT ANSWER One vendor Person Identification - CORRECT ANSWER HIE matches info to individual Parallel Processing - CORRECT ANSWER Paper processing occurs until EHR works as planned Messaging Standards - CORRECT ANSWER Support communication between applications Normalization - CORRECT ANSWER Breaking data elements into detail to retrieve data Median - CORRECT ANSWER Based on whole distribution Infrared Light - CORRECT ANSWER Connecting portable devices to network Patient Portal - CORRECT ANSWER Secure communication with provider PHI - CORRECT ANSWER Relates to ones condition Releasing to another faculity - CORRECT ANSWER Minimum necessary does not apply Accounting of disclosures contains - CORRECT ANSWER Info from infectious reporting Privacy Rule - CORRECT ANSWER Will preempt state law with medical record charges Two Factor Authentication System - CORRECT ANSWER Password and Swipe Card Patient Limiting Disclosure - CORRECT ANSWER Must accept request but not agree to it Don't report HIPAA violation if - CORRECT ANSWER No hard copy info Reporting Requirements - CORRECT ANSWER Not for competent adults Duces Tecum - CORRECT ANSWER Compels recipient to bring records to a legal proceding Not signed by plaintiff and defendant Business Record Exception - CORRECT ANSWER Record does not constitute hearsay PHI Breach - CORRECT ANSWER Must tell types of unsecured PHI that were involved Accounting of Disclosures - CORRECT ANSWER Ex: faxed to the bank Training in PHI - CORRECT ANSWER Every member of workforce must attend Federal Rules of Civil Procedure - CORRECT ANSWER e-discovery rules changed Security Audit - CORRECT ANSWER Helps entity ensure that info is only being accessed for org purposes Security Rule - CORRECT ANSWER Provisions for access in emergency Biggest Risk of Breaches - CORRECT ANSWER Laptop Theft Protecting Data Privacy - CORRECT ANSWER Defending or safeguarding patient data Charging for PHI - CORRECT ANSWER To make a copy Chain of Trust Partner Agreements - CORRECT ANSWER Admin provision for security measures Confidentiality - CORRECT ANSWER Limiting disclosures Minor - CORRECT ANSWER Authorized to release venereal info Info Policy - CORRECT ANSWER Openness of comm w/in org Over telephone with police - CORRECT ANSWER No info Best Monitoring System - CORRECT ANSWER Random sample of each employee monthly Even if employer is paying - CORRECT ANSWER They need auth Married Minor - CORRECT ANSWER Can consent for self When on phone with hospital - CORRECT ANSWER Confirm with callback and give all info Stark Law - CORRECT ANSWER No physician self referral Right to PHI - CORRECT ANSWER For as long as it is maintained Authorization Management - CORRECT ANSWER Limiting user access [Show Less]
- Exam
- $11.45
- 0
- 137
RHIA Domain 3 Exam Prep 56 Questions with Verified Answers,100% CORRECT
RHIA Domain 3 Exam Prep 56 Questions with Verified Answers A hospital is undergoing a major reconstruction project and a new director of nursing has bee... [Show More] n hired. At the same time, the nursing documentation component of the EHR has been implemented. The fact that nursing staff satisfaction scores have risen is: a. A result of anecdotal benefits of EHR b. A result of qualitative benefits of EHR c. A result of reconfiguration of the nursing units d. Uncertain due to existence of confounding variables - CORRECT ANSWER d. Uncertain due to existence of confounding variables In this situation there are too many changes occurring at the same time to determine what is improving the nursing staffing satisfaction scores. Any one item could be the reason for the improvement. To evaluate the impact of the electronic health record (EHR) nursing documentation component, a benefits realization study should have been utilized. This would have studied the impact of the EHR component before and after implementation (Amatayakul 2017, 106). If a health plan analyst wanted to determine if the readmission rates for two hospitals were statistically different, what is the null hypothesis? a. The readmission rates are not equal. b. The readmission rates are equal. c. The readmission rate for one hospital is larger than the other. d. The readmission rate for one hospital is smaller than the other. - CORRECT ANSWER b. The readmission rates are equal. The first step in statistical hypothesis testing is defining the null and alternative hypotheses. The null hypothesis is the status quo. In this example the readmission rates are equal would be the null hypothesis showing no relationship between the two hospitals (White 2016a, 65). What architectural model of health information exchange allows participants to access data in point-to-point exchange? a. Consolidated b. Federated—consistent databases c. Federated—inconsistent databases d. Switch - CORRECT ANSWER c. Federated—inconsistent databases The Federated—inconsistent databases—model for HIE includes multiple enterprises agreeing to connect and share specific information in a point-to-point manner (Amatayakul 2017, 417-418). Which of the following lists represents recommended core data elements for the master patient index? a. Date of birth, revenue code, accession number, and address b. Name, address, revenue code, and accession number c. Name, gender, address, and date of birth d. Gender, address, accession number, and charge code - CORRECT ANSWER c. Name, gender, address, and date of birth A master patient index (MPI) is an index of known patients within a single organization whose visits are linked together by a single identifier, typically the medical records number. Some recommended core data elements for the MPI are: name, address, gender, date of birth, and many others. Accession number, revenue code, and charge code are not recommended core data elements for the MPI (Reynolds and Sharp 2016, 130). A technique that describes an interaction between a user and a system is called a(n): a. Use case analysis b. RHIO c. Test case d. Use description - CORRECT ANSWER a. Use case analysis A use case analysis is a technique that describes an interaction between a user and a system. A use case diagram displays the relationship among actors and use cases. The two main components of a use case diagram are use cases and actors. An actor represents a user or another system that will interact with the system being modeled. A use case is an external view of the system that represents some action the user might perform in order to complete a task (Oachs 2016, 824-825). Consumer informatics is focused on ________ a. Consumer activation b. Information structures and processes c. Personalized medicine d. Engagement - CORRECT ANSWER b. Information structures and processes Consumer health informatics is a field devoted to informatics from multiple consumer or patient views and includes patient-focused informatics, health literacy, and consumer education, with a focus on information structures and processes that empower consumers to manage their own health (AMIA 2015; Sandefer 2016b, 425). Community Memorial Hospital had 25 inpatient deaths, including newborns, during the month of June. The hospital had a total of 500 discharges for the same period, including deaths of adults, children, and newborns. The hospital's gross death rate for the month of June was: a. 0.05% b. 2% c. 5% d. 20% - CORRECT ANSWER c. 5% The gross death rate is the proportion of all hospital discharges that ended in death. It is the basic indicator of mortality in a healthcare facility. The gross death rate is calculated by dividing the total number of deaths occurring in a given time period by the total number of discharges, including deaths, for the same time period: 25/500 = 0.05 × 100 = 5% (Palkie 2016b, 296). For an EHR to provide robust clinical decision support, what critical element must be present? a. Structured data b. Internet connection c. Physician portal d. Standard vocabulary - CORRECT ANSWER a. Structured data If an EHR is to provide clinical decision support it requires two things: structured data and a clinical data repository (Sandefer 2016a, 364). Assume you are the manager of a 10-physician group primary care practice. The physicians are interested in contracting with an application service provider to develop and manage patient records electronically. Which of the following statements is an indication that an application service provider (ASP) may be a good idea for this practice? a. The practice does not have the up-front capital or IT staff needed to purchase and implement a system from a health information systems vendor. b. The practice wants an electronic medical record system and wants to get into the IT management business as well. c. The practice would like to have the system up and running in a relatively short period of time (less than four months). d. The practice is not looking to purchase any additional hardware needed for an electronic medical record system. - CORRECT ANSWER a. The practice does not have the up-front capital or IT staff needed to purchase and implement a system from a health information systems vendor. In an application service provider (ASP) model, there is much less upfront capital outlay and fewer IT staff required in-house. In fact, the ASP acquisition strategy may be considered essentially a financing model (Amatayakul 2016, 402). In addition to bar codes on health record documents, what other forms of recognition characteristics enhance the accuracy of form indexing features? a. Access controls b. COLD c. OCR d. Workflow - CORRECT ANSWER c. OCR The capability to retrieve documents from an electronic document management system (EDMS) is determined by the underlying technology used to store the documents. In addition to bar codes on medical record documents, optical character recognition (OCR) may be available to enhance the accuracy of indexing features on forms (Sandefer 2016a, 352). To reduce the effect of a server crash in an EHR environment, it is advisable to: a. Set up redundant systems b. Have a storage area network c. Store data in RAID d. Have an inventory of all systems - CORRECT ANSWER a. Set up redundant systems To achieve availability, an EHR must have full redundancy as well as backup and network redundancy. This means that there is a duplication of all data, hardware, cables, or other components of the system. Should the primary server crash, the system switches over to the second server and can continue processing (Sayles and Kavanaugh-Burke 2018, 228). A possible justification for building an information system in-house rather than purchasing one from a vendor is that: a. It is cheaper to buy than to build b. The facility has development teams they do not want to give up c. Integration of systems will be easier d. Vendor products are not comprehensive enough - CORRECT ANSWER b. The facility has development teams they do not want to give up Most organizations recognize that commercial products can meet their needs and that most of these products will far surpass the functionality that could be self-developed. Still, some organizations want to at least consider the build option. Some physicians are intrigued with developing their own perfect system, and some hospitals have development teams they do not want to give up. An organization's decision to build or buy should be based on a careful review of the marketplace. Currently, it is more expensive to undertake self-development. Unless self-development is coupled with a vendor partnership that leads to commercialization, a self-developed system can be a drawback when attempting to integrate with commercial products as the organization grows, merges, or acquires affiliates (Amatayakul 2017, 191). Which data collection program is the basis for the CMS value-based purchasing program? a. Leapfrog b. HEDIS c. Hospital Compare d. HCUP - CORRECT ANSWER c. Hospital Compare Hospital Compare reports on 139 measures of hospital quality of care for heart attack, heart failure, pneumonia, and the prevention of surgical infections. The data available at Hospital Compare is reported by hospitals to meet the requirements of the Medicare Value Based Purchasing program (White 2016a, 188). In analyzing the reason for changes in a hospital's Medicare case-mix index over time, the analyst should start with which of the following levels of detail? a. Account level b. MS-DRG level c. MDC level d. MS-DRG triples, pairs, and singles - CORRECT ANSWER c. MDC level The focused review indicated areas of risk related to lower weighted MS-DRGs from triple and pair combinations which may be the result of a coder missing secondary diagnoses. A focused audit based on this specific potential problem area could help to identify these cases. Optimization seeks the most accurate documentation, coded data, and resulting payment in the amount the provider is rightly and legally entitled to receive (Hunt 2016, 286). You want to graph the number of deaths due to prostate cancer from 2010 through 2017. Which graphic tool would you use? a. Frequency polygon b. Histogram c. Line graph or plot d. Pie chart - CORRECT ANSWER c. Line graph or plot A line graph or plot is used to display time trends. The x-axis shows the unit of time from left to right, and the y-axis measures the number of prostate cancer deaths (Marc 2016, 546). Which numerical filing system results in an even distribution of records and ensures activity throughout the filing area? a. Serial-unit filing system b. Serial filing system c. Unit filing system d. Terminal-digit filing system - CORRECT ANSWER d. Terminal-digit filing system In a terminal-digit filing system, records are filed according to a three-part number made up of two-digit pairs. The basic terminal-digit filing system contains 10,000 divisions, made up of 100 sections ranging from 00 to 99 with 100 divisions within each section ranging from 00 to 99. In a terminal-digit filing system, the shelving units (filing space) are equally divided into 100 sections (Reynolds and Sharp 2016, 128-129). Which of the following is the statistic that would be used to explore the relationship between length of stay and patient age? a. Mean b. Correlation c. Predictive modeling d. Variance - CORRECT ANSWER b. Correlation Correlation is the statistic that is used to describe the association or relationship between two variables. In the healthcare setting, we may note that length of stay and charges are highly related or correlated (White 2016b, 526-527). In assessing the quality of care given to patients with diabetes mellitus, the quality team collects data regarding blood sugar levels on admission and on discharge. This data is called a(n): a. Indicator b. Measurement c. Assessment d. Outcome - CORRECT ANSWER a. Indicator An indicator is a performance measure that enables healthcare organizations to monitor a process to determine whether it is meeting process requirements. Monitoring blood sugars on admission and discharge is an indicator of the quality of care delivered to the diabetes patient during the stay (Shaw and Carter 2019, 143). Which of the following statements is true of structured query language (SQL)? a. It is both a data manipulation and data back-up mechanism. b. It defines data elements and manipulates and controls data. c. It is the computer language associated with document imaging. d. Users are not able to query a relational database. - CORRECT ANSWER b. It defines data elements and manipulates and controls data. Structured query language (SQL) includes both data dictionary language and data manipulation language components and is used to create and manipulate relational databases (Sayles and Kavanaugh-Burke 2018, 29). Which of the following basic services provided by a health information exchange (HIE) entity matches identifying information to an individual? a. Consent management b. Person identification c. Record locator d. Identity management - CORRECT ANSWER b. Person identification Because there is no mandated unique patient identifier, ensuring that the HIE organization can identify the right patient as it seeks to exchange information is a process of identity matching (Amatayakul 2017, 419). A database will be created solely for use in a research study that is being conducted. Which of the following is best suited for this scenario? a. Relational database model b. Data repository c. Data mart d. Data warehouse - CORRECT ANSWER c. Data mart A data mart is a subset of the data warehouse designed for a single purpose or specialized use. The data mart performs the same type of analysis as a data warehouse; however, the scope of the data is narrower (Sayles and Kavanaugh-Burke 2018, 38). The relationship between patient gender and readmission to the hospital is best displayed using a: a. Frequency chart b. Contingency table c. Bar chart d. Pie chart - CORRECT ANSWER b. Contingency table Contingency tables are a useful method for displaying the relationship between two categorical variables. Contingency tables are often referred to by the number of rows and columns (White 2016a, 64). Working with the healthcare entity's integration team to ensure that ADT interfaces are properly built and tested is the responsibility of the: a. MPI manager b. EHR analyst c. IT manager d. Electronic forms manager - CORRECT ANSWER a. MPI manager Monitoring and managing a master patient index (MPI) also requires constant vigilance from the organization, including oversight, evaluation, and correction of errors. The overall responsibility of maintaining the MPI should be centralized and given to an individual who is detail oriented, is properly trained, has access to adequate tools, and is well versed in the organization's policies and procedures for MPI maintenance. Working with the organization's integration team to ensure ADT interfaces are properly built and tested is a key responsibility of the MPI manager (Reynolds and Sharp 2016, 130). In order to effectively transmit healthcare data between a provider and a payer, both parties must adhere to which electronic data interchange standards? a. DICOM b. IEEE 1073 c. LOINC d. X12N - CORRECT ANSWER d. X12N X12N refers to standards adopted for electronic data interchange. In order for transmission of healthcare data between a provider and payer, both parties must adhere to these standards (Sayles and Kavanaugh-Burke 2018, 211). Dr. Jones comes into the HIM department and requests that the HIM director pull all of his records from the previous year in which the principal diagnosis of myocardial infarction was indicated. Where would the HIM director begin to pull these records? a. Disease index b. Master patient index c. Operative index d. Physician index - CORRECT ANSWER a. Disease index A disease index is a listing in diagnosis code number order for patients discharged from the facility during a particular time period. Each patient's diagnoses are converted from a verbal description to a numerical code, usually using a coding system such as the International Classification of Diseases (ICD) (Sharp and Madlock-Brown 2016, 172). In which of the following does an analyst perform exploratory data analysis to determine trends and identify patterns in the data set? a. Data quality b. Data mining c. Record analysis d. Inferential statistics - CORRECT ANSWER b. Data mining In data mining, the analyst performs exploratory data analysis to determine trends and identify patterns in the data set (White 2016b, 531). A protocol to pass data from the system of one vendor to the information system of another vendor is called: a. OLAP b. Integration c. TCP/IP d. Interface - CORRECT ANSWER d. Interface An interface is software that works between two or more systems to enable the two systems to share data (Amatayakul 2016, 402). A report developed by a PI team on the occurrence of methicillin-resistant Staphylococcus aureus infection in a neonatal intensive care unit was subsequently used by the perinatal morbidity and mortality committee in a monthly review of infant morbidity. Access to this report was possible because it was housed in the organization's: a. Information warehouse b. Comparative performance data c. PI database d. Computer hard drive - CORRECT ANSWER a. Information warehouse Information warehouses allow organizations to store reports, presentations, profiles, and graphics interpreted and developed from stores of data for reuse in subsequent organizational activities (Shaw and Carter 2019, 350). This statistical inference measures both the strength of a relationship between two variables and the functional relationship between them. a. Correlation b. T-test c. Simple linear regression d. Standard deviation - CORRECT ANSWER c. Simple linear regression Simple linear regression (SLR) is another type of statistical inference that not only measures the strength of the relationship between two variables, but also estimates a functional relationship between them. SLR may be used when one of the two variables of interest is dependent on the other (White 2016b, 527-528). COLD/ERM Technology - CORRECT ANSWER Computer output laser disk/enterprise report management (COLD/ERM) technology electronically stores, manages, and distributes documents that are generated in a digital format and whose output data are report-formatted and print-stream originated. COLD/ERM technology not only electronically stores the report-formatted documents but also distributes them with fax, e-mail, web, and traditional hard copy print processes (Sandefer 2016a, 350). An analyst wishes to test the hypothesis that the wait time in the emergency department is longer on weekends than weekdays. What is the alternative hypothesis? a. The average wait time is shorter on weekends. b. The average wait time is longer on weekends. c. The average wait time is different on weekends and weekdays. d. The average wait time is the same on weekends and weekdays. - CORRECT ANSWER b. The average wait time is longer on weekends. The alternative hypothesis is the compliment of the null hypothesis and typically requires some action to be taken. In this scenario, the analyst is comparing emergency department wait times between weekends and weekdays. The alternative hypothesis would be that the average wait time is longer on weekends (White 2016a, 65). DICOM Standard - CORRECT ANSWER The Digital Imaging and Communications in Medicine (DICOM) standard supports retrieval of information from imaging devices and equipment to diagnostic and review workstations as well as short-term and long-term storage systems (Amatayakul 2017, 404-405). This analytic technique is being used by CMS to assist in prepayment audits? a. Descriptive statistics b. Graphical analysis c. Exploratory data analysis d. Predictive modeling - CORRECT ANSWER d. Predictive modeling Predictive modeling applies statistical techniques to determine the likelihood of certain events occurring together. Statistical methods are applied to historical data to learn the patterns in the data. These patterns are used to create models of what is most likely to occur (White 2016a, 7; White 2016b, 531). HIPAA mandated that healthcare business partners and covered entities implement a common standard for data and information transfer. That standard is: a. ICD-10-CM b. HL7 c. ASC X12 N d. CPT - CORRECT ANSWER c. ASC X12 N HIPAA mandates that healthcare-covered entities and business partners implement a common standard (ASC X12N) for the transfer of information and accept the standard-based electronic transaction. This regulation does not apply to the transfer of data and information within a healthcare organization, but it does apply to the transfer of data and information external to and between healthcare organizations (Sayles and Kavanaugh-Burke 2018, 211). Which application uses statistical techniques to determine the likelihood of certain events occurring together? a. Predictive modeling b. Standard deviation c. T-test d. Serial numbering - CORRECT ANSWER a. Predictive modeling Predictive modeling applies statistical techniques to determine the likelihood of certain events occurring together (White 2016a, 7-8). In which record numbering system is the patient assigned a health record number on the first visit that is kept for all subsequent visits? a. Unit numbering b. Index unit numbering c. Serial-unit numbering d. Serial numbering - CORRECT ANSWER a. Unit numbering Unit numbering storage is a health record identification system in which the patient receives a unique medical record number at the time of the first encounter that is used for all subsequent encounters (Reynolds and Sharp 2016, 128). Data mining is a process that involves which of the following? a. Using reports to measure outcomes b. Using sophisticated computer technology to sort through an entity's data to identify unusual patterns c. Producing summary reports for management to run the daily activities of the healthcare entity d. Producing detailed reports to track productivity - CORRECT ANSWER b. Using sophisticated computer technology to sort through an entity's data to identify unusual patterns In data mining, the analyst performs exploratory data analysis to determine trends and identify patterns in the data set. Data mining is sometimes referred to as knowledge discovery (White 2016b, 531). In order for health information exchange (HIE) participants to search for health records on each of the other systems using patient indexing and identification software, the systems must be linked by a(n): a. Primary key interface (PKI) b. Application programming interface (API) c. Continuity of care record (CCR) d. Record locator service (RLS) - CORRECT ANSWER d. Record locator service (RLS) The HIE's record locator service (RLS) manages the pointers to the information on the servers of the HIE participants. The pointers in a RLS can include a person identification number (person ID) and metadata. The RLS does not provide information about the record, it merely points to where it might be found. Data are not stored in a centralized database and records are only provided when queried (McCann 2016, 454). A healthcare entity remains committed to purchasing a vendor's product, which the entity finds solid in its financial and administrative applications but weaker in clinical applications. What is the term for this strategy? a. Bridge b. Best-of-fit c. Best-of-breed d. Legacy - CORRECT ANSWER b. Best-of-fit The opposite of best-of-breed is best-of-fit. In this situation, virtually (though not absolutely) all applications are provided by a single vendor. This frequently makes it easier to add new applications from that vendor, but potentially even more difficult to add products from other vendors. Many organizations find their best-of-fit financial or administrative and operational system vendor is not as strong in EHR as they would desire. Alternatively, best-of-breed organizations find it difficult and costly to sustain this approach (Amatayakul 2017, 72-73). The probability of making a Type I error based on a particular set of data is called the ________. a. Sampling value b. Hypothesis test c. A-probability d. P-value - CORRECT ANSWER d. P-value The probability of making a Type I error based on a particular set of data is called the p-value (White 2016b, 514). Protocols that support communication between applications are often referred to as: a. Application program b. Interface code c. Messaging standards d. Source code - CORRECT ANSWER c. Messaging standards Within healthcare, standard protocols that support communication between nonintegrated applications are often referred to as messaging standards, also called interoperability standards or data exchange standards. Messaging standards provide the tools to map proprietary formats to one another and more easily accomplish the exchange of data (Amatayakul 2017, 400-401). Which of the following is an effective method of evaluating responses to a request for proposal (RFP)? a. Testing the new system b. Negotiating contracts with all vendors and assessing the best price c. Attending user group meetings d. Visiting sites that use the systems of product competitors - CORRECT ANSWER c. Attending user group meetings Formal and informal mechanisms should be used to evaluate each vendor and its products. For example, the project team may hold vendor presentations, check references, attend user group meetings, and make site visits to other facilities that use the product. The purpose of these activities is to gather as much relevant information as possible to make an informed decision (Amatayakul 2017, 202-204). Which graph is the best choice to use when exploring the relationship between length of stay and charge for a set of patients? a. Line graph b. Bar chart c. Pie chart d. Scatter diagram - CORRECT ANSWER d. Scatter diagram A scatter diagram is a data analysis tool used to plot points of two variables suspected of being related to each other in some way (Oachs 2016, 816-817). All computers on this type of network receive the same message at the same time, but only one computer at a time can transfer information; and if one segment of the network goes down, the entire network is affected. a. Star topology b. Ring topology c. Bus topology d. Logical topology - CORRECT ANSWER c. Bus topology Bus topology is the simplest network topology, connecting one device to another along a "backbone." A major disadvantage is that the central cable is a single point of failure. If this cable fails for any reason then the entire network goes down (Johns 2015, 57). A researcher mined the Medicare Provider Analysis Review (MEDPAR) file. The analysis revealed trends in lengths of stay for rural hospitals. What type of investigation was the researcher conducting? a. Content analysis b. Effect size review c. Psychometric assay d. Secondary analysis - CORRECT ANSWER d. Secondary analysis Secondary analysis is the analysis of the original work of others. In secondary analysis, researchers reanalyze original data by combining data sets to answer new questions or by using more sophisticated statistical techniques. The work of others created the MEDPAR file (Forrestal 2016, 586). The user needs a list of all of the patients that were diagnosed a cerebral infarction or a cerebral hemorrhage. This is an example of a situation in which what type of search should be used? a. Structured query language b. Wildcard search c. Truncation d. Boolean search - CORRECT ANSWER d. Boolean search Boolean search capabilities such as "and," "or," and "not" may be used in the QBE database to narrow down the data to specifically what the user needs. In this example the query could retrieve patients who had a diagnosis cerebral infarction or cerebral hemorrhage and find all of them (Sayles and Kavanaugh-Burke 2018, 29). The process of preventing the spread of communicable diseases in compliance with applicable legal requirements is performed in this quality management function. a. Infection control b. Clinical quality assessment c. Utilization management d. Risk management - CORRECT ANSWER a. Infection control The medical staff and the healthcare organization should work together to provide an environment that reduces the risk of infections in both patients and healthcare providers. The healthcare organization should support activities that look for, prevent, and control infections. An infection review is done with the involvement of the medical staff. Information is collected regularly on endemic and epidemic healthcare-associated infections. As appropriate, the healthcare organization must report significant information to both internal groups and public health agencies (Shaw and Carter 2019, 179). Last year, 73,249 people died from diabetes mellitus in the United States. The total number of deaths from all causes was 2,443,387, and the total population was 288,356,713. Calculate the proportionate mortality ratio for diabetes mellitus. a. 0.003 b. 10.94 c. 0.09 d. 3.0 - CORRECT ANSWER d. 3.0 The proportionate mortality ratio (PMR) is a measure of mortality due to a specific cause for a specific time period. In the formula for calculating the PMR, the numerator is the number of deaths due to a specific disease for a specific time period, and the denominator is the number of deaths from all causes for the same time period. The proportionate mortality ratio for diabetes mellitus = 73,249/2,443,387 = 0.03 × 100 = 3.0% (AHIMA 2017, 192; Edgerton 2016, 484-485). During an influenza outbreak, a nursing home reports 25 new cases of influenza in a given month. These 25 cases represent 30 percent of the nursing home's population. This rate represents the: a. Distribution b. Frequency c. Incidence d. Prevalence - CORRECT ANSWER c. Incidence The incidence rate is a computation that compares the number of new cases of a specific disease for a given time period to the population at risk for the disease during the same time period (Oachs and Watters 2016, 1009). You want to graph the average length of stay by sex and service for the month of April. Which graphic tool would you use? a. Bar graph b. Histogram c. Line graph d. Pie chart - CORRECT ANSWER a. Bar graph Bar charts are used to display data from one or more variables. The bars may be drawn vertically or horizontally. Bar charts are used for nominal or ordinal variables. In this case, you would be displaying the average length of stay by service and then within each service have a bar for each gender (Horton 2017, 257-258). Online or real-time transaction processing (OLTP) is a functional requirement for a: a. Data repository b. Data mart c. Data display d. Data dictionary - CORRECT ANSWER a. Data repository Data repositories in healthcare organizations require tools designed to perform intricate data searches and retrievals using online or real-time transaction processing (OLTP) (Amatayakul 2017, 306-307). HIM departments may be the hub of identifying, mitigating, and correcting master patient index (MPI) errors. But that information often is not shared with other departments within the healthcare entity. After identifying procedural problems that contribute to the creation of the MPI errors, which department should the MPI manager work with to correct these procedural problems? a. Administration b. Registration or patient access c. Risk management d. Radiology and laboratory - CORRECT ANSWER b. Registration or patient access A review of the identified duplicates and overlays often reveals procedural problems that contribute to the creation of errors. Although health information management (HIM) departments may be the hub of identifying, mitigating, and correcting master patient index (MPI) errors, that information may never be shared with the registration department. If the registration staff is not aware of the errors, how can they begin to proactively prevent the errors from occurring in the first place? Registration process improvement activities can eventually reduce work for HIM departments. In addition, monitoring new duplicates is a critical process, and tracking reports should be created and implemented. Identifying and reporting MPI errors is important; however, tracking who made the error and why will decrease the number of duplicates (Reynolds and Sharp 2016, 130-131). Tina is the EMPI coordinator for Smithtown Healthcare, a large medical center with many satellite clinics. Because so many patients visit the clinics, sometimes new health record numbers are mistakenly assigned to them (even though they may already have a number) when they register for a particular service. As the EMPI coordinator, Tina performs all of the following tasks as part of her regular job duties except: a. Unmerging overlays b. Merging duplicate records c. Confirming the health record contains all patient visits d. Verifying insurance status - CORRECT ANSWER d. Verifying insurance status The challenge for facilities is to maintain a correct and current MPI so that each patient has a unique identifier number. Duplication and overlays and overlap are major problems. Healthcare facilities have hired HIM professionals as EMPI coordinators to clean and maintain EMPI systems to ensure that the correct information on the correct patient is available to the provider and others who need it. Verifying insurance status would not be part of the job duties of an EMPI coordinator (Reynolds and Sharp 2016, 130). What term is used for a centralized database that captures, sorts, and processes patient data and then sends it back to the user? a. Clinical data repository b. Data exchange standard c. Central processor d. Digital system - CORRECT ANSWER a. Clinical data repository A clinical data repository is a centralized database that captures, sorts, and processes patient data and then sends it back to the user (Amatayakul 2017, 24). In carrying out the strategic plan for health IT, the step that describes what is needed to achieve the plan's goals is: a. Environmental scan b. Project plan c. Requirements analysis d. Risk analysis - CORRECT ANSWER c. Requirements analysis Requirements analysis is the step that identifies, in detail, the precise requirements needed for both health information technology (that is, hardware and software) and operational components (people, policy, and process) of the health information system to meet the goals specified in the strategic plan (Amatayakul 2016, 400). The term used to describe breaking data elements into the level of detail needed to retrieve the data is: a. Normalization b. Data definitions c. Primary key d. A database management system - CORRECT ANSWER a. Normalization When developing the data elements that go into a database, the fields should be normalized. Normalization is breaking the data elements into the level of detail desired by the facility. For example, last name and first name should be in separate fields as should city, state, and zip code (Sayles and Kavanaugh-Burke 2018, 34). [Show Less]
- Exam
- $10.95
- 0
- 87
RHIA Exam - Domain V| 41 Questions with Verified Answers,100% CORRECT
RHIA Exam - Domain V| 41 Questions with Verified Answers Which of the following is not a characteristic of strategy? - CORRECT ANSWER A description of s... [Show More] pecific implementation plans Which Joint Commission survey methodology involves an evaluation that follows the hospital experiences of past or current patients? - CORRECT ANSWER Tracer metholodogy Employees covered by the provisions of the Fair Labor Standards Act (FLSA) are called ___ employees: - CORRECT ANSWER Nonexempt The HIM department records copy fees as revenue. For the year the budgeted fees were $25,000 and the actual fees received are $23,000. The director may be asked to explain a(n): - CORRECT ANSWER Unfavorable variance of $2,000 Agreements that are reached in a participant agreement or vendor contract should be developed into: - CORRECT ANSWER Operational policies Strategic thinkers exhibit which of the following skills? - CORRECT ANSWER The ability to gain a powerful core of healthcare entity supporters and customers Kelly's husband is being transferred to a new position in another state. Kelly has to resign her position as director of HIM at Memorial Hospital, a job she has enjoyed for five years. This is an example of what type of employee turnover? - CORRECT ANSWER Voluntary The following information was abstracted from Community Hospital's balance sheet. *see Q. 172 Practice Exam 1 - pg 38 for table A vendor selling a large dollar amount of goods to this hospital on credit would: - CORRECT ANSWER Be somewhat concern because the ratio is less than one half Community Hospital is evaluating the following three investments. Which one has the highest profitability index? *see Q. 173 Practice Exam 1 - pg. 39 for table - CORRECT ANSWER All three are equally profitable What type of healthcare organization review is conducted at the request of the healthcare facility seeking accreditation? - CORRECT ANSWER Voluntary Review An accrediting agency's published rules, which serve as the basis for comparative assessment during the review or survey process, are called: - CORRECT ANSWER Accreditation standards In the HIM department at Memorial Hospital, each newly hired coder spends an afternoon with a medical biller. The coder follows the biller as they complete job tasks to get an idea of how coding and billing impact one another. This is an example of what type of on-the-go training? - CORRECT ANSWER Job shadowing The process of conducting a thorough review of the internal and external conditions in which a healthcare entity operates is called: a. Environmental assessment b. Operations improvement planning c. Strategic management d. Employement assessment - CORRECT ANSWER Environmental assessment What term is used to represent a difference between the budgeted amount and he actual amount of a line item that is not expected to reverse itself during a subsequent period? a. Permanent variance b. Fixed cost c. Temporary variance d. Flexible cost - CORRECT ANSWER Temporary variance In order to expedite basic performance improvement team functioning, the team should: a. use unstructured brainstorming b. perform force field analysis c. established ground rules d. use structured brainstorming - CORRECT ANSWER establish ground rules Identifying future health information needs for a healthcare entity and projecting specific initiatives required to meet those needs is part of: a. Data modeling b. Policy development c. Strategic planning d. Workflow modeling - CORRECT ANSWER Strategic planning What type of organization works under contract with CMS to conduct Medicare and Medicaid certification surveys for hospitals? a. Accredidation organizations b. Certification organizations c. State licensure agencies d. Conditions of Participation agencies - CORRECT ANSWER State Licensure agencies Which of the following is a conflict management method in which both parties meet with an objective third party to explore their perceptions and feelings? a. Compromise b. Collaborative confrontation c. Control d. Constructive confrontation - CORRECT ANSWER Constructive confrontation The Hay method is used to measure the three levels of major compensable factors: the know-how, problem-solving, and accountability requirements of each position. This sytem is used for: a. Job evaluation b. Interview applicants c. Performance measurement d. Work scheduling - CORRECT ANSWER Job evaluaton For contract to be valid, it must include three elements. Which of the following is one of those elements? a. Assumption of Risk b. Consideration c. Statute of limitations d. Notice of liability - CORRECT ANSWER Consideration Caroline is interviewing candidates for a supervisor of release of information position. She asks each candidate to explain how they would prepare a record in answer to a subpoena. This is what type of interview question? a. Behavior b. Job knowledge c. Situational d. Work requirement - CORRECT ANSWER Job knowledge The health information services department at Medical Center Hospital has identified problems with its work processes. Too much time is spent on unimportant tasks, there is duplication of effort, and task assignment is uneven in quality and volume among employees. The manager has each employee complete a form identifying the amount of time he or she spend each dat on various tasks. What is this tool called? a. Serial work distribution tool b. Work distribution chart c. Check sheet d. Flow process chart - CORRECT ANSWER Work distribution chart Which of the following is the process of meeting a prescribed set of standards or regulations to maintain active accreditation, licensure, or certification status? a. Compliance b. Deem status c. Document review d. performance improvement - CORRECT ANSWER Complaince Which of the following is an example of a budget used as a controlling set? - CORRECT ANSWER Responding to a monthly budget variance report One of the most common issues that healthcare organizations fail to do well in the strategic process is: - CORRECT ANSWER Execute the implementation plan The percent of antibiotics administered immediately prior to open reduction and internal fixation (ORIF) surgeries or the percent of deliveries accomplished by cesarean section are examples of what type of performance measure? - CORRECT ANSWER Process measure At the end of March, the HIM department has a YTD payroll budget of $100,000. The actual YTD amount paid is $95,000 because a coder resigned in February. For the past two months, the position has been filled through outsourcing. Therefore, the actual YTD amount for consulting services is $5,000, although no money was budgeted for consulting services. The reporting threshold for variances is 4%. The fiscal year-end is December. What is the best description of the payroll variance for this year? A. Favorable, permanent B. Unfavorable, permanent C. Favorable, temporary D. Unfavorable, temporary - CORRECT ANSWER Unfavorable, permanent At the end of March, the HIM department has a YTD payroll budget of $100,000. The actual YTD amount paid is $95,000 because a coder resigned in February. For the past two months, the position has been filled through outsourcing. Therefore, the actual YTD amount for consulting services is $5,000, although no money was budgeted for consulting services. The reporting threshold for variances is 4%. The fiscal year-end is December. Which one the variances will the HIM director be required to explain? - CORRECT ANSWER Both the payroll and consulting services variances All of the following are risks that must be considered when entering into an outsourcing contract except: - CORRECT ANSWER Efficient productivity When implementing health information management training, detemrining who needs to be trained, who should do the training, how much training is required, and how the training will be accomplished is the responsibility of: - CORRECT ANSWER The implementation team Coders at Medical Center Hospital are expected to do a high volume of coding. Their department also includes a clerical support person who handles phone calls, pulls and files records to be coded, and maintains productivity logs. An abstract clerk enters coded data into the health information system. This is an example of ________ work division. - CORRECT ANSWER Serial Monitoring incidents of patient's falls can be used to measure effectiveness of hospital staff. This type of indicator would be considered a(n) _____. - CORRECT ANSWER Clinical measure In preparation for the implementation of an electronic health record (EHR), Ruth spends most of her training time in the EHR test system clicking through screens and developing workflows. Ruth is most likely what type of sensory learner? - CORRECT ANSWER Kinesthetic Before the on-site survey team leaves the healthcare facility they meet with the organization's leadership team and provide a report of their findings. This meeting is called _____. - CORRECT ANSWER Exit conference At Community Health Services, each budget cycle provides the opportunity to continue or discontinue services based on available resources so that every department or activity must be justified and prioritized annually in order to effectively allocate resources. Community Health uses what type of operational budget? - CORRECT ANSWER Zero-based An implementation plan is developed to ensure successful executive and includes: - CORRECT ANSWER Strategies, goals, and objectives As part of the CARF accreditation process, reviewers examine policies and procedures, administrative rules and regulations, administrative records, human resource records, and the case records of patients. This process is called: - CORRECT ANSWER Document review Which tool is used to determine the most critical areas for training and education for a group of employees? - CORRECT ANSWER Needs analysis Which of the following is a statement made by one party to induce abother party to enter into a contract? - CORRECT ANSWER Warranty Sarah is not clear about why she needs to collect so much data as she performs her HIM job. Sarah's manager explains that the basic premise behind collecting job analysis data is to determine the job requirements and delineate appropriate _____________and _____________. - CORRECT ANSWER Position classification; grade level assignments Which of the following would not be included in a healthcare entity's strategic profile? - CORRECT ANSWER Nature of its threats and opportunities [Show Less]
- Exam
- $10.95
- 0
- 116
Purchase the bundle to get the full access instantly
- 3 Million+ Study Documents
- 100% Money Back Guarantee
- Immediate Download Access
Add To Cart
Reviews 0
Bundle Details
$24.45
- Trusted by 800,000+ Students
- 24/7 Money Back Guarantee
- Download is directly available
171
0
Seller Details
