RHIA Review Questions And Answers 2022 With Complete Solution
What term refers to information that provides physicians with pertinent health information
... [Show More] beyond the health record itself used to determine treatment options?
a. Core measures
b. Enhanced discharge planning
c. Data mining
d. Clinical practice guidelines
d. Clinical practice guidelines
The patient has a biopsy of the colon followed by a hemicolectomy. In the ICD-10-PCS coding system, which procedure(s) are coded?
a. The hemicolectomy only
b. The biopsy only
c. Both the biopsy and the hemicolectomy
d. It depends on the results of the biopsy
c. Both the biopsy and the hemicolectomy
What is the first step a healthcare entity should take when developing a data dictionary?
a. Develop an approvals process
b. Integrate common data elements
c. Design a plan
d. Ensure consistency
c. Design a plan
Name of element, definition, application in which the data element is found, locator key, ownership, entity relationships, date first entered system, date element terminated from system, and system of origin are all examples of:
a. Autoauthentication fields
b. Metadata
c. Data
d. Information fields
b. Metadata
What are LOINC codes used for?
a. Identifying test results
b. Reporting test results
c. Identifying tests unique to a specific company
d. Reporting a code for reimbursement
a. Identifying test results
What document is a snapshot of a patient's status and includes everything from social issues to disease processes as well as critical paths and clinical pathways that focus on a specific disease process or pathway in a long-term care hospital (LTCH)?
a. Face sheet
b. Care plan
c. Diagnosis plan
d. Flow sheet
b. Care plan
Inadequate functions that make it impossible to detect when an entry was modified or borrowed from another source and misrepresented as an original entry by an authorized user is an example of a potential breach of:
a. Authorship integrity
b. Documentation integrity
c. Auditing integrity
d. Patient identification and demographic accuracy
c. Auditing integrity
Who is responsible for ensuring the quality of health record documentation?
a. Board of directors
b. Administrator
c. Provider
d. Health information management professional
c. Provider
Which of the following is a component of the resident assessment instrument? [Show Less]