Registered Health Information Technician (RHIT®) Bundle Set

Patient Self-Determination Act (PSDA) CORRECT ANSWER A federal law that mandates that every individual has the right to make decisions regarding medical care, including the right to refuse treatment and the right-to-die Utilization Review CORRECT ANSWER Process of determining whether the medical ...

Which Type of Code can be a principal diagnosis code? V-codes, E-codes, or M codes? CORRECT ANSWER V Codes If unable to find an outpatient procedure code after consulting with the physician, what type of code should be assigned? CORRECT ANSWER An unlisted procedure code in the appropriate body se...

(1) A critical early step in designing an EHR is to develop a(n) ________in which the characteristics of each data element are defined. A) Accreditation manual B) Core content C) Continuity of care record D) Data dictionary CORRECT ANSWER D) Data dictionary (2) Once hospital discharge abs...

In the past, the Joint Commission standards focused on promoting the use of a facility approved abbreviation list to be used by hospital care providers. With the advent of the Commission's national patient safety goals, the focus has shifted to - Answer use of prohibited or "dangerous" abbrevia...

Example of Point-of-Service care & documentation - Answer RN using a terminal to record vital signs. There's a difference between computer application in health care and clinical application of computers What do I find in Medical Staff Rules & Regulations? - Answer Doc requirements for pts'...

Abuse - Answer A range of the following improper behaviors or billing practices including, but are not limited to: billing for non-covered services, misusing codes on a claim Access - Answer As amended by HITECH, the ability or means necessary to read, write, modify, or communicate data/infor...

Fee-for -service is a healthcare payment method in which A. Physicians payments is determined B. Skilled nursing facilities reimbursed is Determined C. Providers received payment for services rendered D. Claim denials are processed - Answer C. Providers received payment for services rendered ...

A health record technician has been asked to review the discharge patient abstracting module of a proposed new electronic health record (EHR). Which of the following data sets would the technician consult to ensure the system collects all federally required discharge data elements for Medicare and M...

(113) If a patient has an excision of a malignant lesion of the skin, the CPT code is determined by the body area from which the excision occurs and which of the following? A) Length of the lesion as described in the pathology report B) Dimension of the specimen submitted as described in the pat...

DEEDS - Answer Data Elements for Emergency Department Systems (Used for Emergency Department) EMDS - Answer Electronic Document Management System HEDIS - Answer Health Plan Employer Data and Information Set (used for Managed Care and is designed to organize data for public release about ...

One important element of data quality is security in preventing unauthorized access, corruption, misuse, and loss of data. Technical and procedural methods will be used with the CPR to control and manage confidential information. An example of a of protecting data thru a procedural method is: Co...

ONC - Answer The Office of the National Coordinator for Health Information Technology is the federal agency charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information. The function of a(a...

Correct Answer: A Information about a patient is collected during the course of receiving healthcare services. This includes demographic data used to identify an individual (Gordon and Gordon 2016a, 422). - Answer "What are the patient data such as name, age, and address called? a. Demographic ...

Qualitative Analysis - Answer Aims to provide an in depth description of the information contained in the medical records. The results are detailed non numerical description of the contents in the record and does not include a statistical analysis. Qualitative Analysis - Answer Can be used to...