RHIA Exam Prep 2021(updated)questions and answers

RHIA Exam Prep 2021(updated)questions and answers In order to prevent the accidental introduction of a virus into your facility's local area network, your facility has a policy that strictly prohibits: a. Doing personal work on the computer system, even during personal time b. Sharing disks from one workstation to another within the facility c. Sending or receiving e-mail from addresses that have not been authorized d. Downloading executable files from electronic bulletin boards d. Downloading executable files from electronic bulletin boards Which of the following employees would be considered exempt under the Fair Labor Standards Act? The head of the HIM Department who is involved in decision making and planning 90% of the time Exempt- are not entitled to overtime pay Nonexempt- are entitled to overtime pay (WRONG) Your HIM department is moving to a new location and in order to arrange your employees and functions for optimal workflow efficiency and to decide which employees need to be placed close to each other, the tool you decide to use is a: a. PERT chart b. Proximity chart or movement diagram c. Process flowchart d. Data flow diagram. c. Proximity chart OR movement diagram PERT chart (Program Evaluation Review Technique)- provides a graphical representation of a project's timeline. And breaks down the individual tasks of a project for analysis. PROJECT PLANNING Process flowchart- a diagram that shows the sequential steps of a process and the decisions needed to make the process work Proximity chart- look at image!!! (WRONG) A p value of less than 0.05 is what researchers commonly use to reject the null hypothesis. A smaller p value may place interpretation of the results of the study at risk for a: A. sampling error B. stratification error C. type 1 error D. type 2 error A. sampling error Sampling error- when a sample does not represent the whole population Type 1 error- when an investigator rejects a null hypothesis that is actually true Type 2 error- if the investigator FAILS TO REJECT a null hypothesis that is actually false Inductive vs. Deductive reasoning Empiricism Inductive reasoning- aims at developing a theory Deductive reasoning- aims at testing an existing theory Empiricism- the theory that all knowledge is derived from sense-experience (WRONG) Evidence-based management and decision making is an emerging model now used to make more informed decisions. The premise of this model is: A. using intuition based on previous experience B. using a decision tree with branches that show the alternatives C. using the best clinical and research practices available D. using an alternative that meets minimum requirements. C. using the best clinical and research practices available (WRONG) As the Project Manager for the upcoming EHR implementation, you ask your assistant to develop a work breakdown structure (WBS). Critical to implementations and project success, the WBS: A. lists steps needed to complete the project. B. determines dependencies among project tasks. C. describes project responsibilities. D. defines the project's critical path. A. lists steps needed to complete the project. In your job as Chief Security Officer, you are evaluating software programs that will support your policy on sound terminal controls within your facility. One of the features you include in your request for information to vendors is: A. time-out feature. B. encryption. C. voice recognition feature. D. unique identifier for log-on. A. time-out feature. (WRONG) You have been asked to reduce your department's operating budget by 20%. In order to do so, you will have to effect reductions in your largest budget line. You will have to make cuts in: A. equipment. B. personnel. C. supplies. D. contracts. B. personnel. (WRONG) The researchers in the previous question wonder if there is any relationship between patient age and average fasting blood sugar. The best data display tool the researchers could use to look for a possible relationship would be a: A. Pareto diagram B. line graph C. scatter diagram D. cause and effect diagram C. scatter diagram Pareto diagram- useful to find the defects to prioritize in order to observe the greatest overall improvement Line graph- used to track changes over short and long periods of time National Health Information Network (NHIN) National system under development that will permit electronic sharing of healthcare data among those involved in care provision across the U.S. The committee that is preparing your acute care hospital for an electronic health record is planning for an imaging system for record archiving in the immediate future. They are looking for a solution for data interfacing or integration of the imaging system into other computer systems. You recommend: A. data dictionary guidelines. B. Health Level 7 standards. C. Regional Health Information Organization guidelines. D. Joint Commission standards B. Health Level 7 standards Data dictionary guidelines- a set of information describing the contents, format, and structure of a database and the relationship between its elements, used to control access to and manipulation of the database Health Level 7 standards- set of standards, formats and definitions for exchanging and developing EHR Regional Health Information Organization guidelines (RHIO)- a group of organizations within a specific area that share healthcare-related information electronically The CFO of your facility asks you to prepare a budget for the fiscal year based on the past volume and expected capacity for the coming year. This process is an example of using the "________" budgeting method: A. rolling budget B. fixed budget C. flexible or statistics budget D. zero-based budget B. fixed budget Rolling budget- continuous budget that is updated regularly when the earlier budget period expires Fixed budget- budget that does not change or flex for increases or decreases in volume Flexible or statistics budget- changes as per the activity level or production of units Zero-based budget- method of budgeting in which all expenses must be justified for each new period. Budgets are then built around what is needed for the upcoming period (WRONG) There are 15 employees in your department. There were 21 working days last month. There were a total of 12 lost workdays last month due to absenteeism of all types. The absenteeism rate for your department last month was: A. 21%. B. 57% C. 4% D. 5% C. 4% Calculation: 12 lost workdays (15 employees x 21 working days) x 100 = 3.80 = 4% The file clerks in your department's main file area report that they are able to locate 400 out of 450 requested records during the past month. There are a total of 4,500 records in the main file. What is the area's accuracy rate? A. 1.1% B. 8.9% C. 10.0% D. 88.9% D. 88.9% Calculation: (400 ÷ 450) x 100 = 88.9% (WRONG) In conducting an educational session for your staff about implementing a benchmarking program, you tell your staff that when an organization uses benchmarking, it is important to compare your facility's outcomes to: A. nationally known facilities B. larger facilities C. facilities within your corporation D. facilities with superior performance D. facilities with superior performance During the work sampling of a file clerk's activity, it is noted that the employee is speaking on the telephone during 76 of 300 observations. How much of the employee's time is spent on the phone if the employee works 7 hours a day? A. 1.77 hours B. 3.28% C. 3.94 hours D. 9.2% A. 1.77 hours Calculation: 76 ÷ 300 = 0.253 0.253 x 7 hours = 1.77 hr The correspondence section of your department receives an average of 50 requests per day for release of information. It takes an average of 30 minutes to fulfill each request. Using 6.5 productive hours per day as your standard, calculate the staffing needs for the correspondence section. A. 3.8 FTE B. 2.5 FTE C. 3 FTE D. 4 FTE A. 3.8 FTE Calculation: 50 requests x 30 min/request= 1,500 1,500 ÷ 60 min/hr = 25 25 ÷ 6.5 standard hr = 3.8 FTE If a time standard is determined from sample observation to be 2.50 minutes per record for coding emergency room records, what is the daily standard for the number of records coded when a 15% fatigue factor is allowed? The coder works 7.5 hours per day. a. 153 records per day b. 180 records per day c. 192 records per day d. 200 records per day a. 153 records per day Calculation: 7.5 hr/day x 60 min/hr= 450 mins 450 mins x 15%= 67.5mins 450 mins - 67.5 mins= 382.50 min 382.50 min ÷ 2.50 min/record= 153 records Now that the EHR has been fully implemented, you are ready to move old records to basement storage. You are ordering shelving for those old paper files. You have 18,000 records. The files average is three files per filing inch. The shelf units you have selected have six shelves that will hold 34 inches per shelf. You will have to plan for a 20% expansion rate to accommodate miscellaneous paper records over the next 10 years. How many shelving units should you order? A. 30 B. 31 C. 35 D. 36 D. 36 Calculation: (You can only purchase whole shelf units) 34 in x 3 files/filing inch = 102 records per SHELF 102 records per SHELF x 6 shelves = 612 records per filing UNIT 18,000 records x 0.20% = 3,600 records for project expansion 18,000 records + 3,600 = 21,600 total records 21,600 ÷ 612 = 35.29 = 36 total filing units needed The decision makers in the HIM department have decided to use the decision analysis matrix method to select coding software. Use of this method will help ensure: A. all alternatives/vendors are evaluated subjectively B. the personalities of individual vendors will not influence the decision C. consistent criteria are used to evaluate the alternatives/vendors D. the level of software support will be considered in the decision C. consistent criteria are used to evaluate the alternatives/vendors