RHIA Domain 1 Test with Questions and 100% Correct Answers
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Course
RHIA Domain 1
Institution
RHIA Domain 1
What programs does TJC accredit? - Answer Ambulatory, behavioral, critical access
hospitals, homeware, hospital, laboratory, nursing care centers, physician offices, and
office-based surgery centers
The process by which a duly authorized body evaluates and recognizes an individual,
institution,...
RHIA Domain 1 Test with Questions and 100%
Correct Answers
What programs does TJC accredit? - Answer Ambulatory, behavioral, critical access
hospitals, homeware, hospital, laboratory, nursing care centers, physician offices, and
office-based surgery centers
The process by which a duly authorized body evaluates and recognizes an individual,
institution, or educational program as meeting predetermined requirements - Answer
Certification
a piece of legislation written and approved by a state or federal legislature and then
signed into law by the state's governor, or President of the United States - Answer
Statute
Purpose of the legal health record (3) - Answer 1. To support decisions made in the
course of treating a patient,
2. support documentation for the revenue pursued by payers,
3. and documentation used for legal testimony related to the patient's disease, injury,
treatment, the decisions related to it and the response to it
If an organization meets TJC accredited deemed status survey, they are also deemed to
have met the __________ requirements - Answer CMS
Components of a __________: concise account of patient's illness, course of treatment,
response to treatment, condition at time of treatment, and instructions for follow up
care - Answer discharge summary
,Purposes of a discharge summary (3) - Answer Ensures continuity of care, provides
information to support the activities of the medical staff, provides concise information
that can be used to answer information requests
When is a discharge summary unnecessary? - Answer If the patient's stay is not
complicated and lasts less than 48 hours OR involves an uncomplicated delivery or
normal newborn (O40)
A legal document requiring the recipient to bring certain written records to court to be
used as evidence in a lawsuit - Answer subpoena duces tecum
R-ADT system (acronym and purpose) - Answer Registration-admission, discharge, and
transfer system.
For tracking in-house patients who have been transferred to a specialty unit
a permanent log of all the cases entered into the database - Answer Accession register
DEEDS - Answer Data Elements for Emergency Department Systems. Recommended
data set of hospital based ED
A system of health record identification and filing in which the last digit or group of
digits (terminal digits) in the health record number determines file placement - Answer
Terminal-digit filing system
Advantages of terminal digit filing system - Answer most effective for facilities with
heavy record volume and distributes charts evenly throughout the filing units
, Which filing system is often used by small clinics and physician offices? - Answer
Alphabetic
patient issued unique numerical identifier for every encounter at the facility - Answer
Serial numbering system
Patient is issued a health record number at the first encounter and that number is used
for all subsequent encounters. - Answer Unit numbering system
Numbering system commonly used in large healthcare facilities - Answer unit
numbering
combination of serial and unit. Patient is issued a new health record number with each
encounter but all of the documentation is moved from the last number to the new
number. - Answer Serial unit numbering system
files records in straight numeric order based on health record number - Answer Straight
numeric filing system
all of the patients encounters are filed together in a single location - Answer Centralized
unit filing system
software program and supporting hardware that automate and integrate the records
management process. - Answer Electronic document management system
A repository of information about health care practitioners, established by the Health
Care Quality Improvement Act of 1986 - Answer NPDB (National Practitioner Data Bank)
MEDPAR acronym - Answer Medicare Provider Analysis and Review
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