Registered Health Information Administrator

A discharge summary must be completed within____days after discharge for most patients but within ___for patients transferred to other facilities. Discharge summaries are not always required for patients who were hospitalized for less than ___ correct answers 30 days/24 hours/48 hours systematic ...

A method of documenting nurses' progress notes by recording only abnormal or unusual findings or deviations from the prescribed plan of care is called: correct answers Charting by exception The discharge summary must be completed within _________ after discharge for most patients but within ____...

Each month the staff of the clinic with the lowest overall waiting time is awarded a free dessert in the Gulfside healthcare center cafeteria. take a look at the information listed above. the winner will be selected based on a. demonstrative clinical data b. comparative aggregate data c. objectiv...

HL7 correct answers A set of international standards for transfer of clinical and administrative data between software applications used by various healthcare providers. These standards focus on the application layer, which is "layer 7" in the OSI model. Data Validity correct answers Accuracy o...

Organized healthcare delivery correct answers Care providers have established relationships and mechanisms for communicating and working to coordinate patient care across health conditions, services and care setting over time 1935 Social Security Act correct answers Social Security act end extend...

An audit trail is a good tool for which of the following? correct answers Reconstructing electronic events The kids foundation related to children's hospital is mailing fundraising information to the families of all patients who have been treated at children's in the past three years. based on ...

A visitor walks through the work area and picks up a flash drive from an employee's desk. What security controls should have been implemented to prevent this security breach? a. Device and media controls b. Facility access controls c. Workstation use controls d. Workstation security controls co...

17. A patient requests copies of her medical records in an electronic format. The hospital maintains a portion of the designated record set in a paper format and a portion of the designated record set in an electronic format. How should the hospital respond? a. Provide the records in paper format...

A Staghorn calculus of the left renal pelvis was treated earlier in the week by lithotripsy and is now removed via a percutaneous nephrostomy tube. What is the root operation performed for this procedure? a. Destruction b. Extirpation c. Fragmentation d. Release correct answers b. Extirpation ...

Data elements for emergency department systems correct answers DEEDS Minimum data set correct answers MDS Outcome and assessment information set correct answers OASIS Uniform ambulatory care data set correct answers UACDS Facility correct answers Owner of the health record of patients tr...

Master or Enterprise patient index correct answers is critical to identifying patients and ensuring proper record linkage The health record consist of correct answers handwritten notes, transcribed reports, electronic data, digital images Continuity of care correct answers is improved by the s...

Legal Health Record correct answers Formal business record to be utilized during legal procedings If privacy issues emerge... correct answers Determine source of problem and issue HIPAA training If patient is unable to sign... correct answers Implied Consent Psychiatric patients may view re...

Processing correct answers Domain 2 Classifying, sorting, storing and retrieving data are all characteristics of which system component? 1. Output 2. Feedback 3.Processing 4.Input K81.2, OFT40ZZ, OFJ44ZZ correct answers Domain 1 The patient is taken to the OR for a laparoscopic gallbladder...

Deidentified information correct answers Information from which personal characteristics have been removed and that, as a result, neither identifies nor provides a reasonable basis to believe it could identify an individual. Hence no longer protected by HIPAA privacy rule Sponsor correct answers ...