RHIA Bundled Exams with Complete Solution | Verified | Guaranteed Success

What term is used in reference to objective descriptions of processes, procedures, people, and other observable objects and activities? - Data Which of the following processes is an ancillary function of the health record? - Biomedical Research What term is used in reference to electronically acc...

An audit trail is a good tool for which of the following? - 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 the facts given...

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 onl...

Authorizations are always required for the use or disclosure of psychotherapy notes except in which of the following situations: - employee and employment-related activities - health insurance carrier -media-related activities -carry out payment, treatment and operations - carry out payment, tr...

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 - b. Extirpation ***Taking or ...

This committee makes recommendations to the governing board for appoints to the medical staff - executive physicians who deliver most of the medical care in hospitals and who site on committees are - active staff accreditation organization which accredits health information educational programs ...

In preparation for an EHR, you are conducting a total facility inventory of all forms currently used. You must name each form for bar coding and indexing into a document management system. The unnamed document in front of you includes a microscopic description of tissue excised during surgery. The...

Where can you find guidelines for the retention and destruction of healthcare information? a. Institute of Medicine b. Municipal regulations c. HIPAA d. Accreditation standards - d. Accreditation standards This functionality can result in confusion from incessant repetition of irrelevant clinic...

A method of documenting nurses' progress notes by recording only abnormal or unusual findings or deviations from the prescribed plan of care is called: a. Problem-oriented progress notes b. Charting by exception c. Consultative notations d. Open charting - Charting by exception Mrs. Smith's ...

The Medical Record Committee is deciding how interim reports should be handled. What is the best practice? - Maintain all interim reports for the greatest measure of security This report should be written or dictated immediately after the procedure is done and filed in the patient's health recor...