Practice Questions for RHIT Exam: DOMAIN 6: Leadership
1. To determine the daily filing hours required for retrieving and filing records at Community Clinic, what
calculation should be done?
Answer: 600 clinic visits per day / 60 records per hour (filing) + 600 clinic visits per day / 40 reco...
Practice Questions for RHIT Exam: DOMAIN 6: Leadership
1. To determine the daily filing hours required for retrieving and filing records at Community Clinic, what
calculation should be done?
Answer: 600 clinic visits per day / 60 records per hour (filing) + 600 clinic visits per day / 40 records per
hour (retrieval) = 25 hours per day.
2. What type of workflow function in an electronic information system would help support tasks that
need to be performed in a specific sequence?
Answer: Workflow.
3. How many FTE coders does the acute care hospital need to have on staff to ensure no backlog, given
an average of 55 patients per day and a volume productivity standard of six records per hour?
Answer: 2.85 FTE coders.
4. What are the two indicators used to measure coding productivity?
Answer: Quantity and quality.
5. What is the quality standard for coding accuracy?
Answer: As close to 100% as possible.
6. What is a statement or guideline that directs decision-making or behavior called?
Answer: Policy.
,7. What are examples of staffing tools?
Answer: Position descriptions, policies, procedures, training checklists, and performance standards.
8. Who oversees the operation of a broad scope of functions such as coding, transcriptions, and release
of information at the department level?
Answer: Middle manager.
9. Which problem-solving technique focuses on working with individuals to find a mutually acceptable
solution?
Answer: Nominal group technique.
10. In establishing an information technology services arrangement between two hospitals, which party
should obtain a business associate agreement?
Answer: The smaller hospital should obtain a business associate agreement with the larger hospital
providing the information services.
To date, the HIM department has not charged for copies of records requested by the patient. However,
the policy is currently under review for revision. One HIM committee member suggests using the
copying fee established by the state. Another committee member thinks that HIPAA will not allow for
copying fees. What input should the HIM director provide?
A. HIPAA does not allow charges for copying of medical records.
B. Use the state formula because HIPAA allows hospitals to use the state formula
C. Base charges on the cost of labor and supplies for copying and postage if copies are mailed while
following the state copy fee schedule
D. Because HIPAA allows for reasonable and customary charges, charge only for the paper used for
copying the record. ✔️Base charges on the cost of labor and supplies for copying and postage if copies
are mailed while following the state copy fee schedule
, The HIPAA Privacy Rule intent is to allow an individual to obtain copies of records for a fee that is
reasonable enough that an individual could pay for it. The Privacy Rule requires that the copy fee for the
individual be reasonable and cost based. It can only include the cost of labor for copying and postage,
when mailed. The commentary to the Privacy Rule expands upon this standard. If paper copies are
made, the fee can include the cost of the paper. If electronic copies are made, the fee can include copies
of the media used.
An HIM department is researching various options for scanning the hospital's health records. The
department director would like to achieve efficiencies through scanning, such as performing coding and
cancer registry functions remotely. Given these considerations, which of the following would be the best
scanning process?
A. Scanning all documents at the time of patient discharge
B. Scanning all documents after physicians have completed any record deficiencies
C. Begin remote work only after all deficiencies have been corrected in the paper record
D. Using scanners with the maximum amount of output ✔️Scanning all documents at the time of
patient discharge
Digital scanners create images of handwritten and printed documents that are then stored in health
record databases as electronic files. The data can be interfaced in the current EHR with document
scanning system. Using scanned images solves many of the problems associated with traditional paper-
based health records and hybrid records. Scanning at patient discharge allows the all of the contents of
the record to be available in a timely manner for other functions such as remote coding and cancer
registry.
Managing the adoption and implementation of new processes is called:
A. Management by design
B. Change management
C. Process flow implementation
D. Visioning ✔️Change management
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