RHIT Exam Prep UPDATED ACTUAL Exam Questions and CORRECT Answers
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Module
RHIT
Institution
RHIT
RHIT Exam Prep UPDATED ACTUAL
Exam Questions and CORRECT Answers
99212, Office or other outpatient visit for the evaluation and management of an established
patient, which requires at least two of these three key components: problem focused history
and examination, straightforward medical dec...
RHIT Exam Prep UPDATED ACTUAL
Exam Questions and CORRECT Answers
99212, Office or other outpatient visit for the evaluation and management of an established
patient, which requires at least two of these three key components: problem focused history
and examination, straightforward medical decision. - CORRECT ANSWER✔✔- Date of
service: 1/3/2017. Last date of treatment: 2/12/2016. The patient is seen in the physician's
office for a cough and sore throat. The physician performs a problem-focused history,
expanded problem-focused examination, and medical decision making is straightforward.
What is the correct E/M code for this service?
A coding analyst consistently enters the wrong code for patient gender in the computer billing
system. What measures should be in place to minimize this data entry error? - CORRECT
ANSWER✔✔- Edit checks
A core data set developed by ASTM to communicate a patient's past and current health
information as the patient transitions from one care setting to another is: - CORRECT
ANSWER✔✔- Continuity of care record
A core data set developed by ASTM to communicate a patient's past and current health
information as the patient transitions from one care setting to another is: - CORRECT
ANSWER✔✔- Continuity of care record
A critical early step in designing an EHR is to develop a(n) ________ in which the
characteristics of each data element are defined. - CORRECT ANSWER✔✔- Data
dictionary
A family practitioner requests the opinion of a physician specialist who reviews the patient's
health record and examines the patient. The physician specialist would record findings,
impressions, and recommendations in what type of report? - CORRECT ANSWER✔✔-
Consultation
A family practitioner requests the opinion of a physician specialist who reviews the patient's
health record and examines the patient. The physician specialist would record findings,
impressions, and recommendations in what type of report? - CORRECT ANSWER✔✔-
Consultation
,A health data analyst has been asked to compile a listing of daily blood pressure readings for
patients with a diagnosis of hypertension who were treated on the medical unit within a two-
week period. What clinical report would be the best source to gather this information? -
CORRECT ANSWER✔✔- Vital signs record
A health data analyst has been asked to compile a report of the percentage of patients who
had a baseline partial thromboplastin time (PTT) test performed prior to receiving heparin.
What clinical reports in the health record would the health data analyst need to consult in
order to prepare this report? - CORRECT ANSWER✔✔- Medication administration record
and clinical laboratory reports
A health information technician is responsible for designing a data collection form to collect
data on patients in an acute-care hospital. The first resource that she should use is: -
CORRECT ANSWER✔✔- UHDDS. The purpose of the UHDDS is to list and define a set of
common, uniform data elements. The data elements are collected from the health records of
every hospital inpatient and later abstracted from the health record and included in national
databases
A health record technician has been asked to review the discharge patient abstracting module
of a proposed new EHR. Which of the following data sets would the technician consult to
ensure the system collects all federally required discharge data elements for Medicare and
Medicaid inpatients in an acute-care hospital? - CORRECT ANSWER✔✔- UHDDS
A health record with deficiencies that is not completed within the time-frame specified in the
medical staff rules and regulations is called a(n): - CORRECT ANSWER✔✔- Delinquent
record
A healthcare provider organization, when defining its legal health record must: - CORRECT
ANSWER✔✔- Assess the legal environment, system limitations, and HIE agreements
A healthcare system wants to map ICD-10-CM to ICD-9-CM. Which of the following would
be true about this effort? - CORRECT ANSWER✔✔- This is an example of reverse mapping
A hospital's EHR defines the expected values of the gender data element as female, male, and
unknown. This type of specificity is known as: - CORRECT ANSWER✔✔- Data precision.
Data precision is the term used to describe expected data values. As part of data definition,
, the acceptable values or value ranges for each data element must be defined. For example, a
precise data definition related to gender would include three values: male, female, and
unknown
A medical group practice has contracted with an HIM professional to help define the
practice's legal health record. Which of the following should the HIM professional perform
first to identify the components of the legal health record? - CORRECT ANSWER✔✔-
Develop a list of statutes, regulations, rules, and guidelines that contain requirements
affecting the release of health records
A medical group practice has contracted with an HIM professional to help define the
practice's legal health record. Which of the following should the HIM professional perform
first to identify the components of the legal health record? - CORRECT ANSWER✔✔-
Develop a list of statutes, regulations, rules, and guidelines that contain requirements
affecting the release of health records
A new HIM director has been asked by the hospital CIO to ensure data content standards are
identified, understood, implemented, and managed for the hospital's planned EHR system.
Which of the following should be the HIM director's first step in carrying out this
responsibility? - CORRECT ANSWER✔✔- Identify data content requirements for all areas
of the organization
A notation for a diabetic patient in a physician progress note reads: "Occasionally gets
hungry. No insulin reactions. She says she is following her diabetic diet." In which part of a
problem-oriented health record progress note would this be written? - CORRECT
ANSWER✔✔- Subjective
A notation for a hypertensive patient in a physician ambulatory care progress note reads:
"Blood pressure adequately controlled." In which part of a problem-oriented health record
progress note would this be written? - CORRECT ANSWER✔✔- Assessment
A notation for a hypertensive patient in a physician ambulatory care progress note reads:
"Blood pressure adequately controlled." In which part of a problem-oriented health record
progress note would this be written? - CORRECT ANSWER✔✔- Assessment
A patient's birth date and gender documented in the health record are examples of a data -
CORRECT ANSWER✔✔- Element
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