RHIA Exam Prep Questions With Complete Solutions!!

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 accessed information that provides physicians with pertinent health information beyond the health record itself? - Clinical Practice Guidelines To which of the following authorities do hospitals report vital statistics? - National Vital Statistics System An attempt to contain hospital inpatient costs and improve quality by restructuring services is called: - Patient-focused care What organization was established in 1847 to represent the interests of physicians across the United States? - American Medical Association Today, to practice medicine, medical school students must pass a test before they can obtain a: - License For healthcare organizations, this modern process began with the adoption of the Minimum Standards: - Accreditation Which process requires the verification of the educational qualifications, licensure status, and other experience of healthcare professionals who have applied for the privilege of practicing within a healthcare facility? - Credentialing Which of the following is a mechanism that records and examines activity in information systems? - Audit controlsWhich of the following is the goal of quantitative analysis performed by HIM professionals? - Identifying deficiencies early so they can be completed What are LONIC codes used for? - Identifying test results While the focus of inpatient data collection is on the principle diagnosis, the focus of outpatient data collection is on the: - Reason for encounter The inpatient data set incorporated into federal law and required for Medicare reporting is the: - Uniform Hospital Discharge Data Set In order to effectively transmit healthcare data between a provider and payer, both parties must adhere to which electronic data interchange standards? - X12N This document is a snapshot of a patient's status and includes everything from social issues to disease processes as well as critical paths and clinical pathways that focus on a specific disease process or pathway in a LTCH. - Care Plan Which of the following is a component of the Resident Assessment Instrument? - A standard Minimum Data Set Which of the following personnel should be authorized, per hospital policy, to take a physician's verbal order for the administration of medication? - Nurse working on the unit where the patient is located Who is responsible for ensuring the quality of health record documentation? - Provider Of the following, what is the most likely to happen to the health records of a physician's patient when a physician leaves an office practice? - It will be retained by the practiceWhich health record format is arranged in chronological order with documentation from various sources intermingled? - Electronic Staff disagreements within the health record should be: - Avoided