RHIA Domain 1 Test Questions with Correct Answers
Compromising Authorship Integrity - Answer-Borrowing records from other sources
Displaying past documentation as present
Occlusion - Answer-Restricting blood flow
Backlog in transcription - Answer-Write a detailed note about procedure
Pro...
Compromising Authorship Integrity - Answer-Borrowing records from other sources
Displaying past documentation as present
Occlusion - Answer-Restricting blood flow
Backlog in transcription - Answer-Write a detailed note about procedure
Provider examines patient at request of another provider - Answer-Consultation Report
In the absence of data dictionary - Answer-Establish data dictionary policy with
associated standards
Destruction of Paper Records - Answer-Shredding, Pulping, Pulverizing
No degaussing
Accreditation and regulatory standards require a different record for each - Answer-
patient
Component of Resident Assessment Instrument - Answer-A standard minimum data set
Documenting when and how a record was destroyed - Answer-Certificate of Destruction
Before list of elements to be returned from a SQL query - Answer-SELECT
Documenting depth and breadth of data in entity requires - Answer-Identifying the
needs of all data consumers
Document imaging is part of... - Answer-Record creation, capture, or receipt
After ERD is implemented, an entity becomes... - Answer-Table
Most important aspect of determining record retention - Answer-Statute of Limitations
Record that follows a patient's care over time - Answer-Longitudinal Record
Data collected on large populations and stored in databases - Answer-Aggregate Data
Accessing and reviewing the work of colleagues in the same profession - Answer-Peer
Review
, Mandating display format (ex: xxx-xx-xxxx) - Answer-Mask
Contains diagnosis and summary of care already given - Answer-Transfer Record
Data related to a patient's diagnosis and treatment - Answer-Clinical
Discrepancies between two coders compromise - Answer-Reliability
No rounding up doses - Answer-Precision
Paper records do not have - Answer-Built-in control mechanism
No new H&P - Answer-Readmitted within 30 days for same condition
Principal Procedure - Answer-Definitive treatment of main condition
Vocabulary Standards - Answer-Standardizing medical terminology
Analog Data - Answer-Photographic, Film
Autoauthentication - Answer-Provider signs statement at all records are improved
unless corrections made in time frame
Not allowed
HIM should check for record retention - Answer-State and federal law
Continuity of Care Record - Answer-ASTM, for transitions between settings
Not coded here - Answer-Excludes1
Migration Plan - Answer-Steps and process for adopting system
Verbal Orders - Answer-Person receiving should read back to ensure accuracy
Analysis - Answer-Translating data to info
Database - Answer-Organized collection of data stored electronically
Centralized - Answer-All patient stored in one system
Abstracting - Answer-Compiling info from record into data set
HEDIS - Answer-Insurance data set
Validity - Answer-Error detection
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