RHIA Domain 1 Test Study Questions Solved 100% Correct
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RHIA Domain 1
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RHIA Domain 1
hy is the accurate collection of clinical data important? - Answer It becomes the basis
of care plans and helps determine medical necessity
Hybrid Record - Answer Using paper in conjunction with Electronic Health Records
Why are hybrid records difficult to manage? - Answer Because what's in pape...
RHIA Domain 1 Test Study Questions Solved
100% Correct
Why is the accurate collection of clinical data important? - Answer It becomes the basis
of care plans and helps determine medical necessity
Hybrid Record - Answer Using paper in conjunction with Electronic Health Records
Why are hybrid records difficult to manage? - Answer Because what's in paper and
what's electronic may constantly be changing while the organization will have to comply
with regulations for both paper and electronic health records
What is the primary responsibility of a coding professional? - Answer To ensure the
quality (Accuracy) of coded data
This is in the AHIMA's code of professional ethics by which coders must abide.
Authorship - Answer origin of recorded information that is attributed to a specific
individual or entity
Steps to assess or manage data quality - Answer 1. Understand who data consumers
are:
-make a list of internal and external customers
2. Assess needs of the data consumers:
- ask the data consumer how they use data rather than what their needs are
Required elements in an emergency care record - Answer Time and means of arrival
Treatment rendered
, Instructions at discharge
Pertinent history, including chief complaint and onset of illness or injury
-complete medical history is not required
Why is data mapping necessary? - Answer As health information systems and their use
evolves, data mapping allows you to link disparate systems and data sets
What does the joint commission say about abbreviations? - Answer Each healthcare
orginization should strive to limit or eliminate the use of abbreviations by developing an
organization-specific abbreviation list so only those abbreviations approved by the
organization are used
Transfer Record - Answer Created whenever a patient is transferred from one facility to
another
What does a transfer record contain? - Answer 1. Summary of care provided in the
facility being transfered from
2. Reason for transfer
Why is a transfer record important? - Answer To continuum of care because it
documents communication between caregivers in multiple settings
Data Precision - Answer Often relates to numerical data- denotes how close to an actual
size, weight, or other standard a particular measure is
Pathology Report - Answer A document that contains the diagnosis determined by
examining cells and tissues under a microscope. The report may also contain
information about size, shape, and appearance of a specimen as it looks to the naked
eye
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