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RHIA Exam | Questions And Answers Latest {} A+ Graded | 100% Verified
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RHIA Exam | Questions And Answers Latest {} A+ Graded | 100% Verified
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RHIA Exam | Questions And Answers Latest {2024- 2025} A+ Graded | 100% VerifiedCoded Data - Data that is translated into standard nomenclature of classification so that it may be
aggregated, analyzed and compared.
Materials required in a emergency care record: - Time & Means of the patients arrival
Treatment Rendered
Instructions @ discharge
Minimum data set (MDS) - component of the resident assessment instrument (RAI) and is used to collect
information about the residents risk factors and to plan the ongoing care and treatment of the resident
in the long term care facility.
Resident assessment protocols(RAP) - In long term settings these are problem-oriented frameworks for
additional patient assessment based on problem identification items
Data governance - Decision making and authority over data related matters
Entity relational diagram - developed to depict relational database structures. Graphical display of the
relationships between tables in a database
Universal chart order system - Patient health record is kept in the same format or order while the
patient is in the facility and after discharge
Aggregate Data - Used to develop information about groups of patients. Patterns of events, measured
against a predetermined acceptable threshold.
Authorship Integrity - Borrowing record entries from another source as well as representing or
displaying past documentation as current
,Virtual Private Network (VPN) - Uses a secure tunnel through a public network usually the internet to
connect remote sites or users
Darling Vs. Charleston community hospital - Corporate Negligence.
When a member of the medical staff fails to meet established standards of patient care.
Healthcare Integrity & Protection Data Bank - Created to collect information on the legal actions (civil &
criminal) taken against licensed health care providers.
Expert determination & Safe Harbor - OCR sanctioned HIPAA Privacy Rule DE-identification methods
Spoliation - Destroying health record contents which would be damaging to the employee, could not be
used in trial
Data Mining - Process of sorting through the organizations data to identify unusual patterns or to apply
analytical models that will assist in predicting future events
Systemic Sampling - Simple random sample that may be generated by selecting every fifth or every
tenth member of the samplings frame.
Redundant Systems - Duplication of all data, hardware, cables or other components of the system so if
the server crashes the system switching over to the second server and can continue processing
Testing - Phase of system selection and implementation where you run a mock query to asses the
functionality of a database
Switch - Service that enables the exchange of information across multiple independent enterprises that
have unilateral independent exchange data and in which there is no access to PHI
EXR Extension Model - Personal Health Record model that maintains provider control of context while
allowing online access to the authorized patient
,Application Service Providers(ASPs) - Service firms that deliver, manage and remotely host standardized(
prepackaged) applications software through centralized servers via a network
Episode of care: - Providers receive one lump sum for all the services they provide related to a condition
or disease
Capitated rate: - Method of payment for health services in which the third part payer reimburses
providers a fixed per capita amount for a period, Per captia means, per head or per person
Per member per month (PMPM) - Amount of money paid each month for each individual enrolled in the
health insurance. Characteristic of HMOs
Physician Champion - Assists in educating medical staff members on the documentation needed for
accurate billing
Assumption - Scope limiting parameters. Provide constraints on what is and is not included in the
project
Balanced Scorecard Methodology - Technique for measuring healthcare entity performance across the 4
perspectives of customer, financial, internal process and learning and growth
Unfavorable variances - Occur when the actual results are worse than what was budgeted
Clinical practice guidelines - Information that provides physicians with pertinent health information
beyond the health record itself to determine treatment options
Derived Data - Data consist of factual details aggregated or summarized from a group of health records
that provides no means to identify specific patients
Care plan - Snapshot of a patients status and includes everything from social issues to disease processes
as well as critical paths and clinical pathways that focus on a specific disease
, Integrated health record - Arranged in chronological order with documentation from various sources
intermingled
Auditing integrity - Inadequate functions that make it impossible to detect when an entry was modified
or borrowed from another source and misrepresented as an original entry by an authorized user is an
example of a potential breach or
Encoder - A computer software program that supports a coder in assigning correct codes
Destruction -
Extirpation -
Fragmentation -
Release -
1:1 relationship - Patients to hospital beds
Uniform Ambulatory Care Data Set(UACDS) - Data set used to document an elective surgical procedure
that does not require an overnight hospital stay(outpatient)
Authentication - Providing proof of the authorship of health record documentation
Ongoing record review - Process where HIM professionals monitor the records of current inpatients as
well as closed records after the patients have been discharged or transferred. TJC survey process
Unique personal identifier - Code or password
The legal health record for disclosure consist of: - The data
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