Rhia domain 1 - Study guides, Class notes & Summaries

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 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 Destructio...

What programs does TJC accredit? - Answer Ambulatory, behavioral, critical access hospitals, homeware, hospital, laboratory, nursing care centers, physician offices, and office-based surgery centers The process by which a duly authorized body evaluates and recognizes an individual, institution, or educational program as meeting predetermined requirements - Answer Certification

A set of standardized terms and their synonyms that record patient findings, circumstances, events, and interventions with sufficient detail to support clinical care, clinical decisions, outcomes research, and quality improvement. - Answer Clinical terminology A recognized system of terms used in a science or art that follows preestablished naming conventions. A disease nomenclature is a listing of the proper name for each disease entity with its specific code number.

RHIA Domain 1 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified

RHIA Domain 1 Study Questions and Answers Prevention programs identify risk factors and use strategies to modify attitudes and behaviors to reduce the chance of developing cancers. Which of the following would NOT be an identified risk factor for colorectal cancer? physical inactivity alcohol use obesity a high-fiber diet - Answer-a high-fiber diet According to the UHDDS, a procedure that is surgical in nature, carries a procedural or anesthetic risk, or requires special training i...

Integrated Health Record - Answer arranged in strict chronological order, by date info entered, date of service, better story of patients care, over time, physicians office use the format usually Transcription - Answer transcribe the dictation by providers Digital Dictation - Answer voice sounds recored/converted into digital format

RHIA DOMAIN 1 QUESTIONS AND ANSWERS

Which of the following is used by a long-term care facility to gather information about specific health status factors and includes information about specific risk factors in the resident's care? - ️️minimum data set Mr. Smith was admitted to University Hospital by Dr. Collins. Mr. Smith's hospital bill will be paid by Blue Cross Insurance. Upon discharge from the hospital, who owns the health record of Mr. Smith? - ️️University Hospital structured information used to increase th...

RHIA Domain 1 Test Questions with Complete Solutions Sue is updating the data dictionary for her organization. In this data dictionary, the data element name is considered which of the following? - Answer-metadata A method of documenting nurses' progress notes by recording only abnormal or unusual findings or deviations from the prescribed plan of care is called - Answer-charting by exception A 65 year old white male was admitted tot the hospital on 1/15 complaining of abdominal pain...

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 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