Rhit exam stuvia 2023 Study guides, Class notes & Summaries

H.I.M has been recognized as an allied Health profession since: - ANSWER 1928 The hospital standardization movement was inaugurated by the : - ANSWER American College of Surgeons The new model of H.I.M practice is: - ANSWER Information based What evolving role oversees the process that begins at the time of documentation through billing? - ANSWER Revenue cycle management The organization that accredits H.I.M programs is: - ANSWER C.A.H.I.I.M What evolving role assesses quality in ...

Health record tech is asked to review discharge pt abstracting module of proposed new EHR, so what would tech consult to ensure system collects all fed req discharge data elements for Medicare, Medicaid inpts in acute-care hosp? - ANSWER Uniform Hospital Discharge Data Set (UHDDS) Outpt clinic reviews functionality of EHR it is considering purchasing, so what should the clinic consult that ensure all fed recommended data elements for Medicare, Medicaid outpts are collected by system? - ANSWER...

A health record technician has been asked to review the discharge patient abstracting module of a proposed new electronic health record (EHR). Which of the following data sets would the technician consult to ensure the system collects all federally required discharge data elements for Medicare and Medicaid inpatients in an acute-care hospital? a. CARF b. DEEDS c. UACDS d. UHDDS - ANSWER d. UHDDS (Uniform Hospital Discharge Data Set) The Uniform Hospital Discharge Data Set (UHDDS) data c...

What best describes data comprehensiveness - ANSWER Data that includes all required elements "Blood pressure adequately controlled." In which part of a problem oriented health record progress note would this be written? - ANSWER Assessment What makes up an assessment - ANSWER Professional conclusions reached from evaluation of the subjective or objective information. The attending physician is responsible for what type of acute-care documentation? - ANSWER Discharge Summary A conci...

Database - ANSWER A collection of data organized for rapid search and retrieval is called a Sharing of patient information between providers - ANSWER Health Information Exchange provides Human populations - ANSWER Demographics is the study of statistical information and Provider query form - ANSWER The main communication for between physicians and clinical documentation improvement programs is Clinical Data - ANSWER Which of the following would be used to locate a patient's health i...

Which of the following is a characteristic of breach notification? - ANSWER It applies when one person's PHI is breached A PI Team is concerned with the time it is taking for patients to get through the registration process. To better understand the causes or reasons for the delay in this process the PI Team would like to gather observational data. What data collection tool would be appropriate for this team to develop for their observation data? - ANSWER Check sheet The process that is f...

Database - ANSWER A collection of data organized for rapid search and retrieval is called a Sharing of patient information between providers - ANSWER Health Information Exchange provides Human populations - ANSWER Demographics is the study of statistical information and Provider query form - ANSWER The main communication for between physicians and clinical documentation improvement programs is Clinical Data - ANSWER Which of the following would be used to locate a patient's health i...

American College of Surgeons - ANSWER inaugerated the hospital standardization movement continuum of care - ANSWER places emphasis on treating individual patients at the level of care required by their course of treatment and extends from their primary care providers to specialists and ancillary providers managed care organizations - ANSWER a type of healthcare organization that delivers medical care and manages all aspects of patient care or the payment for care by limiting providers of c...

One important element of data quality is security in preventing unauthorized access, corruption, misuse, and loss of data. Technical and procedural methods will be used with the CPR to control and manage confidential information. An example of a of protecting data thru a procedural method is: Confidentiality statements signed by all staff Limiting access of certain screens based on the staff's need to know Auditing capability of system to track data access Computer back-up system - AN...

evidence based medicine - ANSWER treatment that researchers have determined, after extensive studies, produces the best results for patients fishbone diagram - ANSWER also known as ishikawa. granular - ANSWER data characteristic speaking to level of specificity HEDIS - ANSWER dataset used by insurance companies licensure - ANSWER right to practice, issued by state MDS - ANSWER dataset used by long term care facilities qualitative - ANSWER form of analysis reviewing the quality ...