RHIA Domain 1 New update Exam with A Grade Solutions
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RHIA Domain 1
RHIA Domain 1 New update Exam with A Grade Solutions
HIM professionals have a variety of data display tools that are useful in providing a visual depiction of a process associated with accomplishing a task, especially when potential bottlenecks are concerned. Which ONE of the following data displa...
RHIA Domain 1 New update Exam
with A Grade Solutions
HIM professionals have a variety of data display tools that are useful in providing a
visual depiction of a process associated with accomplishing a task, especially when
potential bottlenecks are concerned. Which ONE of the following data display tools
would be most helpful in depicting this sort of issue? - Answer-flow Chart
According to the Joint Commission standards, records of discharged acute care patients
are to be completed in ________ - Answer-30 days
Finding a better, more proficient way to perform a process is known as _______ -
Answer-Work simplification
When the physician orders a B-Type Natriuretic Peptide (BNP) test on a Medicare
beneficiary in the outpatient setting, what Medicare policy must the facility be aware of?
- Answer-Local coverage Determination
CMS's Conditions of Participation, Joint Commission, and state licensing regulations: All
detail the content expected in the __________ for CMS beneficiaries (UHDDS). -
Answer-Inpatient reocrds
The content of the longterm care records is detailed by: - Answer-CMS's Conditions of
Participation and the Joint Commission
Medicare-certified Home Health Agencies follow the Conditions of Participation, as well
as the Joint Commission and the ___________. - Answer-National League of Nurses
(NLN).
Ambulatory records are governed by: - Answer-Joint Commission, Conditions of
Participation, NCQA, the AAAHC, plus any state regulations govern the content of
Ambulatory records.
What are the following forms:
Registration Record (contains patient identification and financial data)
Consent to Treatment
Acknowledgement of Receipt of HIPAA Privacy Notice
Consent for the Release of Information
Advance Directives - Answer-Administrative forms
When designing the form/view, some of the following key components should be
familiar: - Answer-Header/footer
Introduction/instructions
Body/close
Fonts
Rules/lines
Borders
Productions consideration
List the four types of clinical documentation audits? - Answer-Quantitative: All tests
ordered by the physician are present and authenticated by comparing the test result
reports with the physician orders.
Qualitative: A review for documentation inconsistencies related to the diagnosis on
various forms and comparison of the medical administration record (MAR) with the
patient's pharmacy profile.
Legal: Errors in documentation are corrected in a legal manner.
Statistical: The abstracting of select data items from the patient record to both clinical
and administrative decisions.
What is metadata? - Answer-The prefix "meta" refers to "something more
comprehensive. " "Data," as the word root, means "raw facts and figures." Therefore,
metadata is defined as data that provides information about other data (Merriam
Webster Online Dictionary).
There are three types of metadata: - Answer-Descriptive: Coded patient diagnosis
Structural: Types of reports found in the health record (lab, radiology, consultations)
Administrative: Security rules for the handling of the health record
The agencies responsible for developing standards and regulations for Medicare
beneficiaries who are admitted to the hospital include CMS Conditions of Participations
and ________. - Answer-Joint Commision
This general design principle, when followed, will facilitate complete and accurate
documentation - Answer-Good instructions are vital for the capture of data.
When designing a computer view associated with content previously recorded on paper
forms, how much of the form can one see once put onto a computer screen? - Answer-
Secondary to character allotments and inches per view, computer screens can only
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