Rhia domain 1 Study guides, Class notes & Summaries

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

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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 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...

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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

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...

When defining the legal health record in a healthcare entity, it is best practice to establish a policy statement of the legal health record as well as a: - Answer health record matrix identifies and tracks the physical location of each paper document and the source of each electronic document that constitutes the LHR - Answer health record matrix

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