Rhia exam Study guides, Class notes & Summaries

RHIA Exam | 2024 Questions & Answers | 100% Correct | Verified

A method of documenting nurses' progress notes by recording only abnormal or unusual findings or deviations from the prescribed plan of care is called: a. Problem-oriented progress notes b. Charting by exception c. Consultative notations d. Open charting - B A 65-year-old white male was admitted to the hospital on 1/15 complaining of abdominal pain. The attending physician requested an upper GI series and laboratory evaluation of CBC and UA. The x-ray revealed possible cholelithiasis, an...

Coded 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...

AHIMA RHIA Exam; Questions and Answers 100% Verified A possible justification for building an information system in-house rather than purchasing one from a vendor is that: Correct answer-The facility has development teams they do not want to give up. A clinic that is expanding its service offerings and needs an individual to help design a new database will be searching for a: Correct answer-a. Data administrator

An audit trail is a good tool for which of the following? - Reconstructing electronic events The kids foundation related to children's hospital is mailing fundraising information to the families of all patients who have been treated at children's in the past three years. based on the facts given: - children's hospital must have notified the patients or patients guardians of this disclosure in the notice of privacy practices A hospital employee destroyed a health record so that its conte...

RHIA EXAM PREP; Questions and Answers 100% Verified A Staghorn calculus of the left renal pelvis was treated earlier in the week by lithotripsy and is now removed via a percutaneous nephrostomy tube. What is the root operation performed for this procedure? a. Destruction b. Extirpation c. Fragmentation d. Release Correct answer-b. Extirpation ***Taking or cutting out solid matter from a body part Which type of data consists of *factual details* a *aggregated or summarized* from a gr...

Which one of the following actions would NOT be included int he professional obligations of the health information practitioner that lead to responsible handling of patient health information? A. Educate consumers about their rights and responsibilities regarding the use of their personal health information. B. Extend privacy and security principles into all aspects of the data use, access, and control program adopted in the organization. C. Honor the patient-centric direction of the national...

As the corporate director of HIM Services and enterprise privacy officer, you are asked to review a patient's health record in preparation for a legal proceeding for a malpractice case. The lawsuit was brought by the patient 72 days after the procedure. Health information contains a summary of two procedures that were dictated 95 days after the procedure. The physician in question has a longstanding history of being lackadaisical with record completion practices. Previous concerns regarding thi...

RHIA Exam Review - Mock Exam; Questions and Answers 100% Verified Mock Exam Pre-Test (Condensed) Correct answer-50 questions (Domain I) Which of the following is a form or view that is typically seen in the health record of a long-term care patient but is rarely seen in records of acute care patients? - Physical exam - Medical consultation - Emergency record - Pharmacy consultation Correct answer-Pharmacy consultation

A request for proposal (RFP) serves two important purposes: it solidifies the planning information and healthcare entity requirements into a single document, and it: a. Allows one vendor an advantage over the other potential vendors b. Delineates the entity's system requirements in such a way that a vendor is selected without review of the entire RFP pool c. Enables the healthcare entity to make decisions quickly d. Provides valuable insights into the vendors operations and products and lev...