RHIA EXAM PREP 77 Questions with Verified Answers,100% CORRECT

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RHIA EXAM PREP 77 Questions with Verified Answers The director of the health information department wanted to determine the level of physicians' satisfaction with the department's services. The d... irector surveyed the physicians who came to the department. What type of sample is this? Non-probability or opportunity sample, sample drawn without any underlying probability-based selection method. - CORRECT ANSWER Convenience As part of the initiative to improve data integrity, the Data Quality Committee conducted an inventory of all the hospital's databases. The review showed that more than 70 percent of the identified databases did not have data dictionaries. Given this data, what should be the committee's first action? - CORRECT ANSWER Establish a data dictionary policy with associated standards Systems linked by ________ allow HIE participants to search for health records on each of the other systems using patient indexing and identification software. - CORRECT ANSWER RLSs - Record Locator Service Community Hospital is reviewing its job descriptions and notices that some job descriptions for clinical positions include a reference to the potential risks of exposure to blood-borne pathogens while others do not. The human resource manager insists that all job descriptions should include this language. Why is this important to include? - CORRECT ANSWER Community Hospital needs to define the level of risk for infection from blood-borne pathogens for its employees. The patient is a 47-year-old. What is the correct code for an initial inguinal herniorrhaphy for incarcerated hernia? - CORRECT ANSWER 49507, Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated A hospital is undergoing a major reconstruction project and a new director of nursing has been hired. At the same time, the nursing documentation component of the EHR has been implemented. The fact that nursing staff satisfaction scores have risen is: - CORRECT ANSWER Uncertain due to existence of confounding variables As part of his role at the local hospital, Jake is reviewing Joint Commission standards to ensure that the organization is meeting the accreditation requirements. As part of the review, Jake is looking at a specific set of standards that are primarily focused on documentation. Some of the standard requirements include care provided, procedures that were done on the patient, and the progress of the patient. Based on this scenario, which set of Joint Commission standards is Jake reviewing? - CORRECT ANSWER Record of Care Standards Following a motor vehicle accident, a patient presents to the emergency department (ED) with obvious head trauma and lower abdominal pain. The patient also notes recent hematuria prior to the accident and has a slight fever. A CT brain scan reveals the presence of a skull fracture with a hematoma, and the patient is admitted. During the hospital stay, the patient is treated for a urinary tract infection. The coder assigns the skull fracture and hematoma as present on admission, and the urinary tract infection as not present on admission. The coding manager reviews this case and identifies the following error: - CORRECT ANSWER The urinary tract infection was present on admission because fever and hematuria were documented in the ED, so the coder was incorrect by not identifying it as present on admission. If a patient has health insurance but pays in full for a healthcare service and asks that the information be kept private, under HIPAA the covered entity must: - CORRECT ANSWER Comply with the patient's request and keep the information private Between which two health information system applications is there the least interoperability at the present time? - CORRECT ANSWER EHR in a physician office and revenue cycle management An employee forgot his user ID badge at home and uses another employee's badge to access the computer system. What controls should have been in place to minimize this security breach? - CORRECT ANSWER Workforce security awareness training What type of organization works under contract with CMS to conduct Medicare and Medicaid certification surveys for hospitals? - CORRECT ANSWER State licensure agencies The process of conducting a thorough review of the internal and external conditions in which a healthcare entity operates is called: - CORRECT ANSWER Environmental assessment Which of the following would be used to determine what the users need in an information system? - CORRECT ANSWER Questionnaire For a contract to be valid, it must include three elements. Which of the following is one of those elements? A valid offer, acceptance and ... - CORRECT ANSWER Consideration The process of releasing health record documentation originally created by a different provider is called: - CORRECT ANSWER Redisclosure If a data breach caused by willful neglect is corrected within 30 days from the date of the covered entity or business associate becoming aware of it, what level of violation of the HIPAA Omnibus Rule is this breach? - CORRECT ANSWER Tier 3 The nurse manager on the internal medicine unit of the hospital noticed that Dr. Smith in the ED admits many patients to the internal medicine unit. She is wondering if he admits patients to the hospital from the ED more often than other physicians. What type of analysis should be done to answer her question? - CORRECT ANSWER Data mining - the analyst determines any trends and identifies patterns in the data A patient requests that disclosures made from her medical record be limited to specific clinical notes and reports. Given HIPAA requirements, how must the hospital respond? - CORRECT ANSWER The hospital must accept the request but does not have to agree to it. Dr. Smith, a surgeon at Community Hospital, is trying to understand how she can help the hospital improve reimbursement from Medicare. The HIM manager explains to Dr. Smith that reducing catheter-associated UTIs and surgical site infections would improve the hospital's scores in which of the following domains of the Medicare Value-Based Purchasing program? - CORRECT ANSWER Safety Standardizing medical terminology to avoid differences in naming various medical conditions and procedures (such as the synonyms bunionectomy, McBride procedure, and repair of hallux valgus) is one purpose of: - CORRECT ANSWER Vocabulary Standards A visitor walks through the work area and picks up a flash drive from an employee's desk. What security controls should have been implemented to prevent this security breach? - CORRECT ANSWER Facility Access Controls Today, Janet Kim had her first appointment with a new dentist. She was not presented with a Notice of Privacy Practices. Is this acceptable? - CORRECT ANSWER No, it is a violation of the HIPAA Privacy Rule. The medical staff at Regency Health is nationally renowned for its skill in performing cardiac procedures. The nursing staff in the cardiac unit has noticed that a significant number of health records do not have informed consents prior to the performance of procedures. Obtaining informed consent is the responsibility of the: - CORRECT ANSWER Physician Most facilities begin counting days in accounts receivable at which of the following times? - CORRECT ANSWER Date the claim drops What relationships is the following entity relationship diagram showing? - CORRECT ANSWER Each division has one hospital, but each hospital has many divisions. When adopting value-based care, what technology helps healthcare professionals appropriately use financial information that may impact their choice of drugs, referrals, need for care coordination, and other factors for their patients? - CORRECT ANSWER Integration of EHR and RCM An audit of the document imaging process reveals that the HIM department staff is scanning 250 pages per hour and indexing 114 pages per hour. If the department is meeting its productivity standard for scanning but is only meeting 60 percent of the indexing standard, how many more pages per hour must be indexed to meet the indexing standard? 114 / 0.60 = 190; 190 - 114 = - CORRECT ANSWER 76 pages In developing a coding compliance program, which of the following would not be ordinarily included as participants in coding compliance education? - CORRECT ANSWER Nursing staff What term is used to represent a difference between the budgeted amount and the actual amount of a line item that is not expected to reverse itself during a subsequent period? - CORRECT ANSWER Permanent Variance Which of the following would a data analyst use to locate, retrieve, and use data? By describing data, ___________ makes it easier to locate, retrieve, use, and manage. - CORRECT ANSWER Metadata Identifying future health information needs for a healthcare entity and projecting specific initiatives required to meet those needs is part of: - CORRECT ANSWER Strategic Planning City Hospital's HIPAA committee is considering a change in policy to allow hospital employees who are also hospital patients to access their own patient information in the hospital's EHR system. A committee member notes that HIPAA provides rights to patients to view their own health information. However, another member wonders if this action might present other problems. In this situation, what suggestion should the HIM director provide? - CORRECT ANSWER Allowing employees to access their own records using their job-based access rights appears to violate HIPAA's minimum necessary requirement; therefore, allow employees to access their records through normal procedures. What architectural model of health information exchange allows participants to access data in point-to-point exchange? - CORRECT ANSWER Federated—inconsistent databases A performance improvement (PI) team has been established within a local hospital. Becky, the privacy officer for the hospital, is contacted by the PI team leader, Mike, who is aware that there may be instances in which he needs to consult Becky but is unsure under what circumstances this contact would need to be made. Becky is tasked with responding to the PI team leader. Under which of the following circumstances should Becky inform Mike that the team would need to contact her for consultation? - CORRECT ANSWER To ensure that PHI is used, stored, and disclosed properly. 83. In the Hospital Value-Based Purchasing Program, a facility's total performance score (TPS) is used to determine the amount of holdback dollars the facility has earned. In regard to the TPS, which is better? - CORRECT ANSWER A higher TPS is better. The most recent coding audit has revealed a tendency to miss secondary diagnoses that would have increased the reimbursement for the case. Which of the following strategies will help to identify and correct these cases in the short term? - CORRECT ANSWER Focus reviews on lower-weighted MS-DRGs from triples and pairs A coding audit shows that an inpatient coder is using multiple codes that describe the individual components of a procedure rather than using a single code that describes all the steps of the procedure performed. Which of the following should be done in this case? - CORRECT ANSWER Counsel the coder to stop the practice immediately Which of the following is a conflict management method in which both parties meet with an objective third party to explore their perceptions and feelings? - CORRECT ANSWER Constructive confrontation What is the benefit of comparing the coding assigned by coders to the coding that appears on the claim? - CORRECT ANSWER May find claim generation issues that cannot be found in other ways Two clerks are abstracting data for a registry. When their work is checked, discrepancies are found between similar data abstracted by the two clerks. Which data quality component is lacking? - CORRECT ANSWER Reliability Which data collection program is the basis for the CMS value-based purchasing program? - CORRECT ANSWER Hospital compare Healthright Clinic, a large IDS, is evaluating the processes of patient care and patient outcomes in pediatrics. It is using software to help solve problems and check if the care given meets established guidelines. What method or tool is in the software that helps in this process? - CORRECT ANSWER Algorithms Johnny is 12 years old and his parents are divorced. In order for Johnny to receive medical treatment, generally: - CORRECT ANSWER One parent must consent A potential employee was required to undergo a physical exam prior to becoming employed by San Fernando Hospital. This employee's medical information is: - CORRECT ANSWER Not protected by the Privacy Rule because it is part of a personnel record Aging of accounts is the practice of counting the days, generally in increments, from the time a bill has been sent to the payer to the current day. What is the standard increment, in days, that most healthcare entities use for the aging of accounts? - CORRECT ANSWER 30-day increment This analytic technique is being used by CMS to assist in prepayment audits? - CORRECT ANSWER Predictive modeling An encrypted laptop was stolen from your organization. Based on the Breach Notification Rule, how should you respond? - CORRECT ANSWER Do nothing, as a breach did not occur Based on the financial data listed, what was Triad's total net assets before posting net income for the year? Assets - Liabilities = Net assets (equity) assets (cash $500,000 + A/R $250,000 + building $1,000,000 + land $700,000 = $2,450,000) and then subtract the liabilities (A/P $350,000 + mortgage $600,000 = $950,000) or $2,450,000 - $950,000 = - CORRECT ANSWER $1,500,000 A comprehensive retrospective review should be conducted at least once a year of what aspect of the CDI program? - CORRECT ANSWER All query opportunities In data quality management, the process of translating data into information to be utilized by an application is called: - CORRECT ANSWER Analysis The patient accounting department at Wildcat Hospital is concerned because last night's bill drop contained half the usual number of inpatient cases. Which of the following reports will be most useful in determining the reason for the low volume of bills? - CORRECT ANSWER Discharged, not final billed The Hay method is used to measure the three levels of major compensable factors: the know-how, problem-solving, and accountability requirements of each position. This system is used for: - CORRECT ANSWER Job evaluation Shirley Denton has written to request an amendment of her PHI from Bon Voyage Hospital, stating that incorrect information is present on the document in question. The document is an incident report from Bon Voyage Hospital that was erroneously placed in Ms. Denton's health record. The covered entity declines to grant her request based on which Privacy Rule provision? - CORRECT ANSWER It is not part of the designated record set. Assign codes for the following scenario: A 35-year-old male is admitted with esophageal reflux. An esophagoscopy and closed esophageal biopsy were performed. - CORRECT ANSWER K21.9, 0DB58ZX In figuring a drug dosage, it is unacceptable to round up to the nearest gram if the drug is to be dosed in milligrams. Which dimension of data quality is being applied in this situation? Numerical data - CORRECT ANSWER Precision Burning, shredding, pulping, and pulverizing are all acceptable methods in which process? - CORRECT ANSWER Destruction of paper-based health records The computer-based process of extracting, quantifying, and filtering data that reside in a database is called: - CORRECT ANSWER Data mining In establishing roles and responsibilities within a data governance program, which of the following would normally be embedded within an organization's business unit and be responsible for monitoring the data quality of the unit? - CORRECT ANSWER Data steward How do providers benefit from the health insurance exchanges created under the Affordable Care Act? - CORRECT ANSWER Providers should see an increase in reimbursement both from newly insured patients and from patients who are now eligible for Medicaid under the expanded programs. This type of data display tool is a plotted chart of data that shows the progress of a process over time. - CORRECT ANSWER line graph or plot Per the HIPAA Privacy Rule, which of the following requires authorization for research purposes? - CORRECT ANSWER Use of Mary's individually identifiable information related to her asthma treatments Jennifer's widowed mother is elderly and often confused. She has asked Jennifer to accompany her to physician office visits because she often forgets to tell the physician vital information. Under the Privacy Rule, the release of her mother's PHI to Jennifer is: - CORRECT ANSWER Allowed when the information is directly relevant to Jennifer's involvement in her mother's care or treatment Which of the following statements provide the most appropriate reflection about national and local coverage determinations (NCDs and LCDs)? - CORRECT ANSWER They define the specific diagnosis that supports medical necessity. At a recent medical staff committee meeting, a committee member asked what the state laws are for breach notification and how these laws will impact facility policy. The HIM director explained to the committee member that the state laws for breach notification are ________ and therefore may not guide facility policies related to breach notification for medical information. - CORRECT ANSWER Generally not tailored to medical information Physicians use the ________ to access multiple sources of patient information within the healthcare organization's network. - CORRECT ANSWER Clinical web portal Community Hospital is discussing restricting the access that physicians have to electronic clinical records. The medical record committee is divided on how to approach this issue. Some committee members maintain that all information should be available; whereas, others maintain that HIPAA restricts access. The HIM director is part of the committee. Which of the following statements should the director advise to the committee? - CORRECT ANSWER The "minimum necessary" concept does not apply to disclosures made for treatment purposes, but the healthcare entity must define what physicians need as part of their treatment role. What information can be determined from the data in the following graph? - CORRECT ANSWER Doctor X uses code 99215 less frequently than his peers. General Hospital is performing peer reviews of its medical providers for quality outcomes of care. The hospital has over 500 providers on its medical staff. The process to review even 10 cases for each provider is quite extensive. The quality department has concluded that, to accomplish this review process, it will review 20 percent of each provider's inpatient admissions to the hospital on an every-other-year rotation. In this situation, the quality department has applied which of the following techniques to its review process? - CORRECT ANSWER sampling When a payer rejects a claim for payment, organization staff must determine the reason for denial. If the denial was deemed due to eligibility determination, what process in the revenue cycle failed to operate as intended? - CORRECT ANSWER Front-end process The use of simulation as a training technique is best suited for which of the following scenarios? - CORRECT ANSWER Disaster preparedness exercises Under what access security mechanism would an individual be allowed access to ePHI if he or she has a proper login and password, belongs to a specified group, and his or her workstation is located in a specific place within the facility? It takes into account the person attempting to access the data, the type of data being accessed, and the _________ of the transaction in which the access attempt is made. - CORRECT ANSWER Context-based What is the most common type of security threat to a health information system? - CORRECT ANSWER Internal to the healthcare entity A distance learning method in which groups of employees in multiple classroom locations may listen to and see the material presented at the same time via satellite or telephone is called: - CORRECT ANSWER videoconferencing You want to graph the number of deaths due to prostate cancer from 2010 through 2017. Which graphic tool would you use? - CORRECT ANSWER Line graph or plot Which type of identity theft occurs when a patient uses another person's name and insurance information to receive healthcare benefits? - CORRECT ANSWER Medical Which of the following is an operational element that should be included in a migration path for a hospital with an existing EHR and wishing to improve its population health data for value-based care reimbursement? - CORRECT ANSWER Coordinating the collection and use of social determinants of health [Show More]

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