RHIA Exam Prep 101 Questions with Verified Answers,100% CORRECT

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RHIA Exam Prep 101 Questions with Verified Answers HL7 - CORRECT ANSWER A set of international standards for transfer of clinical and administrative data between software applications used by vario... us healthcare providers. These standards focus on the application layer, which is "layer 7" in the OSI model. Data Validity - CORRECT ANSWER Accuracy of data Data Comprehensiveness - CORRECT ANSWER All data items are included. Data Granularity - CORRECT ANSWER (a) The attributes and values of data should be defined at the correct level of detail. (b) When a data element cannot be further subdivided Data Precision - CORRECT ANSWER Data values are just large enough to support the application of process For ex: Setting up a drop down menu to make sure that the clerk collects "gender" as "male, female, or unknown" is an example of ensuring data Data Reliability - CORRECT ANSWER Consistency of data Data Timeliness - CORRECT ANSWER Data being available within a time frame helpful to the user Fuzzy Logic - CORRECT ANSWER A branch of logic designed to allow degrees of imprecision in reasoning and knowledge, typified by terms such as `very', `quite possibly', and `unlikely', to be represented in such a way that the information can be processed by computer Quantitative Analysis - CORRECT ANSWER Quantitative analysis involves checking for the presence or absence of necessary reports and/or signatures, Qualitative Analysis - CORRECT ANSWER Qualitative analysis may involve checking documentation consistency, such as comparing a patient's pharmacy drug profile with the medication administration record. HIM - CORRECT ANSWER Is responsible (in an acute care facility) for educating physicians and other health care providers regarding proper documentation policies 5 years - CORRECT ANSWER How long do CMS regulations require health records to be maintained (unless a longer period is required by other state or local law) AHIMA recommends that PHI for minors be retained for this long unless a longer period is required by other state or federal law - CORRECT ANSWER Age of majority plus statute of limitation Fetal monitoring strips are part of the (blank) record and should be maintained (blank) - CORRECT ANSWER Mother's record; according to the length of time required for minor's records What item is collected and maintained in the organ transplant registry? - CORRECT ANSWER Histocompatibility information Level I CPT codes - CORRECT ANSWER AMA Level II (HCPCS) codes are maintained by - CORRECT ANSWER CMS APC's - CORRECT ANSWER The PPS system used to reimburse hospitals for Medicare hospital outpatient is called Indemnity - CORRECT ANSWER (a) security or protection against a loss or other financial burden. (b) security against or exemption from legal responsibility for one's actions. Hard coding - CORRECT ANSWER HCPCS/CPT codes that appear in the hospital's chargemaster and will be included automatically on the patient's bill Primary Key - CORRECT ANSWER It must contain a unique value for each row of data Risk Assessment - CORRECT ANSWER (a) Reviewing your privacy and security policies, procedures, training programs, and so on, and comparing them to HIPPA and ARRA regulations (b) The security management process Authentication - CORRECT ANSWER Before a user is allowed to access health information the system confirms that the person is who they say they are 60/30 days - CORRECT ANSWER A request to addend a record must be acted on within 60 days. A request to view a record must be acted on within 30 days. 3 Components of a security program - CORRECT ANSWER Protecting the privacy of data, ensuring integrity of data, and ensuring the availability of data System Characterization - CORRECT ANSWER Before you can go any further with your risk analysis you need to determine what systems/info need to be protected. This step is known as Information Systems Review - CORRECT ANSWER Reviewing audit logs, access reports and security incident reports daily Digital Signature - CORRECT ANSWER (a) Signature that uses encryption (b) authentication may be achieved by this in an EHR Brainstorming - CORRECT ANSWER (a)One idea-generated technique used in performance improvement in exploratory problem analysis (b) QI tool useful in sharing input and various recommendations for problem solving Work simplification - CORRECT ANSWER Eliminate, combine, and improve are fundamental objectives of: Audit Trails - CORRECT ANSWER Which security measure exists in an EHR system to provide evidence of information system activity such as log ins, log outs, and file access? Need to Know - CORRECT ANSWER What type of control is used to determine access granted to a user? Re-engineering - CORRECT ANSWER Reducing costs and risks are main objectives of: Design - CORRECT ANSWER A hospital generated an RFP to select the vendor for its new hospital information system. In which phase of the System Development Life Cycle is the hospital involved? ORYX Core Measures - CORRECT ANSWER A data analyst in the HIM department is abstracting data from records with diagnoses of acut MI, HF, and PNA for assessing organizational performance. This is to comply with the: Job Description - CORRECT ANSWER The most tangible output of the job analysis process is the: Intranet - CORRECT ANSWER A hospital has an internet-based system, only accessible to it's employees, that lists all job vacancies. This system would be called a(n): Job Ranking - CORRECT ANSWER A method of comparing particular jobs with other job levels of responsibility and the impact of these positions on revenue generation in organization with limited positions is known as: Relational - CORRECT ANSWER A database model constructed with tables that share common data elements is called: HEDIS - CORRECT ANSWER The data set designed to allow consumers to compare the performance of various managed care plans. It consists of 71 measures across 8 domains of care Productivity - CORRECT ANSWER The process of converting organizational resources into products/services as a means to meet the organization's goals Comparative - CORRECT ANSWER A hospital employee benchmarks with another HIM department to assess his department's performance level. What kind of data will the employee use? Decomposition Diagram - CORRECT ANSWER The purpose of this chart is breaking down problems into smaller details by identifying all the tasks in the process and grouping them into hierarchical levels Joint Commission - CORRECT ANSWER Health care facilities strive to comply with national patient safety goals in their mission to provide safe, high quality care. The organization responsible for publication and maintenance of these goals is the: Defensibility - CORRECT ANSWER The Sherman Antitrust Act (outlawed monopolies) relates to which characteristic of peer review? Scope - CORRECT ANSWER The project manager records the estimated time, costs of project, and records the team purpose. The project manager is establishing the: Analysis - CORRECT ANSWER A hospital considers purchasing a new hospital information system. The IS department begins to survey system users. The hospital is in which phase of the Systems Development Life Cycle? Privacy - CORRECT ANSWER A patient deploys a personal health record and established an access list for the PHR. In limiting access, the patient has exercised the right to: UHDDS - CORRECT ANSWER Federally mandated inpatient acute care data set Unit - CORRECT ANSWER The admitting department manager at a hospital provided admitting scenarios for the staff. Which kind of system testing uses scenarios? Business Associate Agreement - CORRECT ANSWER The HIM department in a hospital uses a vendor for health record storage. What must be created to ensure that the vendor follows rules set forth by the hospital for handling protected health information? Rule Based - CORRECT ANSWER A hospital's outpatient scheduling system ensures that patients are scheduled for barium studies after and not before nuclear medicine gastric emptying studies because barium interferes with gastric emptying studies. This is an example of which kind of clinical decision support? Bar Graph - CORRECT ANSWER The data tool which can be used to accommodate nominal, ordinal, discrete, and continuous data is the: Resource Based Relative Value Scale - CORRECT ANSWER Medicare uses which of the following methodologies for physician reimbursement? Policies - CORRECT ANSWER Guides used by management to make decisions for a variety of reasons are: Access Control - CORRECT ANSWER Which method uses the employee's role to determine their system security level? Data Mining - CORRECT ANSWER The process of searching through large volumes of data for cluster patterns is known as data: Processing - CORRECT ANSWER Classifying, sorting, storing, and retrieving data are all characteristics of which system component? NCQA - CORRECT ANSWER The organization responsible for accrediting MCOs and PPOs is known as the: RFI - CORRECT ANSWER A HIM manager wants to screen vendors to identify which vendor's products meets the department's system needs. The manager sends the vendors an: EMTALA - CORRECT ANSWER The legislation enacted to reduce the inappropriate transfer of patients for financial reasons is: Movement - CORRECT ANSWER One of the best tools to aid in the determination of the location and reduction of bottlenecks which impede the coding process is the: Data Modeling - CORRECT ANSWER What is the process of determining the user's information needs and identifying relationships among the data? Donabedian's Model - CORRECT ANSWER Structure, then process, then outcome Business Associate Contracts - CORRECT ANSWER An example of an administrative safeguard under HIPPA Data Mapping - CORRECT ANSWER The process of cross-referencing between a current terminology system and the new terminology system is: PERT - CORRECT ANSWER The tool used to complete process management activities on time and in proper order Libel - CORRECT ANSWER A written false statement damaging to someone's reputation Slander - CORRECT ANSWER A spoken false statement damaging to someone's reputation Institution - CORRECT ANSWER Traditionally medical records are accepted as being the property of the: Patient - CORRECT ANSWER The ownership of the information contained in the physical medical record is considered property of the: Hearsay; inadmissable - CORRECT ANSWER Under traditional rules of evidence a medical record is considered (blank) and is (blank) into evidence Informed - CORRECT ANSWER The ideal consent for medical treatment obtained by the physician Average Daily Census - CORRECT ANSWER This includes adult and pediatric patients but NOT newborns Inpatient Service Day - CORRECT ANSWER The day of admission is counted as an inpatient service day but the day of discharge is not Births - CORRECT ANSWER Multiple births are one delivery and fetal deaths are counted as deliveries Total Inpatient Deaths - CORRECT ANSWER Fetal deaths and outpatient deaths are not included in this calculation Line Graph - CORRECT ANSWER (a) The best form/graph for demonstrating trends over time (b) Used for a large number of observations to compare services on one data display Histogram - CORRECT ANSWER (a) Will allow the reader to compare the results of Group A with those of Group B on one graphic display (b) Commonly used to display frequency distribution with continuous data Frequency polygon or histogram - CORRECT ANSWER Data display for frequency distribution Type I Error - CORRECT ANSWER When the null hypothesis is rejected and is actually true Kurtosis - CORRECT ANSWER The flatness/peakedness of one distribution in relation to another distribution Performance Improvement - CORRECT ANSWER Process of continuously looking at ways that problems develop and seeking ways to prevent them from happening in the future 2 Years - CORRECT ANSWER Clinical privileges are granted to a physician for this interval of time Utilization Review - CORRECT ANSWER With the passage of Medicare in 1965 this function became mandatory Loss Prevention and Reduction - CORRECT ANSWER Major responsibilities of the Risk Manager Risk Management - CORRECT ANSWER Promoted by the medical malpractice crisis of the 1970's Decision Matrix - CORRECT ANSWER Quality improvement tool that uses criteria to weigh different alternatives Flowchart - CORRECT ANSWER Visual tool used to best identify all of the logical steps and sequence of each procedure during comparison Fishbone - CORRECT ANSWER (a) Visual quality improvement tool that is helpful in identifying the outcome variables and the major/root causes (b) Use of metrics to conduct root cause analysis Affinity Diagram - CORRECT ANSWER Feedback is provided through brainstorming that is compiled on flip charts and organized into categories Crosby - CORRECT ANSWER Quality management theorist who focused on zero defects as the goal of performance improvement Deming - CORRECT ANSWER Quality management theorist who believed that merit raises, formal evaluations and quotas established through benchmarking hinder productivity and growth Annually - CORRECT ANSWER Joint Commission requires facilities manage the environment of care by implementing seven safety plans which must be evaluated: Control Chart - CORRECT ANSWER Best tool for differentiating between common cause variation and special cause variation Serial-Unit Number System - CORRECT ANSWER Patient is issued a different number for each admission and records of past episodes of care are brought forward to be filed under the last number issued Variable Budget - CORRECT ANSWER Costs will vary in direct proportion to changes in the volume of care provided Capital Budget and Operational/Revenue and Expense Budget - CORRECT ANSWER Two budgets that are often prepared by HIM department managers Gantt Chart - CORRECT ANSWER A scheduling tool useful in displaying steps and completion schedule for each phase of a conversion Critical Path - CORRECT ANSWER Series of specific tasks that determine the overall project duration Storytelling - CORRECT ANSWER A strategic thinking tool [Show More]

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