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RHIA Domain 1 Questions and Answers (100% Pass)
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RHIA Domain 1 Questions and Answers (100% Pass)
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©PREP4EXAMS@2024 [REAL EXAM DUMPS] Tuesday, July 23, 2024 10:52 AMRHIA Domain 1 Questions and Answers (100% Pass)
Primary responsibility of coder - ✔️✔️Ensure quality of coded data
Responsible for quality and completion of discharge summary - ✔️✔️Attending Physician
Data set for px that does not require an overnight stay - ✔️✔️Uniform Ambulatory Care Data Set
Records not completed within designated timeframe - ✔️✔️Delinquent Records
Provide information not easily determined from looking at records - ✔️✔️Secondary Data Sources
Decision-making and authority over data-related matters - ✔️✔️Data Governance
Number assigned according to number of entry into a registry each year - ✔️✔️Accession Number
Includes information about trauma cases - ✔️✔️DEEDS
Problem-oriented frameworks for assessment after problems have been identified - ✔️✔️Resident
Assessment Protocols
Snapshot of patient
Disease processes
Critical paths
Clinical pathways - ✔️✔️Care Plan
Dimensions of Data Quality - ✔️✔️Relevancy
Granularity
Timeliness
Currency
Accuracy
Precision
Consistency
Barrier to computer-assisted coding - ✔️✔️Poor quality of documentation
Graphical display of relationships between tables in a database - ✔️✔️ERD
Accreditation and regulatory standards require a different record for each - ✔️✔️patient
Component of Resident Assessment Instrument - ✔️✔️A standard minimum data set
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, ©PREP4EXAMS@2024 [REAL EXAM DUMPS] Tuesday, July 23, 2024 10:52 AM
Documenting when and how a record was destroyed - ✔️✔️Certificate of Destruction
Before list of elements to be returned from a SQL query - ✔️✔️SELECT
Documenting depth and breadth of data in entity requires - ✔️✔️Identifying the needs of all data
consumers
Document imaging is part of... - ✔️✔️Record creation, capture, or receipt
After ERD is implemented, an entity becomes... - ✔️✔️Table
Most important aspect of determining record retention - ✔️✔️Statute of Limitations
Record that follows a patient's care over time - ✔️✔️Longitudinal Record
Data collected on large populations and stored in databases - ✔️✔️Aggregate Data
Accessing and reviewing the work of colleagues in the same profession - ✔️✔️Peer Review
Mandating display format (ex: xxx-xx-xxxx) - ✔️✔️Mask
Contains diagnosis and summary of care already given - ✔️✔️Transfer Record
Data related to a patient's diagnosis and treatment - ✔️✔️Clinical
Discrepancies between two coders compromise - ✔️✔️Reliability
Discharge summary must be completed within - ✔️✔️30 days
Discharge summary for transfers must be completed within - ✔️✔️24 hours
Discharge summaries are not requires for LOS less than - ✔️✔️48 hours
Example of M:M relationship - ✔️✔️Patient to Consulting Physicians
Chief Complaint - ✔️✔️Reason for presentation
Errors in medical record should not be - ✔️✔️Obliterated
Coded - ✔️✔️Grouped into meaningful categories by classification system
Retention Program - ✔️✔️Inventory of records
Format
Location
Preservation Period
Principal Function of Health Records - ✔️✔️Repository of clinical documentation relevant to
patient care
Common form of problem-oriented format - ✔️✔️SOAP form of progress notes
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