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Exam (elaborations)

RHIT 2016 Exam Questions with Correct Answers

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RHIT 2016 Exam Questions with Correct Answers Which of the following services is LEAST likely to be provided by a facility accredited by CARF? palliative care vocational evaluation chronic pain management brain injury management - Answer-palliative care A risk manager needs to locate a f...

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  • August 16, 2024
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RHIT 2016 Exam Questions
with Correct Answers
Which of the following services is LEAST likely to be provided by a facility accredited by
CARF?

palliative care
vocational evaluation
chronic pain management
brain injury management - Answer-palliative care

A risk manager needs to locate a full report of a patient's fall from his bed, including
witness reports and probable reasons for the fall. She would most likely find this
information in the

integrated progress notes.
nurses' notes.
incident report.
doctors' progress notes. - Answer-incident report.

When developing a data collection template, the most effective approach first considers
facility preference.
applicable accreditation standards.
hardware requirements.
the end user's needs. - Answer-the end user's needs.

Reviewing a medical record to ensure that all diagnoses are justified by documentation
throughout the chart is an example of

legal analysis.
quantitative review.
peer review.
qualitative review. - Answer-qualitative review.

Select the appropriate situation for which a final progress note may legitimately be
substituted for a discharge summary in an inpatient medical record.

Baby Boy Doe admitted 1/3/2016, died 1/4/2016
Baby Boy Hiltz, born 1/5/2015, maintained normal status, discharged 1/7/2015
Baby Boy Hiltz's mother admitted 1/5/2016, C-section delivery, and discharged 1/7/2016

, Patient admitted with COPD 1/4/2016 and discharged 1/7/2016 - Answer-Baby Boy
Hiltz, born 1/5/2015, maintained normal status, discharged 1/7/2015

The information security officer is revising the policies at your rehabilitation facility for
handling all patient clinical information. The best resource for checking out specific
voluntary accreditation standards and guidelines is the
Joint Commission manual.
CARF manual.
Conditions of Participation for Rehabilitation Facilities.
Medical Staff Bylaws, Rules, and Regulations. - Answer-CARF manual.

The lack of a discharge order may indicate that the patient left against medical advice. If
this situation occurs, you would expect to see the circumstances of the leave
documented in both the progress notes and the discharge summary.
documented in an incident report and filed in the patient's health record.
reported as a potentially compensable event.
reported to the Executive Committee. - Answer-documented in both the progress notes
and the discharge summary.

In determining your acute care facility's degree of compliance with prospective payment
requirements for Medicare, the best resource to reference for recent certification
standards is the

CARF manual.
Joint Commission accreditation manual.
hospital bylaws.
Federal Register. - Answer-Federal Register.

As part of a quality improvement study, you have been asked to provide information on
the menstrual history, number of pregnancies, and number of living children on each OB
patient from a stack of old obstetrical records. The best place in the record to locate this
information is the

postpartum record.
discharge summary.
labor and delivery record.
prenatal record. - Answer-prenatal record.

You are developing a complete data dictionary for your facility. Which of the following
resources will be most helpful in providing standard definitions for data commonly
collected in acute care hospitals?

Conditions of Participation
Federal Register
Minimum Data Set
Uniform Hospital Discharge Data Set - Answer-Uniform Hospital Discharge Data Set

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