RHIA Domain 1 2024 Exam Questions and Answers All Correct
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RHIA Domain 1
Institution
RHIA Domain 1
RHIA Domain 1 2024 Exam Questions and Answers All Correct
The primary responsibility of a coder is to: - Answer-ensure accuracy of coded data
Notes written by physicians and other practitioners as well as dictated and transcribed reports are examples of: - Answer-unstructured data
Data that ...
RHIA Domain 1 2024 Exam Questions
and Answers All Correct
The primary responsibility of a coder is to: - Answer-ensure accuracy of coded data
Notes written by physicians and other practitioners as well as dictated and transcribed
reports are examples of: - Answer-unstructured data
Data that have been grouped into meaningful categories according to a classification
system are referred to as this type of data - Answer-coded
Which part of the problem-oriented health record is used by many facilities that have
adopted the whole problem-oriented format? - Answer-The SOAP form of progress
notes
Borrowing record entries from another source as well as representing or displaying past
documentation as current are examples of a potential breach of: - Answer-authorship
integrity
According to Joint Commission Accreditation Standards, which document must be
placed in the patient's record before a surgical procedure may be performed? - Answer-
history and physical
Data that are collected on large populations of individuals and stored in databases are
referred to as: - Answer-aggregate data
Decision making and authority over data-related matters is known as - Answer-data
governance
contains a summary of the care provided in the facility from which the patient is being
transferred as well as the reason for transfer - Answer-transfer record
Mildred Smith was admitted to a nursing facility with the following information: "Patient is
being admitted for Organic Brain Syndrome." Underneath the diagnosis her medical
information was listed along with a summary of the care already provided. This
information is documented on the: - Answer-transfer record
the process by which a person or entity who authored an EHR entry or document seeks
to validate that they are responsible for the data contained within it is called: - Answer-
authentication
, Why could it be difficult for a healthcare entity to respond to pulling an entire, legal
health record together for an authorized request for information? - Answer-It can exist in
separate and multiple paper-based or electronic systems.
Patients to consulting physicians is what type of relationship - Answer-many to many
When defining the legal health record in a healthcare entity, it is best practice to
establish a policy statement of the legal health record as well as a: - Answer-health
record matrix
identifies and tracks the physical location of each paper document and the source of
each electronic document that constitutes the LHR - Answer-health record matrix
Anywhere Hospital has mandated that the Social Security number will be displayed in
the XXX-XX-XXXX format for their patients. This is an example of the use of a: -
Answer-mask
this is used in a data dictionary to control that format used to display data - Answer-
mask
Documentation including the date of action, method of action, description of the
disposed record series of numbers or items, service dates, a statement that the records
were eliminated in the normal course of business, and the signatures of the individuals
supervising and witnessing the process must be included in this: - Answer-Certificate of
destruction
Mrs. Smith's admitting data indicates that her birth date is March 21, 1948. On the
discharge summary, Mrs. Smith's birth date is recorded as July 21, 1948. Which data
quality element is missing from Mrs. Smith's health record? - Answer-data consistency
Conducting an inventory of the facility's records, determining the format and location of
record storage, assigning each record a time period for preservation, and destroying
records that are no longer needed are all components of a: - Answer-retention program
Data mapping is used to harmonize data sets or code sets. The code or data set from
which the map originates is the: - Answer-source
a data element name is considered which of the following:
a. master data
b. metadata
c. structured data
d. unstructured data - Answer-b
structured information used to increase the effective use of data - Answer-metadata
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