RHIA Domain 1 Practice Questions with Correct Answers
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RHIA Domain 1
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RHIA Domain 1
RHIA Domain 1 Practice Questions with Correct Answers
Which of the following is NOT a consideration when implementing a disaster plan? - Answer-test the disaster plan only once
Dr. Gray has applied for medical staff privileges at your hospital. What database would you research to determine if...
RHIA Domain 1 Practice Questions
with Correct Answers
Which of the following is NOT a consideration when implementing a disaster plan? -
Answer-test the disaster plan only once
Dr. Gray has applied for medical staff privileges at your hospital. What database would
you research to determine if he has been denied medical staff privileges at another
hospital? - Answer-National Practitioner Data Bank
A health information manager develops a formal plan or record retention schedule for
the automatic transfer of records to inactive storage and potential destruction based on
all but which one of the following factors? - Answer-departmental staffing
The Chief of the Medical Staff requests a report on the number of coronary artery
bypass grafts performed by a particular physician in April of the previous year. Where
would the HIM manager look for this information? - Answer-operation index
What follow-up rate does the American College of Surgeons mandate for all cancer
cases to meet approval requirements as a cancer program? - Answer-90%
Unless state of federal laws require longer time periods, AHIMA recommends that
patient health information for minors be retained for at least how long? - Answer-age of
majority plus statute of limitations
A healthcare facility has made a decision to destroy computerized data. AHIMA
recommends which one of the following as the preferred method of destruction for
computerized data? - Answer-magnetic degaussing
Which of the following statements would be found in the laboratory report section of the
health record? - Answer-BUN reported as 20mg
The HIM Department receives a request for a certified copy of a birth certificate on a
patient born in the hospital 30 years ago. The Department should - Answer-direct the
request to the state's office of vital records
Where in the health record would the following statement be located?
"Microscopic Diagnosis: Liver (needle biopsy), metastatic adenocarcinoma" - Answer-
pathology report
The clinical laboratory department staff can use a database that allows them to see
what laboratory tests were conducted and the results of those tests. By contrast, the
billing department staff can only see that portion of the database that lists the laboratory
,tests that generate a charge, but they cannot see the test results. What kind of control is
this an example of? - Answer-access
When health care facilities close or medical practices dissolve, procedures for
disposition of patient records should take into consideration all of the following EXCEPT
- Answer-communities of practice requirements
Case finding methods for patients with diabetes include a review of all but which of the
following? - Answer-CPT diagnostic codes
What type of plan is a Joint Commission - accredited facility required to maintain to
protect health information from catastrophes such as fire, flooding, bomb threats, and
theft? - Answer-disaster
What would be the most cost-effective and prudent course of action for the storage or
disposition of 250,000 records at a large teaching and research hospital? - Answer-
scanning all 250,000 for a cost of $195,000
For a healthcare facility to meet its documented destruction needs, the certificate of
destruction should include all but which of the following elements? - Answer-patient
notification
The steps in developing a record retention program include all but which of the
following? - Answer-notifying the courts of the destruction
A healthcare facility has received a request to participate in a statewide study on cleft lip
and palate. This study would include data from the past year and subsequent years.
Given that each of the data sources cited below contains the necessary information, the
initial data would be most easily collected from the - Answer-birth defects registry
Which of the following is least likely to be identified by a deficiency analysis technician?
- Answer-the discrepancy between post up diagnosis by the surgeon and pathology
diagnosis by the pathologist
During a retrospective review of Rose Hunter's inpatient health record, the health
information clerk notes that on day 4 of hospitalization there was one missed dose of
insulin. What type of review is this clerk performing? - Answer-Qualitative Review
The Conditions of Participation require that the medical staff bylaws, rules, and
regulations address the status of consultants. Which of the following reports would
normally be considered consultation? - Answer-impressions of a cardiologist asked to
determine whether the patient is a good surgical risk
The health care providers at your hospital do a very thorough job of periodic open
record reviews to ensure the completeness of record documentation. A qualitative
review of surgical records would likely include checking for documentation regarding -
, Answer-The presence or absence of such items as preoperative and postoperative
diagnosis, description of findings, and specimens removed
In your facility, the health care providers from every discipline document progress note
sequentially on the same form. Your facility is utilizing? - Answer-integrated progress
notes
Which of the following services is LEAST likely to be provided by a facility accredited by
CARF? - Answer-palliative care
Which method of identification of authorship or authentication of entries would be
inappropriate to use in a patient's health record? - Answer-delegated use of computer
key by radiology secretary
As a trauma registrar working in an emergency department, you want to begin
comparing your trauma care services to other hospital-based emergency departments.
To ensure that your facility is collecting the same data as other facilities, you review
elements from which data set? - Answer-DEEDS
As a new HIM manager of an acute care facility, you have been asked to update the
facility's policy for a physicians verbal orders in accordance with Joint Commission
standards and state law. Your first area of concern is the qualifications of those
individuals in your facility who have been authorized to record verbal orders. For this
information, you will consult the - Answer-Hospital Bylaws, Rules, and Regulations
Reviewing a medical record to ensure that all diagnosis are justified by documentation
throughout the chart is an example of - Answer-qualitative review
Accreditation by Joint Commission is a voluntary activity for a facility and it is - Answer-
required for reimbursement of certain patient groups
Which of the four distinct components of the problem-oriented record serves to help
index documentation throughout the record - Answer-problem list
As a supervisor of the cancer registry, you report the registry's annual caseload to
administration. The most efficient way to retrieve this information would be to use -
Answer-accession register
Select the appropriate situation for which a final progress note may legitimately be
substituted for a discharge summary in an inpatient medical record - Answer-Baby Boy
Hiltz, born 1/5/2016, maintained normal status, discharged 1/7/2016
Based on the following Documentation in an acute care record, where would you expect
this excerpt to appear?
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