RHIA Domain 3 Study Questions with Answers
Keith is the supervisor of the MPI and chart deficiency review staff in the HIM department, which also includes being the liaison for the billing department and the R-ADT staff. He frequently meets with Michael, the R-ADT supervisor, to discuss methods ...
RHIA Domain 3 Study Questions with
Answers
Keith is the supervisor of the MPI and chart deficiency review staff in the HIM
department, which also includes being the liaison for the billing department and the R-
ADT staff. He frequently meets with Michael, the R-ADT supervisor, to discuss methods
to combat healthcare fraud and to verify that the patients are who they say they are and
that they have the appropriate documentation for verification. This process is called: -
Answer-c. Identity matching
Identity matching (also known as patient matching) is the process in which the facility
identifies the right person within the database to exchange information between
healthcare organizations. The process examines different demographic elements from
different health information technology systems to determine if they refer to the same
patient (Sayles and Kavanaugh-Burke 2018, 195).
How long should the master patient index be maintained? - Answer-Permanently
The master patient index (MPI) is a permanent database including every patient ever
admitted to or treated by the facility. Even though patient health records may be
destroyed after legal retention periods have been met, the information contained in the
MPI must be kept permanently (Reynolds and Morey 2020, 132).
In which of the following processes does an analyst perform exploratory data analysis to
determine trends and identify patterns in the data set? - Answer-b. Data mining
In data mining, the analyst performs exploratory data analysis to determine trends and
identify patterns in the data set (White 2020b, 520).
A computer software program that supports a coder in assigning correct codes is called
a(n): - Answer-a. Encoder
An encoder is used to increase the accuracy and efficiency of the coding process.
Encoders promote accuracy as well as consistency in the coding of diagnoses and
procedures (Amatayakul 2017, 292).
An example of EHR data stewardship that would be required of the average healthcare
professional is: - Answer-b. Ensuring that structured data is entered when such a choice
is available in an EHR
Stewardship refers to taking care of something you own or have been entrusted with.
Given the choices here, EHR data stewardship is exemplified by ensuring proper data
, entry; contributing to design and maintaining data in an information system are beyond
the requirements of the average healthcare professional and not sharing data
appropriately is actually not good data stewardship (Amatayakul 2020, 438-439).
Which model for health information exchange stores patient records in a single
database built to allow queries into the system? - Answer-Centralized
The centralized HIE model stores patient records in a single database built to allow
queries into the system. This model tends to return results quicker than other models
(Lee-Eichenwald 2020, 387-388).
In which type of health information exchange architectural model does the entity operate
much like an application service provider (ASP) or bank vault?b. - Answer-b.
Federated—consistent databases
The federated architectural type has become more prevalent for health information
organizations. There are two forms of this architecture. The consistent federated form is
very similar to the consolidated architecture in which the data repository is partitioned
but centrally managed. The consistent federated form, however, takes this one step
further and physically separates the data but still offers centralized management.
Essentially, this is much like an application service provider (ASP) or software as a
service (SaaS) model of acquiring software (Amatayakul 2017, 417-418).
Fifty percent of patients treated at our facilities have Medicare as their primary payer.
This is an example of what type of information? - Answer-d. Aggregate
Data about patients can be extracted from individual health records and combined as
aggregate data. Aggregate data are used to develop information about groups of
patients. In this case, the fact that 50 percent of patients treated at our facilities have
Medicare as their primary payer is data about patients combined together, so it is
aggregate data (Sharp and Madlock-Brown 2020, 176).
What process must Colin, the HIM operations manager, perform to ensure that all
patient information is contained within the correct electronic file in the EHR? - Answer-c.
Data audit
Data audit is an organizational procedure for monitoring the quality of data by analyzing
reports for anomalies, inaccuracies, and missing data (Sayles and Kavanaugh-Burke
2018, 248).
A hospital allows the use of the copy functionality in its EHR system for documentation
purposes. The hospital has established explicit policies that define when the copy
function may be used. Which of the following would be the best approach for conducting
a retrospective analysis to determine if hospital copy policies are being followed? -
Answer-a. Randomly audit EHR documentation for patients readmitted within 30 days.
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