©PREP4EXAMS@2024[REAL EXAM DUMPS] Thursday, July 25, 2024 6:51 PM
RHIT Exam Prep 2024 Domain 1: Data Content, Structure, and
Information Governance, RHIT Exam Prep 2025Domain 2: Access,
Disclosure, Privacy, and Security, RHIT Exam Prep 2025 Domain 3: Data
Analytics and Use, Domain 4: Revenue Cycle Management, Doma...
In designing input by clinicians for an EHR system, which of the following would be
effective for a clinician when the data are repetitive and the vocabulary used is
fairly limited? - ✔️✔️Speech recognition
Speech recognition can be very effective in certain situations when data entry is
fairly repetitive and the vocabulary used is fairly limited. As speech recognition
improves, it is becoming a replacement for other forms of dictation. In some cases,
the user reviews the speech as it is being converted to type and makes any needed
corrections; in other cases, the speech is sent to a special device where it generates
type for another individual to review and edit
What is the status conferred by a national professional organization that is
dedicated to a specific area of healthcare practice? - ✔️✔️Credential
Credentials are the recognition by healthcare organizations of previous professional
practice responsibilities and experiences commonly accorded to licensed
independent practitioners and are usually conferred by a national professional
organization dedicated to a specific area of healthcare practice
Which of the following Enterprise Information Management (EIM) functions is the
overarching authority for managing an organization's data assets? - ✔️✔️Data
governance
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, ©PREP4EXAMS@2024[REAL EXAM DUMPS] Thursday, July 25, 2024 6:51 PM
Data governance is the overarching authority that ensures the cohesive operation
and integration of all EIM domains. Data governance includes a formal
organizational structure with both authority and responsibility for managing an
organization's data assets
Which of the following is the health record component that addresses the patient's
current complaints and symptoms and lists that patient's past medical, personal,
and family history? - ✔️✔️Medical history
A complete medical history documents the patient's current complaints and
symptoms and lists his or her past health, personal, and family history. In acute
care, the health history is usually the responsibility of the attending physician
Which of the following documentation must be included in a patient's health record
prior to performing a surgical procedure? - ✔️✔️Consent for operative procedure,
history, physical examination
Documentation of health history, consents, and the physical examination must be
available in the patient's record before any surgical procedures may be performed
At the time a hospital implemented an electronic health record, the Health Record
Committee determined that all records of patients who have not been treated at the
facility in the past two years would be moved to an inactive file area. These patient
records are considered ________ from the active filing area. - ✔️✔️Purged
Files of patients who have not been at the facility for a specified period, such as two
years, may be purged or removed from the active filing area. The time period and
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, ©PREP4EXAMS@2024[REAL EXAM DUMPS] Thursday, July 25, 2024 6:51 PM
frequency of purging depends on the space available, patient readmission rate, and
the need for access to the health record
Which of the following should be avoided when designing forms for an electronic
document management system (EDMS)? - ✔️✔️Shading of bars or lines that contain
text
The use of colored paper or ink other than black, or shading of text in EDMS should
be minimized or eliminated because the color can adversely affect the quality of
scanned images
Which of the following is an argument against the use of the copy and paste
function in the EHR? - ✔️✔️Inability to identify the author
In the EHR, the user is able to copy and paste free text from one patient or patient
encounter to another. This practice is dangerous as inaccurate information can
easily be copied. One of the risks to documentation integrity of using copy
functionality includes the inability to identify the author of the documentation
A healthcare system wants to map ICD-10-CM to ICD-9-CM. Which of the following
would be true about this effort? - ✔️✔️This is an example of reverse mapping
A reverse map links two systems in the opposite direction, from the newer version of
a code set to an older version
Which of the following is not a true statement about a hybrid health record system?
- ✔️✔️Version control is easy to implement.
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, ©PREP4EXAMS@2024[REAL EXAM DUMPS] Thursday, July 25, 2024 6:51 PM
As the electronic system develops, different versions of documents may exist, and
these also must be monitored and logged for both legal and practice purposes.
Version control in a hybrid record environment is challenging as both the paper and
electronic documents must be controlled
Which of the following is an example of clinical data? - ✔️✔️Admitting diagnosis
The health record generally contains two types of data: clinical and administrative.
Clinical data document the patient's health condition, diagnosis, and procedures
performed as well as the healthcare treatment provided. Administrative data
include demographic and financial information as well as various consents and
authorizations related to the provision of care and the handling of confidential
patient information
The coding manager at Community Hospital is seeing an increased number of
physicians failing to document the cause and effect of diabetes and its
manifestations. Which of the following will provide the most comprehensive solution
to handle this documentation issue? - ✔️✔️Present this information at the next
medical staff meeting to inform physicians on documentation standards and
guidelines.
The quality of the documentation entered in the health record by providers can have
major impacts on the ability of coding staff to perform their clinical analyses and
assign accurate codes. In this situation, the best solution would be to educate the
entire medical staff on their roles in the clinical documentation improvement
process. Explaining to them the documentation guidelines and what documentation
is needed in the record to support the more accurate coding of diabetes and its
manifestations will reduce the need for coders to continue to query for this
clarification
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