RHIT Exam Prep UPDATED Exam
Questions and CORRECT Answers
Health record tech is asked to review discharge pt abstracting module of proposed new EHR,
so what would tech consult to ensure system collects all fed req discharge data elements for
Medicare, Medicaid inpts in acute-care hosp? - CORRECT ANSWER✔✔- Uniform Hospital
Discharge Data Set (UHDDS)
Outpt clinic reviews functionality of EHR it is considering purchasing, so what should the
clinic consult that ensure all fed recommended data elements for Medicare, Medicaid outpts
are collected by system? - CORRECT ANSWER✔✔- Uniform Ambulatory Care Data Set
(UACDS)
Standard med term to avoid diff in naming various health conds and procedures is one
purpose of: - CORRECT ANSWER✔✔- Vocabulary standards
Pt care mgrs use data and info doc'd in health record to: - CORRECT ANSWER✔✔-
Evaluate patterns and trends of patient care
Active storage area for health records at a hosp is almost full, so to create more space, what
should they do: - CORRECT ANSWER✔✔- Purge oldest records to another location
As part of initiative to imp data integrity, Data Quality Committee (DQC) conducted
inventory of all hosp's databases and found that 70%+ of ID'd databases did not have
dictionaries. What should be committee's first action? - CORRECT ANSWER✔✔- Establish
a data dictionary policy with associated standards
Hosp has 100+ clinical databases and DQC is studying comparability among databases (DB).
Data elements and definitions are cataloged for each DB, so what should their next step be to
determine the degree of data comparability among DBs? - CORRECT ANSWER✔✔- Select
rep set of data elements and track these across the databases to ID consistencies and
differences.
New HIM director has been asked by hosp to ensure data content standards are ID'd,
understood, implemented, and managed for hosp's planned EHR system, so what should be
,the HIM director's first step in carrying out responsibility? - CORRECT ANSWER✔✔-
Identify data content requirements for all areas of the organization
At adm, pt's DOB is 3/25/48, but audit of EHR shows the numbers in DOB are transposed in
reports. This situation reflects a problem in: - CORRECT ANSWER✔✔- Data consistency
Family pract req's opinion of phys specialist, who reviews pt's health record and examines pt.
Phys specialist would record findings, impressions, and recommendations in what type of
report: - CORRECT ANSWER✔✔- Consultation report
What are key characteristics of the problem-oriented health record? - CORRECT
ANSWER✔✔- Uses an itemized list of patient's past and present health problems?
Data elements collected on large populations of individuals and stored in DBs are referred to
as: - CORRECT ANSWER✔✔- Aggregate data
Health data analyst has been asked to compile a report of the percentage of pts who had
baseline PTT tests performed prior to rec'ing heparin, so what clinical reports in the health
record would the analyst consult to prepare this report? - CORRECT ANSWER✔✔-
Medication record and clinical lab reports
ABC Hosp wants to compare it's HAC UTI rate for Medicare pts w/nat'l avg and is using
MEDPAR DB for comparison. MEDPAR DB contains 13M discharges, with 200K adm'd
w/PD of UTI, 300K adm'd w/PD of infectious dz, and 700K had dx of hypertension. What
would be the best comparison data for ABC Hosp? - CORRECT ANSWER✔✔- All
individuals in MEDPAR DB except those admitted with principal diagnosis of UTI or
infection disease
Health data analyst is asked to compile listing of daily BP readings for pts w/dx of
hypertension who were tx on medicine unit within a 2wk period, so what clinical report
would be best to gather this info? - CORRECT ANSWER✔✔- Vital signs record
What is the median of 47, 20,11, 33, 30, 35, and 50? - CORRECT ANSWER✔✔- 11, 20, 30,
33, 35, 47, 50 mean that the median would be 33, but the answer say to take the avg of 30 and
33 and therefore = 31.5 WRONG!!!!
, ABC Hosp had 250 pts in hosp at midnight on 5/, admitted 30 pts on 5/2, discharged 40 pts
(incl deaths) on 5/2, 2 pts adm'd and discharged on 5/2, so what was the total number of inpt
service days for 5/2? - CORRECT ANSWER✔✔- 242
250+30-40+2 = 242
An example of data collected by TJC for the ORYX initiatives is: - CORRECT
ANSWER✔✔- Patient demographic data
What is ORYX? - CORRECT ANSWER✔✔- A Joint Commission on Accreditation of
Healthcare Organizations initiative that supports integration of outcomes data and other
performance measurement data into the accreditation process
What is the best numbering system for maintaining enc's of pt's health record together? -
CORRECT ANSWER✔✔- Unit
HIM mgr conducts study of comparing ICD-9 and ICD-10 DM codes and the variations in
order to assess impact on the organization, so this process creates what? - CORRECT
ANSWER✔✔- Data map/data mapping is an essential component of standards building to
facilitate health information exchange and requires significant linkage between old and new
code sets to preserve continuity of service and prevent data loss
What is considered the authoritative key in locating a health record? - CORRECT
ANSWER✔✔- Master patient index
Paper-based health record format that organizes all forms in chronological order is known as:
- CORRECT ANSWER✔✔- Integrated health record
HIM dept is developing a system to track coding productivity of each coder by productive
hours worked each day, health records ID, type of records coded, and other data, to provide
weekly productivity reports and analyses, so what tool would be best for this purpose? -
CORRECT ANSWER✔✔- Database management system
What is the goal of ICD-10-PCS? - CORRECT ANSWER✔✔- Reduce inconsistency due to
overlapping of terms
