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RHIT Exam Review Questions And Correct Answers Latest Update
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RHIT Exam Review Questions And Correct AnswersLatest Update
Document the nature and extent of the problem regarding documentation - ANSWER
The Medical Record Committee is considering various strategies to enhance health
record documentation. They have some feeling that the documentation as it presently
stands may be inadequate to support diagnoses or reflect the progress and clinical
findings as related to patient management. Which of the following would be the most
appropriate next step to help improve physician documentation?
Voluntary review A healthcare organization review undertaken at the request of the
health facility seeking accreditation.
Algorithm ANSWER For healthcare facilities to have mechanisms for maintaining and
correcting the MPI against the quality issues of duplicates, overlays, and overlaps on an
ongoing basis. Which of the following is a method used to match patients in order that
patient information can be merged?
NPDB (National Practitioner Data Bank) - ANSWER A hospital interested in determining
if a physician has any adverse licensure actions should review data from:
NPDB, or the National Practitioner Data Bank, ANSWER was established under the
Health Care Quality Improvement Act of 1986 as a repository on medical malpractice
payments, adverse licensure actions, as well as certain professional review
actions-such as denial of medical staff privileges-taken by health care entities such as
hospitals against physicians, dentists, and other health care providers, along with
private accrediting organizations, peer review organizations as stated by Sharp 2016,
185.
It applies to orders and medication-related documentation - ANSWER Which of the
following is true about the Joint Commission's "Do Not Use" abbreviation list?
,I am unable to identify the author. - ANSWER The HIM professional is delivering a
persuasive speech against use of the copy/paste function in the EHR. Which of the
following would be the position for this speech?
concurrent review - ANSWER A quantitative review of the health record for missing
reports and signatures that occurs when the patient is in the hospital is known as a
Clinical privileges - ANSWER When a physician is appointed to the medical staff of a
healthcare organization, their scope of practice is determined by
NPDB (National Practitioner Data Bank) - ANSWER What database would a healthcare
facility have to query when a physician originally applies for medical staff privileges as a
part of credentialing?
Querying - ANSWER The process in which a healthcare organization addresses the
provider documentation issues that are conflicting, ambiguous, or incomplete is called
CMS Centers for Medicare and Medicaid Services ANSWER The health information
technician would refer to standards from what organization to determine the
requirements for data collection for both Medicare and Medicaid patients in a longterm
care facility?
Physician Orders ANSWER In which section of an acute care health record would the
following documentation be found: "Admit to 3C. Diet: NPO. Meds: Compazine 10mg IV
Q 6 PRN.
Type and stage of cancer and patient demographic information - ANSWER Information
contained in a tumor registry may include:
Listed outline of patient's current and past problems - ANSWER Which of the following is
a principal element of a problem-oriented medical record?
Master Patient Index (MPI) - ANSWER Which of the following is used as the key to
, identify and locate a patient's medical record?
Patient identification, time and means of patient arrival, pertinent history of illness -
ANSWER In conducting quantitative analysis of an emergency room health record,
which of the following data elements would the health information technician look for to
be present in the record?
Duplicate health record numbers - ANSWER When maintaining the master patient index
- MPI- which of the following would be of most concern to the health information
technician?
laboratory report - ANSWER For the following information, in what part of the health
record would you expect to find the documentation: "BUN 14, Creatinine 0.9, H&H 8.8
and 25.4?
analysis - ANSWER Missing signatures and medical reports are checked in a health
record through an activity known as
ambulatory record - ANSWER Which of the following is usually kept in a patient history
questionnaires, problem lists, diagnostic test results, immunization records type of
record?
Imaging technology-documentation technology - ANSWER Which of the following
electronic record technological capabilities would allow paper-based health records to
be part of a patient's EHR?
Missing document - ANSWER Gaps in a health record include which of the following?
Assure that what is documented in the health record is complete and accurately reflects
the treatment provided to the patient. - ANSWER The overall objective of documentation
standards is to:
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