Rhia domain 1 - Study guides, Class notes & Summaries

Principal Function of Health Records - Answer Repository of clinical documentation relevant to patient care Common form of problem-oriented format - Answer SOAP form of progress notes ER Record - Answer Time and means of arrival Treatment record Discharge instructions

RHIA Domain 1 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified

RHIA Domain 1 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified

When defining the legal health record in a healthcare entity, it is best practice to establish a policy statement of the legal health record as well as a: - Answer health record matrix identifies and tracks the physical location of each paper document and the source of each electronic document that constitutes the LHR - Answer health record matrix

RHIA Domain 1 questions and answers RHIA Domain 1 questions and answers RHIA Domain 1 questions and answers

Retention Program - ️️Inventory of records Format Location Preservation Period Provide information not easily determined from looking at records - ️️Secondary Data Sources Number assigned according to number of entry into a registry each year - ️️Accession Number Primary responsibility of coder - ️️Ensure quality of coded data Responsible for quality and completion of discharge summary - ️️Attending Physician Data set for px that does not require an overnight stay ...

RHIA Domain 1 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified

a data element name is considered which of the following: a. master data b. metadata c. structured data d. unstructured data → b structured information used to increase the effective use of data → metadata data element name, data type, and field length are examples of what kind of data → metadata all documentation entered in the medical record relating to the patient's diagnosis and treatment are considered this type of data → clinical data . A 65-year-old white male was...

RHIA Domain 1 Exam 1 Study Set Questions And Answers Well Illustrated. Mildred Smith was admitted to a nursing facility with the following information: "Patient is being admitted for Organic Brain Syndrome." Underneath the diagnosis her medical information was listed along with a summary of the care already provided. This information is documented on the: a.) Admitting physical evaluation record b.) Patient's rights acknowledgement form c.) Release of Information form d...

Henry experienced sudden sharp chest pain that he described as heavy and crushing. His pain and past medical history caused Dr. James to suspect that Henry was having an acute myocardial infarction (AMI). Which of the following tests is a more specific marker for an AMI? CK-MB (creatine kinase-muscle/brain) LDH1 (lactate dehydrogenase Isoenzymes test-1) Troponin I AST (aspartate aminotransferase) - Answer CK-MB