RHIA Domain 3 Exam Questions and Answers New update
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RHIA Domain 3
RHIA Domain 3 Exam Questions and Answers New update
Which of the following is a standard for the interchange for computerized biomedical images and image-related information within and between healthcare providers? - Answer-Digital Imaging and Communications in Medicine (DICOM) standards govern th...
RHIA Domain 3 Exam Questions and
Answers New update
Which of the following is a standard for the interchange for computerized biomedical
images and image-related information within and between healthcare providers? -
Answer-Digital Imaging and Communications in Medicine (DICOM) standards govern
the interchange of computerized biomedical images.
Which of the following standards are used within the healthcare industry for pharmacy
reimbursement and insurance-related messaging? - Answer-National Council for
Prescription Drug Programs (NCPDP) standards are used within the healthcare industry
for pharmacy reimbursement and insurance-related messaging.
The patient is assigned a number at the time of the first encounter, and a different
number for all subsequent encounters. The records for each encounter are filed
together under the number for that visit.
While this may be an easy system to implement, there are disadvantages to serial
numbering. Supply costs are high, as each new visit requires a new folder, and each
record is filed in a different location. Retrieval of records from previous visits is time
consuming and each record is located in a different place, which does not benefit
patient care. - Answer-Serial numbering
The patient is assigned a number at the time of the first encounter and keeps the same
number for all subsequent encounters. All records are located under this one unique
number.
Benefits include the convenience of having all the patient's records in one place, lower
supply costs, as fewer folders are used, and reduced labor costs, since only one
number is entered and tracked into the master person index.
The disadvantage to a unit numbering system is that the patient must be identified each
time as a returning patient so that the unit number may be reassigned. Otherwise, a
new number will be assigned, and if the error is not detected, all records will not be filed
under one number. - Answer-Unit numbering
The patient is assigned a number at the time of the first encounter, and a different
number for all subsequent encounters, like the unit numbering system. The records
from previous encounters are brought forward to be filed under the most recent number
assigned. All records are then located under the new number, like the unit numbering
system.
,The benefit of this numbering system is that eventually all records are housed together
in the same location, but the disadvantage is increased labor costs associated with
pulling old records forward and shifting folders to accommodate all folders from previous
encounters. - Answer-Serial-unit numbering
Storage of patient data (records) at the healthcare facility. Active storage is generally
referred to as those records stored within the department itself. For example, current
radiology films are located in Radiology, medical records are stored in the HIM
department, and personnel records are housed in Human Resources. - Answer-on-site
storgae
Storage of patient data in a location physically removed from the primary healthcare
facility. The facility may own or rent storage space in a warehouse across town or
contract with a vendor that specializes in storage and retrieval of records. The vendor
will store and then deliver records upon request by the facility. - Answer-off-site storage
____________is converting paper documents to archive-stored images. This is done by
taking a picture of each document in the record and storing it as a small negative.
Negatives are stored on a continuous roll of film, or inserted into holders called jackets.
- Answer-mircofilming
What is a hybrid record - Answer-electronic and paper
_________ are large databases designed to support strategic, managerial, and clinical
decision making. Data warehouses collect organization-wide data from a variety of
databases throughout the organization into a single database to which queries can be
posed and outcomes reports generated - Answer-Data warehouses
____________are databases designed to store large amounts of data from diverse
sources. This allows for an integrated use and/or view of the data. The databases are
relational. - Answer-Data repositories
The primary goal of this type of electronic storage is creation of a large database to
support strategic and clinical decision making in healthcare organizations. - Answer-
Data repository
With this type of numbering system, the patient is assigned a number at the time of the
first encounter and keeps the same number for all subsequent encounters; all records
for all encounters are filed in the same folder. - Answer-unit numbering
The ___________ records every visit or encounter made by a patient in any healthcare
setting. It is a permanent record, lasting beyond the time the actual records have been
destroyed. The MPI is the key to locating patient information. - Answer-master person
index (MPI)
, Provident Hospital uses an electronic document management system as a storage
solution for their patient health records.
Provident Hospital's overall record format is ________. - Answer-hybrid
If an MPI is shared by more than one facility, it is called an __________ - Answer-
enterprise master person index (EMPI).
An advantage to a manual master person index would be that it ________. - Answer-
Advantages to a manual MPI include that it is easy to use and it is inexpensive to create
and maintain
Which of the following elements would be LEAST likely to be found in a master person
index - Answer-insurance card
Because of a duplicate entry in an MPI, a patient's previous stay was not located, and a
second head CT scan was unnecessarily performed.
The cost associated with the second CT scan would be considered a(n) ________. -
Answer-risk cost
________ include repeat test costs for multiple departments, patient care errors, and
estimates of liability in breach of confidentiality issues. - Answer-Risk costs
Duplicate, overlay, and overlap issues within the MPI impact the ________ of the record
- Answer-integrity
______________published a set of terms and definitions to help the healthcare industry
achieve consensus on terminology used to describe the EHR. - Answer-National
Alliance for Health Information Technology (NAHIT)
An electronic record of health-related information on an individual that can be created,
gathered, managed, and consulted by authorized clinicians and staff within one
healthcare organization. - Answer-Electronic Medical Record (EMR):
An electronic record of health-related information on an individual that conforms to
nationally recognized interoperability standards and that can be created, managed, and
consulted by authorized clinicians and staff across more than one healthcare
organization - Answer-Electronic Health Record (EHR):
An electronic record of health-related information on an individual that conforms to
nationally recognized interoperability standards and that can be drawn from multiple
sources while being managed, shared, and controlled by the individual - Answer-
Personal Health Record (PHR):
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