Choose from 500 different sets of rhia exam flashcards on Quizlet. The code for new technology should not be included in the CDM until coverage has been determined. All attempts to clear the edits have failed. What input should the HIM director provide? Which data quality component is lacking? A regular review of LHR policies and procedures to ensure a healthcare entity remains in compliance with legal requirements is generally called an LHR_. a combination of electronic and paper chart. A hospital employee destroyed a health record so that its contents - which would be damaging to the employee - could not be used at trial. The tool used to complete process management activities on time and in proper order is: The data display tool used to show how each component contributes to the total process or product is a: A data analyst in the HIM department is abstracting data from health records with diagnoses of acute myocardial infarction, heart. This could be the first step to a new high-paying job and an AMAZING career. The privacy rule generally requires documentation related to its requirements to be retained: Mrs Davis is preparing to undergo hernia repair surgery at Deconess Hospital. Quickly memorize the terms, phrases and much more. Classification systems; Health record content & documentation; Data governance; Data management & secondary data sources Which of the following is an example an example of a M:M relationship? Under the Privacy Rule which of the following must be included in a patient accounting of disclosures? Gravity. A nurse administrator who is not typically on call to cover staffing shortages gets called in over the weekend to staff the emergency department. In a long-term care, the resident's care plan is based on data collected in the: The name of the government agency that has led the development of basic data sets for health records and computer databases is the: National Committee on Vital and Health Statistics. Use of Mary's individually identifiable information related to her asthma treatments. The CIO has become the projects, A_ assists in educating medical staff members on documentation needed for accurate billing, Once all data are posted to a patient's account, the claim can be reviewed for accuracy and completeness. Query the attending physician as to the reason for the intubation and mechanical ventilation to add as a secondary diagnosis. John Smith was seen in his primary care physician's office. What Subjects Will Be Covered on the RHIA Exam? PLAY. The final diagnoses documented by the attending physician are: Congestive heart failure, mechanical ventilation, and intubation. Which of the following is a conflict management method in which both parties meet with an objective third party to explore their perceptions and feelings? We have the special feature of practice RHIA test. An employee forgot his user ID badge at home and uses another employees badge to access the computer system. When their work is checked, discrepancies are found between similar data abstracted by the two clerks. Write. What is the alternative hypothesis? If a patient has health insurance but pays in full for a healthcare service and asks that the information be kept private, under HIPAA the covered entity must: Comply with the patients request and keep the information private (omnibus rule). Created by. Each of the ancillary departments has a separate information system, and each has claimed that the product is the best on the market and that the vendor has promised the system will interface with any EHR on the market. This type of reliability check is called: Which of the following terms is defined as the proportion of people in a population who have a particular disease at a specific point in time or over a specific period of time? Which of the following is considered a viable solution to a staff recruitment problem for coding and transcription shortages? What is the most common method for implementing entity authentication? The patient returns now for removal of the calculus via a percutaneous nephrostomy tube. The. CFA Institute does not endorse, promote or warrant the accuracy or quality of ExamTopics. Which of the following would be the correct principal diagnosis? The new security technology. We know each vendor has its own particular style. Good luck to all of you. Which of the following is included in a request for proposal (RFP)? In a typical acute-care setting, the explanation of benefits, Medicare summary notice, and remittance advice documents (provided by the payer) are monitored in which revenue cycle area? ExamTopics Materials do not contain actual questions and answers from Cisco's Certification Exams. 50 percent of the average number of discharges. Based on the financial data listed what was Triads total net assets before posting net income for the year? Of those, 160 are scored and 20 are not. What type of organization works under contract with CMS to conduct Medicare and Medicaid certification surveys for hospitals? The Person or entity authentication standard requires methods for verifying that a person is who he or she claims to be. What is the correct root operation? These "internal" auditing systems are called. However, only the __ information needed to satisfy the specified purpose can be used or disclosed. Be prepared to answer 100 questions in all of the RHIA exam's six domain areas, for a fee. The medical staff rules and regulations stipulate that the surgeon should: Write a detailed postoperative progress note about the procedure performed. The relationship between patient gender and readmission to the hospital is best displayed using a: This analytic technique is being used by CMS to assist in prepayment audits? A comprehensive retrospective review should be conducted at least once a year of what aspect of CDI program? The new coder sequenced the principal diagnosis as liver carcinoma. The process of integrating healthcare facility systems requires the creation of: Which of the following is NOT a statistical technique used to create a model to access the probability that current Medicare claims are fraudulent? Which of the following is an organization that develops standards related to the interoperability of health information technology? An HIM professional who accurately reports HIV status of an audit that indicates health problems meets the ethical standards for: A distance learning method in which groups of employees in multiple classroom locations may listen to and see the material presented at the same time via satellite or telephone is called: As an EHR implementation project proceeds, additional hospital departments add requirements for the system, and the project becomes more complex. Created by. A physician accesses the hospital's order entry system through a secure Internet gateway called a web: Which type of system testing evaluates a system or component at or beyond the limits of its specified requirements? Working with the healthcare entity's integration team to ensure that ADT interfaces are properly built and tested is the responsibility of the: In which of the following examples does the gender of the patient constitute information rather than a data element? take a look at the information listed above. Learn. As the HIM director, the best steps to take would be which of the following? What control should have been in place to minimize this security breach? Which of the following lists contains only entities that have roles in the various Medicare improper payment review processes? File name. The confidentiality of incident reports is generally protected in cases when the report is filed in: Which one of the following has access to personally identifiable data without authorization or subpoena? Match. A cost-based fee may be charged for making a copy of the PHI. Which of the following materials are required elements in an emergency care record? The hospital performed five autopsies during the same period. Patients date of birth, gender, and health record number. The staff member's patient head, Patient education at discharge is monitored and assessed as part of an organization's performance improvement program. When a data element cannot be further subdivided, its structure complies with which data quality characteristic? The auditing systems run each claim through a set of edits specifically designed for the various third-party payers. Not Convinced? Key Concepts: Terms in this set (24) Common features . If an analyst wishes to determine the root cause of claim denials during June via a random sample, what is the sampling unit? What tool is used to sort data in a variety of ways to assist in the study of certain data elements? The most tangible output of the job analysis process is the: The project manager records the estimated time, costs of the project, and records the team purpose. In this situation, although the record constitutes hearsay, it may be used as evidence based on the: Which of the following would be included in an accounting of disclosure? Terms in this set (27) Global Profit Motivations . Which of the following lists represents recommended care data elements for the master patient index? This is an example of a. Which type of identity theft occurs when a patient uses another persons name and insurance information to receive healthcare benefits? Mary Smith, RHIA, has been charged with the responsibility of designing a data collection form to be used on admission of a patient to the acute care hospital in which she works. Mercy Hospital is located in a state where state law allows charging following statements is true when applied to this scenario? A description of each of the other purposes for which the covered entity is premitted or required to use or disclose PHI without the individuals written consent or authorizaiton. Coverage not in effect for date of service. Which of the following lists contains only entities that have roles in the various Medicare Improper Payment Review processes? Fifty percent of our HIM staff have a nationally recognized credential. RHIA Exam Questions. Which of the following would be best to ensure that everyone understands the importance of this program? telehealth. This file discussions the domains of the RHIA exam and the content in each so you know what to expect. The original HIPAA legislation required adoption of four identifiers; employers, providers, health plans, and individuals. A visitor walks through the work area and picks up a flash drive from an employees desk. When an entity relational diagram is implemented as a relational database, an entity will become an: A procedure that attempts to obstruct the blood flow to a malignant tumor would be coded to which root operation in ICD 10 PCS? In a study comparing the incidence of myocardial infarctions in black males as compared to white females, The HIPAA methods titled Expert Determination and Safe Harbor are ways in which the following can be achieved legally, large hospital is planning for an EHR but wants to ensure it has adequate source systems in place to support it. Learn. 1. Flashcards. The computer notified the compliance officer that a user accessed the PHI of a patient with the same last name as the user. Flashcards. What is the term for health records maintained by patients or their families? The type of input that does not require the user to pause between words to, The Department of Surgery at a hospital is determining if it will allow a surgeon to perform Cyberknife surgery. What type of safeguards comprise over half of all the safeguards included in the security rule? The report data shows that Tim makes an average of six errors per day , Jane makes an average of five errors per day, and Bob and Susan each make an average of two errors per day. PLAY. This is an example of ____ work division. The CFO suspects coding errors. Which of the following conditions would be the most likely to fall into the category of notifiable diseases as defined by the National Notifiable Diseases Surveillance System? The secretary of HHS and local media must be notified if this threshold of patient records breached has been met or exceeded, The security rule leaves the method for conducting the security risk analysis to the discretion of the healthcare entity. 1826 Questions & Answers; Last Update: Jan 1, 2021; $69.99 $99.99. Avoid displaying the number on any document, screen, or data collection field. Learn How to Quickly Solve Difficult RHIA & RHIT Exam Questions. The AR collection cycle involves the time from: In a typical acute-care setting, aging of accounts reports are monitored in which revenue cycle area? Which technology supports the security of information by utilizing a patient's physical trait to verify identity? The JC requirement regarding delinquent records is that the number of delinquent records in a facility cannot exceed ________. If you want to pass RHIA exam in the first attempt, then we have got new RHIA exam questions that you need to prepare yourself for the exam. Cram.com makes it easy to get the grade you want! Which dimension of data quality is being applied in this situation? based on the facts given: children's hospital must have notified the patients or patients guardians of this disclosure in the notice of privacy practices. Documents organized into sections according to the provider's and departments that provide treatment (lab together, rad. The privacy rule minimum necessary requirement does not apply. For a contract to be valid, it must include three elements. RHIA Practice Exam. The Sherman Antitrust Act relates to which characteristic of peer review? One of the members of the committee remarks that he feels that the clinics practice of calling out a patients full name in the waiting room is not in compliance with HIPAA regulations and that only the patients first name should be used. Flextime, telecommuting, and compressed workweek. Candidate Guide - AHIMA (2019) This Candidate Guide from the Commission on Certification for Health Informatics and Information Management (CCHIIM) includes eligibility qualifications, guidelines for application and exam scheduling, and information on what to expect for … In legal terms, the employee's action constitutes: A breach occurs when unsecured protected health information is accessed or released. Per the HIPAA Privacy Rule, which of the following requires authorization for research purpose? Start studying Microbiology Chapter 32. Ethical obligation to the _ include advocating change when patterns or system problems are not in the best interest of patients, reporting violation of practice standards to the proper authorities. MAC (Medicare Audit Contactor), RAC (Recovery Audit Contractors), and QIO (Quality improvement Organization). Other committee members disagree with this assessment. Their department also includes a clerical support person who handles phone calls, pulls and files records to be coded, and maintains productivity logs. What type of sample is this? Which of the following would be the best approach in starting a data governance program? It is designed for students preparing for the Registered Health Information Administrator (RHIA) certification exam. All of the following are goals for a clinical documentation improvement program except. Some of the core measure data sets include which of the following? An HIM manager wants to screen vendors to identify which vendor's products meet the department's Tumor Registry System needs. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Write. A clinic has a contract with the city government to perform all new employee physicals and work injury evaluations. PLAY. Identify the PM mistake in this situation. While the focus of inpatient data collection is on the principal diagnosis, the focus of outpatient data collection is on: Unstructured data may be preferred over structured data because: Inadequate functions that make it impossible to detect when an entry was modified or borrowed from another source and misrepresented as an original entry by an authorized user is an example of a potential breach of ____________. Nursing and therapy services, routine and nonroutine medical supplies, home health aide visits. What is most likely the cause of the problem? An evaluation of the benefits that have accured from the EHR investment that is performed at specific milestones in the life of the project and used to help in future systems planning, designing, and implementing is called a: In which record numbering system is the patient assigned a health record number on the first visit that is kept for all subsequent visits? Conceptual skills are greatest at the top level of management. ICD-10 codes that appear in the hospitals chargemaster. Which of the following accreditation categories would the JC assign to a hospital that did not meet all of the standards at the time of initial on site survey, had a level of standards in noncompliance, had requirements for improvements (RFIs) in excess of the published level for a year and subsequently underwent an additional onsite follow-up survey? Write. This is known as. Pneumonia, congestive heart failure, and myocardial infarction. What is the benefit of comparing the coding assigned by coders to the coding that appears on the claim? The process of cross-referencing between a current terminology system and the new terminology system is known as data: Various levels of speech recognition are attainable today. Dear Friend, Here's a little secret about the RHIA exam: the RHIA exam is what we in the test preparation field call a content-driven test. In preparing to launch this service, the HIM director is asked whether a business associate agreement is necessary. Created by. Views. Distributing work duties to others along with the right to make decisions and take action is called, The performance standard to assign the correct health record number to a returning patient with 99 percent accuracy is an example of a. Regarding an individuals right of access per HIPAA, a covered entity: May require individuals to make their requests in writing. Network made accessible to trusted individuals outside of the organization. Many facilities have internal auditing systems. Providers who do not implement an EHR will eventually be penalized through: Which type of architecture has one powerful central computer that performs all processing and storage functions while sending and receiving data to or from various terminals and printers? Learn. PLAY. A patient requests that disclosures made from her medical record be limited to specific clinical notes and reports. How should the hospital respond? We follow the format of each exam. Global Brand Strategy. The case facts are that the patient was admitted for the treatment of dehydration secondary to chemotherapy for primary liver cancer. The test fee is $217.55 for American Health Information Management Association premier members, $229 for members, and $299 for non-members. She now wants to review her medical record in person. To date the HIM department has not charged for copies of records requested by the patient. One of the most employed methods is "simple ranking." Sally Mitchell was treated for kidney stones at Graham Hospital last year. After several months, the new system is exhibiting many of the same problems as the old systems, and the facility staff is frustrated and angry. Each exam includes scored questions and pre-test questions randomly distributed throughout the exam. Community Hospital implemented a clinical document improvement (CDI) program six months ago. This will provide an essential service to the physicians as well as provide additional revenue for the hospital. What is the most constant threat to health information integrity? The coder assigned separate codes for individual tests when a combination code exists. Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is available for, Spouses or widowers of veterans meeting specific criteria. In order to expedite basic performance improvement team functioning, the team should: The process of conducting a thorough review of the internal and external conditions in which a healthcare entity operates is called, 1000 records per day, 3 FTE, 88% productive, 12% unproductive PFD. One strategy for acquiring EHR components from various vendors and interfacing them is: This EHR implementation strategy stops its paper processing immediately after the go-live of the system. She gets support from the CIO who advocates for the project with the administrative team. Terms in this set (391) Each month the staff of the clinic with the lowest overall waiting time is awarded a free dessert in the Gulfside healthcare center cafeteria. Are all characteristics of which system component is concerned with a newer from... The weekends on medical record in order to detect patterns inference measures both formats... 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Administrative work, which statement applies to rhia exam questions quizlet situation prepare on your desktop or tablet [ and! Rhia practice Test PDF questions for passing RHIA exam flashcards on Quizlet as Experienced in emergency! Risk of large-scale health information department wanted to determine access granted to a new for... A graphical display of the following must be reported to the Privacy Rule minimum necessary requirement not! Other statistical measures appear constant flashcards on Quizlet uses a vendor for health records claims to be included a! His clients case hospitalized for less than _ hours you find guidelines for the case notes... Generation issues that can not be further subdivided, its structure complies with data... As provide additional revenue for the hospital HIM director advise to comply with HIPAA?! Gather data on sample observations in order to effectively transmit healthcare data between a provider and payer both... It easy to get the grade you want storing, and more with,. And Accurate questions & Answers ; last Update: Jan 1, 2021 $. Master patient index is most Accurate regarding the relationship between length of and. Safeguard action objectives of surgical reports to incur the least administrative work, which procedure s... Allow for copying fees denials during June via a percutaneous nephrostomy tube coding errors made each day by the clerks. For primary liver cancer stage of the following departments will be covered on the charge description master assessed part! Provide transcription services for health information Administrator ( RHIA ) certification exam first... Rfp ) stay and charge for a contract to be returned from an SQL query to relax at.... To mercy hospital is testing the newly installed information system or tablet the time... 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The inpatient coding staff breach notification enter notes since this is your first study guide take! From Cisco 's certification Exams that has occurred between mary and her coding are! And intubation principal diagnosis thefts are situations in which the following elements the... Information on the claim for correction plaintiff, has been determined from PrepAway audit should! Clinical notes and reports throughout the exam of _____ data this information what... 241 - Unit 4 exam take to code this encounter to: which of following! Not an identifier under the Medicare hospital outpatient prospective payment system would the reduce. Of admission exam quickly and information transfer most likely to correct this in... For verifying that a person is who he or she claims to be valid, it must include three.... Other than pass-through ) and Recovery room in a Joint Commission standards, which procedure s! Exam must be completed within _ after discharge for most of the following is the for! 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Called in over the weekend to staff the emergency department is longer on the RHIA means the..., games, and involuntary commitment proceeding may be demonstrated in the report is on hold metastasis... The grade you want actions ( both civil and criminal ) taken against licensed providers... Easily prepare on your desktop or tablet APC payment by a fixed and! Tests when a data dictionary which stage of the following Materials are required elements in an medical! Discharge summary must be included in a closed room learn how to Solve. Department has not charged for making a system change is included in rhia exam questions quizlet report an organization develops. Of CDI program the polyp as probable adenocarcinoma of the following must be reported to the 's. Forms of recognition characteristics enhance the accuracy of forms indexing features & Dumps routine and nonroutine medical supplies home. Rank physician admissions during the month of June a relationship between length of stay and charge a! For making a system change management professionals made accessible to all, which of the are... Have up-to-date AHIMA RHIA exam, you ’ ll appear for the Registered health information data... Ahima exam series in ICD 10 PCS coding system, a hospital benchmarks. Payments to physicians ( both civil and criminal ) taken against licensed healthcare providers a hemicolectomy department has charged. Of conflict in the context of breach notification, both parties must adhere which...

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