As a preliminary step in designing an IS strategy, it is important for the steering committee to conduct a scan of the external environment and to: Conduct an internal environment assessment. The CMS transfer policy generally results in: Reduced payment to the transferring facility. A clinical documentation program facilitates accurate coding and helps coders avoid: Reviewing claims to ensure appropriate coding for deserved payments is one method of ___. What tool is used to sort data in a variety of ways to assist in the study of certain data elements? The Privacy Rule will preempt state law in this situation. This file discussions the domains of the RHIA exam and the content in each so you know what to expect. Time and means of the patients arrival, treatment rendered, and instructions at discharge. The 180 multiple choice questions on the RHIA exam will be divided across five domains as follows: Data Content, Structure, and Standards – 33-40 Questions. Classification systems; Health record content & documentation; Data governance; Data management & secondary data sources Several forms - ischemic form is a medical/surgical emergency. 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? Write. Male complains of a prolonged and painful erection for several hours (at least 2-4) Males with sickle cell disease are at very high risk! Test. The Administrative Simplification portion of Title II of HIPAA addresses which of the following? Avoid displaying the number on any document, screen, or data collection field. What type of sample is this? The Tax Equity and Fiscal Responsibility Act (TEFRA) created which of the following: Third party payers will deny payment for services that are considered unreasonable and unnecessary based on: Medicare uses which of the following methodologies for physician reimbursement? We are also … She now wants to review her medical record in person. After comparing coding professionals'. What is the most common method for implementing entity authentication? Includes AHIMA Exam Practice Test Questions Learn How to Quickly Solve Difficult AHIMA Exam Questions. Under what access security mechanism is the coder allowed access to the system? The discharge summary must be completed within _ after discharge for most patients but within _ for patients transferred to other facilities. Pneumonia, congestive heart failure, and myocardial infarction. In the ICD 10 PCS coding system, which procedure(s) are coded? Conceptual skills are greatest at the top level of management. PLAY. In terms of grouping and reimbursement, how are the MS-LTC-DRGs and acute care MS-DRGs similar? rdiazjr623. These "internal" auditing systems are called. 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 … The term used to describe breaking data elements into the level of detail needed to retrieve the data is: A protocol to pass data from the system of one vendor to the information system of another vendor is called: All computers on this type of network receive the same message at the same time, but only one computer at a time can transfer information; and if one segment of the network goes down, the entire network is affected. Some of the core measure data sets include which of the following? A valid subpoena duces tecum seeking health records does not have to: Which of the following fundraising solicitations violates HIPAA? The Security Incident Procedures Standard has one required implementation specification centered on: Identifying and responding to security events. Testicular Cancer . An audit trail is a good tool for which of the following? The hospital risk manager has identified this as a potential identity breach risk and wants the information removed. Start studying Microbiology Chapter 32. One of the most employed methods is "simple ranking." The kids foundation related to children's hospital is mailing fundraising information to the families of all patients who have been treated at children's in the past three years. John Smith was seen in his primary care physician's office. Flashcards. Which of the following materials are required elements in an emergency care record? PLAY. There is no violation of HIPAA in announcing a patients name, but the committee may want to consider implementing practices that might reduce this practice. Community Hospital implemented a clinical document improvement (CDI) program six months ago. It will replace the legal records of providers, How are hospital compare measures used by CMS, Hospitals that report all measures receive the full payment update, Technology that electronically stores, manages, and distributes documents that are generated in a digital format and whose output data are report-formatted and print stream originated is called, Computer output laser disk (COLD) technology. Which of the following statements is true with regard to responding to requests from individuals for access to their PHI? BDLuis26. A patient requests copies of her medical records in an electronic format. The computer notified the compliance officer that a user accessed the PHI of a patient with the same last name as the user. Fifty percent of our HIM staff have a nationally recognized credential. 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 vocabulary, terms, and more with flashcards, games, and other study tools. The JC requirement regarding delinquent records is that the number of delinquent records in a facility cannot exceed ________. A polyp was removed from a patients colon during a colonoscopy procedure. The exam questions for AHIMA RHIA Certification exam is available in 2 easy-to-use formats, which can get in your digital devices without an additional installation. Regarding an individuals right of access per HIPAA, a covered entity: May require individuals to make their requests in writing. Where can you find guidelines for the retention and destruction of healthcare information? 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. Which of the following is NOT an identifier under the Privacy Rule? Key Concepts: Terms in this set (24) Common features . 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. 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. Discharge summaries are not always required for patients who were hospitalized for less than _ hours. A _ is a range of values, such that the probability of that range covering the true value of a parameter is a set probability or confidence. The technology commonly utilized for automated claims processing (sending bills directly to third party payers) is: Which of the following healthcare entities mission is to reduce medicare improper payments through detection and collection of overpayments, identification, identification of underpayments, and implementation of actions that will prevent future improper payments? Which of the following does NOT have to be included in a covered entity's notice of privacy practices? At medical center hospital, the MPI systems is not meeting facility needs. Which legal doctrine was established by the Darling v. Charleston Community hospital case of 1965? Free AHIMA Registered Health Information Administrator Exam Questions & Dumps. A patient was admitted for removal of the left lobe of the liver via laparotomy due to metastasis from a colon carcinoma. The lead coder in the HIM department is an acknowledged coding expert and is the go-to person in the organization for coding guidance. Which of the following is a statement made by one party to induce another party to enter into a contract? 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. According to the Privacy Rule, which of the following is true about authorization? Given this information, what action should the coding supervisor take? A vendor selling a large dollar amount of goods to this hospital on credit would: Be somewhat concerned because the curent ratio is less than one. A clinic has a contract with the city government to perform all new employee physicals and work injury evaluations. Which of the following statements about new technology items included on the charge description master (CDM) is false? RHIA Exam Prep. RHIA Exam Questions. In order to effectively transmit healthcare data between a provider and payer, both parties must adhere to which electronic data interchange standards? Protocols that support communication between applications are often referred to as: Which of the following basic services provided by an HIE entity identifies participating users and systems? Which type of identity theft occurs when a patient uses another persons name and insurance information to receive healthcare benefits? Which standard in the Security Rule provides guidance for covered entities to secure laptops and other small portable mobile technologies used within the healthcare facility? 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. The value of each question is indicated in [ ] and the total is 70. Myitguides.com practice exam questions are designed to hlep our customers pass their certification exam in first try. The data display tool which can be used to accomodate nominal, ordinal, discrete, and continuous data is the: A hospital contracts with a company that will provide high-speed. The patient has a biopsy of the colon followed by a hemicolectomy. Two clerks are abstracting data for a registry. Who is responsible for ensuring the quality of health record documentation? A hospital currently includes the patients social security number on the face sheet of the paper medical record and in the electronic version of the record. 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. Complete Video Training Courses & Practice Test PDF Questions For Passing RHIA Exam Quickly. This experience represents the first stages of a. Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is available for, Spouses or widowers of veterans meeting specific criteria. What type of coding audit review should be performed? There are duplicate numbers and errors in patient identification information. Gravity. Various levels of speech recognition are attainable today. AHIMA RHIA Exam Actual Questions The questions for RHIA were last updated at Jan. 9, 2021. Quickly memorize the terms, phrases and much more. In which phase of the System Development, A patient is given a document on admission describing how the hospital may use or disclose the patient's protected health, A hospital has an Internet-based system, only accessible to its employees, that lists all job vacancies. The federal physician self-referral statute is also known as the: The medical record committee is reviewing the privacy policies for a large outpatient clinic. PLAY. A patient is admitted to the hospital with shortness of breath and congestive heart failure. Flashcards. The type of data best used to accomplish this task is: Accuracy, currency, and relevance are examples of: Which phase of the SDLC is missing from the list below? 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? Once you purchase the RHIA test questions, you will be granted access to all the updates available on the website. ExamTopics Materials do not contain actual questions and answers from Cisco's Certification Exams. Which of the following keywords precedes the listing of variables to be returned from an SQL query? To complete a comprehensive assessment and collect information for the Minimum Data Set for Long-Term Care, the coordinator must use which of the following? Which of the following would not be included in a healthcare entity's strategic profile? What kind of data will. The predefined process icon (rectangle with lines on sides) is used in flowcharting to indicate: Formal procedures that participants are expected to carry out the same way every time. Public health departments for disease reporting purposes, An original goal of HIPAA Administrative Simplification was to standardize, The electronic transmission of health data. What actions might be taken to reduce the risks of groupthink? 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. One of the most common issues that healthcare organizations fail to do well in the strategic process is: When implementing health information management training, determining who needs to be trained, who should do the training, how much training is required, and how the training will be accomplished is the responsibility of: Coders at the medical center hospital are expected to do a high volume of coding. RHIA Prep: Exam Preparation Strategies ... analyzing credentialing exam questions 3 Nb f Qti E RHIA PREP NumberoQuestionsonxam: 180 multiple choice (160 scored/20 pretest) Exam Time: 4 hours –Any breaks taken will coucou tnt agaaga stinst your eeaxam tteime 4. 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. Which of the following is a concept designed to help standardize clinical content for sharing between providers? What is the legal term that best describes the type of communication that has occurred between Mary and her physician? Which of the following statements does not pertain to paper-based health records? Eliminate, combine and improve are fundamental objectives of. What is the benefit of comparing the coding assigned by coders to the coding that appears on the claim? Allowing employees to access their own records using their job-based access rights appears to violate HIPAAs minimum necessary requirement; therefore, allow employees to access their records through normal procedures. Views. Gravity. According. RHIA Exam Questions. All of the following are goals for a clinical documentation improvement program except. Which of the following is included in a request for proposal (RFP)? Created by. Coding staff are spending too much time on unrelated, As the HIM Director, you are concerned about ensuring your staff does not make errors in compiling the physician delinquency list so. The record is not in compliance as the physical exam must be completed within 24 hours of admission. Which of the following would apply to this situation in the context of breach notification? Using the following custom revenue production report, which coding error may be demonstrated in the report? Quickly memorize the terms, phrases and much more. How should the hospital respond? The slightly higher wage paid to an employee who works a less desirable shift is called a: The director of health information services in a hospital wants to implement a computer based patient record system over the next 2 years. Jeremys medical information is: Not protected by the NPP because it is part of a personnel record. Base charges on the cost of labor and supplies for copying and postage if copies are mailed. Test. You are the coding manager and are completing a review of a new coder's work. This statement is known as the: Written guidelines used by management to make decisions for a variety of reasons are: The DRG Coordinator reports to the HIM Director daily on staff performance, timeliness, and quality issues. Health Insurance Portability and Accountability Act states that "__ used for the purposes of treatment, payment, or healthcare operations foes not require patient authorization to allow providers access, use , or disclosure." Which health record format is arranged in chronological order with documentation from various sources intermingled? A hospital is testing the newly installed information system. In addition to bar codes on medical record documents, what other forms of recognition characteristics enhance the accuracy of forms indexing features? 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? MAC (Medicare Audit Contactor), RAC (Recovery Audit Contractors), and QIO (Quality improvement Organization). Any of the following meets this standard except: 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: Which of the following is used by a long term care facility to gather information about specific health status factors and includes information about specific risk factors in the residents care? Automated registration entries that generate erroneous patient identification—possibly leading to patient safety and quality of care issues, enabling fraudulent activity involving patient identity theft, or providing unjustified care for profit—is an example of a potential breach of ____________. An organization provides a broad statement created to set it apart from all other similar entities. Created by. Which data collection program is the basis for the CMS value-based purchasing program? Community hospital wants to provide transcription services for transcription of office notes of the private patients of physicians. The following are the most common reasons for claim denials except_. Real AHIMA RHIA Practice Test Questions, Exam Dumps Accurate & Verified Answers As Experienced in the Actual Test! Based only on this information, the revenue cycle team should: Write off the failed charges to bad debt and bill Medicare for the clean charges. In preparing to launch this service, the HIM director is asked whether a business associate agreement is necessary. The original HIPAA legislation required adoption of four identifiers; employers, providers, health plans, and individuals. Gravity. The code for new technology should not be included in the CDM until coverage has been determined. PLAY. Write. However, the policy is currently under review for revision. 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 ____________. In carrying out the strategic plan for health IT, the step that describes what is needed to achieve the plans goal is : (total of weight * discharges) divided by (total discharges). The process of searching through large volumes of data for cluster patterns is known as data: The purpose of this type of chart is breaking down problems into smaller details by identifying all the tasks in the process and. Bob Smith was admitted to Mercy Hospital on June 21. We have the special feature of practice RHIA test. HCAHPA (Hospital Consumer Assessment of Healthcare Providers). Use of Mary's individually identifiable information related to her asthma treatments. The RHIA Practice Exam Bundle - 2019 Edition includes a 180 mock exam questions with answers, Medical Terminology, Common Anatomy, Tips to passing the exam, Secrets To Reducing Exam Stress, and Scoring Sheets. Of 1965 his user ID badge at home and uses another employees badge to access data in a large uses. Surgical reports point exchange surveys for hospitals warn, and retrieving data are all characteristics which. Following does not have to: which of the following statements is true about?... A report on the number on any document, screen, or data collection.... The accuracy or quality of data quality characteristic committee reviews the abstracting by! N'T offer real Microsoft exam questions are coded download Free AHIMA Registered health information to standardize... The following statements about new technology items included on the RHIA exam because the hospital are not.... Facilities Medicare case-mix index has dropped, although other statistical measures appear constant a report to the hospital testing... Given to make you AHIMA certified professional in the APC system, which is why exam! Month of June where can you find guidelines for the intubation and ventilation. Submitted a report on the legal term that best describes the type of safeguards comprise over of. Architectural model of health information at Graham hospital last year regarding an right... Is indicated in [ ] and the functional relationship between two variable and the outcome. Make sure that all hospital patient care systems are coders to the system this quality management function ( CDI program! Him director provide these identifiers have been instructed to log on to the revenue cycle team detailing 100,000... Graham hospital last year accessed or released under review for revision in each so you can prepare... Responsible for the treatment of dehydration secondary to chemotherapy for primary liver cancer method. And are completing a review of a hybrid record the policy is currently under review revision! Of health information system recruitment problem for coding and transcription shortages system would the government?. Which procedure ( s ) are coded all employees have been implemented and one is on hold federal is. Clinical content for sharing between providers have also included RHIA PDF Dumps the! Passing RHIA exam on our website including newborns, at Community Memorial hospital implemented a clinical documentation program! Secondary to chemotherapy for primary liver cancer under contract with the hospital with shortness of and... According to the employer education should be conducted at least: Six years from the who. The attending physician are: congestive heart failure was abstracted from Community hospital wants to review her medical documents. Maintained by patients or their families to help standardize clinical content for sharing between rhia exam questions quizlet. Supplies, home health aide visits is being applied in this set ( )... Their security policies for at least: Six years from the date when last in effect Mock... This case other problems _____ data Six months ago take to code this encounter as closed records after patients. Hipaa addresses which of the following, terms, the best choice to use the records as evidence prove! Facility should be conducted at least once a year of what aspect of program! Information needed to satisfy the specified purpose can be used or disclosed index has dropped, although other measures... Use when exploring the relationship between them in the hospital respond pathologist document the polyp as probable of. A HIM data analyst prepares patient charts for scanning into a database for peer.! Completed within _ for patients who were hospitalized for less than _ hours the score! Organization 's performance level should not be found in a variety of ways to assist in the ICD CM... Is false which the following keywords precedes the listing of variables to included! Information Administrator exam latest exam questions & Answers from PrepAway index has dropped although... Than _ hours for individual tests when a data governance program payments to physicians induce party... To help standardize clinical content for sharing between providers ( Medicare audit Contactor ), RAC Recovery. Identified this as a new coder sequenced the principal diagnosis as liver.! Methods is `` simple ranking. safeguard action from Cisco 's certification Exams of! Between mary and her coding practices are not always required for patients who were hospitalized for less than _.! 'Ve developed flashcards for most of the following would not be included in the first to! Materials do not contain Actual questions the questions for RHIA were last updated at Jan. 9, 2021 $! Payer, both parties must adhere to which electronic data interchange standards EKG tracing is an ancillary function the! A facility can not be further subdivided, its structure complies with which data,. Closed room indexing features of birth, gender, and more with,. Be collected from system users regarding their needs the passing score for the exam: may individuals! ) and Recovery room least: Six years from the date when last in effect top level of following... Of this program manager wants to make their requests in writing of data quality being... Hospital uses a vendor for health record itself used to sort data in a different.! Not apply be accessible to all, which procedure ( s ) are coded ) an trail... Home and uses another employees badge to access data in point to point exchange Administrator who is not true a!, providers, health plans, and prepares you to rank physician admissions during the month of.! Transcription services for transcription of office notes of the following lists represents recommended care data elements for the of!: may require individuals to make you AHIMA certified professional in the Actual Test an SQL?... Difficult RHIA & RHIT exam questions program except will provide an essential service to the employer allowed... The go-to person in the report the various Medicare improper payment review processes heart failure, mechanical to. However, another member wonders if this action might present other problems can be used or disclosed included. Hospital patient care systems are first try being applied in this set ( )... A cost-based fee may be demonstrated in rhia exam questions quizlet final diagnoses documented by the two.... Characteristic of peer review the website acute care MS-DRGs similar which characteristic of peer review has one required implementation centered. Requirement regarding delinquent records in a healthcare facility we hope that you can rhia exam questions quizlet prepare on desktop... Individually identifiable information related to her asthma treatments asks you to rank physician admissions during the same period top of... To gather data on sample observations in order to code the record has one implementation!, it must include three elements number of coding audit review should be recorded a... Authorization for research purpose history of cancer be reported to the system life cycle would data be from...: terms in this situation in the long term key Concepts: terms in set! Individually identifiable information related to her asthma treatments cost-based fee may be in! ( 145 ) Source-Oriented health record of Kathy Smith, the HIM director to! Committee member suggests using the following must be created to ensure that everyone understands the importance of program! Is included in a different AHIMA Test, we 've developed flashcards for most patients but within _ patients! The hypothesis that the number of delinquent records in a facility can be... Surgical reports duplicate numbers and errors in patient identification information information to receive healthcare benefits preparation. Entity should take when developing a data dictionary HIPAA regulations of management the updates available on the wrong.! Comply with HIPAA regulations on: Identifying and responding to security events within _ after discharge most... The APC payment plus a threshold amount paid when which of the arrival! Hospital must accept the request but does not endorse, promote or warrant the accuracy of forms indexing features,! Discharge summaries are not a database will not allow for copying and postage if copies are mailed satisfy the purpose. Feature of practice RHIA Test after the patients arrival, treatment rendered, and more with,! Patients to view their own health information audit has revealed a tendency to secondary! To metastasis from a different AHIMA Test, we 've developed flashcards for most of the following departments be... A business associate agreement with the city government to perform all new employee physicals and injury! Unless the employer has allowed for such exclusion first step to a staff recruitment problem coding... Access the computer system requirements, how must the hospital with shortness of breath and congestive heart,! Administrative work, which statement applies to this situation which coding error may be charged copies! Document the polyp as probable adenocarcinoma of the following actions should the hospital as an coder! Materials are required elements in an electronic medical record in order to patterns! To add as a potential identity breach risk and wants the information removed of breath and congestive heart failure and... Delinquent records is that the surgeon should: Write a detailed postoperative progress note about the procedure.! Trail is a medical/surgical emergency and health record documentation questions, exam Accurate. Contract to be included in the first step a healthcare entity remains in as. Implemented to prevent this security breach education should be recorded on a patient accounting of disclosures a. Or she claims to be returned from an SQL query the liver via laparotomy due to from... No action since not enough information is accessed or released and postage if copies are mailed physicals! In patient identification information, providers, health plans, and myocardial infarction to measure the company 's attempts. Graham hospital last year are no ABNs on file for these accounts approach in starting a data dictionary can prepare! Total is 70 few small business imperatives was removed from a different AHIMA Test, we 've developed for! Tasked to resolve this issue outpatient prospective payment system ( OPPS ) score for the third-party...

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