RHIT Exam with Complete Solutions, Exams of Advanced Education

RHIT Exam with Complete Solutions

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2024/2025

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RHIT Exam with Complete Solutions
DEEDS - ANS-Data Elements for Emergency Department Systems (Used for
Emergency Department)
EMDS - ANS-Electronic Document Management System
HEDIS - ANS-Health Plan Employer Data and Information Set (used for Managed Care
and is designed to organize data for public release about the outcomes of care)
MDS - ANS-Minimum Data Set (Used in Long Term Care)
NCDB - ANS-National Cancer Database
OASIS - ANS-Outcome and Assessment Information Set (Used for home health care
and medicare)
ORYX - ANS-The Joint Commission's ORYX® initiative integrates outcomes and other
performance measurement data into the accreditation process. ORYX measurement
requirements are intended to support Joint Commission-accredited organizations in
their quality improvement efforts.
UHDDS - ANS-Uniform Hospital Discharge Data Set (Used for inpatient)
UACDS - ANS-Uniform Ambulatory Care Data Set (Used for outpatient)
Data - ANS-raw facts that are not interpreted or processed such as
numbers, letters, images, symbols and sounds that is organized in a hierarchy that
begins with the smallest to largest
Health Data - ANS-are the health facts collected on the patient
Example - blood pressure, a lab result
Information - ANS-is factual data that have been collected, combined,
analyzed, interpreted, and/or converted into a form that can be used for a specific
purpose.
Primary Data Source - ANS-The health record because it contains information about a
patient that has been documented by the professionals who provided the services.
Secondary Data Source - ANS-Data taken from the primary health record and entered
into registries and databases etc.
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RHIT Exam with Complete Solutions

DEEDS - ANS-Data Elements for Emergency Department Systems (Used for Emergency Department) EMDS - ANS-Electronic Document Management System HEDIS - ANS-Health Plan Employer Data and Information Set (used for Managed Care and is designed to organize data for public release about the outcomes of care) MDS - ANS-Minimum Data Set (Used in Long Term Care) NCDB - ANS-National Cancer Database OASIS - ANS-Outcome and Assessment Information Set (Used for home health care and medicare) ORYX - ANS-The Joint Commission's ORYX® initiative integrates outcomes and other performance measurement data into the accreditation process. ORYX measurement requirements are intended to support Joint Commission-accredited organizations in their quality improvement efforts. UHDDS - ANS-Uniform Hospital Discharge Data Set (Used for inpatient) UACDS - ANS-Uniform Ambulatory Care Data Set (Used for outpatient) Data - ANS-raw facts that are not interpreted or processed such as numbers, letters, images, symbols and sounds that is organized in a hierarchy that begins with the smallest to largest Health Data - ANS-are the health facts collected on the patient Example - blood pressure, a lab result Information - ANS-is factual data that have been collected, combined, analyzed, interpreted, and/or converted into a form that can be used for a specific purpose. Primary Data Source - ANS-The health record because it contains information about a patient that has been documented by the professionals who provided the services. Secondary Data Source - ANS-Data taken from the primary health record and entered into registries and databases etc.

Aggregate Data - ANS-Data in groups of patients without identifying a specific patient. Example statistics on LOS Autologous - ANS-The donor and the recipient are the same person (example would be using a patient's own skin to do a skin graft) Nonautologous - ANS-The donor and the recipient are not the same person (example would be using donor skin to do a graft) Synthetic - ANS-Material is not biologically derived (meaning it did not come from a living thing) Intraluminal Device - ANS-Situated within - introduced into the lumen (blood vessel) Extraluminal Device - ANS-Outside the lumen (blood vessel) Allogeneic - ANS-Taken from different individuals of the same species. Two or more individuals are said to be (blank) to one another when the genes at one or more loci are not identical. Synogeneic - ANS-Genetically identical or closely related, so as to allow tissue transplant; immunologically compatible (one identical twin to another) Zooplastic - ANS-The surgical transplantation to man of animal tissues A software interface is - ANS-program to exchange data To use a data element for aggregation and reporting, that data element must be - ANS- Abstracted or indexed Valley High, a skilled nursing facility, wants to become certified to take part in federal government reimbursement programs such as Medicare and Medicaid. What standards must the facility meet to become certified for these programs? - ANS-Conditions of Participation The utilization manager's role is essential to - ANS-Prevent denials for inappropriate levels of service The accounts not selected for billing report is used to track accounts that are - ANS-In bill hold or in error and awaiting billing A _____ assists in educating medical staff members on documentation needed for accurate billing. - ANS-Physician Champion

problem-oriented health record - ANS-is a documentation approach in which the physician defines each clinical problem individually and all documentation related to that clinical problem is stored together. (Organized in numeric order) integrated health record - ANS-organizes all the paper forms in strict chronological order and mixes the forms created by different departments. Alphabetic filing system - ANS-A system of health record identification and storage that uses the patient's last name as the first component of identification and his or her first name and middle name or initial for further definition. middle digit filing system - ANS-A numeric filing system in which the middle digits are used as the finding aid to organize the filing system. numeric filing system - ANS-A system of health record identification and storage in which records are arranged consecutively in ascending numerical order according to the health record number. Straight numeric filing system - ANS-A health record filing system in which health records are arranged in ascending numerical order. terminal digit filing system - ANS-A system of health record identification and filing in which the last digit or group of digits (terminal digits) in the health record number determines file placement. unit numbering system - ANS-A health record identification system in which the patient receives a unique medical record number at the time of the first encounter that is used for all subsequent encounters. (All encounters or patient visits are filed or linked together serial numbering system - ANS-A type of health record identification and filing system in which patients are assigned a different but unique numerical identifier for every admission. serial-unit numbering system - ANS-A health record identification system in which patient numbers are assigned in a serial manner but records are brought forward and filed under the last number assigned. case mix index - ANS-is a method of grouping patients according to a predefined set of characteristics. Medicare severity diagnosis-related groups (MS-DRGs) are often used to determine case mix in hospitals. When calculating case mix using MS-DRGs, the case-mix index (CMI) is the average relative weight of all cases treated at a given facility or by a given physician, which reflects the resource intensity or clinical severity of a specific group in relation to the other groups in the classification system.

Record Destruction - ANS-After 6 years and for minors when they are 21 plus 6 years primary data source - ANS-A record developed by healthcare professionals in the process of providing patient care. secondary data source - ANS-Data derived from the primary patient record, such as an index or a database, registry, or coding. aggregate data - ANS-Data extracted from individual health records and combined to form de-identified information about groups of patients that can be compared and analyzed. Mean - ANS-A measure of central tendency that is determined by calculating the arithmetic average of the observations in a frequency distribution. (Average of all the numbers) Median - ANS-Midpoint - the point at which 50% off the observation falls above and 50% falls below range - ANS-Measure of spread - the difference between the smallest and largest values in a frequency spread inpatient cencus - ANS-those patients present at midnight or the census taking time inpatient daily cencus - ANS-those patient present a midnight plus any admitted and discharged that same day. inpatient service days - ANS-A unit of measure equivalent to the services received by one inpatient during one 24-hour period. scatter diagram - ANS-used to plot the points for two variables that may be related to each other in some way ASTM - ANS-American Society for Testing and Measurement (one of the best resources in helping to define the content of the electronic health record as to standardize data definitions.) American College of Surgeons - ANS-Cancer registries receive approval as part of the facility cancer program from this agency CMS - ANS-Use data from the MDS for long term care Incidence Rate - ANS-described the probability or risk of illness in a population over a period of time.

Documentation is insufficient to determine if condition was present on admission, W— Provider is unable to clinically determine whether condition was present on admission Which governmental fraud and abuse effort focused on recouping lost funds for the Medicare program due to inaccurate coding and billing? - ANS-Operation Restore Trust Which of the following statements is true in regard to responding to requests from individuals for access to their protected health information (PHI)? - ANS-A cost-based fee may be charged for making a copy of the PHI. A hospital CEO wants to organize the organization's policies, procedures, and business expertise to increase overall effectiveness and efficiency. Which of the following systems would be best to accomplish this task? - ANS-Knowledge management system Specific performance expectations and structures and processes that provide detailed information for each of the Joint Commission standards are called: - ANS-Elements of performance The protection measures and tools for safeguarding information and information systems is a definition of: - ANS-Data security The document that demonstrates steps taken to ensure data quality is called the: - ANS-Coding compliance plan Which of the following computer architectures would be best for implementing an EHR for a healthcare system that needs to transmit data to its various campuses located across a wide geographic area? - ANS-Wide area network (WAN) Which of the following provides organizations with the ability to access data from multiple databases and to combine the results into a single questions-and-reporting interface? - ANS-Client-server computer Which of the following information systems manages the day-to-day operations of a business? - ANS-Transaction processing system The RFP generally includes a detailed description of the system's requirements and provides guidelines for vendors to follow in: - ANS-Bidding for the contract In a database the LAST_NAME column in a table would be considered a: - ANS-Data Element Which of the following is an advantage offered by computer-based clinical decision support tools? - ANS-Review structured electronic data and alert practitioners to out-of- range laboratory values or dangerous trends.

Which of the following is used as sketch of the user interface during system development? - ANS-Screen Prototype In hospitals, automated systems for registering patients and tracking their encounters are commonly known as ________ systems. - ANS-ADT (Admission Discharge Transfer) Which of the following statements applies to systems thinking? - ANS-Every system has inputs and outputs, and the processing of inputs eventually produces outputs Which of the following would be an example of a reviewable sentinel event? - ANS- Incidence of infant abduction - Sentinel events usually involve significant injury to, or the death of, a patient or an employee through avoidable causes. Which of the following can assist managers with the tasks of monitoring productivity and forecasting budgets - ANS-Workload statistics Which of the following should be avoided when designing forms for an electronic document management system (EDMS)? - ANS-Shading of bars or lines that contain text The APC payment system is based on what coding system? - ANS-CPT/HCPCS codes Which of the following is the approved method for implementing an organization's formal position? - ANS-Policy and procedure Which of the following numbering systems is best for maintaining the encounters of a patient's health record together? - ANS-Unit System After appropriate diagnostic and procedural codes are assigned, which of the following must be performed for the provider to be reimbursed in a fee-for-service payment arrangement? - ANS-Assign a fee to each service from the provider's standard fee schedule The HIPAA Privacy Rule requires that records be produced within 30 days to a patient or their personal representative, with a one-time extension of an additional 30 days if necessary. If such an additional 30 days is needed, the covered entity must notify the patient in writing of the need for additional time - ANS-Which is the longest timeframe the hospital can take to remain in compliance with HIPAA regulations? Cancer registries are established by hospitals - ANS-Voluntarily or by state law FTE Calculation - ANS-Number of FTE's needed=Patient Encounters/Productivity Status Indicators - ANS-T - 100% Paid Mode - ANS-is the number that appears most often in a set of numbers.