Which of the following is an example of improper teaching? the diseases to be reported are established by state law. lilahjean03. HIT 101 - Chapters 12 & 13. Pre-test questions are not counted in the final results. B. 16 terms. 107 terms. was used on an eye health record to mean "right eye." Please note that after 12/30/18, access to one of course e-textbooks used in HIM2652, Electronic Health Records 2 nd and 3rd Edition, Richard Gartee, … Which of the following is a true statement about the content of the legal health record? 24 terms. Cram.com makes it easy to get the grade you want! Because of unexpected complications; however, the patient was discharged two days after the discharge summary was dictated. The credentialing process of independent practitioners within a healthcare organization must be defined in: Which of the following is true about the legal health record: Physician orders for DNR should be consistent with: Which of the following is an argument against the use of the copy and paste function in the EHR? C. Medication administration record and clinical laboratory reports. Valley High, a skilled nursing facility, wants to become certified to take part in federal government reimbursement programs such as Medicare and Medicaid. The amount of time you have to complete this exam … You are the director of HIM at Community Hospital. The review showed more than 70 percent of the identified databases did not have data dictionaries. What would the HIM director use to provide this list? Two patients were both admitted and discharged on May 2. Hospital documentation related to the delivery of patient care such as health records, X-rays, laboratory reports, and consultation reports are owned: Copies of personal health records (PHRs) are considered part of the legal health record when: B. used by the organization to provide treatment. One abbreviation of "O.D." B. Nine misfiles were identified. Given the numbers 47,20,11,33,30,30,35, and 50, what is the median? Match. Community Hospital's HIM department conducted a random sample of 150 inpatient health records to determine the discharge summary completion timeliness rate. Subjects: Domain 1, Data Analysis and Management: EXAM 1 . B. b. Domain 1: Data analysis and management Filling, numbering and retrieval systems: Paper-based health Policies and procedures need to be in place to address amendments and corrections in the EHR. Write. In what type of report would the physician specialist report findings, impressions, and recommendations? The standard for retrieval of records is 40 per hr. Which of the following is a correct statement regarding DNR orders? The HIM director is having difficulty with the emergency services on call physicians completing their health records. ... RHIA Domain I Review. Patient name, zip code, and health record number are typical: The link that tracks patient, person, or member activity within healthcare organizations and across patient care settings is known as: a. A patient's gender, phone number, address, next of kin, and insurance policy holder information would be considered what kind of data? She_Torchon. Choose from 500 different sets of rhit domain 1 flashcards on Quizlet. medication and clinica laboratory reports. You will be given 3.5 hours for the exam. Find helpful customer reviews and review ratings for RHIT Exam Secrets Study Guide: RHIT Test Review for the Registered Health Information Technician Exam at Amazon.com. Typically, healthcare facilities should retain the master patient index: A hospital's EHR defines the expected values of the gender data element as female, male, and unknown. The following descriptors about the data element ADMISSION_DATE are included in a data dictionary: definition: date patient admitted to the hospital; data type: date; field length: 15; required field: yes; default value: none; template: none. What type of data will you provide to the physician? 200,000 of these individuals were admitted with a principal diagnosis of UTI; another 300,000 were admitted with a principal diagnosis of infectious disease, and 700,000 had a diagnosis of hypertension. Community Hospital wanted to compare its hospital-acquired UTI rate for Medicare patients with the national average. This 6-lesson is focused on health data management, one of the areas of knowledge required for the RHIA Certification Exam . Provides oversight for the development, review, and control of forms and computer screens. Data that are collected on large populations of individuals and stored in databases are referred to as: A health data analyst has been asked to compile a report on the percentage of patients who had a baseline PTT performed prior to receiving heparin. PLAY. The hospital is using the mEDPAR database for its comparison. PLAY. What type of analysis compares omitted clinical information received from external providers with the needed clinical information to make a correct diagnosis? Nurses and clinicians are recording bedside documentation electronically in a clinical documentation system, while most other documentation, such as physician progress notes and orders, are paper based and stored in a paper health record, making retrieval of the complete record after discharge difficult and risking the record's integrity. Enterprise master patient index (EMPI). Clara maintains and updates an individual health record for herself as a tool she can use to collect, track, and share her past and current information about her health with providers. Key Concepts: Terms in this set (72) A health record technician has been asked to review … A health record with deficiencies that is not complete within the timeframe specified in the medical staff rules and regulations is called a(n): How do accreditation organizations such as the Joint Commission use the health record? What clinical report would be the best source to gather this information? Which of the following is an institutional user of the health record? Which of the following is true about information assets? What would be the next logical step to determine the degree of data comparability among databases? AHIMA makes a study guide that includes 2 practice exams, domain quizzes, additional questions and flash cards. Our RHIA exam prep online courses help you simplify your study approach to take the next step and earn the Registered Health Information Associate (RHIA) credential. A health record tech has been asked to review the discharge patient abstracting portion of a proposed new computer system. An HIM technician was alerted by registration that the system has a record for John Smith with two different birthdates. Learn. Competencies for RHIT s fall into six domains. After this merging process, which department should the MPI manager notify to correct the source system data? Which of the following specialized patient assessment tools must be used by Medicare-Certified home care providers? Test. RHIT Exam Review RHIT is a computer-based test that includes 150 multiple-choice questions, of which, 130 count toward your score. The Registered Health Information Technician (RHIT) exam is 3.5 hours, with 150 multiple-choice questions (130 scored/ 20 pretest). Which of the following should be avoided when designing forms for an electronic document management system (EDMS)? Which of the following should be the HIM director's first step in carrying out this responsibility? Dr. Jones comes into the HIM department and requests that the HIM director provide a list of his records from the previous year that show a principal diagnosis of myocardial infarction. What standards must the facility meet to become certified for these programs? What would be the best course of action in this case? identify data content requirements for all areas of the organization. Which of the following is characteristic of the legal health record? B. Which of the following data sets should the clinic consult to ensure that all the federally recommended data elements for Medicare and Medicaid outpatients are collected by the system? Consult with the medical director who has authority over the on call physicians for suggestions on how to improve response to the current notices. Practice Exam Domain 1 (RHIT Exam) OTHER SETS BY THIS CREATOR. Standardizing medical terminology to avoid differences in naming various health conditions and procedures (such as synonyms bunionectomy, McBride procedure, and repair of hallux valgus) is one purpose of: Patient care managers use the data documented in the health record to: B. B. Outcomes and Assessment Information set. Gravity. Given this information, which of the following would provide the best comparison data? Course Description. The RHIT exam consists of 150 multiple-choice questions, including 20 pretest questions that appear randomly throughout the exam and are not scored. Two coders have found the same abbreviation in two records. Exam Prep: RHIA Domain 1—Health Data Management. In the event an amendment, addendum, or deletion needs to be made, which following should occur? A health data analyst has been asked to compile a report of the percentage of patients who had a baseline partial thromboplastin time (PTT) test performed prior to receiving heparin. For this data element, data integrity would be better assured if: In designing an input screen for an EHR, which of the following would be best to capture structured data? The passing score for the RHIA is 300. Which of the following percentages represents the timeliness rate for discharge summaries at Community Hospital? Features. d. Shading of bars or lines that contain text. a. Operative report, anesthesia report, recovery room report. I'm too lazy to go look for the link now sorry. Which of the following would be the best technique to ensure nurses do not omit any essential information on the nursing intake assessment in an EHR? This can be accomplished by the organization through management of which of the following? A medical group practice has contracted with an HIM professional to help define the practice's legal health record. They are available from the AHIMA store. Currently three deficiency notices are sent to the physicians through the EHR system including a final notice, a second reminder, and a final notification. Also the RHIT professional review … Which of the following is the goal of the quantitative analysis performed by HIM professionals? Quizlet … The passing score for the RHIT is 300. and family conditions? Match. You'll have 3.5 hours to complete the exam, which is comprised of … Review each patient's health record concurrently to ensure the history and physicals are present. What is this tool called? c. Ensuring documentation that is being changed is permanently deleted from the record. To create more space in the storage area, which of the following should be done? RHIT Exam Prep Domain 1… How can a healthcare organization manage version control of documents in the her? This is an example of: Erin is an HIM professional. Which of the following would be the best technique to ensure that registration clerks consistently use the correct notation for assigning admission date in an EHR? c. The EHR should retain the previous version of the document and identify who made the change along with the date and time that the change was made. Given these standards, how many filing hours will be required daily to retrieve and file records for each clinic day. The HIM manager is conducting a study in which she is comparing the current year's diagnosis codes to the proposed new codes for the next fiscal year and documenting variations in order to assess the impact on the organization. Which of the following is considered the authoritative resource in locating a health record? B. Terms in this set (105) data dictionary. Which of the following data sets would the tech consult to ensure the system collects all the federally required data elements for discharged Medicare and Medicaid inpatients in an acute-care hospital? The clinic is open 260 days a year and has an average of 500 clinic visits per day. This type of data identifies the patient (such as name, health record number, address, and telephone number) and is called? Each exam includes scored questions and pre-test questions randomly distributed throughout the exam. Learn. 93 terms. Which of the following represents the required documentation elements needed to be included in a patient's health record when a surgical procedure is performed? Read honest and unbiased … RHIT Exam Prep: Domain 1. The RHIT book is purple and is just called RHIT exam prep I believe. This type of specificity is known as: Cancer registries are maintained by hospitals: Which of the following reports includes names of the surgeon and assistants, date, duration, and description of the procedure and any specimens removed? Which of the following is a risk of copy and pasting documentation in the electronic health record? The other abbreviation in another patient's record was used to mean "overdose" in an abuse record. The Data Quality Committee is studying comparability among databases. What measures should be in place to minimize this data entry error? Identify the report where the following information would be found: "HEENT: Reveals the tympanic membranes, nares, and pharynx to be clear. What is the Format of the Exam? Which of the following is a key characteristic of the problem orientated health record? Aligned to the latest AHIMA Core Competencies, The Complete RHIT and RHIA Prep: A Guide for Your Certification Exam and Your Career offers a comprehensive, multimodal review of the RHIT and RHIA Exam content, arming students with the tools to pass the national examination for Registered Health Information Technicians (RHIT… An outpatient clinic is reviewing the functionality of a computer system it is considering purchasing. Krnkn8r. 60 terms. In a routine health record quantitative analysis review, it was found that a physician dictated a discharge summary on 1/26/20XX. B. A critical element of data retrieval planning is designing a: What is considered the authoritative key in locating a health record? Each domain accounts for a specific percentage of the total questions on the certification exam… Information considered to add value to an organization. The EHR may have multiple versions of the same document; for example, a signed and unsigned copy. Request that the physician dictate an addendum to the discharge summary. Identify data content requirements for all areas of the organization. a. With the RHIA online courses, you have … Text used "Registered Health Information Technician Exam Preparation" by Darcy Carter. An example of data collected by TJC for the ORYX initiatives is: Community Hospital HIM department conducted a random sample of 600 health records to determine the rate of filing accuracy. How is the patient registration department assisted by the HIM department? A new HIM erector has been asked by the hospital CIO to ensure data content standards are identified, understood, implemented, and managed for the hospital's planned EHR system. Gravity. Provide a template for entering data in the field. After investigation the technician determined the documentation was for two different patients, both named John Smith, who have the same health record number in the EHR. Which of the following should be the HIM director's first step in carrying out this responsibility? Flashcards. all individuals in the MEDPAR database except those admitted with a principal diagnosis of UTI or infectious disease, A health data analyst has been compile asked to. Achieve your goal to earn the Registered Health Information Technician (RHIT®) credential. HIT 101 - Chapter 11 ... RHIT Prep Domain 1: Data Analysis and Management. b. Which of the following are components of AHIMA's principles of information governance? by hrthomp6, Jan. 2017. Part 1 — 20 Years in Healthcare Analytics & Data Warehousing: What Did We Learn? select a representative set of data elements and track these across the databases to identify consistencies and differences. View RHIT Exam Review Prep Domain 1.docx from ICD-10-CM MC273-7 at Western Michigan University. The RHIT exam is offered at qualifying Pearson VUE testing … No obvious head trauma. Policies and procedures to control which version(s) is. c. Digitally scan all paper records post discharge, and integrate and index these into the existing electronic document management system. The active storage area for medical records at Community Hospital is almost filled. A new HIM director has been asked by the hospital CIO to ensure data content standards are identified, understood,implemented, and managed for the hospital's EHR system. Thirteen discharges were determined to be out of compliance with completion standards. The hospital admitted 30 patients on May 2, discharged 40 patients, including deaths, on May 2. The national committee on vital and health statistics, A. … Jun 25, 2019 - Explore Meg Kessler-Weiglein's board "RHIT" on Pinterest. At admission, Mrs. Smith's date of birth is recorded as 3/25/1948. D. Uses an itemized list of the patient's past and present health problems. A physician has asked for the total number of appendectomies that he performed at your hospital last year. Revenue Cycle - RHIT Exam. Preparation for the AHIMA RHIT Exam Resource. RHIT Exam Review Prep Property of Rasmussen College 2013 Domain 1: Data Analysis & Management Disclaimer Please note that these presentations are designed to serve as a valuable supplement to … This situation reflects a problem in: A health data analyst has been asked to compile a listing of daily blood pressure readings for patients with a diagnosis of hypertension who were treated on the medical unit within a two-week period. Have found the same abbreviation in another patient 's health record concurrently to ensure the completeness of following! The field Quality committee is studying comparability among databases Did not have data dictionaries assisted by the through... Were both admitted and discharged on May 2 registration department assisted by the HIM use. 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