Registered Health Information Administrator (RHIA®) bundle

A director of health information services in a hospital wants to implement a computer-based patient record system over the next 2 years. She gets support from the CIO, who advocates for the project with the administrative team. The CIO has become the project's ________. a. Stakeholder b. Champion...

Record retention program CORRECT ANSWER conducting an inventory of the facility's records, Determining the format and location of record storage, Assigning each record, a retention period, Destroying records, no longer needed root operation: resection (T) CORRECT ANSWER What operation does: t...

Source-Oriented Health Record CORRECT ANSWER Documents organized into sections according to the provider's and departments that provide treatment (lab together, rad. together, clinical notes together) Problem-Oriented Health Record CORRECT ANSWER Divided into four parts: database, problem list, ...

Patient is admitted to the hospital with acute abdominal pain. The attending medical physician requests a surgical consult. The consultant agrees to see the patient and conducts a omprehensive history and physical examination. The physician ordered lab work to rule out pancreatitis, along with an ul...

Each month the staff of the clinic with the lowest overall waiting time is awarded a free dessert in the Gulfside healthcare center cafeteria. take a look at the information listed above. the winner will be selected based on a. demonstrative clinical data b. comparative aggregate data c. objectiv...

What term is used in reference to objective descriptions of processes, procedures, people, and other observable objects and activities? - Answer Data Which of the following processes is an ancillary function of the health record? - Answer Biomedical Research What term is used in reference ...

HL7 - Answer A set of international standards for transfer of clinical and administrative data between software applications used by various healthcare providers. These standards focus on the application layer, which is "layer 7" in the OSI model. Data Validity - Answer Accuracy of data ...

An audit trail is a good tool for which of the following? - Answer Reconstructing electronic events 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. based on the f...

Authorizations are always required for the use or disclosure of psychotherapy notes except in which of the following situations: - employee and employment-related activities - health insurance carrier -media-related activities -carry out payment, treatment and operations - Answer carry...

This committee makes recommendations to the governing board for appoints to the medical staff - Answer executive physicians who deliver most of the medical care in hospitals and who site on committees are - Answer active staff accreditation organization which accredits health information e...

A discharge summary must be completed within____days after discharge for most patients but within ___for patients transferred to other facilities. Discharge summaries are not always required for patients who were hospitalized for less than ___ - Answer 30 days/24 hours/48 hours systematic rando...

Lack of Priority - Answer In a project when dependencies aren't set out because of a lack of priority on the tasks Security Risk Analysis - Answer Provides covered entities and business associates with the structural frame work in which to build their HIPPA security plan State Licensure...

A Staghorn calculus of the left renal pelvis was treated earlier in the week by lithotripsy and is now removed via a percutaneous nephrostomy tube. What is the root operation performed for this procedure? a. Destruction b. Extirpation c. Fragmentation d. Release - Answer b. Extirpation **...

Mildred Smith was admitted to a nursing facility with the following information: "Patient is being admitted for Organic Brain Syndrome." Underneath the diagnosis her medical information was listed along with a summary of the care already provided. This information is documented on the: a.) Admitt...