RHIT Practice Test
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,A health record tech has been asked to review the
discharge patient abstracting module of the proposal new
EHR. Which of the following data sets would the tech
cosult to ensure the system collects all federally required
discharge data elements for Medicare and Medicaid
inpatients in an acute-care
hospital?
UHDDS
An outpatient clinic is reviewing the functionality of an EHR it
is considering for purchase. Which of the following data sets
should the clinic consult to ensure that all the federally
recommended data elemts for Medicare and
Medicaid outpatients are collected by the system?
UACDS
Standardizing medical terminology to avoid differneces in
naming various health conditions and procedures (such as the
synonyms bunionectomy, McBride procedure, and repair and
hallux valgus) is one purpose of:
Vocabulary standards
,Patient care managers use the data and information
documented in the health record to:
Evaluate patterns and trends of patient care
The active storage area for health records at Community
Hospitals is almost filled. To create more space in the storage
area, which of the following should be done?
Remove the file folders from all the records
As part of the initiative to improve data integrity, the Data
Quality Committee conducted an inventory of all the
hospital's database. The revie showed that more than 70
percent of the identified database did not have data
dictionaries. Given this data, what should be the committee's
first action?
Establish a data dictionary policy with associated standards
, Community Hospital has more than 100 clinical databases.
The Data Quality Committee is studying the comparability
among the databases. The data elements and data definitions
are
cataloged for each database. What would be the next
logical step to determine the degree of data
comparability among the databases?
Select a representative set of data elements and track
these across the databases to identify consistencies and
differences
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 planned EHR
system. Which of the following should be the HIM director's
first step in carrying out this responsibility?
Identify data content requirements for all areas of the
organization
At admission, Mrs. Smith's date of birth is recorded as
3/25/1948. An audit of the EHR discovers that the numbers in
the date of birth are transposed in reports. This situation
reflects a problem in:
Data consistency