RHIT Mock Exam ALL Sections Study Guide.

RHIT Mock Exam ALL Sections Study Guide. 1. In the past, the Joint Commission stan- dards focused on promoting the use of a facility approved abbreviation list to be used by hospital care providers. With the advent of the Commission's national pa- tient safety goals, the focus has shifted to 2. A risk manager needs to locate a full re- port of a patient's fall from his bed, includ- ing witness reports and probable reasons for the fall. She would most likely find this information in the 3. For continuity of care, ambulatory care providers are more likely than providers of acute care services to rely on the doc- umentation found in the 4. The federally mandated resident assess- ment instrument used in long term care facilities consists of three basic compo- nents, including the new care area assess- ments, utilization guidelines, and the 5. As Director of HIT program, your com- munity college has been selected to par- ticipate in the workforce develeopment of electronic health specialits as outlined by ARRA and HITECH. In order to keep abreast of changes in this program, you will need regular access to the Web site of this governmental agency. use of prohibited or "dangerous" abbrevia- tions incident report problem list MDS or minimum data set ONC 6. A qualitative review of a health record re- veals that the h and p for a patient ad- mitted on June 26 was performed on June 30 and transcribed on July 1. Which of the following statements regarding the h and p are true in the situation? Completion and charting of h and p indicates 7. The first patient with cancer seen in your facility on January 1, 2012, was diagnosed with colon cancer with no known history of previous malignancies. The accession number assigned to this patient is 8. Setting a drop down menu to make sure the registration clerk collects gender as male or female is a method of ensuring data 9. In determining your acute care facility's degree of compliance with prospective payment requirements for Medicare, the best resource to reference for recent cer- tification standards is 10. In an acute care hospital, a complete his- tory and physical may not be required for a new admission when noncompliance with JC standards. H and P must be completed within 24 hours 12-0001/00 because in accession number 12 represents the year the patient first en- tered the database, 0001 represents the first case entered that year, and 00 indicates no previous known neoplasm. Precision Validity refers to the accuracy of data, while reliability refers to the consistency of the data. Timeliness refers to the data being available when needed, and precision refers to data values that are just large enough to support the application process. The Federal Register CMS publishes both proposed and final rules for the Conditions of Participation for hospitals in the daily Federal Register. A legible copy of a recent h and p performed in the attending physician's ofice is avail- able. 11. The authors of all entries in a health care record should be 12. In creating a new form or computer view, the designer should be most driven by 13. According to the following data, the most serious record delinquecy problem oc- curred in which month? Record Delinquency Mo. April May June % incomplete records 70% 88% 79% %delinquent records 51% 43% 61% % delinquent DT minssing H&P 3% 1.4% .05% An interval h and p can be used when a patient is readmitted for the same or related problem within the 30 days, and no matter how long the patient stays an h and p is required. clearly identified needs of the users