RHIT PREP DOMAIN 1 ALREADY GRADED A+

RHIT PREP DOMAIN 1 ALREADY GRADED A+ 1. What type of patient data is used to identify an individual? a. Demographic data b. Secondary data c. Aggregate data d. Identification data Answer: a. Demographic data 2. Which of the following is a derivation business rule? a. Assigning a patient to a clinical service b. Calculating the average length of stay c. Documenting a patient's date of birth d. Taking a hospital census Answer: b. Calculating the average length of stay 3. What should be done when a physician dictates a discharge summary for a patient who was discharged two days after the summary was dictated? a. File the record as complete b. Request an addendum to the discharge summary c. Request another discharge summary d. Note the date discrepancy Answer: b. Request an addendum to the discharge summary 4. What provides a standardized vocabulary for facilitating the development of computer-based patient records? a. Current Procedural Terminology b. Healthcare Common Procedure Coding System c. International Classification of Diseases, Tenth Revision, Clinical Modification d. Systematized Nomenclature of Medicine Clinical Terminology Answer: d. Systematized Nomenclature of Medicine Clinical Terminology 5. What is consistent with a patient's advance directive? a. Physician orders for DNR b. Patient's bill of rights c. Notice of privacy practices d. Authorization for release of information Answer: a. Physician orders for DNR 6. What type of standards provides clear guidelines for the acceptable values of specific data fields and makes it possible to exchange health information using electronic networks? a. Data content standard b. Messaging standard c. Interoperability standard d. Vocabulary standard Answer: a. Data content standard 7. What is the HIM professional reviewing during an on-site review? a. Written policies and procedures on document imaging b. HIM department's success in documentation compliance c. Document type matrix d. Attendance policy Answer: b. HIM department's success in documentation compliance 8. Which data quality component is lacking when discrepancies are found in abstracted data? a. Completeness b. Validity c. Reliability d. Timeliness Answer: c. Reliability 9. What should the HIM director do first when ensuring data content standards for an EHR system? a. Review the system's data dictionary with the EHR vendor b. Identify data content requirements for all areas of the organization c. Schedule a meeting with department directors to get their input d. Contact CMS to determine required data sets Answer: b. Identify data content requirements for all areas of the organization 10. What is not part of data governance? a. Ensuring control and accountability for enterprise data b. Establishing and monitoring data policies c. Assigning data decision rights and accountabilities for data d. Promoting the sale of enterprise data Answer: d. Promoting the sale of enterprise data