Practice Questions for RHIT Exam: DOMAIN 6: Leadership

Practice Questions for RHIT Exam: DOMAIN 6: Leadership 1. To determine the daily filing hours required for retrieving and filing records at Community Clinic, what calculation should be done? Answer: 600 clinic visits per day / 60 records per hour (filing) + 600 clinic visits per day / 40 records per hour (retrieval) = 25 hours per day. 2. What type of workflow function in an electronic information system would help support tasks that need to be performed in a specific sequence? Answer: Workflow. 3. How many FTE coders does the acute care hospital need to have on staff to ensure no backlog, given an average of 55 patients per day and a volume productivity standard of six records per hour? Answer: 2.85 FTE coders. 4. What are the two indicators used to measure coding productivity? Answer: Quantity and quality. 5. What is the quality standard for coding accuracy? Answer: As close to 100% as possible. 6. What is a statement or guideline that directs decision-making or behavior called? Answer: Policy. 7. What are examples of staffing tools? Answer: Position descriptions, policies, procedures, training checklists, and performance standards. 8. Who oversees the operation of a broad scope of functions such as coding, transcriptions, and release of information at the department level? Answer: Middle manager. 9. Which problem-solving technique focuses on working with individuals to find a mutually acceptable solution? Answer: Nominal group technique. 10. In establishing an information technology services arrangement between two hospitals, which party should obtain a business associate agreement? Answer: The smaller hospital should obtain a business associate agreement with the larger hospital providing the information services. To date, the HIM department has not charged for copies of records requested by the patient. However, the policy is currently under review for revision. One HIM committee member suggests using the copying fee established by the state. Another committee member thinks that HIPAA will not allow for copying fees. What input should the HIM director provide? A. HIPAA does not allow charges for copying of medical records. B. Use the state formula because HIPAA allows hospitals to use the state formula C. Base charges on the cost of labor and supplies for copying and postage if copies are mailed while following the state copy fee schedule D. Because HIPAA allows for reasonable and customary charges, charge only for the paper used for copying the record. ️Base charges on the cost of labor and supplies for copying and postage if copies are mailed while following the state copy fee schedule The HIPAA Privacy Rule intent is to allow an individual to obtain copies of records for a fee that is reasonable enough that an individual could pay for it. The Privacy Rule requires that the copy fee for the individual be reasonable and cost based. It can only include the cost of labor for copying and postage, when mailed. The commentary to the Privacy Rule expands upon this standard. If paper copies are made, the fee can include the cost of the paper. If electronic copies are made, the fee can include copies of the media used. An HIM department is researching various options for scanning the hospital's health records. The department director would like to achieve efficiencies through scanning, such as performing coding and cancer registry functions remotely. Given these considerations, which of the following would be the best scanning process? A. Scanning all documents at the time of patient discharge B. Scanning all documents after physicians have completed any record deficiencies C. Begin remote work only after all deficiencies have been corrected in the paper record D. Using scanners with the maximum amount of output ️Scanning all documents at the time of patient discharge Digital scanners create images of handwritten and printed documents that are then stored in health record databases as electronic files. The data can be interfaced in the current EHR with document scanning system. Using scanned images solves many of the problems associated with traditional paper based health records and hybrid records. Scanning at patient discharge allows the all of the contents of the record to be available in a timely manner for other functions such as remote coding and cancer registry. Managing the adoption and implementation of new processes is called: A. Management by design B. Change management C. Process flow implementation D. Visioning ️Change management Change management is the formal process of introducing change, getting it adopted, and diffusing it throughout the organization. Which of the following is a data collection tool that records the workflow of current processes? A. Flow chart B. Force-field analysis C. Pareto chart D. Scatter diagram ️Flow chart Flow charts help all the team members understand the process in the same way. The work involved in developing the flow chart allows the team to thoroughly understand every step in the process as well as the sequence of steps. The flow chart provides a visual picture of each decision point and each event that must be completed. It readily points out places where there are redundancy and complex and problematic areas. As part of the clinic's performance improvement program, and HIM director wants to implement benchmarking for the transcription division at a large physician clinic. The clinic has 21 transcriptionists who average about 140 lines per hour. The transcription unit supports 80 physicians at a cost of 15 cents per line. What should be the first step that the supervisor takes to establish benchmarks for the transcription division? A. Clearly define what is to be studied and accomplished by instituting benchmarks. B. Hold a meeting with the transcriptionists to announce the benchmark program. C. Obtain benchmarks from other institutions. D. Hire a consultant to assist with the process. ️Clearly define what is to be studied and accomplished by instituting benchmarks. The first step in benchmarking is to determine the performance measure to be studied and what is to be accomplished. Once a benchmark for a performance measure is determined, analyzing data collection results becomes more meaningful. A standard of performance or best practice for a particular process or outcome is called a(n): A. Performance measure B. Benchmark C. Improvement opportunity D. Data measure ️Benchmark When an organization compares its current performance measure to its own internal historical data, or uses data from similar external organizations across the country, it helps establish a benchmark also known as a standard of performance or best practice, for particular process or outcome. After an outpatient review, individual audit results by coder should become part of the: A. Individual employee's performance evaluation