Rhit Exam 2023 - Study Guide With Complete Solutions

Identify and describe current trends in healthcare data - ANSWER-Calculation of patient wait times to be seen by a healthcare provider Calculation of readmission rates (which can have a significant financial impact). Monitoring of complication and/or mortality rates Monitoring of public health data Monitoring the average length of stay Analysis of patient quality scores Discuss the purpose of following outpatient coding guidelines - ANSWER-The Current Procedural Terminology (CPT) code set is the most widely accepted nomenclature for the reporting of physician procedures and services. It is endorsed by the US Dept of Health and Human Services as the nationally accepted coding standard. Each section of the CPT code book includes specific guidelines. These coding guidelines are a set of rules for coders to follow in order to appropriate interpret and report procedures and services provided in physicians' office and/or outpatient settings. As with all coding guidelines, they promote consistency among coders and healthcare providers in the assignment of codes. Identify tips for the establishment of coding productivity standards - ANSWER-The formula to calculate a coder's production is simple: Subtract the hours of noncoding tasks (also known as "downtime:) from the total hours of coding tasks. Of note, noncoding tasks should include the following: education/training, system technical problems, data analysis projects, tec. Then divide the number of accounts coded by the hours spent coding. This will provide the number of accounts coded per hour. This formula can be built into database functions, available for the coder and manager to acknowledge. This formula may be easy, but there are other factors to consider when determining the coder's overall skill level. For example, quality of work or coding accuracy must be monitored, striving to reach or surpass the national standard of 95% coding accuracy. Briefly discuss current health information management (HIM) trends - ANSWER-Technology advancements, cloud services, big data, mobile health, consumer control of health information, and the growth of health information exchange. With the recent implementation of ICD-10 coding practices, identify methods to determine productivity standards for implementation - ANSWER-Monitoring the average coding time per record and trend the results. Initially, the average coding time would have increased in comparison to ICD-9 average coding times; however, over time, the average coding time in ICD-10 should begin to decrease