RHIT Exam Latest Updated Graded A+

OASIS data are used to assess the ___ of home health services. - ANSWER-Outcome A statement or guideline that directs decision making or behavior is called a: - ANSWER-Policy Examples of high-risk billing practices that create compliance risks for healthcare organizations include all of the following, except: - ANSWER-Returned Overpayments Healthcare fraud is all of the following except: - ANSWER-Unnecessary Costs to a program Corporate compliance programs became common after adoption of which of the following: - ANSWER-Federal Sentencing Guidelines Which of the following is a legal concern regarding the EHR? - ANSWER-Ability to subpoena audit trails. The act of granting approval to a healthcare organization based on whether the organization has met a set of voluntary standards is called: - ANSWER-Accreditation A group practice has hired an HIT as its chief compliance officer. The current compliance program includes written standards of conduct and policies and procedures that address specific areas of potential fraud. It also has audits in place to monitor compliance. Which of the following should the compliance officer also ensure are in place? - ANSWER-A hotline to receive complaints and adoption of procedures to protect whistleblowers from retaliation In developing a coding compliance program, which of the following would not be ordinarily included as participants in coding compliance education? - ANSWER-Nursing Staff Which of the following organizations within the federal government is responsible for looking at the issues related to the efficiency and effectiveness of the healthcare delivery system, disease protocols, and guidelines for improved disease outcomes? - ANSWER-Agency for Healthcare Research and Quality (AHRQ) Which of the following issues compliance program guidance? - ANSWER-HHS Office of Inspector General (OIG) Which of the following is an example of data security? - ANSWER-Automatic logoff after inactivity A patient has been discharged prior to an administrative utilization review being conducted. Which of the following should be performed? - ANSWER-Retrospective Utilization Review An EHR system can provide better security than a paper record for protected health information system due to: - ANSWER-Access controls, audit trails, and authentication systems Community Hospital wants to provide transcription services for transcription of office notes of the private patients of physicians. All of these physicians have medical staff privileges at the hospital. This will provide an essential service to the physicians as well as provide additional revenue for the hospital. In preparing to launch this service, the HIM director is asked whether a business associate agreement is necessary. Which of the following should the hospital HIM director advise to comply with HIPAA regulations? - ANSWER-Each physician practice should obtain a business associate agreement with the hospital Which accrediting organization has instituted continuous improvement and sentinel event monitoring and uses tracer methodology during survey visits? - ANSWER-The Joint Commission Developing, implementing, and revising the organization's policies is the role of: - ANSWER-Middle Managers Position descriptions, policies and procedures, training checklists, and performance standards are all examples of: - ANSWER-Staffing Tools This organization has been responsible for accrediting healthcare organizations since the mid 1950's and determines whether the organization is continually monitoring and improving the quality of care they provide. - ANSWER-The Joint Commission Which of the following is a written description of an organization's formal position? - ANSWER-Policy The Deficit Reduction Act of 2005: - ANSWER-Made compliance programs mandatory Which of the following statements best defines utilization management? - ANSWER-It is a set of processes used to determine the appropriateness of medical services provided during specific episodes of care Which of the following is not a type of utilization review? - ANSWER-Peer Review Which of the following is not one of the basic functions of the utilization review process? - ANSWER-Claims Management