Purple Book Rhit Practice Exam 2, Rhit Exam 1 Solved 100%

What data set would be most helpful in developing a hospital trauma data registry? - ANSWER-DEEDS Treatment plans and instructions are an example of which of the N.H.I.N, national health information system dimensions? - ANSWER-personal health The hospital's HIM department conducted a random sample of 540 health records to determine the rate of filing accuracy. 13 misfiles were identified. What percentage represents filing accuracy? - ANSWER-97.6%; 540-13=527; 527/540=97.6% A.D.L's, activities of daily living are components of - ANSWER-OASIS Managing an organization's data and those who enter it is an ongoing challenge requiring active administration and oversight. This can be accomplished by the a - ANSWER-data dictionary A hospital's electronic health system defines the expected values of the gender data element as female, male and unknown. This type of specificity is known as - ANSWER-data precision or expected value What documentation must be included in a patient's medical record prior to performing a surgical procedure? - ANSWER-consent for operative procedure, history and physical What report includes names of the surgeon and assistants, date, duration, and description of the procedure and any specimens removed? - ANSWER-operative report A hospital HIM department want to move five years of medical records to a remote storage location. The records will be stored in boxes and will be filed an open shelves at the remote location. What should be done so that the record location can be easily identified in the remote storage area? - ANSWER-provide a unique identifier for each box and prepare a log that is cross indexed The HIM department has recently performed an audit of medical records. The audit showed that for the 10,000 records filed there was a 7 percent error rate. Given that the national average cost of each misfile results in a $200 labor cost, what is the labor cost for the department for handling these misfiles? - ANSWER-$140,000; $10,000 x 0.07 = $700; $700 x 200 = $140,000 Identify the acute care report where the following information would be found: "HEENT: Reveals the tympanic membranes, nares, and pharynx to be clear. No obvious head trauma. CHEST: Good bilateral chest sounds." - ANSWER-physical examination Cancer registries are established by hospitals ___ or by ___. - ANSWER-voluntarily, state law With the implementation of an electronic document storage system, telecommuting has been suggested as an alternative. Studies have reported that coding productivity can increase as much as 20 percent with telecommuting. Give that discharges have increased from 100 per day to 144, how many more Full Time Employees would need to be hired if the department went to telecommuting? - ANSWER-1 F.T.E; 100 discharges mean 100 charts; add 20 or 20%; 120; divide by 5 to figure out how many charts each of the 5 coders can do each day with the 20% increase; 120/5=24; 24 charts a day each; since the increase is 144; 144-120 =24; so they will only need 1 more F.T.E If an employee produces 2,080 hours of work in the course of a year, how many more employees will be required for the coding area if the codng time on average for one record is 30 minutes and there are 12,500 records that must be coded each year? - ANSWER-answer; 3 employees required. Formula; 2 x 2,080 = 4,160 records per F.T.E; 2-or the number of records per hour; the employee coded one record every 30 minutes times the number of hours worked. divide the total number of records coded for the year by the records per F.T.E to find the number of employees required; 12,500 / 4,160 =3.0; 3.0 employees required The link that tracks patient, person, or member activity within healthcare organizations and across patient care settings is known as - ANSWER-MPI Patient name, zip code, and health record number are typical - ANSWER-data fields In addition to case mix , other factors that may influence episode-related data quality include: - ANSWER-workflow issues You are the director of HIM at the hospital. One of your physicians has asked you for the total number of appendectomies that he performed at your hospital last year. You will provide the physician with - ANSWER-aggregate data What can assist managers with the tasks of monitoring productivity and forecasting budgets? - ANSWER-workload statistics Suppose that you want to display the number of deaths due to breast cancer for the years 1998 through 2008. What is the best graphic technique to use? - ANSWER-line graph In May, 270 women were admitted to the obstetrics service. Of these, 263 women delivered, 33 deliveries were by c-section. What is the denominator for calculating C-section rate? - ANSWER-263 delivered; the obstetrics service number doesn't matter; only the count of the women who delivered