RHIA Domain III Exam Prep Test Questions and Answers Graded A

Protocols that support communication between applications are often referred to as: a. Application program b. Interface code c. Messaging standards d. Source code Correct Answer: C Within healthcare, standard protocols that support communication between nonintegrated applications are often referred to as messaging standards, also called interoperability standards or data exchange standards. Messaging standards provide the tools to map proprietary formats to one another and more easily accomplish the exchange of data (Amatayakul 2017, 400–401). If the medical office manager wanted to compare the amount of time it takes for a patient to be seen by a physician versus a nurse practitioner, which information system would be helpful in this analysis? a. Materials management system b. Practice management system c. Facilities management system d. Executive information system Correct Answer: B Practice management systems are used by physician practices. Scheduling, patient accounting, patient collections, claims submission, appointment scheduling, human resources, and other functions all are built into this single information system (Sayles and Kavanaugh-Burke 2018, 119). For an EHR to provide robust clinical decision support, what critical element must be present? a. Structured data b. Internet connection c. Physician portal d. Standard vocabulary Correct Answer: A If an EHR is to provide clinical decision support it requires two things: structured data and a clinical data repository (Sayles and Kavanaugh Burke 2018, 114). Which of the following do HIE participants use to search for health records on other healthcare organization systems using patient indexing and identification software? a. Admit, discharge, transfer b. Advance patient identifier c. Continuity of care document d. Record locator service Correct Answer: D The HIE's record locator service (RLS) manages the pointers to the information on the servers of the HIE participants. The pointers in a RLS can include a person identification number (person ID) and metadata. The RLS does not provide information about the record, it merely points to where it might be found. Data are not stored in a centralized database and records are only provided when queried (Lee-Eichenwald 2020, 388–389). Using the admission criteria provided, determine if the following patient meets severity of illness and intensity of service criteria for admission. John Smith presents to the emergency room at 1500 hours with a fever of 101 degrees F, which he has had for the last three days. He was discharged six days ago following a colon resection. X-rays show a bowel obstruction and the plan is to admit him to surgery in the morning. a. The patient does not meet both severity of illness and intensity of service criteria. b. The patient does meet both severity of illness and intensity of service criteria. c. The patient meets intensity of service criteria but not severity of illness criteria. d. The patient meets severity of illness criteria but not intensity of service criteria. Correct Answer: B The patient meets severity of illness with the persistent fever and intensity of service with the inpatient-approved surgery scheduled within 24 hours of admission (Shaw and Carter 2019, 143). If an analyst wishes to predict future ancillary charges for hip replacement patients based on the age of the patient, which of the following is a correct statement? a. Age is the dependent variable; ancillary charges is the independent variable. b. Age is the independent variable; ancillary charges is the dependent variable. c. The average ancillary charge is the best estimator. d. The two variables cannot be related.