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RHIT Domain 5 Verified Guide

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RHIT Domain 5 Verified Guide 1. A baby was not found in a hospital despite following all procedures, indicating a sentinel event. Answer: Yes, this is a sentinel event. 2. What is the primary goal of a corporate compliance program? To protect providers from sanctions or fines. Answer: No, the primary goal is to ensure compliance with laws and regulations. 3. What should be done to secure text messages sent by nursing staff to attending physicians? Encrypt text messages during transmission. Answer: Yes, encrypting text messages is a best practice for securing patient information. 4. A laboratory employee forgot their password and asked a coworker to log in. What controls should have been in place to prevent this security breach? Workforce security awareness training. Answer: No, this is not the correct answer. The correct answer is implementing strong password policies and two-factor authentication. 5. What is the first step in any quality improvement process? Identify performance measures. Answer: Yes, identifying performance measures is the first step in any quality improvement process. 6. What areas do Quality Improvement Organizations (QIOs) review for Medicare and Medicaid claims? Validity of hospital diagnosis and procedure coding data completeness. Answer: No, QIOs review claims for validity, medical necessity, and accuracy of diagnosis and procedure coding. 7. When an incomplete record remains incomplete after a certain period, what is it considered? Delinquent record. Answer: Yes, an incomplete record that remains incomplete after a certain period is considered delinquent. 8. What defines a general statement outlining guidance for decision-making? Policy. Answer: Yes, a policy defines a general statement outlining guidance for decision-making. 9. In an EHR, what describes planning, organizing, directing, and controlling information? Workflow management. Answer: Yes, workflow management describes planning, organizing, directing, and controlling information in an EHR. 10. According to CMS hospital conditions of participation, when must a medical history and physical examination be completed? Within 24 hours of admission or within 30 days before admission. Answer: No, according to CMS hospital conditions of participation, a medical history and physical examination must be completed within 30 days before or within 24 hours after admission. 11. Who has ultimate responsibility for quality management and performance improvement activities within an organization? Board of Directors. Answer: Yes, the board of directors has ultimate responsibility for quality management and performance improvement activities within an organization. 12. What program focuses on specific areas of concern within a healthcare organization? National Patient Safety Goals. Answer: Yes, the Joint Commission's National Patient Safety Goals program focuses on specific areas of concern within a healthcare organization. 13. What may contribute to incorrect coding of health records? Lack of regular coding education and training. Answer: Yes, lack of regular coding education and training may contribute to incorrect coding of health records. 14. What is healthcare fraud except? Unnecessary cost to a program. Answer: Yes, unnecessary cost to a program is not healthcare fraud; healthcare fraud refers to intentional deception or misrepresentation to obtain payment or benefits from a healthcare program. 15. What can be used to discover current risk or focused areas of compliance? OIG Workplan. Answer: Yes, the OIG Workplan can be used to discover current risk or focused areas of compliance. 16. Why must a Joint Commission-accredited organization review its formulary annually? Efficiency and safety. Answer: No, Joint Commission-accredited organizations must review their formulary annually to ensure its continued efficacy and efficiency. 17. What constitutes the destruction of health records so that their contents cannot be used in court? Spoilage. Answer: Yes, spoiling health records by destroying them so that their contents cannot be used in court constitutes spoliation. 18. How often should performance improvement teams report on their progress and activities? Quarterly Answer: Yes, performance improvement teams should report on their progress and activities at least quarterly. 19. How can you validate that a clinical documentation improvement initiative is achieving its goals? Conduct retrospective review of all query opportunities for the year. Answer: Yes, conducting retrospective review of all query opportunities for the year can help validate that a clinical documentation improvement initiative is achieving its goals. 20. How should you determine if patients did not receive aspirin due to medical reasons during an audit? Determine whether there was a medical or other reason why patients were not given aspirin Answer: Yes, determining whether there was a medical or other reason why patients were not given aspirin is the best course of action during an audit.

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RHIT Domain 5 Verified Guide


1. A baby was not found in a hospital despite following all procedures, indicating a sentinel event.



Answer: Yes, this is a sentinel event.



2. What is the primary goal of a corporate compliance program? To protect providers from sanctions or
fines.



Answer: No, the primary goal is to ensure compliance with laws and regulations.



3. What should be done to secure text messages sent by nursing staff to attending physicians? Encrypt
text messages during transmission.



Answer: Yes, encrypting text messages is a best practice for securing patient information.



4. A laboratory employee forgot their password and asked a coworker to log in. What controls should
have been in place to prevent this security breach? Workforce security awareness training.



Answer: No, this is not the correct answer. The correct answer is implementing strong password policies
and two-factor authentication.



5. What is the first step in any quality improvement process? Identify performance measures.



Answer: Yes, identifying performance measures is the first step in any quality improvement process.



6. What areas do Quality Improvement Organizations (QIOs) review for Medicare and Medicaid claims?
Validity of hospital diagnosis and procedure coding data completeness.

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