RHIA Domain 1 Exam Questions And
Answers 2025 Update.
Primary responsibility of coder - Answer✔Ensure quality of coded data
Responsible for quality and completion of discharge summary - Answer✔Attending Physician
Data set for px that does not require an overnight stay - Answer✔Uniform Ambulatory Care
Data Set
Records not completed within designated timeframe - Answer✔Delinquent Records
Provide information not easily determined from looking at records - Answer✔Secondary Data
Sources
Decision-making and authority over data-related matters - Answer✔Data Governance
Number assigned according to number of entry into a registry each year - Answer✔Accession
Number
Includes information about trauma cases - Answer✔DEEDS
Problem-oriented frameworks for assessment after problems have been identified -
Answer✔Resident Assessment Protocols
Snapshot of patient
Disease processes
Critical paths
Clinical pathways - Answer✔Care Plan
Dimensions of Data Quality - Answer✔Relevancy
Granularity
Timeliness
Currency
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Accuracy
Precision
Consistency
Barrier to computer-assisted coding - Answer✔Poor quality of documentation
Graphical display of relationships between tables in a database - Answer✔ERD
Accreditation and regulatory standards require a different record for each - Answer✔patient
Component of Resident Assessment Instrument - Answer✔A standard minimum data set
Documenting when and how a record was destroyed - Answer✔Certificate of Destruction
Before list of elements to be returned from a SQL query - Answer✔SELECT
Documenting depth and breadth of data in entity requires - Answer✔Identifying the needs of
all data consumers
Document imaging is part of... - Answer✔Record creation, capture, or receipt
After ERD is implemented, an entity becomes... - Answer✔Table
Most important aspect of determining record retention - Answer✔Statute of Limitations
Record that follows a patient's care over time - Answer✔Longitudinal Record
Data collected on large populations and stored in databases - Answer✔Aggregate Data
Accessing and reviewing the work of colleagues in the same profession - Answer✔Peer Review
Mandating display format (ex: xxx-xx-xxxx) - Answer✔Mask
Contains diagnosis and summary of care already given - Answer✔Transfer Record
Data related to a patient's diagnosis and treatment - Answer✔Clinical
Discrepancies between two coders compromise - Answer✔Reliability
Discharge summary must be completed within - Answer✔30 days
Discharge summary for transfers must be completed within - Answer✔24 hours
Discharge summaries are not requires for LOS less than - Answer✔48 hours
Example of M:M relationship - Answer✔Patient to Consulting Physicians
Chief Complaint - Answer✔Reason for presentation
Errors in medical record should not be - Answer✔Obliterated
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