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RHIA Exam Prep Questions and Correct Detailed Answers (Verified Answers) ||Already Graded A+||Newest Version

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RHIA Exam Prep Questions and Correct Detailed Answers (Verified Answers) ||Already Graded A+||Newest Version

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Uploaded on
March 19, 2025
Number of pages
22
Written in
2024/2025
Type
Exam (elaborations)
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RHIA Exam Prep Questions and Correct Detailed
Answers (Verified Answers) ||Already Graded
A+||Newest Version
Quiz: Source-Oriented Health Record

Ans: Documents organized into sections according to the provider's and departments that
provide treatment (lab together, rad. together, clinical notes together)



Quiz: Problem-Oriented Health Record

Ans: Divided into four parts: database, problem list, initial plan, progress notes (SOAP)



Quiz: SOAP what does S stand for?

Ans: Subjective (patient's point of view)



Quiz: SOAP what does O stand for?

Ans: Objective (what the practitioner finds)



Quiz: SOAP what does A stand for?

Ans: Assessment (combine subjective and objective to make a conclusion)



Quiz: SOAP what does P stand for?

Ans: Plan (approach to be taken to resolve patient's problem



Quiz: Integrated Health Records



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, Ans: Documentation from various sources organized in strict chronological or reverse
chronological order



Quiz: Advantage of Integrated Health Record?

Ans: Easy to follow course of diagnosis and treatment



Quiz: Disadvantage of Integrated Health Record?

Ans: Difficult to compare similar information (ex. lab results or oncology information)



Quiz: When should H&P be documented in record?

Ans: Within 24 hours of admission



Quiz: When should Operative Report be documented in record?

Ans: Immediately following surgery



Quiz: When should Verbal Orders be cosigned?

Ans: Within 24 hours



Quiz: When should Discharge Summary be documented?

Ans: Immediately after discharge of patient



Quiz: Qualitative Analysis




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, Ans: Review of record to ensure that standards are met and determine the adequacy of
entries documenting the quality of care



Quiz: Quantitative Analysis

Ans: A review of health record to determine its completeness and accuracy



Quiz: Data Accuracy

Ans: Data are the correct values and are valid



Quiz: Data Accessibility

Ans: Data items are easily obtainable and legal to collect



Quiz: Data Comprehensiveness

Ans: All required data items included AND entire scope of data is collected and intentional
limitations documented



Quiz: Data Consistency

Ans: Value of data is reliable and consistent across applications



Quiz: Data Currency

Ans: Data is up to date, if it is outdated it must have been up to date at the time it was
presented



Quiz: Data Definition

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