RHIA Domain 1 Exam Questions With
Questions Detailed Correct Answers
Rated A+
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
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
Questions Detailed Correct Answers
Rated A+
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
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
