RHIA & RHIT

Coded Data - Answer Data that has been translated into standard nonmenclature of classification so that it may be aggregated, analyzed & compared Research Data - Answer Data used for the purpose of answering a proposed question or testing a hypothesis. Reference Data - Answer Information that interacts with the care of the individual or with teh healthcare delivery system, such as a formulary, protocol, care plan, clinical alert or reminder Demographic Data - Answer Info used to...

A discharge summary must be completed within____days after discharge for most patients but within ___for patients transferred to other facilities. Discharge summaries are not always required for patients who were hospitalized for less than ___ - Answer 30 days/24 hours/48 hours systematic random sample - Answer a simple random sample that may be generated by selecting every fifth or every tenth member of the sampling frame. In order to ensure that a systematic random sample is truly rando...

This committee makes recommendations to the governing board for appoints to the medical staff - Answer executive physicians who deliver most of the medical care in hospitals and who site on committees are - Answer active staff accreditation organization which accredits health information educational programs is - Answer CAHIIM which component, group has ultimate authority and is responsible for providing quality care to patients? - Answer governing board

Authorizations are always required for the use or disclosure of psychotherapy notes except in which of the following situations: - employee and employment-related activities - health insurance carrier -media-related activities -carry out payment, treatment and operations - Answer carry out payment, treatment and operations Steve has submitted a written authorization to request a copy of his medical chart. However, Steve's psychiatrist has determined that access to his PHI might...

An audit trail is a good tool for which of the following? - Answer Reconstructing electronic events The kids foundation related to children's hospital is mailing fundraising information to the families of all patients who have been treated at children's in the past three years. based on the facts given: - Answer children's hospital must have notified the patients or patients guardians of this disclosure in the notice of privacy practices A hospital employee destroyed a health record...

HL7 - Answer A set of international standards for transfer of clinical and administrative data between software applications used by various healthcare providers. These standards focus on the application layer, which is "layer 7" in the OSI model. Data Validity - Answer Accuracy of data Data Comprehensiveness - Answer All data items are included. Data Granularity - Answer (a) The attributes and values of data should be defined at the correct level of detail. (b) When a data el...

What term is used in reference to objective descriptions of processes, procedures, people, and other observable objects and activities? - Answer Data Which of the following processes is an ancillary function of the health record? - Answer Biomedical Research What term is used in reference to electronically accessed information that provides physicians with pertinent health information beyond the health record itself? - Answer Clinical Practice Guidelines To which of the following ...

Qualitative Analysis - Answer Aims to provide an in depth description of the information contained in the medical records. The results are detailed non numerical description of the contents in the record and does not include a statistical analysis. Qualitative Analysis - Answer Can be used to ensure that staff adhered to the regulations and standards in place. Can also determine if the best practices were followed. Quantitative Analysis - Answer Converted from words to numbers. Facto...