RHIA & RHIT

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-re...

Legal Health Record - Answer Formal business record to be utilized during legal procedings If privacy issues emerge... - Answer Determine source of problem and issue HIPAA training If patient is unable to sign... - Answer Implied Consent Psychiatric patients may view records if physician determines... - Answer Seeing record is not harmful to their condition or treatment Facility Directory - Answer General Condition Acknowledgement of admission HIPAA's Expert Deter...

Mildred Smith was admitted to a nursing facility with the following information: "Patient is being admitted for Organic Brain Syndrome." Underneath the diagnosis her medical information was listed along with a summary of the care already provided. This information is documented on the: a.) Admitting physical evaluation record b.) Patient's rights acknowledgement form c.) Release of Information form d.) Transfer Record - Answer D. Transfer Record For further explanation look at page 160...

A Staghorn calculus of the left renal pelvis was treated earlier in the week by lithotripsy and is now removed via a percutaneous nephrostomy tube. What is the root operation performed for this procedure? a. Destruction b. Extirpation c. Fragmentation d. Release - Answer b. Extirpation ***Taking or cutting out solid matter from a body part Which type of data consists of *factual details* a *aggregated or summarized* from a group of health records that provides *no means to identify...

Lack of Priority - Answer In a project when dependencies aren't set out because of a lack of priority on the tasks Security Risk Analysis - Answer Provides covered entities and business associates with the structural frame work in which to build their HIPPA security plan State Licensure Agencies - Answer Organization that works under contract with the CMS to conduct Medicare and Medicaid certification surveys for hospitals Income Statement - Answer Summarizes the organizati...

Each month the staff of the clinic with the lowest overall waiting time is awarded a free dessert in the Gulfside healthcare center cafeteria. take a look at the information listed above. the winner will be selected based on a. demonstrative clinical data b. comparative aggregate data c. objective individual data d. duplicate thematic data - Answer b. comparative aggregate data a union campaign is being conducted at your facility. as a department manager, it is appropriate for you to te...

Accreditation - Answer 1. A voluntary process of institutional or organizational review in which a quasi-independent body created for this purpose periodically evaluates the quality of the entity's work against preestablished written criteria 2. A determination by an accrediting body that an eligible organization, network, program, group, or individual complies with applicable standards. Active Membership - Answer individuals interested in the AHIMA purpose and willing to abide by the Co...

ARRA - Answer American recovery and reinvestment actof 2009 Promoted meaning for use of EHR. Stimulus law . HITECH .... Includes ONC HITECH - Answer Health information technology for Economic and Clinical Health Act ONC - Answer Office of national coordinator NIST - Answer National Institute of standards and technology (Where the advance healthcare for integration the technical standards Analysis and the establishment of conformance testing infrastructure

A four-digit code that describes a classification of a product or service provided to a patient is a - revenue code State Medicaid programs are required to offer medical assistance for - individuals with qualified financial need. Based on CMS's DRG system, other systems have been developed for payment purposes. The one that classifies the non-Medicare population, such as HIV patients, neonates, and pediatric patients, is known as - APR-DRGs. Which of the following best describes the situ...