RHIT Exam Review: Questions & Answers: Guaranteed A+ Guide : Updated

The Medical Record Committee is assessing various strategies to improve documentation in the health record. Concerns have been raised that current documentation practices may be insufficient to support diagnoses or reflect the progress and clinical findings in patient care. Which of the following would be the best first step to help improve physician documentation? (Ans- Determine the type and volume of documentation problems This type of healthcare organization review is conducted at the request of the healthcare facility seeking accreditation. (Ans- Voluntary review Healthcare facilities must have processes in place to maintain and correct the master patient index (MPI) against the quality issues of duplicates, overlays, and overlaps on a continuous basis. Which of the following is used to match patients so that patient information can be merged? (Ans- Algorithm A hospital interested in finding out if a physician has any adverse licensure actions should review data from: (Ans- NPDB (National Practitioner Data Bank) was mandated under the Health Care Quality Improvement Act of 1986 to provide a database of medical malpractice payments, adverse licensure actions, and certain professional review actions (such as denial of medical staff privileges) taken by healthcare entities such as hospitals against physicians, dentists, and other healthcare providers as well as private accrediting organizations and peer review organizations (Sharp 2016, 185). (Ans- NPDB (National Practitioner Data Bank) Which of the following is true about the Joint Commission's "Do Not Use" abbreviation list? (Ans- It applies to orders and medication-related documentation The HIM professional is arguing against the use of the copy/paste function in the EHR. Which of the following would be the position for this argument? (Ans- I am unable to identify the author. A quantitative review of the health record for missing reports and signatures that occurs when the patient is in the hospital is referred to as a (Ans- concurrent review When a physician is appointed to the medical staff of a healthcare organization, their scope of practice is determined by (Ans- Clinical privileges Which database must a healthcare facility query as part of the credentialing process when a physician initially applies for medical staff privileges? (Ans- NPDB (National Practitioner Data Bank) The process in which a healthcare organization addresses the provider documentation issues that are conflicting, ambiguous, or incomplete is called (Ans- Querying In determining the data collection requirements for Medicare and Medicaid patients in a long-term