RHIT Exam Prep Domain 1 Practice Questions

RHIT Exam Prep Domain 1 Practice Questions Health Information Management 1. What are the two purposes of data sets in healthcare? Answer: To identify data elements to be collected about each patient and to provide uniform data definitions to aid standardization efforts across multiple hospitals. 2. Which resource should a HIT use when designing a data collection form for an acute-care hospital? Answer: The Uniform Ambulatory Care Data Set (UACDS). 3. What is a critical early step in designing an electronic health record (EHR)? Answer: Developing a data dictionary. 4. In long-term care, what data set is used to develop a resident's care plan? Answer: UHDDS (Uniform Hospital Discharge Data Set). 5. Which characteristic is NOT typical of common healthcare data sets like UHDDS and UACDS? Answer: They provide a framework for data collection to which an individual facility can add data items. Record Content and Quality 6. What ensures that data are not altered during transmission across a network or during storage? Answer: Integrity. 7. What is the primary purpose of a minimum data set in healthcare? Answer: To recommend common data elements to be collected in health records. 8. How would you categorize the notation "occasionally gets hungry, no insulin reactions. She says she is following her diet"? Answer: Assessment. 9. What problem would be identified in an audit of a hospital's health system if Dx codes are not being reported at the correct level of detail? Answer: Granularity. 10. In which study would the gender of the patient constitute information rather than a data element? Answer: In a study comparing the incidence of MIs in black males compared to white females. Authentication and Documentation 11. What core data set is developed by ASTM to communicate a patient's past and current health information as they transition from one care setting to another? Answer: Minimum Data Set. 12. Which data set does Home Health Prospective Payment System (HH PPS) use for patients? Answer: OASIS-C (Outcomes and Assessment Information Set).