RHIT STUDY GUIDE TEST WHITE BOARD NOTES 2025.

RHIT STUDY GUIDE TEST WHITE BOARD NOTES 2025. 1. Utilization Re- view. 2. Daily inpatient census 3. Vocabulary stan- dards 4. Custodian Records Process of determining whether the medical service provided to a specific Medicare or Medicaid patient is necessary. oflcial count of inpatients present at midnight, which is calculated each day Also included are any patients who were admitted and discharged the same day provide consistent descriptions of medical terms for an individual's condition in the health record When records for evidence is involved at the trial, the records custodian is called a witness by one party or other to testify as the authenticity of a record as evidence. The records custodian verifies that it contains information about the individual. 5. flowchart a graphic tool that uses standard symbols to visually display detailed information, including time and distance, of the sequential flow of work of an individual or a product as it progresses through a process 6. fish bone chart a performance improvement tool used to identify or classify the root causes of a problem or condition and to display the root causes graphically; also called the cause and ettect diagram 7. Aggregated Data Data that has been extracted from individual health records and combined to form deidentified information about groups of patients that can be compared. 8. Overlay Mistakenly assigned another persons health record number. 9. Overlap When a patient has more than one health record number at ditterent locations within an enterprise. 10. Duplicate Record 2 or more medical record numbers. 11. Security To control/protect access of health information and records. 12. ROI Turnaround Time 13. Qualitative Analysis 14. Concurrent Re- view Time between receipt of request and when the request is sent to the requester 30 days on site, 60 days ott site Reviewing a record and ensuring that standards are being met. HIM professionals can review legibility, timeliness of documentation, use of approved abbreviations and other documentation standards. Ongoing review while patient is in facility. From admission to discharge. 15. Retrospective Re- Review after patient has been discharged. view 16. Prospective Re- view Review that takes place prior to elective procedures and missions. 17. Licensure Organizations are the legal authority from the authorities to carry on certain activities that require permission. Before healthcare organizations can provide services, they usually must obtain licensure by government entities such as the state or county in which they are located. 18. Conditions of Participation 19. The Joint Com- mission TJC Administrative and operational guidelines under which facilities are allowed to take part in the Medicare and Medicaid programs. Industry leader in the area of healthcare provider organization accreditation. Also a non-for-profit organization accredits and certifies more than 20,000 healthcare organizations. 20. Privacy The right of a patient to control the disclosure of PHI. 21. Confidentiality Legal and ethical concept that requires healthcare providers to protect records and personal/private information. Responsibility to use, disclose or release infor- mation. 22. Meaningful Use, Stage 3 23. Registration- Ad- mission, Dis- charge, Transfer R-ADT 24. Uniform Hospital Discharge Data Set UHDDS Using certified EHR technology to improvise quality safety, eflciency, and reduce health disparities. Engage patients and family, improve care coordination and population and public health Tracks Patient hospital inpatients acute care -UB04 is a form used for this data set 25. Uniform Ambula- Collects data specific to ambulatory care tory Care Data Set UACDS 26. Healthcare Effec- tiveness Data and Information Set HEDIS 27. Outcome and As- sessment Infor- mation Set OASIS 28. Data Elements for Emergency Department Sys- tems DEEDS 29. Minimum Data Set Designed to collect administrative, claims, and health record review dat