RHIT PRACTICE EXAM
One tool that a manager can use to evaluate productivity requirements
is:
a. Benchmarking surveys
b. Budget analysis
c. Salary surveys
d. Satisfaction surveys - ANSWERS-A
The hospital is revising its policy for post anesthesia documentation.
One member of the committee wants to retain the current policy that
requires the post anesthesia evaluation be performed by the individual
who administered the anesthesia. Another committee member argues
that Hospital Conditions of Participation allow the post anesthesia
evaluation to be completed and documented by any individual
qualified to administer anesthesia. Given this discussion, which of the
following might the HIM director suggest?
a. Because of patient safety issues only the individual who
administered the anesthesia should do the post anesthesia evaluation.
b. Documentation will be hindered if two individuals are involved in
documenting anesthesia evaluation.
c. The change in policy would provide more flexibility and would
decrease the burden for anesthesia personnel.
d. The Conditions of Participation do not allow the change in policy -
ANSWERS-C
,The hospital's public relations department in conjunction with the
local high school is holding a job-shadowing day. The purpose of this
event is to give high school seniors an opportunity to observe the
various jobs in the hospital and help them with career planning. The
public relations department asks for event input from the standpoint
of HIPAA compliance. In this case, what should the HIM department
advise?
a. Job shadowing is allowed by HIPAA under the provision allowing
students and trainees to practice.
b. Job shadowing should be limited to areas in which the likelihood of
exposure to PHI is very limited, such as administrative areas.
c. Job shadowing is allowed by HIPAA under the provision of
volunteers.
d. Job shadowing is specifically prohibited by HIPAA. - ANSWERS-
B
Procedures should be complete enough so that:
a. Anyone generally competent can perform the task
b. There is never a need to improve the process
c. There is no need to train a new employee
d. There is no need for policies - ANSWERS-A
Community Hospital implemented a clinical document improvement
(CDI) program six months ago. The goal of the program was to
improve clinical documentation to support quality of care, data
quality, and HIM coding accuracy. Which of the following would be
the best approach to ensure that everyone understands the importance
of this program?
,a. Request that the CEO write a memorandum to all hospital staff.
b. Give the CDI committee chairperson the authority to fire
employees who don't improve their clinical documentation.
c. Include clinical and medical staff in the process.
d. Request a letter from The Joint Commission. - ANSWERS-C
The performance appraisal method that links specific job-related
performance to each rating level is the:
a. Graphic rating scale
b. Critical incident method
c. Behaviorally-anchored rating scale
d. Ranking method - ANSWERS-C
Community Hospital implemented a clinical document improvement
(CDI) program six months ago. The goal of the program was to
improve clinical documentation to support the quality of care, data,
and HIM coding accuracy. Which of the following would be the best
approach to justify the funding and continuation of a CDI program?
a. Tracking, measuring, and reporting the impact of the CDI program
b. A statement and endorsement from the hospital CEO
c. A statement of need by the HIM director
d. Opinions by surveying the medical staff - ANSWERS-A
The HIM transcription supervisor has instituted a performance
improvement program that includes the use of benchmarks.
Benchmarks have been established for total lines per hour of
, production, and the program was instituted two weeks ago. What
should the supervisor do to determine if the benchmark is being met?
a. Ask transcriptionists for their feedback on the benchmarks
b. Prepare a report of the number and type of reports transcribed
c. Compare individual transcriptionist line production per hour to the
benchmark
d. Measure the number of reports transcribed by each transcriptionist
to the benchmark - ANSWERS-C
A coding supervisor wants to compare the work productivity between
coders over time as part of the overall hospital performance
improvement program. The coding supervisor has compared each
coder's productivity by counting the number of records each coder has
coded during the past month. Which of the following would best
describe the process followed by the coding supervisor?
a. The process provides an adequate measure of each coder's
performance.
b. The process would be improved by measuring coder productivity
per hour.
c. The process would be improved by calculating averages rather than
comparing record counts.
d. The process is inadequate because it does not look at external
benchmarks. - ANSWERS-B
The technique that provides a snapshot of an existing process and can
identify potential areas for change is:
a. Time ladder
One tool that a manager can use to evaluate productivity requirements
is:
a. Benchmarking surveys
b. Budget analysis
c. Salary surveys
d. Satisfaction surveys - ANSWERS-A
The hospital is revising its policy for post anesthesia documentation.
One member of the committee wants to retain the current policy that
requires the post anesthesia evaluation be performed by the individual
who administered the anesthesia. Another committee member argues
that Hospital Conditions of Participation allow the post anesthesia
evaluation to be completed and documented by any individual
qualified to administer anesthesia. Given this discussion, which of the
following might the HIM director suggest?
a. Because of patient safety issues only the individual who
administered the anesthesia should do the post anesthesia evaluation.
b. Documentation will be hindered if two individuals are involved in
documenting anesthesia evaluation.
c. The change in policy would provide more flexibility and would
decrease the burden for anesthesia personnel.
d. The Conditions of Participation do not allow the change in policy -
ANSWERS-C
,The hospital's public relations department in conjunction with the
local high school is holding a job-shadowing day. The purpose of this
event is to give high school seniors an opportunity to observe the
various jobs in the hospital and help them with career planning. The
public relations department asks for event input from the standpoint
of HIPAA compliance. In this case, what should the HIM department
advise?
a. Job shadowing is allowed by HIPAA under the provision allowing
students and trainees to practice.
b. Job shadowing should be limited to areas in which the likelihood of
exposure to PHI is very limited, such as administrative areas.
c. Job shadowing is allowed by HIPAA under the provision of
volunteers.
d. Job shadowing is specifically prohibited by HIPAA. - ANSWERS-
B
Procedures should be complete enough so that:
a. Anyone generally competent can perform the task
b. There is never a need to improve the process
c. There is no need to train a new employee
d. There is no need for policies - ANSWERS-A
Community Hospital implemented a clinical document improvement
(CDI) program six months ago. The goal of the program was to
improve clinical documentation to support quality of care, data
quality, and HIM coding accuracy. Which of the following would be
the best approach to ensure that everyone understands the importance
of this program?
,a. Request that the CEO write a memorandum to all hospital staff.
b. Give the CDI committee chairperson the authority to fire
employees who don't improve their clinical documentation.
c. Include clinical and medical staff in the process.
d. Request a letter from The Joint Commission. - ANSWERS-C
The performance appraisal method that links specific job-related
performance to each rating level is the:
a. Graphic rating scale
b. Critical incident method
c. Behaviorally-anchored rating scale
d. Ranking method - ANSWERS-C
Community Hospital implemented a clinical document improvement
(CDI) program six months ago. The goal of the program was to
improve clinical documentation to support the quality of care, data,
and HIM coding accuracy. Which of the following would be the best
approach to justify the funding and continuation of a CDI program?
a. Tracking, measuring, and reporting the impact of the CDI program
b. A statement and endorsement from the hospital CEO
c. A statement of need by the HIM director
d. Opinions by surveying the medical staff - ANSWERS-A
The HIM transcription supervisor has instituted a performance
improvement program that includes the use of benchmarks.
Benchmarks have been established for total lines per hour of
, production, and the program was instituted two weeks ago. What
should the supervisor do to determine if the benchmark is being met?
a. Ask transcriptionists for their feedback on the benchmarks
b. Prepare a report of the number and type of reports transcribed
c. Compare individual transcriptionist line production per hour to the
benchmark
d. Measure the number of reports transcribed by each transcriptionist
to the benchmark - ANSWERS-C
A coding supervisor wants to compare the work productivity between
coders over time as part of the overall hospital performance
improvement program. The coding supervisor has compared each
coder's productivity by counting the number of records each coder has
coded during the past month. Which of the following would best
describe the process followed by the coding supervisor?
a. The process provides an adequate measure of each coder's
performance.
b. The process would be improved by measuring coder productivity
per hour.
c. The process would be improved by calculating averages rather than
comparing record counts.
d. The process is inadequate because it does not look at external
benchmarks. - ANSWERS-B
The technique that provides a snapshot of an existing process and can
identify potential areas for change is:
a. Time ladder
