RHIT Mock Exam Part 7
docx
keyboard_arrow_up
School
St. John's University *
*We aren’t endorsed by this school
Course
1240
Subject
Information Systems
Date
Nov 24, 2024
Type
docx
Pages
3
Uploaded by DeanFang3310
The percentage of records delinquent due to the absence of an operative report
is 4.6%
The purpose of the Correct Coding Initiative is to
detect and prevent payment for improperly coded services
Access to radiologic images has been improved through the use of which of the
following?
PACS
The difference between an Institutional Review Board (IRB) and a hospital's Ethics
Committee is that
the IRB deals with the ethical treatment of human research subjects, and the Ethics
Committee covers a wide range of issues.
A common goal of the Office of the National Coordinator for Health Information
Technology, RHIOs, and a national infrastructure for information is
sharing information among providers
According to CPT, a biopsy of the breast that involves removal of only a portion of the
lesion for pathologic examination is
incisional
Your facility would like to improve physician documentation in order to allow improved
coding. As coding supervisor, you have found it very effective to provide the physicians
with
feedback on specific instances when improved documentation would improve coding
A piece of objective data collected upon initial assessment of the patient is the
vital signs
You are the Director of Coding and Billing at a large group practice. The Practice
Manager stops by your office on his way to a planning meeting to ask about the timeline
for complying with HITECH requirements to adopt meaningful use EHR technology. You
reply that the incentives began in 2011 and end in 2014. You remind him that by 2015,
sanctions for noncompliance will appear in the form of
downward adjustments to Medicare reimbursement
A number of key elements for your facility's computerized patient record are still input by
clerical staff from handwritten data entry sheets. You are concerned about the transfer
of data. If the vital signs stored in the database are not what were originally recorded,
the impact on patient care could be severe. You are concerned about the
validity of the data
ORYX is a program that was developed by
Joint Commission to link patient outcomes to accreditation
In preparation for conversion to a computerized patient record, a committee at your
facility is defining each of the data elements in a patient record to determine which
elements should be required and to set parameters for each element. The committee is
working on the data
dictionary
An effective means of protecting the security of computerized health information would
be to
develop clear policies on data security that are supported by the top management of the
facility
In reviewing the policies on release of information in respect to the privacy rules, you
note that it is still acceptable to allow release of protected health information without
patient permission to
the quality assurance committee for review purposes
Your facility has a team that has been working to develop a strong performance
improvement model, and they have come up with the model shown above. The team
asks if you see anything missing from the model. You tell them they
are missing a step requiring ongoing monitoring and reassessment.
Part of your job description is to educate physicians regarding proper documentation
policies and standards. You are the
Health Information Manager
Your hospital has purchased a number of outpatient facilities. You have been assigned
to chair an interdisciplinary committee that will write record retention policies for the new
corporation. You begin by telling the committee their primary consideration when making
retention decisions must be
statutory requirements
A major drug company wants to promote a fundraiser targeting patients with congestive
heart failure. The drug company representative has requested a list of patients treated
at your facility. As privacy and security officer, you tell them that
a prior authorization is required before any PHI can be released
Your facility is storing scanned records for long-term storage on optical disk. The Risk
Management Committee's Disaster Task Force has recommended that copies of the
disks be stored at a facility across town. The administrator is concerned that records
may be altered on the disks stored off-site. You tell the administrator
this is not a concern because WORM technology makes it impossible to alter the
documents
The Pharmacy and Therapeutics Committee has asked you to find out more about a
computerized order entry system that calculates drug dosages based on patient
parameters (weight, age, etc.) and even suggests the best drug given the patient's
diagnosis and current treatment. The committee is asking for information on a(n)
clinical decision support system
A portion of a deficiency slip is reproduced below. This patient was discharged
yesterday. Your greatest concern regarding deficiencies on this record would be the
missing
operative report
In the past, Joint Commission standards have focused on promoting the use of a facility
approved abbreviation list to be used by hospital care providers. With the advent of the
Commission's national patient safety goals, the focus has shifted to the
use of prohibited or "dangerous" abbreviations
Annual costs for the only Release of Information Clerk at Jacksonville Beach Healthcare
Center (salary and benefits) are $36,429. The monthly cost for the copier used solely for
ROI is $89 (supplies and repairs). It costs the department $0.95 on average for ROI
mailings (envelopes and postage). There were 687 requests filled for ROI last month.
The cost per request for release of information last month was
$5.50
The decision makers in the HIM department have decided to use the decision analysis
matrix method to select coding software. Use of this method will help ensure
consistent criteria are used to evaluate the alternatives/vendors
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help