Underlying human and process problems were not identified and corrected prior to making a system change. Download Now. The coding supervisor has complied a report on the number of coding errors made each day by the coding staff. Flashcards. Based on the financial data listed what was Triads total net assets before posting net income for the year? The correct sequence of steps when evaluating an ethical problem is: Determine the facts, who are the stakeholders, what are the options, what is the decision, what justifies the choice, and identify prevention options. Which of the following statements does not pertain to paper-based health records? What type of safeguards comprise over half of all the safeguards included in the security rule? One of the best tools to aid in the determination of the location and reduction in bottlenecks which impede the coding process is the: The most basic decision support tool is a: One year ago a hospital's Radiology department implemented a state-of-the art Radiology Information System (RIS) that met all of its. In this situation, although the record constitutes hearsay, it may be used as evidence based on the: Which of the following would be included in an accounting of disclosure? Flashcards. To date the HIM department has not charged for copies of records requested by the patient. Which of the following is a graphical display of the relationship between tables in a database? Dr. Smith an OB-GYN specialist has just become a staff member at Medical Center Hospital, where she may offer care and treatment related to obstetrics and gynecology including performing deliveries and gynecological surgery. The Sherman Antitrust Act relates to which characteristic of peer review? Given HIPAA requirements, how must the hospital respond? If you have attempted the exam multiple times and you were unable to succeed, then you should consider using updated PDF questions answers to ensure your success in the exam. The hospital performed five autopsies during the same period. A hospital is testing the newly installed information system. However, only the __ information needed to satisfy the specified purpose can be used or disclosed. Sally's request does not have to be granted because the hospital is responsible for the integrity of the medical record. Candidate Guide - AHIMA (2019) This Candidate Guide from the Commission on Certification for Health Informatics and Information Management (CCHIIM) includes eligibility qualifications, guidelines for application and exam scheduling, and information on what to expect for … The plaintiffs attorney wants to use the records as evidence to prove his clients case. An analysis of a company's liquidity attempts to measure the company's ability to? 50 percent of the average number of discharges. Which of the following can be a tool for recovery audit contractors (RAC) preparation because they outline the hospitals Medicare payment patterns compared to other hospitals in the state? The auditing system identifies data that have failed edits and flags the claim for correction. Which of the following materials are required elements in an emergency care record? Write. The AR collection cycle involves the time from: In a typical acute-care setting, aging of accounts reports are monitored in which revenue cycle area? A valid subpoena duces tecum seeking health records does not have to: Which of the following fundraising solicitations violates HIPAA? A visitor walks through the work area and picks up a flash drive from an employees desk. Which of the following is not true of a PHR? Created by. The coder assigned separate codes for individual tests when a combination code exists. Which of the following accreditation categories would the JC assign to a hospital that did not meet all of the standards at the time of initial on site survey, had a level of standards in noncompliance, had requirements for improvements (RFIs) in excess of the published level for a year and subsequently underwent an additional onsite follow-up survey? The gross autopsy rate for the hospital for June was: In purchasing an EHR system from a vendor, what does due diligence refer to? There is no violation of HIPAA in announcing a patients name, but the committee may want to consider implementing practices that might reduce this practice. The process of cross-referencing between a current terminology system and the new terminology system is known as data: Various levels of speech recognition are attainable today. RHIA Exam Prep. Distributing work duties to others along with the right to make decisions and take action is called, The performance standard to assign the correct health record number to a returning patient with 99 percent accuracy is an example of a. Reducing costs and risks are main objectives of: The proactive manager follows the content and status of proposed national health information regulations by reading which of the, A new HIM employee is learning how to perform deficiency analysis in an electronic health record (EHR) system. The confidentiality of incident reports is generally protected in cases when the report is filed in: Which one of the following has access to personally identifiable data without authorization or subpoena? Per the HIPAA Privacy Rule, which of the following requires authorization for research purpose? An organization provides a broad statement created to set it apart from all other similar entities. Write. A vendor selling a large dollar amount of goods to this hospital on credit would: Be somewhat concerned because the curent ratio is less than one. The technology commonly utilized for automated claims processing (sending bills directly to third party payers) is: Which of the following healthcare entities mission is to reduce medicare improper payments through detection and collection of overpayments, identification, identification of underpayments, and implementation of actions that will prevent future improper payments? What is the name of the statement sent after the provider files a claim that details amounts billed by the provider, amounts by Medicare, amount Medicare paid, and amount the patient must pay? Which index, often considered the most important resource in a healthcare facility, is a database of patients within a facility or associated group of facilities? The most recent coding audit has revealed a tendency to miss secondary diagnoses the would have increased the reimbursement for the case. Monitoring the degree of consensus and disagreement. Which of the following would apply to this situation in the context of breach notification? In order to meet the intent of the HIPAA Security Rule, the hospital policy should include a: Provision to allow her emergency access to the system. The report data shows that Tim makes an average of six errors per day , Jane makes an average of five errors per day, and Bob and Susan each make an average of two errors per day. Which of the following must be reported to the medical examiner? Providing staff with a sense of ownership, opportunity to succeed, and encouraging new ideas are elements associated with: Encouraging employees, directing others, and resolving conflicts are examples of: The coding department has identified problems related to its work processes. canonmkteng. STUDY. Write. A patient requests copies of her medical records in an electronic format. The case facts are that the patient was admitted for the treatment of dehydration secondary to chemotherapy for primary liver cancer. In addition to bar codes on medical record documents, what other forms of recognition characteristics enhance the accuracy of forms indexing features? In preparing to launch this service, the HIM director is asked whether a business associate agreement is necessary. The process of process of preventing the spread of communicable disease is compliance with applicable legal requirements is performed in this quality management function. According to the Privacy Rule, which of the following is true about authorization? The kids foundation related to children's hospital is mailing fundraising information to the families of all patients who have been treated at children's in the past three years. Use of Mary's individually identifiable information related to her asthma treatments. Query the attending physician as to the reason for the intubation and mechanical ventilation to add as a secondary diagnosis. The legislation enacted to reduce the inappropriate transfer of patients for financial reasons is known as: The designation of POA assignment to an ICD-10-CM code includes chronic conditions impacting care; acute conditions and those: Being identified at the time of admission, A healthcare facility conducts annual education programs for creating an environment that fosters tolerance and appreciation of, Complex projects, such as the migration of the electronic health record, benefit from having a "champion," who believes in the, A new supervisor is hired in the HIM department of a large acute care hospital. Which of the following is an organization that develops standards related to the interoperability of health information technology? The auditing systems run each claim through a set of edits specifically designed for the various third-party payers. There were 25 inpatient deaths, including newborns, at Community Memorial Hospital during the month of June. If a patient has health insurance but pays in full for a healthcare service and asks that the information be kept private, under HIPAA the covered entity must: Comply with the patients request and keep the information private (omnibus rule). The term used to describe breaking data elements into the level of detail needed to retrieve the data is: A protocol to pass data from the system of one vendor to the information system of another vendor is called: All computers on this type of network receive the same message at the same time, but only one computer at a time can transfer information; and if one segment of the network goes down, the entire network is affected. Development and implementation of a CDI program. Borrowing record entries from another source as well as representing or displaying past documentation as current are examples of potential breach of: The legal health record for disclosure consists of: The data, documents, reports and information that comprise the formal business records of any healthcare entity that are to be utilized during legal proceedings. The patient undergoes intubation with mechanical ventilation. As part of the risk management program in a Joint Commission accredited. Nursing and therapy services, routine and nonroutine medical supplies, home health aide visits. Detailed and Updated PDF Questions for AHIMA RHIA Exam With the help of updated PDF questions, you will be able to prepare for the AHIMA RHIA exam in an efficient way. Ashley_Wedincamp. The CFO asks you to rank physician admissions during the past quarter. Gravity. Fair and Accurate Credit Transactions Act. The medical staff rules and regulations stipulate that the surgeon should: Write a detailed postoperative progress note about the procedure performed. Match. What is most likely the cause of the problem? Flashcards. Write. It is impossible to have health information interoperability or health information exchange without the following: The JC and CMS identify core measures that provide an indication of a healthcare facility's performance. Why is it important to extract individual patient information and enter it into a database? This type of reliability check is called: Which of the following terms is defined as the proportion of people in a population who have a particular disease at a specific point in time or over a specific period of time? Classification systems; Health record content & documentation; Data governance; Data management & secondary data sources Of those, 160 are scored and 20 are not. Covered entities must retain documentation of their security policies for at least: Six years from the date when last in effect. The hospital must accept the request but does not have to agree to it. A clinic has a contract with the city government to perform all new employee physicals and work injury evaluations. Court order, duty to warn, and involuntary commitment proceeding. Testicular Cancer . Patient accounts has submitted a report to the revenue cycle team detailing $100,000 of outpatient accounts that are failing NCD edits. A clinical documentation program facilitates accurate coding and helps coders avoid: Reviewing claims to ensure appropriate coding for deserved payments is one method of ___. In this situation what suggestion should the HIM director provide? A number assigned to patients in a cancer registry in the order that the patients are entered in the registry every year (for ex 03-0001) is a _ number. What kind of data will. Each exam includes scored questions and pre-test questions randomly distributed throughout the exam. One strategy for acquiring EHR components from various vendors and interfacing them is: This EHR implementation strategy stops its paper processing immediately after the go-live of the system. They have a built in access control mechanism. Each of the ancillary departments has a separate information system, and each has claimed that the product is the best on the market and that the vendor has promised the system will interface with any EHR on the market. A hospital currently includes the patients social security number on the face sheet of the paper medical record and in the electronic version of the record. An individual designated as an inpatient coder may have access to an electronic medical record in order to code the record. AHIMA RHIA Exam Actual Questions The questions for RHIA were last updated at Jan. 9, 2021. Cram.com makes it easy to get the grade you want! To incur the least administrative work, which of the following elements of the physician payment system would the government reduce? The cost of the service is greater than the APC payment by a fixed ratio and exceeds the APC payment plus a threshold amount. This is an example of ____ work division. Which of the following statements is true? Quizlet Study RHIA exam 2 Flashcards RHIA Mock exam. The process of improving quality while reducing time and lowering costs is known as: The process of verifying information obtained about a job applicant and their past performance is called: A method of performance appraisal is employee ranking. Learn. The federal physician self-referral statute is also known as the: The medical record committee is reviewing the privacy policies for a large outpatient clinic. Spell. Key Concepts: Terms in this set (98) The process of cross-referencing between a current terminology system and the new terminology system is known as data: Mapping. Protected health informaiton, minimum necessary. Central City Clinic has requested that Ghent Hospital send its hospital records from Susan Hall's most recent admission to the clinic for her follow-up appointment. What control should have been in place to minimize this security breach? Bob Smith was admitted to Mercy Hospital on June 21. RHIA Premium File. Gravity. Conceptual skills are greatest at the top level of management. Providers who do not implement an EHR will eventually be penalized through: Which type of architecture has one powerful central computer that performs all processing and storage functions while sending and receiving data to or from various terminals and printers? Electronic format current medical condition the root cause of the following times with of! Throughout the exam coding error may be demonstrated in the security of information by utilizing a uses... 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