RHIT Exam Review Prep Domain 7 - Duration: 1:02:26. Key Concepts: Terms in this set (72) A health record technician has been asked to review … The legal health record may contain metadata. Which of the following is considered the authoritative resource in locating a health record? Learn vocabulary, terms, and more with flashcards, games, and other study tools. Test. The hospital currently has a hybrid health record. Write. establish a data dictionary policy with associated standards. Two patients were both admitted and discharged on May 2. Dr. Jones comes into the HIM department and requests that the HIM director provide a list of his records from the previous year that show a principal diagnosis of myocardial infarction. all individuals in the MEDPAR database except those admitted with a principal diagnosis of UTI or infectious disease, A health data analyst has been compile asked to. Which numbering system is best for maintaining the encounters of patients together? RHIT Exam Prep Domain 1… An outpatient clinic is reviewing the functionality of a computer system it is considering purchasing. What standards must the facility meet to become certified for these programs? b. This type of data identifies the patient (such as name, health record number, address, and telephone number) and is called? c. Identifying deficiencies early so they can be corrected. Policies and procedures need to be in place to address amendments and corrections in the EHR. An audit of the EHR discovers that the numbers in the date of birth are transposed in reports. Which of the following is a risk of copy and pasting documentation in the electronic health record? Each exam includes scored questions and pre-test questions randomly distributed throughout the exam. The active storage area for medical records at Community Hospital is almost filled. Study Flashcards On RHIT Domain 1 - Data Analysis and Management Course at Cram.com. B. C. Copying the note in the wrong patient's record. RHIT PRACTICE EXAM; Rhit Practice Exam. Subjects: Domain 1, Data Analysis and Management: EXAM 1 . Hospital documentation related to the delivery of patient care such as health records, X-rays, laboratory reports, and consultation reports are owned: Copies of personal health records (PHRs) are considered part of the legal health record when: B. used by the organization to provide treatment. Which of the following represents the required documentation elements needed to be included in a patient's health record when a surgical procedure is performed? B. Outcomes and Assessment Information set. Identify the report where the following information would be found: "HEENT: Reveals the tympanic membranes, nares, and pharynx to be clear. HIT 101 - Chapter 11 ... RHIT Prep Domain 1: Data Analysis and Management. No obvious head trauma. Given this data, what should be the committee's first action? Choose from 500 different sets of rhit domain 1 flashcards on Quizlet. A health record tech has been asked to review the discharge patient abstracting portion of a proposed new computer system. STUDY. Which of the following should the HIM professional perform first to identify the components of the legal health record? Nurses and clinicians are recording bedside documentation electronically in a clinical documentation system, while most other documentation, such as physician progress notes and orders, are paper based and stored in a paper health record, making retrieval of the complete record after discharge difficult and risking the record's integrity. What is this tool called? The standard for retrieval of records is 40 per hr. and family conditions? Flashcards. Test. The primary goals of _____ are to improve patient care, streamline disability benefit claims, and improve public health reporting through secure, trusted, and interoperable health information exchange. Revenue Cycle - RHIT Exam. Managing an organization's data and those who enter it is an ongoing challenge requiring active administration and oversight. Each exam includes scored questions and pre-test questions randomly distributed throughout the exam. The RHIT exam consists of 150 multiple-choice questions, including 20 pretest questions that appear randomly throughout the exam and are not scored. Terms in this set (105) data dictionary. Which of the following specialized patient assessment tools must be used by Medicare-Certified home care providers? Match. The national committee on vital and health statistics, A. The MPI manager has identified a pattern of duplicate health record numbers from the specimen processing area of the hospital. The hospital admitted 30 patients on May 2, discharged 40 patients, including deaths, on May 2. Also the RHIT professional review … HIT 101 - Chapters 12 & 13. You will receive a score report immediately following the exam and can view and print a certificate online. A patient's gender, phone number, address, next of kin, and insurance policy holder information would be considered what kind of data? Which of the following is the health record component that addresses the patient's current complaints and symptoms and lists that patient's past medical, personal. Which of the following is true regarding the reporting of communicable diseases? They are available from the AHIMA store. Spell. After investigation the technician determined the documentation was for two different patients, both named John Smith, who have the same health record number in the EHR. The record should be clearly marked to indicate the presence of a DNR order. Which of the following data sets would be most helpful in developing a hospital trauma data registry? An example of data collected by TJC for the ORYX initiatives is: Community Hospital HIM department conducted a random sample of 600 health records to determine the rate of filing accuracy. After this merging process, which department should the MPI manager notify to correct the source system data? B. What would be the best course of action in this case? 93 terms. Quizlet … Start studying RHIT Domain 1 (Chapters 1 to 3) Sayles review Quiz. Which of the following is a key characteristic of the problem-oriented health record? Which of the following would be the best way to ensure the completeness of the health record? A new HIM director has been asked by the hospital CIO to ensure data content standards are identified, understood,implemented, and managed for the hospital's EHR system. Valley High, a skilled nursing facility, wants to become certified to take part in federal government reimbursement programs such as Medicare and Medicaid. Data that are collected on large populations of individuals and stored in databases are referred to as: A health data analyst has been asked to compile a report on the percentage of patients who had a baseline PTT performed prior to receiving heparin. An HIM technician was alerted by registration that the system has a record for John Smith with two different birthdates. RHIT Exam Prep: Domain 1. a. Operative report, anesthesia report, recovery room report. Write. Review each patient's health record concurrently to ensure the history and physicals are present. Clara maintains and updates an individual health record for herself as a tool she can use to collect, track, and share her past and current information about her health with providers. Learn. What clinical reports in the health record would the health data analyst need to consult in order to prepare this report? A physician has asked for the total number of appendectomies that he performed at your hospital last year. 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