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RHIT Exam | 380 Questions with 100% Correct
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OASIS data are used to assess the of home health services. ✔✔Outcome A statement or guideline that directs decision making or behavior is called a: ✔✔Policy Examples of high-risk billing practices that create compliance risks for healthcare organizations include all of the following, except: ✔✔Returned Overpayments Healthcare fraud is all of the following except: ✔✔Unnecessary Costs to a program Corporate compliance programs became common after adoption of which of the following: ✔✔Federal Sentencing Guidelines Which of the following is a legal concern regarding the EHR? ✔✔Ability to subpoena audit trails. The act of granting approval to a healthcare organization based on whether the organization has met a set of voluntary standards is called: ✔✔Accreditation A group practice has hired an HIT as its chief compliance officer. The current compliance program includes written standards of conduct and policies and procedures that address specific areas of potential fraud. It also has audits in place to monitor compliance. Which of the
following should the compliance officer also ensure are in place? ✔✔A hotline to receive complaints and adoption of procedures to protect whistleblowers from retaliation In developing a coding compliance program, which of the following would not be ordinarily included as participants in coding compliance education? ✔✔Nursing Staff Which of the following organizations within the federal government is responsible for looking at the issues related to the efficiency and effectiveness of the healthcare delivery system, disease protocols, and guidelines for improved disease outcomes? ✔✔Agency for Healthcare Research and Quality (AHRQ) Which of the following issues compliance program guidance? ✔✔HHS Office of Inspector General (OIG) Which of the following is an example of data security? ✔✔Automatic logoff after inactivity A patient has been discharged prior to an administrative utilization review being conducted. Which of the following should be performed? ✔✔Retrospective Utilization Review An EHR system can provide better security than a paper record for protected health information system due to: ✔✔Access controls, audit trails, and authentication systems Community Hospital wants to provide transcription services for transcription of office notes of the private patients of physicians. All of these physicians have medical staff privileges at the
Which of the following statements best defines utilization management? ✔✔It is a set of processes used to determine the appropriateness of medical services provided during specific episodes of care Which of the following is not a type of utilization review? ✔✔Peer Review Which of the following is not one of the basic functions of the utilization review process? ✔✔Claims Management The Medical Review Committee wants to determine if the hospital is in compliance with Joint Commission standards for medical record delinquency rates. The HIM Director has compiled a report that shows that records are delinquent for an average of 29 days after discharge. Given this information, what can the Committee conclude? ✔✔Data are insufficient to determine whether the hospital is in compliance Which of the following is the largest healthcare standards-setting body in the world? ✔✔The Joint Commission Which of the following is the largest healthcare standards-setting body in the world? ✔✔The Joint Commission Community Hospital wants to offer information technology services to City Hospital, another smaller hospital in the area. This arrangement will financially help both institutions. In reviewing the process to establish this arrangement, the CEO asks the HIM director if there are
any barriers to establishing this relationship with regard to HIPAA. In this situation, which of the following should the HIM director advise? ✔✔City Hospital should obtain a business associate agreement with Community Hospital Which of the following facilities do not have to meet standards in the Conditions of Participation? ✔✔Physician Offices An audit trail may be used to detect which of the following: ✔✔Unauthorized access to system Specific performance expectations and/or structures and processes that provide detailed information for each of the Joint Commission standards are called: ✔✔Elements of performance The creation of the National Practitioner Data Bank was mandated by the: ✔✔Health Care Quality Improvement Act Which of the following dictates how the medical staff operates? ✔✔Medical Staff Bylaws Who is responsible for implementing the policies and strategic direction of the hospital or healthcare organization and for building an effective executive management team? ✔✔Chief Executive Officer
To date the HIM department has not charged for copies of records requested by the patient. However, the policy is currently under review for revision. One HIM committee member suggests using the copying fee established by the state. Another committee member thinks that HIPAA will not allow for copying fees. What input should the HIM director provide? ✔✔Base charges on the cost of labor and supplies for copying and postage if copies are mailed A risk analysis is useful to: ✔✔Identify security threats Which of the following is required by HIPAA standards? ✔✔A written contingency plan Which of the following are policies and procedures required by HIPAA that address the management of computer resources and security? ✔✔Administrative safeguards What is the biggest threat to the security of healthcare data? ✔✔Employees To ensure relevancy, an organization's security policies and procedures be reviewed at least: ✔✔Once a year Which of the following is not true of good electronic forms design? ✔✔Use radio buttons to select multiple items from a set of options What committee usually oversees the development and approval of new forms for the health record? ✔✔Use radio buttons to select multiple items from a set of options
The process of determining whether the medical care provided to a specific patient is necessary according to preestablished objective screening criteria is: ✔✔Utilization Review Placing locks on computer room doors is considered what type of security control? ✔✔Physical Control Which of the following is recommended for design of forms for an EDMS? ✔✔ 24 lb. paper for double-sided forms The HIM Supervisor suspects that a departmental employee is accessing the EHR for personal reasons but has no specific data to support this suspicion. In this case, what should the supervisor do? ✔✔Ask the security officer for audit trail data to confirm or disprove the suspicion. Coding policies should include which of the following elements? ✔✔AHIMA Standards of Ethical Coding The Medicare Integrity Program was established as part of Title II of HIPAA to battle fraud and abuse and is charged with which of the following responsibilities? ✔✔Payment determinations and audit of cost reports
What is the general name for Medicare rules affecting healthcare organizations? ✔✔Conditions of Participation The permanent RAC program was completely implemented in the United States by: ✔✔January 2010 During user acceptance testing of a new EHR system, physicians are complaining that they have to use multiple log-on screens to access all system modules. For example, they have to use one log-on for CPOE and another log-on to view laboratory results. One physician suggest having a single sign-on that would provide access to all the EHR system components. However, the hospital administrator thinks that one log-on would be a security issue. What information should the HIM director provide? ✔✔Single sign-on is less frustrating for the end user and can provide better security Which of the following are security safeguards that protect equipment, media, and facilities? ✔✔Physical Access Controls What does the term access control mean? ✔✔Identifying which data employees should have a right to use Which of the following is a software program that tracks every access to data in the computer system? ✔✔Audit Trail
All of the following are steps in medical necessity and utilization review, except: ✔✔Access consideration Which of the following can be used to discover current hot areas of compliance? ✔✔The OIG workplan In Medicare, the most common forms of fraud and abuse include all of the following, except: ✔✔Implementing a clinical documentation improvement program The one aspect of managed care that has had the greatest impact on healthcare organizations is: ✔✔Cost Control The policies and procedures section of a coding compliance plan should include all of the following except: ✔✔Utilization Review What is the term for an explicit statement that directs clinical decision making? ✔✔Evidence- based practice guideline Gatekeepers determine the appropriateness of all of the following components, except: ✔✔Rate of capitation or reimbursement Exceptions to the Federal Anti-Kickback Statute that allow legitimate business arrangements and are not subject to prosecution are: ✔✔Safe Harbors
When a service is not considered medically necessary based on the reason for encounter, the patient should be provided with a(n) indicating that Medicare might not pay and that the patient might be responsible for the entire charge. ✔✔ABN The number that has been proposed for use as a unique identification number but is controversial because of confidentiality and privacy concerns is the: ✔✔Social Security Number HIM Professionals have been working with a multidisciplinary committee to identify the best solution that will allow hospital physicians coordinated access to all forms of incoming and outgoing messages including voice, fax, e-mail, and video mail. Currently, physicians have to log in to various systems, using different IDs and passwords to retrieve all their messages, reducing effectiveness and efficiency. Which of the following would provide the best solution to the current problem? ✔✔Computer-telephone integration (CTI) The chief information officer is a senior-level executive who is responsible for: ✔✔Leading the organization's strategic Information Systems planning process Which of the following is not a true statement about a hybrid health record system? ✔✔Version control is easy to implement Which of the following would be the best course of action to take to ensure continuous availability of electronic data? ✔✔Use mirrored processing on redundant servers
Which of the following technologies would allow a hospital to get as much medical record information online as quickly as possible? ✔✔Electronic document management system Which of the following technologies would be best for a hospital to use to manage data from its laboratory, pharmacy, and radiology information systems? ✔✔Clinical data repository Which of the following is necessary to ensure that each term used in an EHR has a common meaning to all users? ✔✔Controlled Vocabulary Why does an ideal EHR system require point-of-care charting? ✔✔Ensures that appropriate data are collected Which of the following is a transition strategy to achieve an EHR? ✔✔Electronic document management system To ensure that a computerized provider order entry (CPOE) system supports patient safety, what other system must also be in place? ✔✔Pharmacy Information System Which of the following is the unique identifier in the relational database patient table? ✔✔Patient Number As part of an EHR system selection, due diligence should be done: ✔✔Before contracting for an EHR product
When some computers are used primarily to enter data and others to process data the architecture is called: ✔✔Client/server The ability to electronically send data from one electronic system to a different electronic system and still retain its meaning is called: ✔✔Interoperability To effectively transmit healthcare data between a provider and payer, both parties must adhere to which electronic data interchange standard? ✔✔X12N Who are the primary users of the health record for delivery of healthcare services? ✔✔Clinical professionals who provide direct patient care The vision of the EHR is that discrete data would be entered by providers into an EHR via: ✔✔Templates The key for linking data about an individual who is seen in a variety of care settings is: ✔✔Identity Matching Algorithim Which statement is true concerning CDR and EHR? ✔✔CDR supports management of data for an EHR The primary user of computerized provider entry is: ✔✔Physician
One of the advantages of an EDMS is that it can: ✔✔Help manage work tasks Which of the following computer architectures uses a single large computer to process data received from terminals into which data are entered? ✔✔Mainframe A transition technology used by many hospitals is to increase access to medical record content is: ✔✔Electronic document management system When a hospital develops its EHR system by selecting one vendor to provide financial and administrative applications and another vendor to supply the clinical applications, this is commonly referred to as a strategy. ✔✔Dual Core Which of the following is not true about document imaging? ✔✔Uses microfilm to store images What type of information system would be used for processing patient admissions, employee time cards, and purchase orders? ✔✔Transaction processing system The first phase of the SDLC is the phase. ✔✔Planning What basic components make up every electronic network communications system? ✔✔Transmitters, receivers, media, and data
A medication being ordered is contraindicated due to a patient allergy. The physician is notified. This is an example of a(n): ✔✔Alert Which of the following systems would the HIM department director use to receive daily reports on the number of new admissions to, and discharges from, the hospital? ✔✔Management information system Which of the following is a snapshot in time and consolidates data from multiple sources to enhance decision making? ✔✔CDW Which of the following uses artificial intelligence techniques to capture the knowledge of human experts and to translate and store it in a knowledge base? ✔✔Expert System Which of the following stores data in predefined tables consisting of rows and columns? ✔✔Relational database Which of the following uniquely identifies each record in a database table? ✔✔Primary Key What is the purpose of computer databases? ✔✔Store and retrieve data. Which of the following is a technique for graphically depicting the structure of a computer database? ✔✔Data Model
An organization identifies key people in various functional areas to be trained first, and then asks them to subsequently train other users in this same functional area. What is this approach to user training called? ✔✔Train-the-trainer Which of the following connects computers together in a way that allows for the sharing of information and resources? ✔✔Network Which of the following is considered a two-factor authentication system? ✔✔Password and swipe card Which of the following technologies would reduce the risk that information is not accessible during a server crash? ✔✔Server redundancy A system that enables processing of diagnostic studies results into tables, graphs, or other structure is: ✔✔Results retrieval and management technology Community Hospital's hardware has been placed on back-order; the network team is having trouble getting the network to function properly. This is an example of: ✔✔Issues management Audit logs and alert pop-ups are examples of: ✔✔Metadata Which of the following is a family of standards that aid the exchange of data among hospital systems and physician practices? ✔✔HL
