FREE RHIA Trivia Questions and Answers
The standards for collecting patient data differ depending on the setting for healthcare. Among the data elements you could anticipate being gathered in the MDS but not in the UHDDS is
Taking the following actions would be a good first step in ensuring the security of the data in a health information computer system:
Acute care service providers are less likely than ambulatory care providers to depend on the documentation contained in the
Who is responsible for creating and updating the data in a patient's progress note?
Explanation:
The provider must complete the progress notes. The ability to edit, remove, or otherwise modify a progress note should not be available to administrators, HIM professionals, or registration personnel.
What does the prefix "99" stand for in the number "99-0001" listed in a tumor registry accession register?
Explanation:
A suitable format for electronic data is encryption. It is not practical to destroy by burning. Although burning is a possibility, it's not the best solution. Data is not destroyed by locking it away from patient access in a locked drawer.
You are completing a complete facility inventory of all currently in use forms in preparation for a HER. For bar coding and indexing into a document management system, each form needs a name. The nameless document in front of you describes tissue removed during surgery from a microscopic perspective. You are most likely to submit a document of the following type to this form:
The full report of a patient's fall from his bed, including witness accounts and likely causes of the incident, must be located by a risk manager. She would probably discover this data in the
Explanation:
To safeguard security from a compliance and regulatory perspective, data security management develops rules and processes. Healthcare technology, data sets, and classification systems that a facility may use are all part of terminology and classification management. Both structured and unstructured data are managed as part of content management.