RHIA Exam

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

principal diagnosis

procedures and dates

personal identification

cognitive patterns

Correct! Wrong!

What does the prefix "99" stand for in the number "99-0001" listed in a tumor registry accession register?

the sequence number of the case

the number of primary cancers reported for that patient

the stage of the tumor based upon the TNM system of staging

the year the case was entered into the database of the registry

Correct! Wrong!

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.

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

incident report

doctors’ progress notes

nurses’ notes

integrated progress notes

Correct! Wrong!

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.

Who is responsible for creating and updating the data in a patient's progress note?

Registration staff

Provider

Health information management (HIM) professional

Administrator

Correct! Wrong!

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.

Taking the following actions would be a good first step in ensuring the security of the data in a health information computer system:

define levels of security for different types of information, depending on sensitivity

provide internet access to facility records

establish a good record tracking system

provide remote terminals for improved access to the record

Correct! Wrong!

Acute care service providers are less likely than ambulatory care providers to depend on the documentation contained in the

transfer record

interdisciplinary patient care plan

problem list

discharge summary

Correct! Wrong!

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:

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

What does the prefix "99" stand for in the number "99-0001" listed in a tumor registry accession register?

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

Who is responsible for creating and updating the data in a patient's progress note?

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

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