RHIA Multiple Choice

Created by

Almedina Hodzic

Cards (323)

Which term describes the ability of different IT systems and software applications to communicate and exchange data effectively?
A)System Compatibility
B) Data Processing
C) Interoperability
D) Information Governance
C) Interoperability
What is a primary benefit of utilizing an EHR system?
A)Reduced need for physical storage space
B) Elimination of patient wait times
C) Direct cost savings on medical supplies
D) Automated external patient communication
A)Reduced need for physical storage space
Which type of data analysis would be best suited to identify the likelihood of future hospital admissions based on historical trends?
A)Descriptive Statistics
B) Predictive Modeling
C) Inferential Statistics
D) Qualitative Analysis
B) Predictive Modeling
In the context of health information exchange (HIE), what does a Master Patient Index (MPI) primarily facilitate?
A)Billing and invoicing for services
B) Patient identification and record tracking
C) Inventory management
D) Clinical decision support
B) Patient identification and record tracking
What is the main function of a Record Locator Service (RLS) in an HIE network?
A)To provide continuous data analysis and reporting
B) To direct users to the physical location of paper records
C) To manage pointers to the locations where patient records are stored
D) To centralize all patient data into one database
C) To manage pointers to the locations where patient records are stored
Which of the following best defines Telehealth?
A)The use of internet services for health education
B) The provision of clinical healthcare at a distance via telecommunications technology
C) Online marketing of healthcare services
D) The management of healthcare facilities through digital platforms
B) The provision of clinical healthcare at a distance via telecommunications technology
What is the primary role of a disease registry in a healthcare setting?
A)To track and manage patient appointment schedules
B) To compile comprehensive lists of individuals diagnosed with particular diseases for research and treatment monitoring
C) To maintain an inventory of all available drugs and medical equipment
D) To serve as a database for all patient billing and insurance information
B) To compile comprehensive lists of individuals diagnosed with particular diseases for research and treatment monitoring
What is a critical step in system configuration during the implementation of new healthcare information technology?A)Developing a new organizational policy for technology use
B) Customizing software to meet the specific needs of the organization
C) Training staff on basic computer literacy
D) Outlining a disaster recovery plan for system outages
B) Customizing software to meet the specific needs of the organization
What does the performance standard "respond to release of information requests for continuing care within one working day 95% of the time" exemplify?
A)Quantitative standard
B) Qualitative standard
C) Compliance standard
D) Joint Commission standard
B) Qualitative standard
The correct sequence from low to high of levels of interoperability is:
A)Functional, semantic, basic
B) Semantic, basic, functional
C) Basic, functional, semantic
D) Semantic, functional, basic
D) Semantic, functional, basic
Which of the following is an example of unstructured clinical information?
A)Medical codes
B) Lab results
C) Physicians' notes
D) Insurance information
C) Physicians' notes
According to Joint Commission Standards, which document is required before surgery?
A)Admission record
B) Physician's order
C) History and physical examination report
D) Discharge summary
C)History and physical examination report
What is the chief complaint in clinical documentation?
A)The diagnosis assigned by the physician
B) The patient's description of symptoms
C) The treatment plan
D) The patient's medical history
B) The patient's description of symptoms
In a relational database, what is the role of PATIENT_MRN in the PATIENT and VISIT tables?
A)Foreign key in PATIENT, primary key in VISIT
B) Primary key in both PATIENT and VISIT
C) Primary key in PATIENT, foreign key in VISIT
D) Foreign key in both PATIENT and VISIT
C) Primary key in PATIENT, foreign key in VISIT
Why do we standardize medical terminology?
A)To reduce the number of terms used
B) To comply with health laws
C) To avoid discrepancies in naming medical conditions
D) To make medical training easier
C) To avoid discrepancies in naming medical conditions
What is an example of a many-to-many relationship in health data?
A)Patients to hospital admissions
B) Patients to consulting physicians
C) Patients to their primary care physician
D) Hospital to its medical equipment
B) Patients to consulting physicians
When must the discharge summary be completed for most patients?
A)Within 48 hours of discharge
B) Within 30 days after discharge
C) Within 24 hours if transferred to another facility
D) B and C are correct
D) B and C are correct
What is the core data set developed by ASTM to ensure continuity of care?
A)Minimum Data Set
B) Uniform Hospital Discharge Data Set
C) Continuity of Care Record
D) Ambulatory Care Data Set
C) Continuity of Care Record
What method is being used when a subset of cases is reviewed for quality outcomes?
A)Benchmarking
B) Skewing
C) Sampling
D) Data analysis
C) Sampling
What type of numbering system is used in a cancer registry?
A)Reference number
B) Tracking number
C) Accession number
D) Follow-up number
C) Accession number
What process involves entering important health record information into a database?
A)Data migration
B) Data dictionary
C) Abstracting
D) Analysis
C) Abstracting
What event describes identifying an incorrect medication before administration?
A)Serious event
B) Sentinel event
C) Near miss
D) Time-out
C) Near miss
What is the term for reviewing patient records while the patient is still in the facility?
A)Concurrent review
B) Closed review
C) Delinquent review
D) Qualitative review
A)Concurrent review
What is the method of documenting only significant deviations from the norm or care plan?
A)Open charting
B) Charting by exception
C) Problem-oriented progress notes
D) Consultative notations
B) Charting by exception
What type of data are automated laboratory results considered?

A)Structured data
B) Unstructured data
C) Free-text data
D) Financial data
A)Structured data
After receiving blood products during surgery, a patient develops a fever and rash. What should this reaction be investigated as?
A)Blood verification
B) Core measure
C) Comorbidity
D) Transfusion reaction
D) Transfusion reaction
Within the healthcare industry, who or what determines the policies regarding the handling and use of data?
A)The administrative structure of information services
B) The overarching framework of data governance
C) The protocols of data structure design
D)The management of data systems
B) The overarching framework of data governance
Bob Jones is evaluating medical benefit plans based on their performance. Which resource will provide him with a comprehensive comparison?
A)HEDIS database for performance measures
B) OASIS database for home care benchmarks
C) ORYX initiative for quality improvement
D) UHDDS definitions for uniform reporting
A)HEDIS database for performance measures
What action should the quality council take if the hospital's staff turnover rate exceeds the internal benchmark?
A)Do nothing, as it may be an anomaly.
B) Coordinate a Performance Improvement (PI) team to investigate the high turnover rate.
C) Increase employee benefits to reduce turnover rates without investigation.
D) Compare the turnover rate with external benchmarks before taking action.
B) Coordinate a Performance Improvement (PI) team to investigate the high turnover rate.
When defining a practice's legal health record, what should an HIM professional develop first?
A)A comprehensive list of patient-related data in all systems.
B) An overview of health record systems' quality.
C) A list of statutes and regulations affecting health record release.
D) A tally of all information requests received in the past two years.
C) A list of statutes and regulations affecting health record release.
What conclusion can be drawn from the increase in medication errors, patient falls, and hospital-acquired infections between two quarters?
A)The quality of care has improved due to increased reporting.
B) The quality of care has remained consistent with hospital standards.
C) There has been a decline in the overall quality of care.
D) Such measures are not indicative of care quality and should be disregarded.
C) There has been a decline in the overall quality of care.
Who is generally granted ownership of the health record?
A)The patient
B) The healthcare provider generating the record
C) The insurance company
D) The government
B) The healthcare provider generating the record
What might an increase in a specific population within the last five years indicate for a healthcare organization?
A)Decrease in the need for staffing
B) Adjustment in staffing and services to address cultural needs
C) Reduced dietary options in the hospital
D) No need for change as populations fluctuate regularly
B) Adjustment in staffing and services to address cultural needs
In health information, what is the purpose of mapping?
A)To create visual representations of hospital layouts
B) To link disparate systems and data sets
C) To plot patient demographics geographically
D) To schedule staff shifts
B) To link disparate systems and data sets
When should an operative report be written or dictated?
A)Within a week after surgery
B) Immediately after surgery
C) Prior to surgery
D) At the surgeon's convenience
B) Immediately after surgery
Who is generally granted ownership of the health record?
A)The patient
B) The healthcare provider generating the record
C) The insurance company
D) The government
B) The healthcare provider generating the record
A consultation report documents:
A)The general health education of the patient
B) The findings or recommendations for further treatment by a specialist
C) The initial symptoms and complaints of the patient
D) The administrative details of a patient's hospital stay
B) The findings or recommendations for further treatment by a specialist
Who is responsible for dictating and signing the discharge summary?
A)Nurse responsible for the patient
B) Physician principally responsible for the patient's care
C) Hospital administrator
D) Any attending physician
B) Physician principally responsible for the patient's care
What type of relationship is described between the data table 'hospital' and the data table 'division'?
A)One-to-one
B) One-to-many
C) Many-to-many
D) Many-to-one
B) One-to-many
What is the purpose of a data set in healthcare?
A)To provide a randomized selection of data for research
B) To list all data used in the hospital’s information system
C) To recommend data elements with uniform definitions for specific use
D) To define the legal scope of data used in clinical settings
C) To recommend data elements with uniform definitions for specific use