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RHIT Prep Exam
RHIT Prep Exam
100 terms
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1
What feature of the filing folder helps locate misfiles within the paper-based filing system?
Barcodes
Folder weight
Fastners
Color coding
2
What type of health records contain family caregiver input?
Emergency department health records
Obstetric health record
Ambulatory surgery records
Behavioral health records
3
Describe incomplete records that are not completed by the physician in the time frame specified in the healthcare facil
Delinquent records
Suspendded records
Default records
Loose Records
4
Physical therapy assistants carry out the treatment plans created by the physical therapists?
False
True
5
Which of the following certifications is administered by CCHIIM?
Registerd Health Documentation Specialist
Certified Professional in Healthcare information and Management Systems
Registered Health Information Technician
Certified Professional Coder
6
Which of the following statements is true about behavioral health?
Psychiatric care is to ambulatory care settings
Insurance coverage generally places restrictions on the psychiatric care such as a limit on the number of outpatient visits
It provides only day-hospital and day-treatment programs
The quality of the treatment provided has not changed in the past 20 years
7
The average length of stay for an acute-care hospital is 21 days or less
False
True
8
Written or spoken permission to proceed with care is classified as:
Implied consent
Advanced directives
Acknowledgement
Express consent
9
Which of the following is a tool used to track paper-based health records
Outguide
Requisition
MPI
Compliance documentation
10
The ambulatory surgery record contains information most similar to which of the following?
Physician's office records
Emergency care records
Hospital operative records
Hospital obstetric record
11
To "create social and physical environments that promote good health for all" is a goal of which of the following
PCORI
Healthy people 2020
VHA
CDC
12
The traditional model of HIM practice of:
Analytically based
Information based
Electronically based
Department based
13
Which of the following medical practitioner is not considered a generalist?
Pediatrics
Cardiology
Internal medicine
Obstetrics and gynecology
14
Which of the following is a risk of copying and pasting?
System may not save data
Reduction in the time required to document
Copying the note in the wrong patients record
System thinking that the information belongs to the patient from whom the consent was being copied
15
Which on the following is the virtual network used by AHIMA members?
Engage
House of Delegates
Fellowship
Communities of Practice
16
Continuum of care = care provided by different care givers at several different levels of the healthcare system
True
False
17
Which of the following governs the HIM profession?
CAHIIM
CCHIIM
House of Delegates
Board of Directors
18
Which of the following is a nonprofit, nongovernmental organization
CDC
National Academy of Medicine
SCHIP
Healthy people 2020
19
Which of the following legislation authorized the creation of the Office of National Coordinator for Health Information?
ARRA
TEFRA
PPACA
HIPAA
20
Which of the following is true about registered nurses?
RNs are required to have a license in the state in which the practice
RNs only provide clinical services within a healthcare entity
RNs must have bachelor's degree from an approved nursing school
RNs are graduates of nonacademic training programs
21
Which of the following is an example of a primary purpose of the health record
Research
Policy making
Education
Patient care
22
The publication
To Error Human
stated that as many patients die each year from preventable medical mistakes
72,000
10,000
98,000
46,000
23
The organization that accredits HIM education program is:
AHIMA
CCHIIM
CAHIMA
Joint Commission
24
Which of the following systems is used to track whether or not a request for infomation has been processed?
Release of information
Chart tracking
Encoder
Registry
25
Which group focuses solely on accreditation of rehabilitation programs and services?
AOA
Joint Commission
CARF
AAAHC
26
Comparative effectiveness research is a major focus of the patient-centered outcomes research institute
False
True
27
Patient history questioners, problem lists, diagnostic tests results, and immunization records are commonly found in wha
Emergency department record
Ambulatory record
Rehabilitative care record
Long-term care record
28
The acronym IDS refers to:
Independent Delivery System
Integrated Delivery System
Integrated Disease System
Independent Dietitian Service
29
Utilization Review Act of 1977 required that hospitals conduct continued-stay reviews for Medicaid and Medicare patients
True
False
30
Reviewing a heath record for missing signatures and missing medical reports is called
Coding
Analysis
Indexing
Assenbly
31
Subacute care = care that offers patients access to constant nursing care while recovering at home
False
True
32
Pharmaceutical services are considered part of the clinical support services
True
False
33
A hospital that participates in medicare and medicaid programs must follow:
The medical bylaws of the healthcare provider organization
The conditions of participation
The accreditation organization
The plan
34
TEFRA of 1982 required the gradual implementation of a prospective payment system PPS for Medicare reimbursment
False
True
35
Which type of health record contains information about the means by which the patient arrived at the healthcare setting
Long-term care
Ambulatory care
Rehabilitative care
Emergency care
36
Dr. Smith has been granted permission by Community hospital to perform cardiac catheterizations. This permission is:
Clinical classification
Case management
Clinical privalges
Clinical assignment
37
An HIm student has asked you why Medicare reimburses healthcare providers through prospective payment systems
Consolidated Budget Reconciliation Act of 1986
Omnibus Budget Reconciliation Act of 1986
Tax Equity and Fiscal Responsibility Act of 1982
Peer Review Improvement Act of 1982
38
Which of the following is an example of an individual user?
Policy-making body
Accreditadtion agency
Patient
Government licensing agency
39
Which healthcare professional assists physician in clinical assessments and patient education?
Health information manager
Diagnostic medical sonographer
Physician assistant
clinical laboratory technician
40
Which specialized type of progress note provides healthcare professionals impressions of patient problems with
Vital signs record
Care plans
Surgical note
Flow record
41
Public Law 92-603 of 1972 required concurrent review of Medicare and Medicaid patients
True
False
42
One of the advantages of DMS is that it can
Eliminate all of the problems encountered with the patient record
Improve communications with physicians
Control workflow
Decrease the time records should be retained
43
Paper-based system, individual health records are organized in a standardized order in which of the following processes?
Retrieval
Analysis
Assembly
Recording
44
My daughter fell and cut herself tonight. Though it is not an emergency, what type of setting would I most likely access
Private medical practice
Hospital emergency department
Freestanding ambulatory care center
Community based ambulatory care services
45
Two patients records were filed together by mistake. This is an example of
Overlay
Overlap
Duplicate
Purge
46
Which of the following is a surgical specialty?
Internal medicine
Oncology
Neurology
Orthopedics
47
Which of the following a wide array of tests on body fluids, tissues, and cells to assist in the detection, diagnoses?
Surgical technologists
Clinical laboratory scientist
Licensed practical nurses
Sonographers
48
What type of facility offers palliative care for end-of-life care so the patient may live life fully and comfortable
Hospice
Nursing facility
Skilled nursing facilities
Adult day-care
49
Healthy pwople 2020 is the third iteration of this document
False
True
50
Which of the following is an example of an institutional user of the health record?
Employer
Third-party payer
Physician
Patient
51
Healthcare policy is only formulated at the federal level
True
False
52
Patient Protection and Affordable Care Act of 2010 provided an individual mandate to have a minimum acceptable coverage
False
True
53
Only individuals authorized by the organizations policies should be allowed to enter documentation onto the health recor
True
False
54
What type of speech recognition is used when the physician edits the documents?
Back-end
Provider
Enhanced
Front-end
55
Which service diagnoses and treats patients who have acute and/or chronic lung disorders?
Physical therapy
Respiratory therapy
Occupational Therapy
Clinical laboratory services
56
Audiologists provide comprehensive diagnosic and treatment/rehabilitative services for auditory, vestibularimpairments?
False
True
57
Auto-authentication is the preferred method of authentication
False
True
58
With which department does the HIM department interact to preform audits and monitor outcomes?
Virtual HIM
Billing
Patient care departments
Quality improvement
59
Respiratory therapists treat patients with limited mobility
False
True
60
Acute care hospitals provide short term care to diagnose or treat illness
True
False
61
Our college has applied to become accredited by CAHIIM. Which of the following is the name of the interim stage of
Certification
Fellowship
Credentialing
Candidacy
62
Managed care manages cost, quality, and access to services
True
False
63
The forms design committee:
Provides oversight for the development, review, and control of forms ans computer screens
Is responsible for the EHR implementation and maintenance
Is always a subcommittee of the quality improvement committee
Is an optional function for the HIM department
64
An attending physician requests the advice of a second physician who then reviews the health record and examines the
Discharge summary
Progress note
Consultation
Operative report
65
How are amendments handled on the EHR?
Amendments cannot be entered after 24 hours of the event
Automatically appended to the original note. No addition signature required
Amendments must be entered by the same person as the original note
The amendment must have a separate signature, date, and time
66
When will you find clinical decision support?
Personal health record
Health record in any format
Electronic health record
Natural language processing
67
The HIM profession is changing due to:
Changes in technology
Changes in medical staff bylaws
Changes in AHIMA
Demands of physicians
68
Which is an example of a federally run hospital?
Not-for-profir
Community
VA
Psychiatric
69
Physical therapists are only one member of the rehabilitation team
False
True
70
Which healthcare provider utilizes ultrasound, computed tomography, or MRIs?
Podiatrist
Radiologic technologist
Nuclear medicine technologist
Orthoticists
71
Which of the following best describes Medicaid?
Healthcare program limited to those under the age of 65
Federal program targeted principally for those 65 and older
Federally mandated healthcare program for low-income people
Healthcare program for low-income persons regardless of age that is totally financed and operated by the states
72
What type of paper based storage system conserves floor space by eliminating all but one or two aisles?
Carousel system
Filing cabinets
Mobil filing units
Open-shelf units
73
Which of the following would not be found in a physical exam?
Cheif complaint
Vital signs
General condition
present illness
74
What microfilm format is ineffective when patients have multiple admissions on microfilm?
Roll
Jacket
Microfiche
Both roll and jacket
75
Health departments ise the health record to montiour outbreaks of diseases. Which type of use is this?
Patient care
Accreditation
Public health and research
Education
76
Which of the following is NOT an example of an administrative support services?
Billing
HIM
Marketing
Admissions
77
Which federal agency monitors healthy precautions for internal national travelers
VHA
IHS
CDC
PCORI
78
Health records entries should be documented at the time of services they describe are rendered
True
False
79
The new model of HIM practice is:
Record focused
Informatio focused
Department focused
Traditional focused
80
Freestanding ambulatory care centers provides emergency services and urgent care for walk-in patients
False
True
81
SSA of 1935 gave the states funds on matching basis for maternal and infant care, rehabilitation of crippled children.
False
True
82
What should be done when the HIM departments error or accuracy rate is too high based on policy?
The problem should be treated as an isolated incident
The formula for determining the rate may need to be adjusted
Correction action should be taken
Reaudit the problem area
83
General documentation guidelines apply to
Only electronic health records
Only emergency health records
Clinical observations
All categories of healthcare records
84
When I key in 10101963, the computer displays it as 10/10/1963, what enables this?
Input mask
Check box
Radio button
Toolkit
85
HIM has been recognized as a profession since?
1918
1910
1928
2006
86
Most patients in long-term care require inpatient nursing and related services for more than how many consecutive days
100
60
30
14
87
Who has the primary responsibility to guide the direction of the hospital?
Board of directors
Chief executive officer
Medical staff
Chief executive officer
88
When errors are made, the erroneous information can be obliterated
True
False
89
Human Genome Project = identify all human genes
False
True
90
Which of the following laws created the HITECH Act?
Healthcare Quality Improvement Act
Consolidated Omnibus Budget Reconciliation Act
Health Insurance Portability and Accountability Act
American Recovery and Reinvestment Act
91
Version control of documents in the EHR requires
Signed and unsigned documents not to be considered two versions
Policies and procedures to control which versions is displayed
Previous versions to be accessible to administration only
The deletion of old versions and the retention of the most recent
92
The primary focus if AHIMA is
Implement an electronic health in hospitals
Foster professional development if its members
Set and implement standards
Ensure that health records are complete
93
What type of organization utilizes health record data to prove/disprove the efficacy of a healthcare treatment
Policy making
Third-party payer
Education
Research
94
Which of they following settings provides ambulatory care to low-income patients and receives funding from many sources
Private medical practice
Skilled nursing facility
Voluntary agency
Subacute-care services
95
Until the World War II, where was most healthcare provided?
Physicians office
Home
Hospital
Governors clinic
96
A patient's registration forms, personal property list, RAI, care plan, and discharge or transfer documentation would be
Ambulatory care
Rehabilitative care
Behavioral Health
Long-term care
97
The hospital standardization movement was inaugurated by the:
Record Librarians of North America
American Health Information Managment Association
American College of Surgeons
American College of Physicians
98
A patients gender, phone number, address, next of kin, and insurance policy number would be considered what kind of info
Authorization data
Consent data
Administrative data
Clinical data
99
Which of the following is controlled by patients?
Health record in any format
Certified health record
Electronic health record
Personal health record
100
There are six federal agencies that provide healthcare to over 100 million people
False
True