RHIT Exam Review Domain 6
Based on a productivity log, a coder completed 23 charts during a 7.5-hour workday. The performance standard is 4 charts per hour. How many charts did he code per hour? Round to the nearest whole number.
- 2.06
- 4.1
- 23
- 3
(Ans- d. 3
Work measurement is based on assessment of internal data collected on actual work performed within the organization and the calculation of time it takes to do the work. Employees log what they do and the time spent on tasks in units of work received and processed each day.23 charts/7.5 hours = 3.06, which is rounded to 3 charts per hour.
An HIM department is projecting workforce needs for its document scanning process. The intent of the department is to scan patient records at the time of discharge, providing a 24-hour turnaround time. The hospital has an average daily discharge of 120 patients, and each patient record has an average of 200 pages. Given the benchmarks listed here, what is the least amount of work hours needed each day to meet a 24-hour turnaround time?
National Benchmarks for Document Scanning Processes:
Function: Expectations per Worked Hour
Prepping: 340-500 images
Scanning: 1,200-2,400 images
Quality Control: 1,600-2,000 images
Indexing: 600-800 images
- 100 hours 1 / 3
- 146 hours
- 1,000 hours
- 3,740 hours
(Ans- a. 100 hours
The question is asking for the least amount of hours needed to meet the 24-hour turnaround time. The average discharge in a 24-hour period is 120 patients, and the average number of pages for each patient chart is 200.So, 120 × 200 = 24,000 pages in a 24-hour period. Each chart must be prepped, scanned, checked for quality, and indexed. The highest number
of pages that can go through all these processes in an hour would be: 500
images in prepping; 2,400 images in scanning; 2,000 images in quality control; and 800 images in indexing.
24,000 / 500 = 48 hours needed for prepping 24,000 / 2,400 = 10 hours for scanning 24,000 / 2,000 = 12 hours for quality control 24,000 / 800 = 30 hours for indexing 48 + 10 + 12 + 30 = 100 hours, at least, needed each day to meet a 24- hour turnaround time.
The HIM department is developing a system to track coding productivity.The director wants the system to track the productivity of each coder by productive hours worked per day, health record ID, type of records coded, and to provide weekly productivity reports and analyses. Which of the following tools would be best to use for this purpose?
- Word-processing documents
- Paper log book
- Spreadsheet
- Database management system
(Ans- d. Database management system
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The database management system is the best option to collect, store, manipulate, and retrieve data for this situation. Paper and word-processing documents cannot sort and store the data in a meaningful way for this purpose. Spreadsheets should be used for accounting-type functions and not for data storage.
Coding accuracy is best determined by:
- A predefined audit process
- Medicare Conditions of Participation
- Payer audits
- Joint Commission Standards for Accreditation
(Ans- a. A predefined audit process
Accuracy of coding is best determined by a predefined audit process. The audits allow the facility to confirm that the policies and procedures of the organization are being met and to identify problems that need to be addressed and corrected.
Which of the following is the approved method for implementing an organization's formal position?
- Hierarchy chart
- Organizational chart
- Policy and procedure
- Mission statement
(Ans- c. Policy and procedure
Policies and procedures also can be considered organizational tools.Policies are written descriptions of the organization's formal positions.Procedures are the approved methods for implementing those positions.Together, they spell out what the organization expects employees to do and how they are expected to do it.
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