RHIT Exam Study Guide
OASIS data are used to assess the ___ of home health services.(Ans- Outcome
A statement or guideline that directs decision making or behavior is called
a:
(Ans- Policy
Examples of high-risk billing practices that create compliance risks for
healthcare organizations include all of the following, except:
(Ans- Returned Overpayments
Healthcare fraud is all of the following except:
(Ans- Unnecessary Costs to a program
Corporate compliance programs became common after adoption of which
of the following:
(Ans- Federal Sentencing Guidelines
Which of the following is a legal concern regarding the EHR?(Ans- Ability to subpoena audit trails.
The act of granting approval to a healthcare organization based on whether
the organization has met a set of voluntary standards is called:
(Ans- Accreditation
A group practice has hired an HIT as its chief compliance officer. The current compliance program includes written standards of conduct and policies and procedures that address specific areas of potential fraud. It also has audits in place to monitor compliance. Which of the following should the compliance officer also ensure are in place?(Ans- A hotline to receive complaints and adoption of procedures to protect whistleblowers from retaliation 1 / 4
In developing a coding compliance program, which of the following would not be ordinarily included as participants in coding compliance education?(Ans- Nursing Staff
Which of the following organizations within the federal government is responsible for looking at the issues related to the efficiency and effectiveness of the healthcare delivery system, disease protocols, and guidelines for improved disease outcomes?(Ans- Agency for Healthcare Research and Quality (AHRQ)
Which of the following issues compliance program guidance?(Ans- HHS Office of Inspector General (OIG)
Which of the following is an example of data security?(Ans- Automatic logoff after inactivity
A patient has been discharged prior to an administrative utilization review being conducted. Which of the following should be performed?(Ans- Retrospective Utilization Review
An EHR system can provide better security than a paper record for
protected health information system due to:
(Ans- Access controls, audit trails, and authentication systems
Community Hospital wants to provide transcription services for transcription of office notes of the private patients of physicians. All of these physicians have medical staff privileges at the hospital. This will provide an essential service to the physicians as well as provide additional revenue for the hospital. In preparing to launch this service, the HIM director is asked whether a business associate agreement is necessary. Which of the following should the hospital HIM director advise to comply with HIPAA regulations?(Ans- Each physician practice should obtain a business associate agreement with the hospital 2 / 4
Which accrediting organization has instituted continuous improvement and sentinel event monitoring and uses tracer methodology during survey visits?(Ans- The Joint Commission
Developing, implementing, and revising the organization's policies is the
role of:
(Ans- Middle Managers
Position descriptions, policies and procedures, training checklists, and
performance standards are all examples of:
(Ans- Staffing Tools
This organization has been responsible for accrediting healthcare organizations since the mid 1950's and determines whether the organization is continually monitoring and improving the quality of care they provide.(Ans- The Joint Commission
Which of the following is a written description of an organization's formal position?(Ans- Policy
The Deficit Reduction Act of 2005:
(Ans- Made compliance programs mandatory
Which of the following statements best defines utilization management?(Ans- It is a set of processes used to determine the appropriateness of medical services provided during specific episodes of care
Which of the following is not a type of utilization review?(Ans- Peer Review
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Which of the following is not one of the basic functions of the utilization review process?(Ans- Claims Management
The Medical Review Committee wants to determine if the hospital is in compliance with Joint Commission standards for medical record delinquency rates. The HIM Director has compiled a report that shows that records are delinquent for an average of 29 days after discharge. Given this information, what can the Committee conclude?(Ans- Data are insufficient to determine whether the hospital is in compliance
Which of the following is the largest healthcare standards-setting body in the world?(Ans- The Joint Commission
Which of the following is the largest healthcare standards-setting body in the world?(Ans- The Joint Commission
Community Hospital wants to offer information technology services to City Hospital, another smaller hospital in the area. This arrangement will financially help both institutions. In reviewing the process to establish this arrangement, the CEO asks the HIM director if there are any barriers to establishing this relationship with regard to HIPAA. In this situation, which of the following should the HIM director advise?(Ans- City Hospital should obtain a business associate agreement with Community Hospital
Which of the following facilities do not have to meet standards in the Conditions of Participation?(Ans- Physician Offices
An audit trail may be used to detect which of the following:
(Ans- Unauthorized access to system
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