RHIT Practice Exam 2: Questions

RHIT Practice Exam 2: Questions &

Answers

Which of the following data sets would be most helpful in developing a hospital trauma data registry?

• DEEDS
• MDS
• OASIS
• UACDS

(Ans- a. DEEDS

In 1997, the Centers for Disease Control and Prevention (CDC), through its National Center for Injury Prevention and Control (NCIPC), published a data set called Data Elements for Emergency Department Systems (DEEDS). The purpose of this data set is to support the uniform collection of data in hospital-based emergency departments and to reduce incompatibilities in emergency department records.

The HIM manager was asked by the medical director to present the hospital's policy on deletion of erroneous information from the electronic health record to the medical staff. This policy requires that the original documentation is retained in the EHR along with the corrected documentation. Which of the following is a key component of this policy?

• The new documentation must be reviewed by the chief of the medical

staff

• Natural language processing would be utilized to delete erroneous

information

• The new and old documentation would be included in the same

document with a comment section. 1 / 4

• The new documentation needs to be reviewed by the risk manager.

(Ans- c. The new and old documentation would be included in the same document with a comment section.

Policies and procedures need to be in place to address amendments and corrections in the EHR. In the event that an amendment, addendum, or deletion needs to be made the EHR should retain the previous version of the document and identify who made the change along with the date and time that the change was made.

Which of the following can assist managers with the tasks of monitoring productivity and forecasting budgets?

• Intermediary bulletins
• Mapping errors
• Revenue codes
• Workload statistics

(Ans- d. Workload statistics

Workload statistics can assist managers with the tasks of monitoring productivity and provide data regarding resources used, such as equipment, personnel, services, and supplies.

A dietary department donated its old laptop to a school. Some old patient data were still on the computer. What controls would have minimized this security breach?

• Access controls
• Device and media controls
• Facility access controls
• Workstation controls

(Ans- b. Device and media controls

Device and media controls require the facility to specify proper use of electronic media and devices (external drives, backup devices, etc.). 2 / 4

Included in this requirement are controls and procedures regarding the receipt and removal of electronic media that contain protected health information and the movement of such data within the facility. The entity must also address procedures for the transfer, removal, or disposal, including reuse or redeployment, of electronic media.

The coder assigned separate codes for individual tests when a combination code exists. This is an example of which of the following?

• Upcoding
• Complex coding
• Query
• Unbundling

(Ans- d. Unbundling

Unbundling occurs when individual components of a complete procedure or service are billed separately instead of using a combination code.

Secondary data is used for multiple reasons including:

• Assisting researchers in determining effectiveness of treatments
• Assisting physicians and other healthcare providers in providing patient

care

• Billing for services provided to the patient
• Coding diagnoses and procedures treated

(Ans- a. Assisting researchers in determining effectiveness of treatments

Secondary data is used in research. Data taken from health records and entered into disease oriented databases can help researchers determine the effectiveness of alternate treatment methods. They also can quickly demonstrate survival rates at different stages of diseases.

Dr. Jones comes into the HIM department and requests that the HIM director provide a list of his records from the previous year that show a 3 / 4

principal diagnosis of myocardial infarction. What would the HIM director use to provide this list?

• A disease index
• A master patient index
• An operative index
• A physician index

(Ans- a. A disease index

A disease index is a listing in diagnosis code number order for patients discharged from the facility during a particular time period.

A hospital is planning to allow coding professionals to work at home. The hospital is in the process of identifying strategies to minimize the security risks associated with this practice. Which of the following would be best to ensure that data breaches are minimized when the home computer is unattended?

• User name and password
• Encryption
• Cable locks
• Automatic session log-off

(Ans- d. Automatic session log-off

In the HIPAA Security Rule, one of the technical safeguards standards is access control. This includes automatic log-off, which ensures processes that terminate an electronic session after a predetermined time of inactivity.

A PI Team is concerned with the time it is taking for patients to get through the registration process. To better understand the causes or reasons for the delay in this process the PI Team would like to gather observational data. What data collection tool would be appropriate for this team to develop for their observation data?

• Check sheet
• / 4