RHIA

RHIA practice questions, page 14 of 73, with answer review and explanations.

Question 66

Which of the four distinct components of the problem-oriented record serves to help index documentation throughout the record?

  1. database.
  2. problem list.
  3. initial plan.
  4. progress notes.

Question 67

As supervisor of the cancer registry, you report the registrys annual caseloads to administration. The most efficient way to retrieve this information would be to use

  1. patient abstracts.
  2. patient index.
  3. accession register.
  4. follow-up files.

Question 68

An important element of data quality is security in preventing unauthorized access, corruption, misuse, and loss of data. Both technical and procedural methods will bed used with the CPR to control and manage confidential information. An example of a procedural method for protecting data is

  1. confidentiality statements signed by all staff.
  2. limiting access of certain screens based on the staff’s need to know.
  3. auditing capability of system to track data access.
  4. computer backup systems

Question 69

Select the appropriate situation for which a final progress note may legitimately be substituted for a discharge summary in an inpatient medical record.

  1. patient admitted with COPD 1/4/2008 and discharged 1/7/2008
  2. Baby Boy Hiltz’s born 1/5/2008, maintained normal status, discharged 1/7/2008
  3. Baby Boy Hiltz’s mother admitted 1/5/2008, C-section delivery, discharged 1/7/2008
  4. Baby Boy Doe admitted 1/3/2008, died 1/4/2008

Question 70

Which of the following is a type of laser technology that is ideal for health records because it stores data in a permanent capacity, prohibiting users from altering, misfiling, or erasing data?

  1. EDI.
  2. OCR.
  3. WORM.
  4. COM.