RHIA

RHIA practice questions, page 15 of 73, with answer review and explanations.

Question 71

As information security officer, you are revising the policies at your rehabilitation facility for handling all patient clinical information. Your best resource for checking out specific accreditation standards and guidelines is the

  1. Conditions of Participation for Rehabilitation Facilities
  2. Medical Staff Bylaws, Rules, and Regulations
  3. Joint Commission manual
  4. CARF manual

Question 72

Which of the four distinct components of the problem-oriented record contains the medical and social history of the patient?

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

Question 73

Which of the following is a secondary data source that be used dsto quickly gather the health records of all juvenile patients treated for diabetes within the past 6 months?

  1. disease index.
  2. patient register.
  3. pediatric census sheet.
  4. procedure index.

Question 74

In a manual record tracking system, outguides replace a file that has been checked out of the system. A secondary function of outguides is to

  1. serve as a visual check for misfiled records.
  2. expedite correct placement of refilled records.
  3. enhance the use of file guides.
  4. cross-reference a file that has been moved forward to a new number.

Question 75

Key reports in a health record, such as history and physicals, discharge summaries, and operative reports, are generally dictated and transcribed. This recommended standard contributes most to data

  1. timeliness.
  2. accuracy.
  3. legibility.
  4. security.