The diagnosis of abdominal pain is referred to as a, A facility uses electronic signatures, with automatic time and date stamps, to guarantee the authorship of each record entry. A right hemicolectomy with a liver biopsy is performed. Which of the following actions should the coder take to code this encounter? In a health information exchange, patients would most likely be identified using a(n) _____. Our comprehensive study guide for the RHIT exam is written by our exam experts, who painstakingly researched the topics and concepts that you need to know to do your best on the RHIT exam. Click here for the lowest price. Must usually be accompanied by patient authorization. Which of the following is an interactive database that collects longitudinal hospital care data, including hospital statistics at the regional, state, and federal levels? Gravity. Covered entities must do which of the following to comply with HIPAA security provisions? Flashcards. The ambulatory surgery record contains information most similar to which of the following? Search. Course Type: Health Information Management. D$)с�F#�e�\�@�&�����6M���h �y}{�&��Ƴ! Which of the following is the approved method for implementing an organization's formal position? Proven RHIA test flashcards raise your score on the RHIA test. shuffle. Library LibGuides Health Information Management: Exam Preparation Test and Exam Preparation Search this Guide Search. If you find benefit from our efforts here, check out our premium quality RHIT study guide to take your studying to the next level. The Basic Fundamentals of Stage Management as … x����k�0�� ��Q*�r�oC),�d��c�u�@�lNG�?�.��$�-���Y���Y�������dx~���� stream A patient who died from leukemia exacerbated by pregnancy. Defined as: The focus on the data being free of errors. A POA indicator of "W" is assigned when the associated condition is, The standards were designed to facilitate an exchange of data between payers and providers. Which of the following legislation authorized the creation of the Office of National Coordinator for Health Information Technology ((ONC)? click below . A cost-based fee may be charged for making a copy of the PHI. You are gathering external data for benchmarking purposes. You are reviewing a patient health record which has a problem list placed in the front of the record. Do not walk in unprepared. This website works best with modern browsers such as the latest versions of Chrome, Firefox, Safari, and Edge. Which of the following is an example of an institutional user of the health record? The patient is given Epogen for treatment and discharged to home. Your purchase also helps us make even more great, free content for test-takers. She has a normal delivery with vacuum extraction to facilitate the baby's delivery. Which of the following plans involves paying physicians and facilities a fixed per capita amount for each enrolled patient? The Privacy Rule's minimum necessary requirement does not apply. Do yourself a favor and study. Which of the following has access to personally identifiable data without authorization or subpoena? Key Concepts: Terms in this set (213) Continuous data. What is RAP (Resident Assessment Protocol)? You are examining a data set that includes elements that are specific to ambulatory care, including the patient's living arrangements and marital status. OASIS-C data are used to assess the ________ of home health services. True or false: The average length of stay for an acute-care hospital is 21 days or less. The HIM director asks you to report the number of patients seen by Dr. Reynolds during the months of June and July. All of the following data elements should be abstracted EXCEPT, You are conducting a qualitative review on a health record that contains documentation from the patient's birth to the present date, including documentation from other facilities. 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