AHIMA Registered Health Information Administrator (RHIA) RHIA Dumps in PDF

Free AHIMA RHIA Real Questions (page: 17)

A quality improvement team is focusing on the unacceptable number of unsigned doctors' order sin your facility. The most effewctive method for increasing the timelines of signatures on orders an dpositively impacting the patient care process would be

  1. performing a retrospective review where all orders can be flagged at one time.
  2. holding a printed order sheet on the medical care unit at least 24 hours postdischarge to give the physician time to sign.
  3. developing an open-record review process.
  4. devising a signature sheet for the attending physician to sign prospectively that will apply to all orders given during the current episode of his patient's care.

Answer(s): C



Before making recommendations to the Executive Committee regarding new physicians who have applied for active membership, the Credentials Committee must query the

  1. peer review organization.
  2. National Practitioner Data Bank.
  3. risk manager.
  4. Health Plan Employer Data and Information Set.

Answer(s): B



A qualitative analysis of OB records reveals a pattern of inconsistent data entries when comparing documentation of the same data elements captured on both the prenatal form and labor and delivery form. The characteristic of data quality that is being compromised in this case is data

  1. reliability.
  2. accessibility.
  3. legibility.
  4. completeness.

Answer(s): A



Medicare rules state that the use of verbal orders should be infrequent and used only when the orders cannot be written or given electronically. In addition, verbal orders must be

  1. written within 24 hours of the patient's admission.
  2. accepted by a charge nurses only.
  3. co-signed by the attending physician within 12 hours of giving the order.
  4. accepted by persons authorized by hospital regulations and procedures.

Answer(s): D



The lack of a discharge order may indicate that the patient left against medical advice. If this situation occurs, you would expect to see the circumstances of the leave

  1. documented in an incident report and filed in the patient's health record.
  2. reported as a potentially compensable event.
  3. reported to the Executive Committee.
  4. documented in both the progress notes and the discharge summary

Answer(s): D



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