HAAD RHIA Exam (page: 11)
HAAD Registered Health Information Administrator (RHIA)
Updated on: 15-Feb-2026

Viewing Page 11 of 367

Joint Commission standards require that a complete history and physical be documented on the health records of operative patients. Does this report carry a time requirement?

  1. yes, within 8 hours post-surgery.
  2. no, as long as it is dictated before surgery.
  3. yes, prior to surgery.
  4. yes, within 24 hours post-surgery.

Answer(s): C



The old practice of flagging records for deficiencies and requiring retrospective documentation add little or no value to patient care. You try to convince the entire health care team to consistently enter data into the patient's record at the time and location of service instead of waiting for retrospective analysis to alert them to complete the record. You are proposing

  1. quantitative record review.
  2. clinical pertinence review.
  3. concurrent record analysis.
  4. point-of-care documentation.

Answer(s): D



An example of a primary data source for health care statistics other than the patient health record is the

  1. disease index.
  2. accession register.
  3. MPI.
  4. hospital census.

Answer(s): D



In the computerization of forms, good screen view design, along with the options of alerts and alarms, makes it easier to ensure that all essential data items have been captured. One essential item to be captured on the physical exam is the

  1. objective survey of body systems.
  2. chief complaint.
  3. family history.
  4. subjective review of systems.

Answer(s): A



During a retrospective review of Rose Hunter's inpatient health record, the health information clerk notes that on day four of hospitalization there was missed dose of insulin.
What type of review is this clerk performing?

  1. utilization review.
  2. quantitative review.
  3. legal review.
  4. qualitative review.

Answer(s): D



Viewing Page 11 of 367



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