Registered Health Information Administrator (RHIA) Exam Questions PDF download

QUESTION: 56

Which of the following is least likely to be identified by the deficiency analysis clerk?

missing discharge summary
needs for physician authentication of two verbal orders
discrepancy between post-op diagnosis by the surgeon and pathology diagnosis by the pathologist
x-ray report charted on the wrong record

Answer(s): C

The Conditions of Participation requires that the medical staff bylaws, rules, and regulations address the status of consultants. Which of the following reports would normally be considered a consultation?

tissue examination done by the pathologist
impressions of a cardiologist asked to determine whether patient is a good surgical risk
interpretation of a radiologic study
technical interpretation of electrocardiogram

Answer(s): B

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QUESTION: 58

The health care providers at your hospital do a very thorough job of periodic open record review to ensure the completeness of record documentation. A qualitative review of surgical records would likely to include checking for documentation regarding

the presence or absence of such items as preoperative and postoperative diagnosis description of findings, and specimens removed.
whether a postoperative infection occurred and how it was treated.
the quality of follow-up care.
whether the severity of illness and/or intensity of service warranted acute level care.

Answer(s): A

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QUESTION: 59

In your facility it has become critical that information regarding patients who are transferred to the oncology unit be sent to an outpatient scheduling system to facilitate outpatient appointments. This information can be obtained most efficiently from

generic screens used by record abstractors.
Disease index.
R-ADT system.
Indicator monitoring program.

Answer(s): C

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QUESTION: 60

In your facility, the health care providers from every discipline document progress notes sequentially on the same form. Your facility is utilizing

integrated progress notes.
interdisciplinary treatment plans.
source-oriented records.
SOAP notes.

Answer(s): A

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QUESTION: 56

QUESTION: 57

QUESTION: 58

QUESTION: 59

QUESTION: 60