RHIT Exam (MS, HD, Privacy)
alleviating ir eliminating distressing symptoms of the disease
A 63-year-old patient with terminal pancreatic cancer has started palliative chemotherapy. Palliative means
meningitis due to Neisseria meningitidis-positive cerebrospinal fluid
A 19-year-old college student, who lives on campus in a dormitory, is brought to the ER by his roommates, complaining of serve headache, nuchal rigidity, fever, and photophobia. The ER physician performs an LP and orders a CSF analysis with bacterial culture and sensitivity. The young man is admitted to the ICU with provisional diagnosis of
destroy inactive records that exceed the statue of limitations
A 200-bed acute care hospital currently has 15 years of paper health records and filing space is limited. What action should be taken?
14
A HIM Department, currently using 2,540 linear filing inches to store records, plan to purchase new open-self filing units. Each of the shelves in a inches 6-shelf unit measures 36 linear filing inches. It is estimated that an additional 400 filling inches should be planned for to allow for 5-year expansion needs. How many new file shelving units should be purchased?
12
A new Health Information Department has purchased 200 units of 6-self files and plans to implement a terminal digit filing system. How many shelves should be allocated to each primary number?
pandemic
A new strain of influenza, H1N1, is a highly virulent strain that spread all over the world. This type of epidemiological disease pattern is referred to as a(n)
bladder
A pathological diagnosis of transitional cell carcinoma is made. The examined tissue was removed from teh
a group A beta-hemolytic streptococcal throat infection
A pharyngeal culture is taken from a 13-year-old male patient presenting to the ER with fever, painful cervical lymph nodes, purulent tonsillar exudate, and difficulty swallowing. A blood agar culture plate shows complete hemolysis around Streptococcus pyogenes bacterial colonies. The patient is given a prescription for erythromycin. The diagnosis is this case is
patient care is an exception to the minimum necessary rule, so process the request as written
A physician office has requested PHI for continued care. The release of information clerk wants to limit the information provided because of the minimum necessary rule. What should the supervisor tell the clerk?
noncompliance with Joint Commission standards
A qualitative review of a health record reveals that the history and physical for a patient admitted on June 26 was performed on June 30 and transcribed on July 1. Which of the following statements regarding the history and physical is true in this situation. Completion and charting of the H&P indicates
incident report
A risk manager needs to locate a full report of a patient's fall from his bed, including witness reports and probable reasons for the fall. She would most likely find this information in the
93.99%
Out of 2,543 records requested from the HIM Department, 2,375 were located. What is the filing accuracy rate?
00-00-31
According to terminal digit filing, what would be the number of the record immediately after record number 99-99-30?
preparing a summary
HIPAA allows health care providers to charge patients reasonable cost-based charges. Which of the following is allowed when determining the charge?
contaminated foods
All of the following are examples of direct transmission of a disease EXCEPT: contaminated foods, coughing or sneezing, droplet spread, physical contact
identity theft
An employee in the admission department stole the patient's name, Social Security number, and other information and used it to get a charge card in the patient's name. This is an example of
ONC
As a working HIM professional, you are investigating the workforce development projections of electronic health record specialists as outlined by ARRA and HITECH. In order to keep abreast of changes in this program, you will need to regularly access the web site of this governmental agency.
developing a plan for reporting privacy complaints
As chief privacy officer for Premier Medical Center, you are responsible for which of the following?
marking the surgical site
As part of Joint Commission's National Patient Safety Goal initiative, acute care hospitals are now required to use a preoperative verification process to confirm the patient's true identity, and confirm that necessary documents such as x-rays or medical records are available. They must also develop and use a process for
authentication
Before a user is allowed to access protected health information, the system confirms that this is a valid user. This is known as
carcinoma
Cancer derived from epithelial tissue is classified as a(n)
misfiles
Color coding of record folders is used to assist in the control of
disaster planning
Contingency planning includes which of the following processes?
significant findings during hospitalization
Discharge summary documentation must include
cancer
Dr. Zambrano ordered a CEA test for Mr. Logan, a 67 year-old African American male patient. Dr Zambrano may be considering a diagnosis of
achieving meaningful use of the EHR's
Engaging patients and their families in health care decisions is one of the core objectives for
5
How many years does the CMS regulations require that health records be maintained? Medicare's Conditions of Participation for Hospitals requires that patient health record be retained for at least years unless a longer period is required by state or local laws.
my friends and family can find out my room number
I have been asked if I want to be in the directory. The admission clerk explains that if I am in the directory,
2.4%
If there are 150,000 records and the HIM Department receives 3,545 requests for records within a given period time, what is the request rate?
date of birth
If there is more than one patient with the identical last name, first name, and middle initial, the master index entries are then arranged according to
reduce clinical denials for medical necessity
Improving clinical outcomes and optimal continuity of care for patients are common goals of clinical documentation improvement programs in acute care hospitals. Additionally, CDI programs may work together with UM programs to
business continuity plan
In case your system crashes, your facility has defined the policies and procedures necessary to keep your business going. This is known as:
pathology report
In preparation for an EHR, you are conducting a total facility inventory of all forms currently used. You must name each form for bar coding and indexing into a document management system. The unnamed document in front of you includes a microscopic description of tissue excised during surgery. The document type you are most likely to give this form is
00-06-26
In terminal digit filing system, what would be the record number immediately in front of record number 01-06-26
T-H-O-M-A-S-J-O-N-E-S, J-I-L-L
In the master patient index, which is filed by last name, Jill Thomas-Jones would be
use of prohibited or "dangerous" abbreviations
In the past, Joint Commission standards have focused on promoting the use of a facility-approved abbreviation list to be used by hospital care providers. With the advent of the Commission's national patient safety goals, the focus has shifted to the
health record
Information found in which of the following would not be considered secondary data?
antibiotic
Ingrid Anderson presents with a skin infection that began as a raised, itchy bump, resembling an insect bite. Within 1 to 2 days, it developed into a vesicle. Now it is a painless ulcer, about 2 cm in diameter, with a black necrotic area in the center. During the history, her doctor learns that she has recently returned from an overseas vacation and becomes concerned that she may have become infected with anthrax. He will prescribe an
straight numeric
Which filing system would provide the most convenient method for the record retrieval of 200 patients consecutively admitted to the hospital?
interns or medical students
Joint Commission requires the attending physician to countersign health record documentation that is entered by
route the request to the physician who wrote the note in question to determine appropriateness of the admentment
Kyle, the HIM Director, has received a request to amend a patient's health record. The appropriate action for him to take is
Lyme disease
Many bacterial disease are transmitted directly from person to person. Which of the diseases listed next is a bacterial disease transmitted by way of tick vector
increased blood supply
Mary Mulholland has diabetes. Her physician has told her about some factors that put her more at risk for infections.Which of the following factors would probably NOT be applicable?
cocktail
Mary Smith, a 48-year-old patient, is receiving an IV mixture of four different medications to treat stage 2 invasive ductal breast carcinoma. Each of the medications acts upon a different aspect of the cancer cells. This mixture is typically termed a(n)
Mary is not required to release the extra documentation because the facility has the right to interpret a request and apply the minimum standard rule
Mary processed a request for information and mailed it out last week. Today, the requestor, an attorney, called and said that all of the requested information was not provided. Mary pulls the documentation, including the authorization and what was sent. She believes that she sent everything that was required based on what was requested. She confirms this with her supervisor. The requestor still believes that some extra documentation is required. Given the above information, which of the following statements is true?
acceptable as courtroom evidence
Microfilmed records are considered
Notify the patient
Mountain Hospital has discovered a security breach. Someone hacked into the system and viewed 50 medical records. According to ARRA, what is the responsibility of the covered entity in a reasonable time not to exceed 60 days?
follow the daily surgical patient listing for the surgical patient listing for the surgery suite if the patient has been sedated
One of the Joint Commission National Patient Safety Goals (NSPGs) requires that healthcare organizations eliminate wrong-site, wrong-patient, and wrong-procedure surgery. In order to accomplish this, which of the following would not be considered part of a preoperative verification process?
meaningful use requirements
One of the patients at your physician group practice has asked for an electronic copy of her medical record. Your electronic computer system will not allow you to accommodate this request. Chances are, you are NOT in compliance with
cognitive patterns
Patient data collection requirements vary according to health care setting. A data element you would expect to be collected in the MDS, but NOT in the UHDDS would be
A three-shot vaccination series protects against the types of HPV that cause most cervical cancer cases
Which of the following BEST summarizes the current treatment of cervical cancer
de-identify health information
Which of the following can be released without consent or authorization?
a hacker
Someone accessed the covered entity's electronic health record and sold the information that was accessed. This person is known as which of the following?
review and possibly reengineer the retrieval process to decrease retrieval time
The HIM Department at General Hospital has been experiencing an average of 30-minute delay in the retrieval of records requested by the Emergency Department. Which of the following corrective actions would be most effective in reducing the delay in retrieval of requested records?
nurses using bedside terminals to record vital signs
The best example of point-of-care service and documentation is
Coronavirus
The cause for serve acute respiratory syndrome is a
rubella
The childhood viral disease that unvaccinated women should be prevented from contracting because it may be passed to the fetus, thus causing congenital anomalies such as mental retardation, blindness, and deafness is
MDS
The federally mandated resident assessment instrument used in long-term care facilities consists of three basic components, including the new care assessment, utilization guidelines, and the
simply document a written or oral agreement from a parent or guardian before releasing the immunization record to the school
The final HITECH Omnibus Rule expanded some of HIPAA's original requirements, including changes in immunization disclosures. As a result, where states require immunization records of a minor prior to admitting a student to a school, a covered entity is permitted to
interdisciplinary plan of care
The foundation for communicating all patient care goals in long-term care setting is the
state law
The minimum length of time for retaining original medical records is primarily governed by
Hepatitis C
The most common blood-borne infection in the United States is
Rocky Mountain spotted fever
The most common rickettsial disease in the United States is
small cell cancer
The most fatal type of lung cancer is
protozoa
The organism transmitted by a mosquito bit that causes malaria us a
60
The patient has requested an amendment to her heath record. The facility, after review with the physician, has decided to deny the request. According to HIPAA, the patient must be notified within how many days?
disclosing information to family member who is directly involved in care
The patient has the right to agree or object in which of the following situations?
privacy
The patient has the right to control access to his or her health information. This is known as
Hodgkin's disease
The patient's pathology report revealed the presence of Reed-Sternberg cells. This is indicative of
the overall quality of documentation in the record
The performance of ongoing record reviews is an important tool in ensuring data quality. These reviews evaluate
physical safeguard
The physician office has set the information systems so that they will log out after 5 minutes of inactivity. This is an example of which of the following?
Memory Cells
The prevention of illness through vaccination occurs due to the formation of
use
The research coordinator viewed 10 patients' records for a research study being conducted. Select the term used for this practice.
All answers apply
There has been a significant increase in the number of cases and deaths from pertussis. Health care professionals attribute this disease trend to which of the following: A decrease in the number of people immunized with TDaP, an increase in the virulence of the bacteria, drug-resistant of the bacteria
attending physician
Ultimate responsibility for the quality and completion of entries in patient health record belongs to the
are required to be documented in health record
Under the Patient Self-Determination Act of 1990, evidence of advance directives
All answers apply
United States health care providers are concerned about a possible pandemic of avian flu because
amount of space available for storage of newer records
What is the chief criterion for determining record inactivity?
straight numeric
What type of filling system is being used if records are filed in the following order:12-23-75, 12-3429, 12-35-71, 13-42-14, and 14-32-79?
Hodgkin's disease
Which disease is a malignancy of the lymphatic system?
release to the patients family
Which of the following disclosures would require patient authorization?
there is less transportation time and effort when a facility operates from several sites
Which of the following is NOT an advantage of a centralized filing system?
monitoring the computer access activity of the user
Which of the following is an example of administrative safeguards under the security rule?
the hospital provides patient names and addresses to pharmaceutical to be used in a mass mailing tree of free drug samples
Which of the following situations violates a patient's privacy?
"Mary, at work yesterday I saw that Susan had a hysterectomy."
Which of the following statements demonstrates a violation of protected health information?
it applies to the federal government
Which of the following statements is true about the Privacy Act of 1974?
bar codes
Which of the following technologies works best with automated record-tracking systems to speed the data entry process?
release of information company
Which of the following would be a business associate?
take a compromising position toward optimal interpretation of nonspecific regulations and laws
Which one of the following actions would NOT be included in the professional obligations of the health information practitioner that lead to responsible handling of patient health information?
duplication of patient registration can never occur
Which one of the following is NOT an advantage of a computerized master patient index?
assigning all records the same retention period
Which one of the following is NOt a step in developing a health record retention
pancreas
Which organ listed below has endocrine and exocrine functions?
57-78-00, 57-78-01, 56-78-99
Which set of records filed consecutively on a shelf displays terminal digit filing order?
context-based
You are a nurse who works on 3West during the day shift. One day, you had to work the night shift because they were shorthanded. However, you were unable to access the EHR. What type of access control(s) are being used?
risk assessment
You are reviewing your privacy and security policies, procedures, training program, and so on, and comparing them to the HIPAA and ARRA regulations. You are conducting a
operation index
You have been asked by a peer review committee to print a list of the medical record numbers of all patients who had CABGs performed in the past year at you acute care hospital. Which secondary data source be used to quickly gather this information.
disease index
You have been asked to identify every reportable cause of cancer from the previous year. A key resource will be the facility's
write the patient and tell hi that you need a 30-day extension
Your department was unable to provide a patient with a copy of his record within the 30-day limitation. What should you do?
7 Years
Your state regulations require health records to be kept for a statute of limitations period of 7 years. Federal law requires records to be maintained for 5 years. The minimum retention period for health records in your facility should be
Basal cell carcinoma, malignant melanoma
__________ is the most type of skin cancer and ______ is the most deadly type of skin cancer.
