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RHIT Test Review

AHIMA Test Questions for RHIT Exam

A critical early step in designing an EHR is to develop a(n)________ in which the characteristics of each data element are defined. data dictionary
In healthcare, data sets serve two purposes. The first purpose is to identify data elements to be collected about each patient. The second is to _____. provide uniform data definitions
Once hospital discharge abstract systems were developed and their ability to provide comparative data to hospitals was established, it became necessary to develop ______. data sets
A health information technician has been charged with the responsibility of designing a data collection form to be used on admission of a patient to the acute care hospital in which she works. The first resource that she should use is UHDDS
Which of the following is NOT a characteristic of the common healthcare data sets such as UHDDS and UACDS? They provide a complete and exhaustive list of data elements that must be collected.
A corporation is evaluating several health plans for its benefits package. The data set that provides comparison information about health plan performance is ______. HEDIS
The name of the government agency that has led the development of basic data sets for health records and computer databases is ______? National Committee on Vital and Health Statistics
The primary purpose of a minimum data set in healthcare is to ______. recommend common data elements to be collected in health records
The inpatient data set that has been incorporated into federal law and is required for Medicare reporting is the ______. Uniform Hospital Discharge Data Set
Both HEDIS and the Joint Commission;s ORYX programs are designed to collect data to be used for _____. performance improvement programs
While the focus of inpatient data collection in the UHDDS is on principal diagnosis, the focus of outpatient data collection in the UACDS is on _____. reason for encounter
In long-term care, the resident's care plan is based on data collected in the ______. MDS Version 2.0
Reimbursement for home health services is dependent on data collected from _____. OASIS
Each of the three dimensions (personal, provider, and community) of information defined by the National Health Infrastructure (NHII) contains specific recommendations for _____. core data elements
A core set developed by ASTM to communicate a patient's past and current health information as the patient transitions from one care setting to another is _____. Continuity of Care Record
The home health prospective payment system uses the _____ data set for patient assessments. OASIS
The government agency most closely involved in the development of healthcare data sets and information standards is _____. National Centers for Health Statistics
The data set designed to organize data for public release about the outcomes of care is _____. HEDIS
OASIS data are used to assess the _____ of home health services. outcome
Which of the following indexes and databases includes patient-identifiable information? Master patient/population index
A notation for a diabetic patient in a physician note reads:"Occasionally gets hungry. No insulin reactions. Says she is following her diabetic diet." In which part of a POMR progress note would this notation be written? Subjective
A notation for a diabetic patient in a physician note reads: "FBS 110 mg%, urine sugar, no acetone." In which part of a POMR progress note would this notation be written? Objective
A notation for a hypertensive patient in a physician ambulatory care progress note reads: "Continue with Diuril, 500 mgs once daily. Return visit in 2 weeks." In which part of a POMR progress note would this notation be written? Plan
A notation for a hypertensive patient in a physician ambulatory care progress note reads: "Blood pressure adequately controlled." In which part of a POMR progress note would this notation be written? Assessment
The set of all terms that may be used in a language is referred to as a _____. Vocabulary
Created by: MsJRSmith
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