AHIMA Test Questions for RHIT Exam
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| 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
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| 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
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| 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
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| 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
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| 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.
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| A corporation is evaluating several health plans for its benefits package. The data set that provides comparison information about health plan performance is ______. | HEDIS
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| 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
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| The primary purpose of a minimum data set in healthcare is to ______. | recommend common data elements to be collected in health records
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| The inpatient data set that has been incorporated into federal law and is required for Medicare reporting is the ______. | Uniform Hospital Discharge Data Set
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| Both HEDIS and the Joint Commission;s ORYX programs are designed to collect data to be used for _____. | performance improvement programs
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| 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
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| In long-term care, the resident's care plan is based on data collected in the ______. | MDS Version 2.0
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| Reimbursement for home health services is dependent on data collected from _____. | OASIS
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| 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
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| 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
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| The home health prospective payment system uses the _____ data set for patient assessments. | OASIS
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| The government agency most closely involved in the development of healthcare data sets and information standards is _____. | National Centers for Health Statistics
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| The data set designed to organize data for public release about the outcomes of care is _____. | HEDIS
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| OASIS data are used to assess the _____ of home health services. | outcome
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| Which of the following indexes and databases includes patient-identifiable information? | Master patient/population index
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| 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
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| 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
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| 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
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| 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
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| The set of all terms that may be used in a language is referred to as a _____. | Vocabulary
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