Free RHIA Exam Braindumps (page: 18)

Page 18 of 458

Which of the four distinct components of the problem-oriented record serves to help index documentation throughout the record?

  1. database.
  2. problem list.
  3. initial plan.
  4. progress notes.

Answer(s): B



As supervisor of the cancer registry, you report the registry's annual caseloads to administration. The most efficient way to retrieve this information would be to use

  1. patient abstracts.
  2. patient index.
  3. accession register.
  4. follow-up files.

Answer(s): C



An important element of data quality is security in preventing unauthorized access, corruption, misuse, and loss of data. Both technical and procedural methods will bed used with the CPR to control and manage confidential information. An example of a procedural method for protecting data is

  1. confidentiality statements signed by all staff.
  2. limiting access of certain screens based on the staff's need to know.
  3. auditing capability of system to track data access.
  4. computer backup systems

Answer(s): A



Select the appropriate situation for which a final progress note may legitimately be substituted for a discharge summary in an inpatient medical record.

  1. patient admitted with COPD 1/4/2008 and discharged 1/7/2008
  2. Baby Boy Hiltz's born 1/5/2008, maintained normal status, discharged 1/7/2008
  3. Baby Boy Hiltz's mother admitted 1/5/2008, C-section delivery, discharged 1/7/2008
  4. Baby Boy Doe admitted 1/3/2008, died 1/4/2008

Answer(s): B



Page 18 of 458



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Britt commented on March 19, 2019
I take it this weekend, feeling confident about using this as an extra study tool!
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