RHIA Exam Prep With Complete
Questions and Correct Answers
(verified answers) Graded A+
,In order to expedite basic performance improvement team functioning,
the team should:
Establish ground rules
Ground rules must be agreed upon by the team at the very beginning of
the process improvement effort. All members of the team should have
input into the ground rules. They should agree to abide by them for the
sake of the team's success (Shaw and Carter 2019, 59).
Regarding life-sustaining treatment and a patient's right of self-
determination, courts have generally held that:
An incompetent adult has a right to the withdrawal of medical
treatment if that incompetent adult, while competent, expressed his or
her wishes and the state now determines that the evidence of those
wishes is sufficient
Competent adults have a general right to consent to/or refuse medical
treatment. If an adult has a sound mind or did when he or she created a
living will, this patient has the right to refuse treatment (Klaver 2017c,
154-155).
What is a mechanism that records and examines activity in information
systems (IS)
Security audits
Security audits are the mechanisms that record and examine activity in
information systems. HIPAA does not specify what form of security
audits must be used, how or how often they must be examined, or how
long they must be retained (Brinda and Watters 2016, 322).
,In the case of behavioral healthcare information, a healthcare provider
may disclose health information on a patient without the patient's
authorization in what situation:
Court order, duty to warn, and involuntary commitment proceedings
The mental health professional can disclose information without an
authorization from the patient in the following situations:
- The patient brings up the issue of the mental or emotional condition
- The health professional performs an examination under a court order
- Involuntary commitment proceedings
- A legal "duty to warn" an intended victim when a patient threatens to
harm an identifiable victim(s)
- The mental health professional believes that the patient is likely to
actually harm the individual(s) (Brodnik 2017b, 347-348).
Legally, what is most important in determining the length of time a
hospital must retain health records?
Statute of Limitations
Applicable statutes of limitations, the time period in which a lawsuit
may be filed, must be considered in establishing a retention schedule
(Rinehart-Thompson 2017c, 195).
Community Memorial Hospital discharged nine patients on April 1. The
length of stay for each patient is shown in the following table. The
average length of stay for these nine patients was:
Patient - Number of days
A-1
B-5
C-3
, D-3
E-8
F-8
G-8
H-9
I-9
6 days
The average length of stay (ALOS) is calculated from the total LOS. The
total LOS divided by the number of patients discharged is the ALOS.
Using the data provided, the ALOS for the 9 patients discharged on April
1 is 6 days (54/9) (Glewwe-Edgarton 2016, 493).
Which of the following is the goal of quantitative analysis performed by
health information management (HIM) professionals?
Identifying deficiencies early so they can be corrected
Quantitative analysis is a review of the health record to identify
deficiencies to ensure completeness and accuracy. It is generally
conducted retrospectively, that is, after the patient's discharge from
the facility or at the conclusion of treatment (Reynolds and Sharp 2016,
123).
In which record numbering system is the patient assigned a health
record number on the first visit that is kept for all subsequent visits?
Unit numbering
Unit numbering storage is a health record identification system in
which the patient receives a unique medical record number at the time
Questions and Correct Answers
(verified answers) Graded A+
,In order to expedite basic performance improvement team functioning,
the team should:
Establish ground rules
Ground rules must be agreed upon by the team at the very beginning of
the process improvement effort. All members of the team should have
input into the ground rules. They should agree to abide by them for the
sake of the team's success (Shaw and Carter 2019, 59).
Regarding life-sustaining treatment and a patient's right of self-
determination, courts have generally held that:
An incompetent adult has a right to the withdrawal of medical
treatment if that incompetent adult, while competent, expressed his or
her wishes and the state now determines that the evidence of those
wishes is sufficient
Competent adults have a general right to consent to/or refuse medical
treatment. If an adult has a sound mind or did when he or she created a
living will, this patient has the right to refuse treatment (Klaver 2017c,
154-155).
What is a mechanism that records and examines activity in information
systems (IS)
Security audits
Security audits are the mechanisms that record and examine activity in
information systems. HIPAA does not specify what form of security
audits must be used, how or how often they must be examined, or how
long they must be retained (Brinda and Watters 2016, 322).
,In the case of behavioral healthcare information, a healthcare provider
may disclose health information on a patient without the patient's
authorization in what situation:
Court order, duty to warn, and involuntary commitment proceedings
The mental health professional can disclose information without an
authorization from the patient in the following situations:
- The patient brings up the issue of the mental or emotional condition
- The health professional performs an examination under a court order
- Involuntary commitment proceedings
- A legal "duty to warn" an intended victim when a patient threatens to
harm an identifiable victim(s)
- The mental health professional believes that the patient is likely to
actually harm the individual(s) (Brodnik 2017b, 347-348).
Legally, what is most important in determining the length of time a
hospital must retain health records?
Statute of Limitations
Applicable statutes of limitations, the time period in which a lawsuit
may be filed, must be considered in establishing a retention schedule
(Rinehart-Thompson 2017c, 195).
Community Memorial Hospital discharged nine patients on April 1. The
length of stay for each patient is shown in the following table. The
average length of stay for these nine patients was:
Patient - Number of days
A-1
B-5
C-3
, D-3
E-8
F-8
G-8
H-9
I-9
6 days
The average length of stay (ALOS) is calculated from the total LOS. The
total LOS divided by the number of patients discharged is the ALOS.
Using the data provided, the ALOS for the 9 patients discharged on April
1 is 6 days (54/9) (Glewwe-Edgarton 2016, 493).
Which of the following is the goal of quantitative analysis performed by
health information management (HIM) professionals?
Identifying deficiencies early so they can be corrected
Quantitative analysis is a review of the health record to identify
deficiencies to ensure completeness and accuracy. It is generally
conducted retrospectively, that is, after the patient's discharge from
the facility or at the conclusion of treatment (Reynolds and Sharp 2016,
123).
In which record numbering system is the patient assigned a health
record number on the first visit that is kept for all subsequent visits?
Unit numbering
Unit numbering storage is a health record identification system in
which the patient receives a unique medical record number at the time
