RHIA Test Questions Compilation | 309 Questions
with 100% Correct Answers
A discharge summary must be completed within____days after discharge for most patients but
within ___for patients transferred to other facilities. Discharge summaries are not always
required for patients who were hospitalized for less than ___ Correct Answer: 30 days/24
hours/48 hours
systematic random sample Correct Answer: a simple random sample that may be generated by
selecting every fifth or every tenth member of the sampling frame. In order to ensure that a
systematic random sample is truly random, the sample frame should not be sorted in an order
that might bias the sample. Example: If an analyst is studying the wait times at a clinic and the
only list of patients available is on hard copy, which sampling technique is the easiest to use.
Systematic sampling
Entity relationship modeling Correct Answer: is a type of conceptual modeling. Conceptual
models are abstract and encourage high-level problem structing; they help establish a common
ground for communication between users and developers. The entity-relationship diagram was
developed to depict relational database structures.
The emergency health record should include Correct Answer: time and means of arrival,
treatment rendered, and instruction at discharge. Facilities are required to do a pertinent history,
including the chief complaint and onset of illness or injury but not a complete medical history of
the patient
Minimum Data set Correct Answer: a component of the resident assessment instrument (RAI)
and is used to collect information about the resident's risk factors and to plan the ongoing care
and treatment of the resident in the long-term care facility.
many-to-many relationship Correct Answer: occurs only in a data model developed at the
conceptual level. In this case, the relationship between patients and consulting physicians is a
many-to-many. For each instance of patient, there could be many instances of consulting
physician because patients can be seen by more than one consulting physicians. For each
instance of consulting physician, there could be many patients because the physician sees many
patients.
metadata Correct Answer: data about data. metadata are structured information used to increase
the effective use of data. One of the most familiar types of metadata is used to describe data in
databases. Data element name, data type, and field length are examples of this kind of metadata.
Health Record Matrix Correct Answer: Identifies and tracks the physical location of each paper
document and the source of each electronic document that constitutes the LHR. The
documentation of the LHR may physically exist in separate and multiple paper-based or
electronic systems. This complicates the process of pulling the entire legal record together in
response to authorized requests to produce the complete patient record.
,The legal health record for disclosure consists of: Correct Answer: the data, documents, reports
and information that comprise the formal business records of any healthcare entity that are to be
utilized during legal proceedings. Understanding legal health records requires knowledge of not
only what comprises business records used as legal health records, but also the processes as well
as the physical and electronic systems used to manage these records.
privileged communication Correct Answer: information held confidential within a protected
relationship as delineated by state law. Example: Mary goes to her doctor to discuss her current
medical conditions.
Firewall Correct Answer: a part of a computer system or network that is designed to block
unauthorized access while permitting outward communication.
A firewall can limit internal users from accessing various portions of the internet
The most common place to find a firewall is between the healthcare entity's internal network and
the internet
It supports access control policy between two networks.
It cannot prevent all types of attacks
How long does the privacy rule use for the period of time which privacy rule-related documents
must be retained? Correct Answer: Six years. The six-year time frame refers to the date the
document was created or the last effective date of the document. Such documents include
policies and procedures, the notice of privacy practices, complaint dispositions, and other
actions, activites, and designations that must be documented per privacy rule requirements.
corporate negligence Correct Answer: a legal doctrine that was established by a judicial decision
handed down in the 1965 court case Darling v Charleston Community hospital. The court in this
case ruled specifically that hospital governing boards have a duty to institue a means to evaluate
and council medical staff who personally perform services on a patient that results in harm due to
unreasonable risk. Hospitals may be held liable when a member of the medical staff fails to meet
established standards of patient care.
the privacy rule requires covered entities to Correct Answer: arrange a convenient time and
place for the individual to inspect his or her record. However, the covered entity also has an
obligation to protect the records integrity. Therefore, it is within the covered entitiys right to
provide an authorized HIM staff member to be present when the individual reviews the record.
fundraising activities Correct Answer: Those that benefit the CE, the covered entity may use or
disclose to a BA or an institutionally related foundation without authorization, demographic
information and dates of healthcare provided to the individual.
Must have an option to Opt Out from receiving the material.
,If a fundraising activity targets individuals based on their diagnosis, prior authorization is
required
The privacy rule Correct Answer: establishes a patients right to receive an accounting of
disclosures of their PHI made by a covered entity.
first step in conducting the security risk analysis Correct Answer: consider their own
characteristics and environment and implement reasonable and appropriate measures to protect
against reasonably anticipated threats and hazards to the security of PHI. The security risk
analysis process provides covered entities and business associates with the structural framework
up on which to bulid their securty plan
Addressable Implementation Specifications Correct Answer: Addressable specifications allow a
covered entity flexibility when:
(1) it is determined that the specification is not reasonable or appropriate for the covered entity's
environment
(2) the covered entity documents why the specification is not reasonable or appropriate and
implements an equivalent alternative measure as appropriate.
(3) Implementing "security measures to reduce risks and vulnerabilities to a reasonable and
appropriate level" is a required specification, while encryption of electronic PHI is an
addressable specification
The breach notification rule requires Correct Answer: covered entities and business associates to
establish policies and procedures to investigate an authorized use or disclosure of PHI to
determine if a breach occured to
Record locator service (RLS) Correct Answer: A process that seeks information about where a
patient, once identified, may have a health record available to the HIO. It manages the pointers to
the information on the servers of the HIE participants. The pointers in a RLS can include a
person identification number and metadata. The RLS does NOT provide information about the
record, it merely points to where it might be found. Data are not stored in a centralized database
and records are only provided when queried.
Qualitative standards Correct Answer: specify the level of service from a function such as
accuracy rate, error rate, turnaround time and response time. In this case, timely response to
release of information requests can indirectly impact patient care. To properly communicate
performance standards, managers need to make the distinction between quantitative and
qualitative standards and identify examples of each for the health information systems functions.
A possible justification for building an information system in-house rather than purchasing one
from a vendor Correct Answer: the facility has development teams that they do not want to give
up
, gross death rate Correct Answer: the proportion of all hospital discharges that ended in death. It
is the basic indicator of mortality in a healthcare facility. It is calculated by dividing the total
number of deaths occurring in a given time period by the total number of discharges, including
deaths, for the same time period. 25/500=0.05x100=5%
work distribution chart Correct Answer: A matrix that depicts the work being done in a
particular workgroup in terms of specific tasks and activities, time spent on tasks, and the
employees performing the tasks
is initially completed by each employee and includes all responsible task content. Can help when
problems have been identified with work proceses such as too much time spent on unimportant
tasks.
pie chart Correct Answer: a chart that shows the relationship of a part to a whole.
pie charts can be used to show the component parts of a single group or variable.
incidence rate Correct Answer: a computation that compares the number of new cases of a
specific disease for a given time period to the population at risk for the disease during the same
period.
a hospital is looking to cut cost on a vendors proposal for health IT should consider Correct
Answer: acquiring it's own hardware
Boolean Search Correct Answer: A Boolean operator is a computer-programming term for
conjunctions like, AND, OR, and NOT which can be used to construct more complex search
conditions. Usually found under the advanced options.
Structured Query Language (SQL) Correct Answer: A language used to create and manipulate
databases.
Truncation Correct Answer: In metric verse, the omission of an unaccented syllable at either end
of a line
Wildcard search Correct Answer: search that uses characters such as * or ? to replace letters in a
search term
Monitoring Results Correct Answer: enables a hospital to understand if the present system is
currently supporting the needs of the organization and whether the next step, identify needs will
set in motion new or further development or acquisition of health IT
Discrete Data (Quantitative) Correct Answer: Numerical data values that can be COUNTED.
whole numbers that may or may not be related. A bar graph is the best data display tool to use
with 100% Correct Answers
A discharge summary must be completed within____days after discharge for most patients but
within ___for patients transferred to other facilities. Discharge summaries are not always
required for patients who were hospitalized for less than ___ Correct Answer: 30 days/24
hours/48 hours
systematic random sample Correct Answer: a simple random sample that may be generated by
selecting every fifth or every tenth member of the sampling frame. In order to ensure that a
systematic random sample is truly random, the sample frame should not be sorted in an order
that might bias the sample. Example: If an analyst is studying the wait times at a clinic and the
only list of patients available is on hard copy, which sampling technique is the easiest to use.
Systematic sampling
Entity relationship modeling Correct Answer: is a type of conceptual modeling. Conceptual
models are abstract and encourage high-level problem structing; they help establish a common
ground for communication between users and developers. The entity-relationship diagram was
developed to depict relational database structures.
The emergency health record should include Correct Answer: time and means of arrival,
treatment rendered, and instruction at discharge. Facilities are required to do a pertinent history,
including the chief complaint and onset of illness or injury but not a complete medical history of
the patient
Minimum Data set Correct Answer: a component of the resident assessment instrument (RAI)
and is used to collect information about the resident's risk factors and to plan the ongoing care
and treatment of the resident in the long-term care facility.
many-to-many relationship Correct Answer: occurs only in a data model developed at the
conceptual level. In this case, the relationship between patients and consulting physicians is a
many-to-many. For each instance of patient, there could be many instances of consulting
physician because patients can be seen by more than one consulting physicians. For each
instance of consulting physician, there could be many patients because the physician sees many
patients.
metadata Correct Answer: data about data. metadata are structured information used to increase
the effective use of data. One of the most familiar types of metadata is used to describe data in
databases. Data element name, data type, and field length are examples of this kind of metadata.
Health Record Matrix Correct Answer: Identifies and tracks the physical location of each paper
document and the source of each electronic document that constitutes the LHR. The
documentation of the LHR may physically exist in separate and multiple paper-based or
electronic systems. This complicates the process of pulling the entire legal record together in
response to authorized requests to produce the complete patient record.
,The legal health record for disclosure consists of: Correct Answer: the data, documents, reports
and information that comprise the formal business records of any healthcare entity that are to be
utilized during legal proceedings. Understanding legal health records requires knowledge of not
only what comprises business records used as legal health records, but also the processes as well
as the physical and electronic systems used to manage these records.
privileged communication Correct Answer: information held confidential within a protected
relationship as delineated by state law. Example: Mary goes to her doctor to discuss her current
medical conditions.
Firewall Correct Answer: a part of a computer system or network that is designed to block
unauthorized access while permitting outward communication.
A firewall can limit internal users from accessing various portions of the internet
The most common place to find a firewall is between the healthcare entity's internal network and
the internet
It supports access control policy between two networks.
It cannot prevent all types of attacks
How long does the privacy rule use for the period of time which privacy rule-related documents
must be retained? Correct Answer: Six years. The six-year time frame refers to the date the
document was created or the last effective date of the document. Such documents include
policies and procedures, the notice of privacy practices, complaint dispositions, and other
actions, activites, and designations that must be documented per privacy rule requirements.
corporate negligence Correct Answer: a legal doctrine that was established by a judicial decision
handed down in the 1965 court case Darling v Charleston Community hospital. The court in this
case ruled specifically that hospital governing boards have a duty to institue a means to evaluate
and council medical staff who personally perform services on a patient that results in harm due to
unreasonable risk. Hospitals may be held liable when a member of the medical staff fails to meet
established standards of patient care.
the privacy rule requires covered entities to Correct Answer: arrange a convenient time and
place for the individual to inspect his or her record. However, the covered entity also has an
obligation to protect the records integrity. Therefore, it is within the covered entitiys right to
provide an authorized HIM staff member to be present when the individual reviews the record.
fundraising activities Correct Answer: Those that benefit the CE, the covered entity may use or
disclose to a BA or an institutionally related foundation without authorization, demographic
information and dates of healthcare provided to the individual.
Must have an option to Opt Out from receiving the material.
,If a fundraising activity targets individuals based on their diagnosis, prior authorization is
required
The privacy rule Correct Answer: establishes a patients right to receive an accounting of
disclosures of their PHI made by a covered entity.
first step in conducting the security risk analysis Correct Answer: consider their own
characteristics and environment and implement reasonable and appropriate measures to protect
against reasonably anticipated threats and hazards to the security of PHI. The security risk
analysis process provides covered entities and business associates with the structural framework
up on which to bulid their securty plan
Addressable Implementation Specifications Correct Answer: Addressable specifications allow a
covered entity flexibility when:
(1) it is determined that the specification is not reasonable or appropriate for the covered entity's
environment
(2) the covered entity documents why the specification is not reasonable or appropriate and
implements an equivalent alternative measure as appropriate.
(3) Implementing "security measures to reduce risks and vulnerabilities to a reasonable and
appropriate level" is a required specification, while encryption of electronic PHI is an
addressable specification
The breach notification rule requires Correct Answer: covered entities and business associates to
establish policies and procedures to investigate an authorized use or disclosure of PHI to
determine if a breach occured to
Record locator service (RLS) Correct Answer: A process that seeks information about where a
patient, once identified, may have a health record available to the HIO. It manages the pointers to
the information on the servers of the HIE participants. The pointers in a RLS can include a
person identification number and metadata. The RLS does NOT provide information about the
record, it merely points to where it might be found. Data are not stored in a centralized database
and records are only provided when queried.
Qualitative standards Correct Answer: specify the level of service from a function such as
accuracy rate, error rate, turnaround time and response time. In this case, timely response to
release of information requests can indirectly impact patient care. To properly communicate
performance standards, managers need to make the distinction between quantitative and
qualitative standards and identify examples of each for the health information systems functions.
A possible justification for building an information system in-house rather than purchasing one
from a vendor Correct Answer: the facility has development teams that they do not want to give
up
, gross death rate Correct Answer: the proportion of all hospital discharges that ended in death. It
is the basic indicator of mortality in a healthcare facility. It is calculated by dividing the total
number of deaths occurring in a given time period by the total number of discharges, including
deaths, for the same time period. 25/500=0.05x100=5%
work distribution chart Correct Answer: A matrix that depicts the work being done in a
particular workgroup in terms of specific tasks and activities, time spent on tasks, and the
employees performing the tasks
is initially completed by each employee and includes all responsible task content. Can help when
problems have been identified with work proceses such as too much time spent on unimportant
tasks.
pie chart Correct Answer: a chart that shows the relationship of a part to a whole.
pie charts can be used to show the component parts of a single group or variable.
incidence rate Correct Answer: a computation that compares the number of new cases of a
specific disease for a given time period to the population at risk for the disease during the same
period.
a hospital is looking to cut cost on a vendors proposal for health IT should consider Correct
Answer: acquiring it's own hardware
Boolean Search Correct Answer: A Boolean operator is a computer-programming term for
conjunctions like, AND, OR, and NOT which can be used to construct more complex search
conditions. Usually found under the advanced options.
Structured Query Language (SQL) Correct Answer: A language used to create and manipulate
databases.
Truncation Correct Answer: In metric verse, the omission of an unaccented syllable at either end
of a line
Wildcard search Correct Answer: search that uses characters such as * or ? to replace letters in a
search term
Monitoring Results Correct Answer: enables a hospital to understand if the present system is
currently supporting the needs of the organization and whether the next step, identify needs will
set in motion new or further development or acquisition of health IT
Discrete Data (Quantitative) Correct Answer: Numerical data values that can be COUNTED.
whole numbers that may or may not be related. A bar graph is the best data display tool to use
