RHIT Exam Questions & Answers
Standardizing medical terminology to avoid differences in naming various medical conditions and procedures (such as the synonyms bunionectomy,
McBride procedure, and repair of hallus valgus) is one purpose of:
(Ans- Vocabulary Standards
Ensuring the patient information is reliable and the same across the entire
patient encounter is:
(Ans- Data Consistency
Which health record uses an itemized list of the patient's present and past health problems?(Ans- Problem-Oriented health record
What is the process that allows for connections between two systems? For example, two different code systems to show equivalent codes allows for data initially captured for one purpose to be translated and used for another purpose.(Ans- Data Mapping
Who must also be notified of a duplicate health record, after the HIM department has merged the records?
(Ans- The source of the record, example: Laboratory
What type of analysis compared omitted clinical information received from external providers with the needed clinical information to make a correct diagnosis?(Ans- Gap Analysis
Who provides oversight for the development, review, and control of forms and computer screens?(Ans- Clinical Forms Committee
- / 3
What index contains a list maintained in diagnosis code number order for patients who are discharged from a facility during a particular time period?(Ans- Disease Index
In a database the LAST_NAME column in a table would be considered a:
(Ans- Data Element
Hospital documentation related to the delivery of patient care such as health records, x-rays, laboratory reports, and consultation reports are
owned:
(Ans- By the Hospital
Typically, healthcare facilities should retain the master patient index for how long?(Ans- Permanently
Which of the following is the health record component that addresses the patient's current complaints and symptoms and lists that patient's past medical, personal, and family conditions?(Ans- Medical History
What is the information collected during day-to-day operations of a healthcare organization that has value within an organization?(Ans- Information Assets
What is a descriptive list of the data elements to be collected in an information system or database whose purpose is to ensure consistency of terminology?(Ans- Data Dictionary
What is the best definition of system of record (SOR)?(Ans- Authoritative source for data about an entity
- / 3
Results of a urinalysis and all blood tests performed would be found in what part of a healthcare record?(Ans- Laboratory Findings
A patient's gender, phone number, address, next of kin, and insurance policy holder information would be considered what kind of data?(Ans- Administrative Data
What requires that the attributes and values of data be defined at the correct level of detail for the intended use of the data?(Ans- Data Granularity
How is the patient registration department assisted by the HIM department?(Ans- Assigns the Health Record Number
A hospital's EHR defines the expected values of the gender data element
as female, male, and unknown. This type of specificity is known as:
(Ans- Data Precision
What is the term used to describe expected data values?(Ans- Data Precision
The act of granting approval to a healthcare organization based on whether
the organization has met a set of voluntary standards is called:
(Ans- Accreditation
What means ensuring the patient data is reliable and the same across the entire patient encounter?(Ans- Data Consistency
What is it when there is a linking of an older version of a code set to a newer version?(Ans- Forward Mapping
- / 3