Exam 1: Registered Health Information Administrator

A quality improvement team is focusing on the unacceptable number of unsigned doctors' order sin your facility. The most effective method for increasing the timelines of signatures on orders and positively impacting the patient care process would be

Patient with hematochromatosis, had a therapeutic phlebotomy performed on an outpatient basis.

A common language used in data definition language and data manipulation language is:

Patient was seen today for regular hemodialysis. No problems reported, tolerated procedure well.

The patient is on vacation and presents to a physician's office with a lacerated finger. The physician repairs the laceration and gives a prescription for pain control and has the patient follow up with his primary physician when he returns home. The physician fills out the superbill as a problem-focused history and examination with straightforward medical decision making. Also checked is a laceration repair for a 1.5 cm finger wound.

Changes in case mix index (CMI) may be attributed to all of the following factors EXCEPT

Case Study #5 Upon employment at your facility, all new employees read, demonstrate understanding, and sign Confidentiality Statements. Disclosure of confidential information is grounds for immediate dismissal. Each year, during the annual performance evaluation, every employee again reads, demonstrates understanding, and signs the Confidentiality Statement. You are the Director of the Quality Department. Your Department has found that the femoral-popliteal bypass failure rate of one of your vascular surgeons, Dr. Z., is twice that of the national average. Members of the surgery department have reviewed that vascular surgeon's performance both by reading the medical records and by watching videos of her surgery. The Surgery Department and the Executive Committee have decided to deny reappointment for this surgeon. Lucille X, the mother of one of your quality coordinators, has severe peripheral vascular disease. She was admitted to your facility and has an angiogram. The angiogram shows that she should have a femoral-popliteal bypass. She had told you that she would be in your facility and asked you to visit her. You are now fulfilling that promise and are also bringing her flowers. While pausing to knock on her door, you hear your employee, Mary G., vehemently state to her mother, "Mom, Dr. Z is z quack; half of her bypass surgeries fail. You must have Dr. DoGood!" Referring to Case Study #5, are the meeting minutes about the decisions regarding Dr. Z of Department of Surgery and of the Executive Committee admissible in court?

You supervise five clerical employees who will be moving when a new wing of your facility completed. When you meet with the architect to plan their space, you will ask for

Sam Spade has been injured in a MVA. The organ in his body, situated at the upper left of his abdominal cavity, under the ribs, that is part of his lymphatic system has been ruptured and he is bleeding internally. Sam needs a surgical procedure known as a

Which of the following is expected to enable hospitals to collect more specific information for use in patient care, benchmarking, quality assessment, research, public health reporting, strategic planning, and reimbursement?

Upper abdominal ventral hernia repair

As the manager of the billing department, Jessica has heard from her employees that rumors have been circulating throughout the hospital concerning centralization and layoffs. At a meeting with the CFO, all departments were asked to cut back 15%. What should Jessica tell her employees?

First-stage repair for hypospadias with skin flaps

Under the APC methodology, discounted payments occur when

You are the HIM Director at the hospital in Columbus, Georgia. Your administrator wan partner with a hospital across the river in Phoenix City, Alabama. This partnership would inv the use of telemedicine. What issue should you vocalize?

For a health care facility to meet its document destruction needs, the certificate of destruction should include all but which one of the following elements?

In your state, it is legal for minors to seek medical treatment for a sexually transmitted disease without parental consent. When this occurs, who would be expected to authorize the release of the medical information documented in this episode of care to the patient's insurers?

All of the following statements are true of MS-DRGs, EXCEPT

Pathological fracture of the femur due to metastatic bone cancer. Patient has a history of lung cancer.

Under APCs, payment status indicator "X" means