Exam 1: Registered Health Information Administrator

A patient was admitted with severe abdominal pain, elevated temperature, and nausea. The physical examination indicated possible cholecystitis. Acute and chronic pancreatitits secondary to alcoholism was recorded on the face sheet as the final diagnosis. The principal diagnosis is

When a record custodian brings the medical record to court in response to a subpoena duces tecum, it is her responsibility to

The table above presents an example of

+In order to prevent the accidental introduction of a virus into your facility's local area network, your facility has a policy that strictly prohibits

Administration has asked the clinical provider order-entry task force to select the method implementation that will reduce risk to the hospital. What method should they choose?

What action(s) would assist the manager of a medical record department in improving customer perception of the quality of services provided by the department?

Lucy Ann manages a claims review unit for an insurance company. Her staff keys a high volume of data daily. She scheduled a staff PT to do the annual ergonomics presentation to help prevent repetitive strain injuries. All of the following would be included EXCEPT

For continuity of care, ambulatory care providers are more likely than providers of acute care services to rely on the documentation found in the

The transcriptionists have collected data on the number and types of problems with the dictation equipment. The best tool to display the data they collected is a

In the master patient index, which is filed by last name, Jill Thomas-Jones would be

Quantitative and qualitative reviews performed on patient records by medical record personnel in either a skilled nursing facility or inpatient psychiatiry facility are generally in the form of

Patient presents to the emergency room with lacerations of right lower leg that involved the fascia. Lacerations measured 5.0 cm and 2.7 cm.

Bleeding esophageal varices with alcoholic liver cirrhosis and portal hypertension. Patient is alcohol dependent. Esophagogastroduodenoscopy for control of hemorrhage.

When substituting a photocopy of the original record in response to legal process, which of the following can be helpful in convincing the court to accept the photocopy as a true and exact copy of the original?

Patient has recurrent spontaneous pneumothorax which has resulted in a chemical pleurodesis by thoracoscopy.

Under Medicare, a beneficiary has lifetime reserve days. All of the following statements are true, EXCEPT

Cardioversion of cardiac arrhythmia by external forces

Henry experienced sudden sharp chest pain that he described as heavy and crushing. His paint and past medical history cause Dr. James to suspect that Henry was having a myocardial infarction. Which of the following tests is a more specific marker for a mi?

Acute and chronic maxillary sinusitis. Maxillary sinusectomy performed.

You are conducting a patient satisfaction survey in your outpatient clinic using interviewers administer a questionnaire. Because you typically see about 300 people per day in the clinic, decide to have the interviewers administer the questionnaire on every tenth patient. You using