Exam 1: Registered Health Information Administrator

Patient presents to the emergency room complaining of right forearm/elbow pain after racquetball last night. Patient states that he did not fall, but overworked his arm. Past medical history is negative and the physical examination reveals the patient is unable to supinate. A fourlview x-ray of the right elbow is performed and is negative. The physician signs the patient out with right elbow sprain. Prescription of Motrin is given to the patient.

The Credentialing Committee discovered the problems with Dr. Hernandez's hip replacements by

Which of the following should be required to sign a confidentiality statement before having access to patients' medical information?

The patient has hypertensive heart disease and nephrosclerosis with chronic kidney failure. The patient had placement of arteriovenous fistula in his left wrist to prepare for the hemodialysis. Dialysis was also performed on this admission.

Your facility conducted a study of patient satisfaction, but you question the reliability of the questionnaire you used. The high degree of patient satisfaction expressed on the questionnaire just doesn't match the large number of complaints you have been receiving. You decide to try switching to an investigative strategy that will give you an immediate opportunity to review patient responses and correct errors. You have decided to use

As information security officer, you are revising the policies at your rehabilitation facility for handling all patient clinical information. Your best resource for checking out specific accreditation standards and guidelines is the

Fibrocystic disease of the breast; needle biopsy of breast

You have been asked to reduce your department's operating budget by 20%. In order to do you will have to effect reductions in your largest budget line. You will have to make cuts in

Fetal monitoring strips are part of the _________ record and should be maintained ______.

The health information reception desk is experiencing a huge influx of phone calls on Monday, Tuesday, and Wednesday mornings. This is creating a problem in getting requested patient information out within an acceptable time frame. The reception staff work group has agreed to start recording the reason for the phone calls for the next 4 weeks. They want to focus on solving the response-time problem by reducing the turnaround time for the largest category of phone calls. Which QI tool best supports this goal?

The medical record documentation is unclear as to whether the condition was present on admission.

Case Study #1 Dr. Roberts, an orthopedic surgeon, and Nurse Parrish head nurse on the orthopedic surgery unit, have had an acrimonious working relationship for years. While making rounds on the unit, Dr. Roberts discovered that the physical therapy evaluation he has ordered for one of his patients had not been performed and became outraged. Even though he did not have proof, Dr. Roberts placed the blame for missed evaluation with Nurse Parresh. Dr. Roberts wrote in the patient's medical record that Nurse Parrish frilled to properly order the physical therapy evaluation because she was incompetent and could not be trusted to carry out even the simplest order. After heaving read Dr. Roberts note, Nurse Parrish countered by making a disparaging remark about Dr. Roberts to the medical personnel at the nurces' station. Nurse Parrish stated that Dr. Roberts was one who was incompetent and was responsible for the needless suffering of countless patients over the years. Referring to Case Study #1, the written statement by Dr. Roberts about Nurse Parrish's professional competence in the patient's medical record can constitute

Which of the following is classified as a poisoning in ICD-9-CM?

If this physician is a participating physician who accepts assignment for this claim, the total amount of the patient's financial liability (out-of-pocket expense) is

The manager of a Health Information Department has many training and development methods available for the departmental and nondepartmental staff. Consider the following situation. The department's working hours are 8:00 AM to 6:00 PM. After 6:00 PM, if a record is needed in the emergency room for a possible readmission, the ER clerk has access to the HID in order to retrieve the record. On the occasions when the ER clerk has retrieved a record, she has left the department open, the records have been pulled and not replaced, and it appears as if the clerk was viewing records unnecessarily. What would be the best training or development method for the ER clerk in order to rectify this situation?

You are the Quality Coordinator for the medical staff. Analyze the chart above and determine steps to be taken next.

In retrieval of optical image files, cache memory

Today is August 30, 2008. When can the training records for the HIPAA privacy training being conducted today be destroyed?

Which disease is a malignancy of the lymphatic system?

Under APCs, payment status indicator "S" means