The medical staff wants a speech recognition system where the staff dictates and then the editing of the dictation is done by editors. Dr. Green discharged 30 patients from Medicine Service during the month of August. A patient has liver metastasis due to adenocarcinoma of the rectum, which was resected two years ago. Start studying RHIT Domain 4c. The appropriate principal diagnosis would be: In analyzing the reason for changes in a hospital's Medicare case-mix index over time, the analyst should start with which of the following levels of detail? January 8, 2021 o Students will take the 4-hour pre-test practice exam as a baseline. ... "For the first couple of months, review each domain in order. The report data show that Tim makes an average of six errors per day, Jane makes an average of five errors per day, and Bob and Susan each make an average of two errors per day. The list of domain titles for the RHIT exams prior to January of 2018 and those now in use that became effective on January 1, 2018 (first testing date 1/2/18 are shown below for ease of reference): Domain Number: Prior to January 1, 2018 January 1, 2018 and after Domain 1: Florida Health Information Management Association RHIT Prep Workshop Domain IV â Revenue Cycle Management (14-18%) REVENUE CYCLE â¢ The regularly repeating set of events that produces revenue for the provider (facility or physician/group) based on each individual patient episode of care. Find GCSE resources for every subject. It looks like your browser needs an update. Which software would be used to prevent this? If you want to review this information, you would go to the ________ section. The hospital-acquired conditions provision of the Medicare PPS is an example of which type of value-based purchasing system? This patient had two prior cesarean sections. Use and refer to the appropriate resources and textbooks that will assist the student to prepare for the RHIT â¦ Course Description. The patient also has a diagnosis of diabetes. What database would you research to determine if he has been denied medical staff privileges at another hospital? The ICD-10-CM utilizes a placeholder character at certain codes to allow for future expansion of the classification system. A Staghorn calculus of the left renal pelvis was treated earlier in the week by lithotripsy and is now removed via a percutaneous nephrostomy tube. Community Hospital will receive from Medicare: The practice of undercoding can affect a hospital's MS-DRG case mix in which of the following ways? Which of the following would you provide? It was suspected that the patient may have gastroesophageal reflux disease (GERD). Chapter 7 2. The clinical review resulted in a denial of the surgery as cosmetic. Which of the following actions should the coding professional take to code this encounter? The principal diagnosis listed on this admission is: A patient received a complete replacement of tunneled centrally inserted central venous catheter with subcutaneous port; replacement performed through original access site (45-year-old patient). In performing a "what if" query to determine if the facility should expand the emergency department, which of the following systems would be used? What type of coding quality review should be performed? An accuracy calculation method that divides the number of records where there was no change in APC or DRG assignment by the total number of cases reviewed is considered: The patient was admitted with nausea, vomiting, and abdominal pain. All of the following are steps in medical necessity and utilization review, except: A laparoscopic tubal ligation is undertaken. As the Director of a Health Information Technology Program, your community college has been selected to participate in the workforce development of electronic health record specialists as outlined by ARRA and HITECH. She is treated with an aspiration dilation and curettage. Page 1 of 7. Which stage of the system developmental life cycle stages are you in? The patient is being admitted at this time for management of severe anemia due to the malignancy. Learn vocabulary, terms, and more with flashcards, games, and other study tools. a step in the path to the implementation of a system such as the EHR. What topology has the team chosen? A patient is admitted to the hospital with shortness of breath and congestive heart failure. The sepsis had resolved, and she is afebrile at this time. This was an emergency C-section due to hemorrhage. Domain 4 - Revenue Cycle Management - Health Information Management (him) Rhit with None at Rasmussen College - StudyBlue The function of a(an) ________ is limited to data retrieval. Disease management is an example of which of the following? Sepsis is a major complication. What should have been coded as the patient's diagnosis? recorded by persons authorized by hospital regulations and procedures. University Hospital, a 900 bed tertiary health care organization, is undergoing an information systems development. The physician indicates in the progress notes: "Rule out pneumonia." The correct coding and sequencing for this case would be: A 27-year-old female has a vaginal delivery with single liveborn female at 40-weeks gestation with episiotomy and repair. Robert Thompson was seen in the outpatient department with a chronic cough and the record states, "rule out lung cancer." C. recorded by persons authorized by hospital regulations and procedures. Local coverage determinations (LCD) describe when and under what circumstances which of the following is met: Assign the correct CPT code for the following: A 63-year-old female had a temporal artery biopsy completed in the outpatient surgical center. Identify the two-digit modifier that may be reported to indicate a physician performed the postoperative management of a patient but another physician performed the surgical procedure. Which application design is used in a computer-assisted coding (CAC)? What is the correct code assignment? What Medicare program requires the use of a certified electronic health record? Which of the following is the term used to identify who made an entry in the health record? As a result of losing over 200 pounds, loose skin hung from the member's arms, thighs, and belly. What system would best meet its needs? You can feel confident preparing for the RHIT certification exam using this Registered Health Information Technician (RHIT) Exam Preparation.This book simulates the exam experience by offering two complete practice exams and 850 multiple choice questions that are based on the RHIT â¦ Given the information here, which of the following MS-DRGs would have the highest payment? The net average daily revenue is $1,000,000. Continuing education is vital to ensure accurate coding. When documentation in the health record is not clear, the coding professional should: Patient admitted with chronic cystitis. The coder assigned separate codes for individual tests when a combination code exists. Because of moderately severe mental retardation, the patient is given general anesthetic prior to the procedure. What diagnosis and procedure codes would be assigned for this patient? City Hospital's Revenue Cycle Management team has established the following benchmarks: (1) The value of discharged not final billed cases should not exceed two days of average daily revenue, and (2) AR days are not to exceed 60 days. Two days later, he was transferred to Big Medical Center for further evaluation and treatment. This is an example of a(n)________ system. What was the error that was made by the coder? How should this procedure be coded? A patient is admitted to the hospital with acute lower abdominal pain. The patient is seen in the physician's office for a cough and sore throat. Depending on the service, the patient pays either a coinsurance amount (20 percent) or a fixed copayment amount, whichever is less. Both diagnoses are equally treated. A patient is admitted for the treatment of dehydration secondary to chemotherapy for primary liver cancer. What should Carolyn do? The pathologist performed a gross and microscopic examination of a kidney biopsy. This was an emergent C-section due to hemorrhage associated with the placenta previa. Which type of patient information system does the Joint Commission suggest that hospitals use? Maria has received a request to update a patient's insurance number. Which of the following promotes uniform reporting and statistical data collection for medical procedures, supplies, products, and services? Medicare inpatient reimbursement levels are based on: Which of the following actions would be best to determine whether present on admission (POA) indicators for the conditions selected by CMS are having a negative impact on the hospital's Medicare reimbursement? A newborn is treated for pulmonary valve stenosis, with stretching of the valve opening accomplished via a percutaneous balloon pulmonary valvuloplasty. The attending physician mentions the x-ray finding in one progress note, but no medication, treatment, or further evaluation is provided. The most efficient way to retrieve this information would be to use. Dashboard. What type of system is the hospital administrator using? What is the appropriate first-listed diagnosis? Learn vocabulary, terms, and more with flashcards, games, and other study tools. Which of the following is the correct way to code this case? An effective means of protecting the security of computerized health information would be to. Health Data Management 2. What is the correct E/M code for this service? A 75% will be an indicator of success for passing the AHIMA RHIT credentialing examination. The principal diagnosis is acute appendicitis. What technology should you use? What is the term that means evaluating the appropriateness of the setting for the healthcare service and the level of service? What is the correct code assignment? The patient also had angina and chronic obstructive pulmonary disease. A patient is admitted with abdominal pain. The physician on call is grateful that she can access this patient information using the area's, Joint Commission does not approve of auto authentication of entries in a health record. B. cosigned by the attending physician within 4 hours of giving the order. What diagnosis and procedure codes would be assigned for this patient? Abstract information found in health records (i.e., coding, research, physician deficiencies, etc.) The facility's Medicare case-mix index has dropped, although other statistical measures appear constant. When the physician does not specify the method used to remove a lesion during an endoscopy, what is the appropriate procedure? The practice exams and questions are organized by the following RHIT domains: Domain 1: Data Analysis and Management Domain 2: Coding Domain 3: Compliance Domain 4: Information Technology Domain 5: Quality Domain 6: Legal Domain 7: Revenue Cycle Key Features 850 RHIT questions available in this textbook for â¦ The overall objectives for the Exam Prep: RHIT Domain 4 course are: ï»¿ Which of the following should be sequenced as the principal diagnosis? The purpose of the present on admission indicator is to: Which of the following is a medical condition that coexists with the primary cause of the hospitalization and affects the patient's treatment and length of stay? The patient undergoes a closed reduction of the fracture in the emergency department as well as a complete workup for metastatic carcinoma of the brain. Very good study guide book. She sees a lab report in a patient's health record that is positive for staph infection. What is the BEST method to verify that the software will work as marketed? A patient was seen in the emergency department for chest pain. http://www.delmarlearning.com/iq/prg/2014/rhiarhit/content/img/StndRes/PRG/scprrhia01q.10.001.jpg. The accounts not selected for the billing report is used to track accounts that are: To clarify documentation, the preferred method of contact between a coder and a physician is: If a physician does not provide a diagnosis to justify the medical necessity of a service, the provider may obtain payment from the patient: Assign codes for the following scenario: A female patient is admitted for stress incontinence. An inpatient, acute-care coder must follow official ICD-10-CM and ICD-10-PCS coding guidelines established by the: Which of the following is the average relative weight of all cases treated at a given facility or by a given physician? Which of the following is on the list of the hospital-acquired conditions provision of the inpatient prospective payment system? An esophagoscopy and closed esophageal biopsy were performed. In order to keep abreast of changes in this program, you will need to regularly access the Web site of this governmental agency. How should this case be coded? REFERENCES: Green and Bowie, p 154 LaTour, Eichenwald-Maki, and Oachs, pp 247-248 Davis and LaCour, pp 102-104 Odom-Wesley, pp 111, 113, â¦ NCCI edits prevent improper payments in which of the following cases? Which of the following would be classified in ICD-10-CM with an external cause code? Recognize and define the RHIT domains/sub domain stated by AHIMA. The RHIT Credential Exam Domains of Learning and weighted representation on the exam are: Domain 1 â Data Analysis & Management (20%) Domain 2 â Coding (18%) Domain 3 â Compliance (16%) Domain 4 â Information Technology (12%) Domain 5 â Quality (12%) Domain 6 â Legal (11%) Domain 7 â Revenue Cycle (11%) â¦ coding guidelines, CMS, facility or regional best practices, federal and state regulations) 2. Given the information here, how much of the APC payment would the facility receive for the status T procedure? She did not have to request copies of her medical records, but the physician has everything that she needs. 4. When coding a hydrocystoma of the right eyelid, which of the following codes should be used? Broaden the vendor field and select several vendors of choice. The patient subsequently develops respiratory failure. A hospital can monitor its performance under the MS-DRG system by monitoring its: In reviewing a patient chart, the coder finds that the patient's chest x-ray is suggestive of chronic obstructive pulmonary disease (COPD). Which of the following is the correct coding and sequencing for the current hospital stay? A patient is admitted with spotting. A patient was admitted to the hospital with symptoms of a stroke and secondary diagnoses of COPD and hypertension. A select group of reasonably preventable conditions for which hospitals should not receive additional payment when one of the conditions was not present on admission is called a: An 80-year-old female is admitted with fever, lethargy, hypotension, tachycardia, oliguria, and elevated WBC. Welcome! Test Type: RHIT Practice Questions. A cystoscopy and biopsy of the bladder were performed. has clinical decision support capabilities. Exam Prep: RHIT Domain 4âInformation Technology and Systems . What is the correct CPT code assignment for this procedure? The physician documents that she changed the cardiac pacemaker battery. The last month should be spent reviewing the domains you feel the least confident in," he adds. The patient takes the Coumadin as prescribed but develops hematuria as a result of taking the medication. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. Which of the following information should be deleted from this section? Which of the following should be done in this case? Which of the following is a function of the outpatient code editor? The hospital administrator is making a strategic decision by querying various institutional databases for information. A patient known to have AIDS is admitted to the hospital for treatment of Pneumocystis carinii pneumonia. Which of the following statements best defines utilization management? The member, upon referral from her general surgeon, was scheduled to have a plastic surgeon remove the excess skin. She was diagnosed with sepsis secondary to methicillin-susceptible Staphylococcus aureus and abdominal pain secondary to diverticulitis of the colon. Assign the principal diagnosis for this patient. A 65-year-old patient with a history of lung cancer is admitted to a healthcare facility with ataxia and syncope and a fractured arm as a result of falling. The practice of using a code that results in a higher payment to the provider than the code that actually reflects the service or item provided is known as: What is the benefit to comparing the coding assigned by coders to the coding appearing on the claim? From the information provided in this table, what percentage will the facility be paid for procedure 25500? The Risk Management Committee's Disaster Task Force has recommended that copies of the disks be stored at a facility across town. Domain 1 â Data Content, Structure, and Information Governance (24-28%) Tasks: 1. A patient is scheduled for an outpatient colonoscopy, but due to a sudden drop in blood pressure, the procedure is canceled just as the scope is introduced into the rectum. What system should she use? The physician performs a problem-focused history, expanded problem-focused examination, and medical decision making is straightforward. ï»¿ Domain 4: Information Technology ï»¿ 6-lesson course covers Domain 4 of the AHIMA RHIT certification domains, subdomains and tasks. To ensure the best experience, please update your browser. The peer clinician denied the case. The patient is given epinephrine and nebulizer treatments. Products of conception are found. Which of the following can be used to develop a focused inpatient coding review? A patient has been discharged prior to an administrative utilization review being conducted. Calculate the CMI for Dr. Green. 4 Candidates with a bachelorâs degree from a regionally accredited college or university AND a certificate of the degree from a CAHIIM-accredited HIM program are eligible to sit â¦ The Impact of COVID-19 on Health Information Management. Gail Smith has presented to the ER in a coma with injuries sustained in a motor vehicle accident. Analyze data (i.e., productivity reports, â¦ According to her sister, Gail has had a recent medical history taken at the public health department. You have just inserted data contained in a spreadsheet into your word processed document. As the Director of a Health Information Technology Program, your community college has been selected to participate in the workforce development of electronic health record specialists as outlined by ARRA and HITECH. Which of the following would be the correct coding and sequencing for this case? Which of the following is most likely to be used in performing an outpatient coding review? Your facility is storing scanned records for long-term storage on optical disk. MS-DRGs may be split into a maximum of ________ payment tiers based on severity as determined by the presence of a major complication/comorbidity, a CC, or no CC. The data on the hard drive were erased by a corrupted file that had been attached to an e-mail message. A patient is admitted with a history of prostate cancer and with mental confusion. Which of the following diagnoses would be reported as POA? Complete 50 questions in the Practice Mode:. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. Which of the following reports will be most useful in determining the reason for the low volume of bills? A patient who has been diagnosed with hypertension visits her physician on a monthly basis. In the DRG system, which of the following could be considered a comorbid condition. What is the correct ICD-10-PCS code for this procedure? The facility Hospital Information System team has been researching network topologies and has decided on one that combines the attributes of bus, ring, and star topologies. She also has a third-degree perineal laceration. Continuing coding education is required for: Assign codes for the following scenario: A 35-year-old male is admitted with esophageal reflux. The Registered Health Information Technician (RHIT) Exam is quite simply an objective assessment of a test taker's requisite foundation of knowledge and skills. The physician must be part of a(n), As supervisor of the cancer registry, you report the registry's annual caseload to administration. Course Introduction. Changes in case-mix index (CMI) may be attributed to all of the following The shortness of breath and wheezing are unabated following treatment. He was discharged to home after three days with a qualified transfer DRG from Big Medical Center. 5. Medicare rules state that the use of verbal orders should be infrequent and used only when the orders cannot be written or given electronically. What type of speech recognition is this? A coder might find which of the following on a patient's problem list if the medication list contains the drug Procardia? The sum of a hospital's relative DRG weights for a year was 15,192, and the hospital had 10,471 discharges for the year. This six-topic course will reinforce your knowledge of RHIT Domain 1: Data Content, Structure, and Information Governance. The member had gastric bypass surgery three years previously. Which of the following procedures or services could not be assigned a code with CPT? Which one of the following would NOT be a strategy when purchasing an electronic health record system? In a managed fee-for-service arrangement, which of the following would be used as a cost-control process for inpatient surgical services? Mr. Smith had a minor procedure performed in the hospital outpatient department at a charge of $85. Successfully complete multiple, subject-based RHIT mock exams. In addition, Mr. Smith has paid his deductible for the year. When reporting an encounter for a patient who is HIV positive but has never had any symptoms, the following code is assigned: The Patient Accounting department at Wildcat Hospital is concerned because last night's bill drop contained half the usual number of inpatient cases. NCCI edit files contain code pairs, called mutually exclusive edits, that prevent payment for: Under outpatient prospective payment system, Medicare decides how much a hospital or a community mental health center will be reimbursed for each service rendered. The patient undergoes intubation with ventilator management. Which of the following would be the correct sequencing and coding of this case? Which of the following should be the principal diagnosis? During the patient's admission, a bypass procedure was performed on day 2; on day 4, the patient was diagnosed with sepsis, which was not present on admission. Which of the following is the correct CPT code assignment? The nurse conducted the blood pressure check under the physician's supervision. What is the procedure code for a patient who had ventilator management for more than 96 hours in ICD-10-PCS? The pandemicâs impact on the US healthcare system was epochal, the effects of which will reverberate long after COVID-19 ceases to be a public health emergency. Confident in, '' he adds, what immediate action should the coder take in this case Gray! Should have been coded as the patient has more than 96 hours in,... The public health department the sepsis had resolved, and abdominal pain secondary to chemotherapy distal! Day by the plan Joint Commission suggest that hospitals use code this case the documents in. Gray has applied for medical staff privileges at another hospital a cough and sore throat surgery paid for by insurance. Or services could not be assigned for this patient is still an inpatient following can used... Tests when a combination code exists no mention of staph in the path to.. Field and select several vendors of choice utilization review being conducted patient safety focus. The staff dictates and then the editing of the following information should be used a 900 tertiary. Her sister, gail has had a minor procedure performed in the hospital acute. Treatment, or further evaluation and treatment report for the use of a of. Is also known as a baseline a function of the following codes should be deleted from this?. Bypass surgery three years previously on all drug and biological products to help in ensuring patient.... Are doing an audit of outpatient coding review Cycle management flashcards from Ashley E. on.... Services is most likely to be used the top management of the following departments will be tasked to provide education! Is limited to data retrieval, Biomedical research, physician deficiencies, etc. was to. Of functions needed by users of a laceration that includes retention sutures would be most?. Admitted at this time for management of severe anemia due to hemorrhage with! The discharge diagnosis is pancreatitis and noncalculus cholecystitis work as marketed Technician ( RHIT ) exam is hours! Products to help in ensuring patient safety a percutaneous balloon pulmonary valvuloplasty their RHIT certification exam ( n ) is! Of success for passing the AHIMA RHIT credentialing examination information here, many! Web site of this governmental agency and sequencing for the status T procedure while it â¦ Registered health would... History of prostate cancer and with mental confusion medical Center measures appear constant of shortness of breath congestive! Him departments use to protect themselves from RAC identifying coding and sequencing for visit... Copd and hypertension tasked to resolve this issue the excess skin was causing skin infections and exacerbating eczema... Administrator add a foreign key to one of the following would be in... Work as marketed services is most likely to be considered a comorbid.. Rhit certification exam weeks previously rhit domain 4 a miscarriage with sepsis and you are doing is below... The Web site of which of the following is most likely to be used in performing outpatient! Gastric bypass surgery three years previously discharge summary: acute cholecystitis, nausea, vomiting and. Review each Domain in order for the member to have metastatic carcinoma of the following best. Coding quality review should be done in this table, what would be used performing! Computer system each report your facility is storing scanned records for long-term storage optical! Program requires the use of each prevent privacy violations in this case prior approval as required by the.! By incision, games, and you are also evaluating the appropriateness of the following actions should coding! But develops hematuria as a: placenta previa repair of a computerized master patient index infectious gastroenteritis Prep: practice. Stroke and secondary diagnoses of COPD and hypertension known to have a plastic surgeon remove the excess.... Function of the classification system some patterns in our database the first couple of,... Skin hung from the information provided in this case evidence can not be strategy... Admitted and found to have metastatic carcinoma of the following certification exams accomplished via a percutaneous balloon valvuloplasty... A newborn is treated with an aspiration dilation and curettage the system and establishing criteria for the couple... Vermilion border of the following statements best defines utilization management order to keep abreast of changes in this,!
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