rhit domain 4

IV fluids were administered to the patient. 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. A patient was admitted for abdominal pain with diarrhea and was diagnosed with infectious gastroenteritis. The patient is found to have metastatic carcinoma of the lung to the brain and undergoes radiation therapy to the brain. The member had gastric bypass surgery three years previously. Exam Prep: RHIT Domain 4—Information Technology and Systems . A 65-year-old woman was admitted to the hospital. Continuing coding education is required for: Assign codes for the following scenario: A 35-year-old male is admitted with esophageal reflux. 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 … January 8, 2021 o Students will take the 4-hour pre-test practice exam as a baseline. Maria has received a request to update a patient's insurance number. Which of the following would you provide? As mentioned above, focusing on your strengths and leveraging those of others will lead to your greatest success. The peer clinician denied the case. a step in the path to the implementation of a system such as the EHR. The administrator is concerned that records may be altered on the disks stored off-site. The medical staff wants a speech recognition system where the staff dictates and then the editing of the dictation is done by editors. 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. You tell the administrator. The utilization manager's role is essential to: If a patient has an excision of a malignant lesion of the skin, the CPT code is determined by the body area from which the excision occurs and which of the following? Dr. Green discharged 30 patients from Medicine Service during the month of August. Grading Scale Two days later, he was transferred to Big Medical Center for further evaluation and treatment. Which of the following is on the list of the hospital-acquired conditions provision of the inpatient prospective payment system? What diagnosis should be suspected? Domain 4: Revenue Cycle Management Domain 5: Compliance Domain 6: Leadership; Test taking tips and practice with samples questions in each chapter; RHIA exam preparation, including distinctive mapping of RHIT AHIMA Core Competencies to RHIA AHIMA Core Competencies – an invaluable resource for … Which of the following is not true about continuing education for coders? Changes in case-mix index (CMI) may be attributed to all of the following The first step in an inpatient record review is to verify correct assignment of the: This individual assists in educating medical staff members on documentation needed for accurate coding. She was diagnosed with sepsis secondary to methicillin-susceptible Staphylococcus aureus and abdominal pain secondary to diverticulitis of the colon. Robert Thompson was seen in the outpatient department with a chronic cough and the record states, "rule out lung cancer." What database would you research to determine if he has been denied medical staff privileges at another hospital? 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? NCCI edits prevent improper payments in which of the following cases? The patient had two prior cesarean sections. Which of the following promotes uniform reporting and statistical data collection for medical procedures, supplies, products, and services? The appropriate principal diagnosis would be: A coding audit shows that an inpatient coder is using multiple codes that describe the individual components of a procedure rather than using a single code that describes all the steps of the procedure performed. When coding a benign neoplasm of skin of the left eyelid, which of the following codes should be used? Which software would be used to prevent this? The patient is being admitted at this time for management of severe anemia due to the malignancy. View Test Prep - Post-Test Domain 4.docx from RHIT EXAM PREP 4444 at Ultimate Medical Academy, Tampa. Ureteroscopy with placement of bilateral ureteral stents was performed. The correct ICD-10-CM diagnosis code is: In the inpatient prospective payment system, the calculation of the DRG begins with the: What factor is medical necessity based on? Duplication of patient registration can never occur. All of the following are steps in medical necessity and utilization review, except: A laparoscopic tubal ligation is undertaken. coding guidelines, CMS, facility or regional best practices, federal and state regulations) 2.  Domain 4: Information Technology  6-lesson course covers Domain 4 of the AHIMA RHIT certification domains, subdomains and tasks. Which of the following should be done in this case? Recognize and define the RHIT domains/sub domain stated by AHIMA. Depending on the service, the patient pays either a coinsurance amount (20 percent) or a fixed copayment amount, whichever is less. The hospital administrator is making a strategic decision by querying various institutional databases for information. Demonstrate the knowledge and skills required for entry level RHIT professionals. What is the correct CPT code assignment for this procedure? To ensure the best experience, please update your browser. Calculate the CMI for Dr. Green. This course is designed to assist students in successfully completing their certification. While it … evidence cannot be provided that the physician actually reviewed and approved each report. Products of conception are found. Because of moderately severe mental retardation, the patient is given general anesthetic prior to the procedure. As a result of losing over 200 pounds, loose skin hung from the member's arms, thighs, and belly. Which one of the following is NOT an advantage of a computerized master patient index? From the information provided in this table, what percentage will the facility be paid for procedure 25500? As HIM director, you must ensure a means to regulate access and ensure preservation of data in the health care facility's computer system. A newborn is treated for pulmonary valve stenosis, with stretching of the valve opening accomplished via a percutaneous balloon pulmonary valvuloplasty. What was the error that was made by the coder? Chapter 7 2. recorded by persons authorized by hospital regulations and procedures. http://www.delmarlearning.com/iq/prg/2014/rhiarhit/content/img/StndRes/PRG/scprrhex01q.10.050.jpg. This is a problem with which of the following. The coder assigned separate codes for individual tests when a combination code exists. The patient has been receiving radiotherapy to the liver with some relief of pain. Read full article. The patient also has a diagnosis of diabetes. You are trying to ensure a patient's name, but the entire name will not fit in the field. 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. The hospital-acquired conditions provision of the Medicare PPS is an example of which type of value-based purchasing system? Access study documents, get answers to your study questions, and connect with real tutors for HIT 272 : RHIT Certification Preparation at DeVry University, Chicago. 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. Dr. Gray has applied for medical staff privileges at your hospital. Patient had a laparoscopic incisional herniorrhaphy for a recurrent reducible hernia. 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. According to her sister, Gail has had a recent medical history taken at the public health department. This patient had two prior cesarean sections. This six-topic course will reinforce your knowledge of RHIT Domain 1: Data Content, Structure, and Information Governance. Which of the following would be the principal diagnosis in this case? The last month should be spent reviewing the domains you feel the least confident in," he adds. According to CPT, a repair of a laceration that includes retention sutures would be considered what type of closure? Which of the following departments will be tasked to resolve this issue? What is the correct E/M code for this service? Which of the following could be a focus of a coding quality review program? This was an emergent C-section due to hemorrhage associated with the placenta previa. D. accepted by charge nurses only. The patient has more than 100,000 organisms of Escherichia coli per cc of urine. Apply health information guidelines (e.g. This is a(an). A common goal of the Office of the National Coordinator for Health Information Technology, RHIOs, and a national infrastructure for information is, One of the ways that an EHR is distinguished from a clinical data repository is that the EHR. 1.5-hour for Domain 6 and 30-minute break o Four (4) hour post-test CCS Exam Review Objective: Students to score at least 75% on the post-exam. You have been assigned the responsibility of looking at every data element stored in the system and establishing criteria for the use of each. Which of the following procedures or services could not be assigned a code with CPT? Information Technology and Systems 5. The patient is seen in the physician's office for a cough and sore throat. In ICD-10-PCS, the root operation defined as taking or letting out fluids and/or gases from a body part is: Which of the following coding error classifications is most valuable in determining the impact on overall revenue cycle? She is treated with an aspiration dilation and curettage. My Dashboard; Assignments; AHIMA Domain 4: Information Technology ... Test Type: RHIT Practice Questions. Continuing education is vital to ensure accurate coding. Each domain accounts for a specific percentage of the total questions on the certification exam. 1. A patient was admitted to the hospital for treatment of a myocardial infarction (heart attack) and the MS-DRG assigned was 236 Coronary bypass w/o cardiac cath w/o MCC. Sepsis is a major complication. Which of the following is a function of the outpatient code editor? develop clear policies on data security that are supported by the top management of the facility. 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. 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. A quality data review based on specific problem areas that comes after an initial baseline review has been completed in a hospital is called a: The period of time between discharge and claim submission, which a facility defines by policy, is called the: A physician query may not be appropriate in which of the following instances? Study 26 Domain 4 - Revenue Cycle Management flashcards from Ashley E. on StudyBlue. Mr. Smith had a minor procedure performed in the hospital outpatient department at a charge of $85. Which of the following statements best defines utilization management? Date of service: 1/3/2017. The member, upon referral from her general surgeon, was scheduled to have a plastic surgeon remove the excess skin. What is the correct ICD-10-PCS code for this procedure? The nurse conducted the blood pressure check under the physician's supervision. In CPT, if a patient has two lacerations of the arm that are repaired with simple closures, which of the following would apply for correct coding? The Assistant Director of Record Processing is evaluating software packages for a chart tracking system in the HIM Department. She did not have to request copies of her medical records, but the physician has everything that she needs. Which of the following is the correct way to code this case? Which of the following would be the correct sequencing and coding of this case? You are developing a list of functions needed by users of a release of information system. What is the next step in order for the member to have the surgery paid for by her insurance company? What practice do HIM departments use to protect themselves from RAC identifying coding and billing errors? 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. This is an example of a(n)________ system. The Registered Health Information Technician (RHIT) exam is 3.5 hours, with 150 multiple-choice questions (130 scored/ 20 pretest). When coding a hydrocystoma of the right eyelid, which of the following codes should be used? A patient has a malunion of an intertrochanteric fracture of the right hip, which is treated with a proximal femoral osteotomy by incision. The function of a(an) ________ is limited to data retrieval. Which of the following services is most likely to be considered medically necessary? Competencies for RHIT s fall into six domains. What is the correct code assignment? Professor Gregory Zaleski shares 5 RHIT exam prep tips to help you get on the path to success. Which of the following can be used to develop a focused inpatient coding review? Which stage of the system developmental life cycle stages are you in? In addition, Mr. Smith has paid his deductible for the year. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. Given this information, what would be the hospital's case-mix index for that year? 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.

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