AHIMA RHIA - ACTUAL EXAM 250 QUESTIONS AND

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AHIMA RHIA - ACTUAL EXAM 250+ QUESTIONS AND

CORRECT ANSWERS ALREADY GRADED A+

1.A possible justification for building an information system in-house rather than purchasing one from a vendor is that: - ANSWER✔✔The facility has development teams they do not want to give up.

2.A clinic that is expanding its service offerings and needs an individual to help design a new

database will be searching for a: - ANSWER✔✔a. Data administrator

A data administrator focuses on understanding interrelationships among data in order to prepare a logical design for a database. A database administrator is an information technology specialist in database implementation and maintenance. Data governance managers are, typically, users of databases. Data technologist is not a commonly used job title, but it may be one who manages metadata

3.In a relational database, which of the following is an example of a many-to-many relationship?

• Patients to hospital admissions
• Patients to consulting physicians
• Patients to hospital health records
• Primary care physician to patients - ANSWER✔✔Patients to consulting physicians

4.One of the most common issues that healthcare organizations fail to do well in the strategic

process is:

• Develop a vision 1 / 4

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• Develop strategies
• Execute the implementation plan
• Communicate the plan - ANSWER✔✔c. Execute the implementation plan

The strategic goals and objectives need to be clearly outlined, with assignments for who will be accountable, timelines, allocation of resources, and measurements that will be used to ensure success of implementation. When a detailed implementation includes the elements laid out clearly—with timeframes and regular updates provided within the organization—the likelihood of strategic success increases significantly

5.When a healthcare entity destroys health records after the acceptable retention period has been met, a certificate of destruction is created. How long must the healthcare entity maintain the certificate of destruction?

• 2 years
• 5 years
• 10 years
• Permanently - ANSWER✔✔d. Permanently

6.Appropriate documentation of health record destruction must be maintained permanently no matter how the process is carried out. This documentation usually takes the form of a certificate of destruction

Dr. Hansen saw a patient in his office with measles. He directed his office staff to call the local department of health to report this case of measles. The office manager called right away and completed the report as instructed. Which of the following provides the correct analysis of the actions taken by Dr. Hansen's office?

• Dr. Hansen's office followed protocol and reported this case of measles correctly.
• Dr. Hansen's office did not need to report this case to the local health department. 2 / 4

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• Dr. Hansen's office should have mailed a letter to the local health department to report this

case.

• Dr. Hansen's office should have reported the case to the local hospital and not to the health

department. - ANSWER✔✔a. Dr. Hansen's office followed protocol and reported this case of measles correctly.

7.Which of the following would be used to determine what the users need in an information system?

• Questionnaire
• Trouble ticket
• Source code
• Weighted system - ANSWER✔✔a. Questionnaire

Questionnaires allow for a large number of users to provide input about the needs of the system

8.Which of the following is not a characteristic of strategy?

• An action or set of actions
• A description of how one intends to achieve the goals
• A description of specific implementation plans
• A plan to improve the organization's fit within the external environment - ANSWER✔✔c. A

description of specific implementation plans

9.The data elements in a patient's automated laboratory result are examples of:

• Unstructured data
• Free-text data 3 / 4

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• Financial data
• Structured data - ANSWER✔✔d. Structured data

10.Pressed for time, Sara hired a new release of information clerk without doing a reference check. When the new clerk committed a violation of patient confidentiality, it came to light that she had committed similar violations at her previous place of employment. By not checking the

clerk's references, Sara has opened the hospital to charge of:

• Discrimination
• Harassment
• Negligent hiring
• Overcompensation - ANSWER✔✔c. Negligent hiring

11.The HIM director hired an HIM data integrity analyst. This is a new position with a newly created job description. The director needs to develop performance standards for this job and will review a random selection of the job tasks performed in order to develop baseline data for

future job performance assessments. This method is called:

• Benchmarking
• Work sampling
• Task interdependence
• Job complexity - ANSWER✔✔b. Work sampling

12.Work sampling is a statistical method that reviews a select portion of tasks performed and provides baseline data for further job performance assessment

Burning, shredding, pulping, and pulverizing are all acceptable methods in which process?

• Deidentification of electronic documents
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