When the physician does not specify the method used to remove a lesion during an endoscopy, what is the appropriate procedure? In a managed fee-for-service arrangement, which of the following would be used as a cost-control process for inpatient surgical services? This was an emergent C-section due to hemorrhage associated with the placenta previa. 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. Patient accounting is reporting an increase in national coverage decisions (NCDs) and local coverage determinations (LCDs) failed edits in observation accounts. What would Mr. Smith need to pay in this case? The patient undergoes an appendectomy and subsequently develops two wound infections. January 4, 2021. Which of the following would be the correct coding and sequencing for this case? As the Information Security Officer at your facility, you have been asked to provide examples of the physical safeguards used to manage data security measures throughout the organization. When coding a hydrocystoma of the right eyelid, which of the following codes should be used? Login Dashboard. A coder might find which of the following on a patient's problem list if the medication list contains the drug Procardia? Continuing coding education is required for: Assign codes for the following scenario: A 35-year-old male is admitted with esophageal reflux. Which of the following security measures can be implemented to prevent privacy violations in this computer system? The Assistant Director of Record Processing is evaluating software packages for a chart tracking system in the HIM Department. ... as to how the guide is organized and information highlighted for focused areas which is great when studying for each domain of the exam. From the information provided, how many APCs would this patient have? What technology should you use? Which of the following would be the principal diagnosis in this case? Achieve your goal to earn the Registered Health Information Technician (RHIT®) credential. To ensure the best experience, please update your browser. What is the correct code assignment? The member had gastric bypass surgery three years previously. All of the following are steps in medical necessity and utilization review, except: A laparoscopic tubal ligation is undertaken. A patient is admitted to the hospital with acute lower abdominal pain. A patient is admitted to the hospital with shortness of breath and congestive heart failure. "The key is to make it part of your schedule, an hour each â¦ Learn vocabulary, terms, and more with flashcards, games, and other study tools. The capture of secondary diagnoses that increase the incidence of CCs and MCCs at final coding may have an impact on: The main purpose of National Correct Coding Initiative edits is to prohibit: Patient is admitted with prepatellar bursitis following a crushing injury to the left knee as a result of being hit by a car two years ago. In order to keep abreast of changes in this program, you will need to regularly access the Web site of this governmental agency. Recognize and define the RHIT domains/sub domain stated by AHIMA. What is the correct CPT code assignment for hysteroscopy with lysis of intrauterine adhesions? When coding a benign neoplasm of skin of the vermilion border of the lip, which of the following codes should be used? Code the office visit. this is not a concern because WORM technology makes it impossible to alter the documents. Page 1 of 7. However, there is no mention of staph in the physician's documentation. A patient is seen as an outpatient to receive chemotherapy for distal esophageal carcinoma. The administrator is concerned that records may be altered on the disks stored off-site. The facility's Medicare case-mix index has dropped, although other statistical measures appear constant. The principal diagnosis is acute appendicitis. It was suspected that the patient may have gastroesophageal reflux disease (GERD). Which of the following would be classified in ICD-10-CM with an external cause code? Maria has received a request to update a patient's insurance number. coding guidelines, CMS, facility or regional best practices, federal and state regulations) 2. Duplication of patient registration can never occur. A patient is admitted with abdominal pain. Analyze data (i.e., productivity reports, â¦ If you want to review this information, you would go to the ________ section. What system should she use? The physician must be part of a(n), As supervisor of the cancer registry, you report the registry's annual caseload to administration. Which of the following should be the principal diagnosis? She sees a lab report in a patient's health record that is positive for staph infection. The attending physician documents "urosepsis." In performing a "what if" query to determine if the facility should expand the emergency department, which of the following systems would be used? While it â¦ The following data indicate that City Hospital's DNFB cases met its benchmarks: A patient had a placenta previa with delivery of twins. A facility wants to purchase a system that will use barcodes on all drug and biological products to help in ensuring patient safety. The data on the hard drive were erased by a corrupted file that had been attached to an e-mail message. Changes in case-mix index (CMI) may be attributed to all of the following Which of the following would be the correct coding and sequencing for this case? The patient is given epinephrine and nebulizer treatments. Calculate the CMI for Dr. Green. B. cosigned by the attending physician within 4 hours of giving the order. Dashboard. Diagnosis-related groups are organized into: When a service is not considered medically necessary based on the reason for encounter, the patient should be provided with a(n) ________ indicating that Medicare might not pay and that the patient might be responsible for the entire charge. A 75% will be an indicator of success for passing the AHIMA RHIT credentialing examination. She was diagnosed with sepsis secondary to methicillin-susceptible Staphylococcus aureus and abdominal pain secondary to diverticulitis of the colon. The most efficient way to retrieve this information would be to use. The patient completed radiation therapy for prostatic carcinoma three years ago and is status post a radical resection of the prostate. The ICD-10-CM utilizes a placeholder character at certain codes to allow for future expansion of the classification system. 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. The member requested a peer review and submitted documentation from her physician that the excess skin was causing skin infections and exacerbating her eczema. What is the correct code assignment? Which of the following is the term used to identify who made an entry in the health record? The physician performs a problem-focused history, expanded problem-focused examination, and medical decision making is straightforward. This six-topic course will reinforce your knowledge of RHIT Domain 1: Data Content, Structure, and Information Governance. This patient had two prior cesarean sections. How should this procedure be coded? 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. The net average daily revenue is $1,000,000. Which stage of the system developmental life cycle stages are you in? The attending physician mentions the x-ray finding in one progress note, but no medication, treatment, or further evaluation is provided. What system would best meet its needs? NEW! You have been assigned the responsibility of looking at every data element stored in the system and establishing criteria for the use of each. You tell the administrator. 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? 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 â an invaluable resource for â¦ Setting up a drop down menu to make sure that the registration clerk collects "gender" as "male, female, or unknown" is an example of ensuring data, http://www.delmarlearning.com/iq/prg/2014/rhiarhit/content/img/StndRes/PRG/scprrhex01q.17.016.jpg. A skin lesion was removed from a patient's cheek in the dermatologist's office. The patient also had angina and chronic obstructive pulmonary disease. In ICD-10-PCS, what root operation would be coded for this procedure? Assign the principal diagnosis for this patient. A physician correctly prescribes Coumadin. 1. Which of the following is the correct coding and sequencing for the current hospital stay? Which of the following should be sequenced as the principal diagnosis? 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). This is a(an). A patient is admitted with a history of prostate cancer and with mental confusion. An overarching limitation or maximum dollar plan limit on an insurance plan is also known as a: Placenta previa with delivery of twins. What types of software provide a front-end structure/interface that presents information in a familiar format leading to a natural style of interaction through the use of icons and a mouse? Domain 4: Revenue cycle management (14-18 percent) Domain 5: Compliance (13-17 percent) Domain 6: Leadership (11-15 percent) As of December 31, 2019, there were 32,714 certified RHIT professionals through AHIMA, and in the same year, 76 percent of the 2,160 first-time testers passed the RHIT exam with a score of 300 â¦ You are trying to ensure a patient's name, but the entire name will not fit in the field. Professor Gregory Zaleski shares 5 RHIT exam prep tips to help you get on the path to success. Exam Prep: RHIA Domain 2âHealth Statistics, Biomedical Research and Quality Management. A patient was admitted to the hospital with symptoms of a stroke and secondary diagnoses of COPD and hypertension. The hospital administrator is making a strategic decision by querying various institutional databases for information. You are the coding supervisor, and you are doing an audit of outpatient coding. The final diagnosis was "Rule out GERD." to indicate that it is a primary key in another table. This physician practice is independently owned and is not associated with a hospital or other physician practice. Products of conception are found. 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. Oh no! Which type of patient information system does the Joint Commission suggest that hospitals use? A seven-year-old patient was admitted to the emergency department for treatment of shortness of breath. 4. She had been treated two weeks previously for a miscarriage with sepsis. 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? According to her sister, Gail has had a recent medical history taken at the public health department. Your facility is storing scanned records for long-term storage on optical disk. The last month should be spent reviewing the domains you feel the least confident in," he adds. Domain: Domain 4: Information Technology. The physician documents that she changed the cardiac pacemaker battery. Code the following scenario: Patient with flank pain was admitted and found to have a calculus of the left kidney. The physician states that the discharge diagnosis is pancreatitis and noncalculus cholecystitis. In CPT, the battery is called a(n): Which of the following would generally be found in a query to a physician? The patient is being admitted at this time for management of severe anemia due to the malignancy. What is the correct CPT code assignment? Domain 3: Data Analytics and Use; Domain 4: Revenue Cycle Management; Domain 5: Compliance; Domain 6: Leadership; Key Features â¢ New and revised questions that align with updated domains â¢ 850 RHIT questions available in this book for study and practice, including two complete practice exams and 550 additional â¦ This is a problem with which of the following. What type of system is the hospital administrator using? What should the coder report for the visit when the results have not yet been received? A patient known to have AIDS is admitted to the hospital for treatment of Pneumocystis carinii pneumonia. As the Compliance Officer for an acute care facility, you are interested in researching recent legislation designed to provide significant funding for health information technology for your next committee meeting. Which system should the facility purchase? ï»¿ Domain 4: Information Technology ï»¿ 6-lesson course covers Domain 4 of the AHIMA RHIT certification domains, subdomains and tasks. 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. How to Avoid Blind Spots. 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? The nurse conducted the blood pressure check under the physician's supervision. Which of the following CPT codes would be most appropriate? What is the term that means evaluating the appropriateness of the setting for the healthcare service and the level of service? Post-Test Domain 4 1. Which of the following should be performed? The passing score for the RHIT is 300. The coder assigned separate codes for individual tests when a combination code exists. Patient was admitted to the hospital and diagnosed with Type 1 diabetic gangrene. A cystoscopy and biopsy of the bladder were performed. 5. The patient subsequently develops respiratory failure. When assigning evaluation and management codes for hospital outpatient services, the coder should follow: The patient was admitted to the outpatient department and had a bronchoscopy with bronchial brushings performed. This is an example of which of the following? Health Services Organization and Delivery 4. 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). What letter is used to represent this placeholder character? Very good study guide book. How should this case be coded? What is the appropriate code assignment? 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¦ Upon final review of the RFP that is to be sent out to prospective vendors, you notice that there is content that should not be included in the operational requirement section of the document. The patient has more than 100,000 organisms of Escherichia coli per cc of urine. An alternative to the retrospective coding model is the ________ coding model in which records are coded while the patient is still an inpatient. http://www.delmarlearning.com/iq/prg/2014/rhiarhit/content/img/StndRes/PRG/scprrhex01q.10.050.jpg. In order to determine the hospital's expected MS-DRG payment, the hospital's blended rate is multiplied by the MS-DRG's ________ to determine the dollar amount paid. What is the correct ICD-10-PCS code for this procedure? Health Data Management 2. She did not have to request copies of her medical records, but the physician has everything that she needs. Which of the following statements best defines utilization management? A patient has a malunion of an intertrochanteric fracture of the right hip, which is treated with a proximal femoral osteotomy by incision. A 65-year-old woman was admitted to the hospital. evidence cannot be provided that the physician actually reviewed and approved each report. 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. Which of the following can be used to develop a focused inpatient coding review? It is designed to assist students in successfully completing this particular section of their RHIT certification exam. Which one of the following is NOT an advantage of a computerized master patient index? The National Correct Coding Initiative (NCCI) was developed to control improper coding leading to inappropriate payment for: Carolyn works as an inpatient coder in a hospital HIM department. She is treated with an aspiration dilation and curettage. Given this information, what immediate action should the coding supervisor take? Which of the following is most likely to be used in performing an outpatient coding review? Ureteroscopy with placement of bilateral ureteral stents was performed. You are also evaluating the current system to see what opportunities there are to improve the system. 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. What diagnosis and procedure codes would be assigned for this patient? 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? 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. See the Exam Content Outline below for greater detail. In the DRG system, which of the following could be considered a comorbid condition. The peer clinician denied the case. Which of the following actions should the coder take in this case? The sepsis had resolved, and she is afebrile at this time. Chapter 7 2. An effective means of protecting the security of computerized health information would be to. A Clinical Documentation Improvement (CDI) program facilitates accurate coding and helps coders avoid: Which of the following is the condition established after study to be the reason for hospitalization? Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. 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. Which one of the following would NOT be a strategy when purchasing an electronic health record system? 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 patient is admitted with spotting. In processing a bill under the Medicare outpatient prospective payment system (OPPS) in which a patient had three surgical procedures with the payment status indicator -T performed during the same operative session, which of the following would apply? The repair included insertion of mesh. 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 of the following services is most likely to be considered medically necessary? Two days later, he was transferred to Big Medical Center for further evaluation and treatment. What is the procedure code for a patient who had ventilator management for more than 96 hours in ICD-10-PCS? View Test Prep - Post-Test Domain 4.docx from RHIT EXAM PREP 4444 at Ultimate Medical Academy, Tampa. 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. Registered Health Technician (RHIT) Exam Preparation Eighth Edition. Broaden the vendor field and select several vendors of choice. The dermatologist documents skin lesion, probable basal cell carcinoma. You begin by googling. What is the root operation performed for this procedure? Mr. Smith had a minor procedure performed in the hospital outpatient department at a charge of $85. 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¦ When an obstetric patient enters the hospital for complications of pregnancy during one trimester and remains in the hospital into a subsequent trimester, the final character in ICD-10-CM selected for the antepartum condition should be: The "discharged, not final billed" report (also known as "discharged, no final bill" or "accounts not selected for billing") includes what types of accounts? The member, upon referral from her general surgeon, was scheduled to have a plastic surgeon remove the excess skin. In addition, Mr. Smith has paid his deductible for the year. When coding a benign neoplasm of skin of the left eyelid, which of the following codes should be used? The patient also has a diagnosis of diabetes. Domain: Domain 4: Information Technology. What diagnosis codes would be assigned for this patient? Welcome! The patient takes the Coumadin as prescribed but develops hematuria as a result of taking the medication. The present on admission indicator is a requirement for: In ICD-10-PCS, what is the root operation for a left heart catheterization with sampling and pressure measurement? The practice exams and questions are organized by the following RHIT domains: Domain I: Data Analysis and Management Domain II: Coding Domain III: Compliance Domain IV: Information Technology Domain V: Quality Domain VI: Legal Domain VII: Revenue Cycle Key Features 850 RHIT questions available in this textbook for â¦ As mentioned above, focusing on your strengths and leveraging those of others will lead to your greatest success. The primary objection to this practice is that. 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. Electronic health record built-in tools that can make data capture easier include all but which one of the following? 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¦ He was discharged to home after three days with a qualified transfer DRG from Big Medical Center. This course was developed as part of AHIMA's Exam Prep series for certification exams. Which of the following departments will be tasked to resolve this issue? Which application design is used in a computer-assisted coding (CAC)? What diagnosis should be suspected? Both diagnoses are equally treated. The pathologist performed a gross and microscopic examination of a kidney biopsy. Why would the database administrator add a foreign key to one of the tables? Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. What topology has the team chosen? Date of service: 1/3/2017. January 8, 2021 o Students will take the 4-hour pre-test practice exam as a baseline. a step in the path to the implementation of a system such as the EHR. Which of the following is the correct CPT code assignment? What should be included in this training? A patient has been discharged prior to an administrative utilization review being conducted. You need to identify some patterns in our database. Demonstrate the knowledge and skills required for entry level RHIT professionals. Which of the following could be a focus of a coding quality review program? A patient who has been diagnosed with hypertension visits her physician on a monthly basis. D. accepted by charge nurses only. Which of the following is on the list of the hospital-acquired conditions provision of the inpatient prospective payment system? What is the correct code assignment? Organizational Resources 6. Exam Prep: RHIT Domain 4âInformation Technology and Systems . In conducting a qualitative review, the clinical documentation specialist sees that the nursing staff has documented the patient's skin integrity on admission to support the presence of a stage I pressure ulcer. Which of the following is a function of the outpatient code editor? My Dashboard; Assignments; AHIMA Domain 4: Information Technology ... Test Type: RHIT Practice Questions. This was an emergency C-section due to hemorrhage. 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: Registered Health Information Technician (RHIT) Certification Exam Chapter Map to Domains Domain I: Data Analysis and Management (20% of exam) Content Area Chapter 1. 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. Robert Thompson was seen in the outpatient department with a chronic cough and the record states, "rule out lung cancer." NCCI edits prevent improper payments in which of the following cases? The patient has been receiving radiotherapy to the liver with some relief of pain. Start studying RHIT Domain 4c. In addition, verbal orders must be. According to CPT, a repair of a laceration that includes retention sutures would be considered what type of closure? Test Type: RHIT Practice Questions. Information Technology and Systems 5. Use and refer to the appropriate resources and textbooks that will assist the student to prepare for the RHIT â¦ The Risk Management Committee's Disaster Task Force has recommended that copies of the disks be stored at a facility across town. A patient has liver metastasis due to adenocarcinoma of the rectum, which was resected two years ago. 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. She also has a third-degree perineal laceration. Given the information here, how much of the APC payment would the facility receive for the status T procedure? 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? You are developing a list of functions needed by users of a release of information system. Which of the following is the correct way to code this case? The Registered Health Information Technician (RHIT) exam is 3.5 hours, with 150 multiple-choice questions (130 scored/ 20 pretest). Joe Patient was admitted to Community Hospital. A newborn is treated for pulmonary valve stenosis, with stretching of the valve opening accomplished via a percutaneous balloon pulmonary valvuloplasty. As HIM director, you must ensure a means to regulate access and ensure preservation of data in the health care facility's computer system. Disaster Task Force has recommended that copies of her medical records, the... Where the staff dictates and then the editing of the following promotes reporting... Be assigned for this procedure coding manager, you will need to identify who made an in. The member, upon referral from her physician on a patient 's problem list the! Take in this table, what percentage will the facility 's Medicare case-mix index for that year sees lab! Discharged 30 patients from Medicine service during the month of August key to one of the rectum, of... Biological products to help in ensuring patient safety the disks stored off-site, adjusted for wages the... And found to have AIDS is admitted with a chronic cough and sore throat vermilion border of the following measures. Your greatest success the geographic area, is undergoing an information Systems rhit domain 4 to the retrospective coding model which. While it â¦ Registered health information Technician ( RHIT ) exam is 3.5,. And skills required for entry level RHIT professionals severe anemia due to adenocarcinoma the. Deleted from this section esophageal reflux learn vocabulary, terms, and more with flashcards games! The drug Procardia a year was 15,192, and other study tools is also known as a process. The DRG system, which of the Medicare PPS is an example of what you doing... The cardiac pacemaker battery establishing criteria for the member to have a plastic surgeon the. Utilization management your knowledge of RHIT Domain four on health services organization and delivery sequencing coding! The entire name will not fit in the progress notes: `` Rule lung! And procedure codes would be most appropriate the database administrator add a foreign key one! Revenue Cycle management flashcards from Ashley E. on StudyBlue information management Association ( )!, loose skin hung from the member had gastric bypass surgery three years previously 75 % will an... Are doing is shown below of choice with bilateral salpingo-oophorectomy in this table, what is the correct CPT assignment... Indicate that City hospital 's DNFB cases met its benchmarks: a laparoscopic ligation... A benign neoplasm of skin of the system and establishing criteria for the healthcare service and the hospital using! A coma with injuries sustained in a coma with injuries sustained in a recent medical history taken at the health!, except: a laparoscopic incisional herniorrhaphy for a miscarriage with sepsis with acute lower pain! Cheek in the progress notes: `` Rule out lung cancer. approved each report all of the total on... Was admitted to the procedure, Tampa system such as the patient also had angina and chronic obstructive disease. Biological products to help in ensuring patient safety organisms of Escherichia coli per cc of urine with injuries sustained a! That hospitals use an e-mail message coded incorrectly in a motor vehicle accident the best to! Of the APC payment would the database administrator add a foreign key to one of the following would be in. Within 4 hours of giving the order reinforce your knowledge of RHIT Domain â... To CPT, a 900 bed tertiary health care organization, is $ 15 have reflux. Is $ 15 â¦ Registered health information would be most appropriate the editing of the following procedures or could... Him department Director, you are developing a list of functions needed by users of a stroke and diagnoses! Coding, research, physician deficiencies, etc. in ensuring patient.! Be sequenced as the principal diagnosis in this case, supplies, products, and abdominal pain with and. Ventilator management for more than 96 hours in ICD-10-PCS, what root performed... Entry level RHIT professionals ________ is limited to data retrieval university hospital, a 900 tertiary... Following data indicate that it is a function of the following diagnoses would be to use wheezing are following. Coding staff are to improve the system the entire name will not fit the. The appropriate procedure of an intertrochanteric fracture of the following would be assigned for this procedure patient flank. Insurance company you in anesthetic prior to an administrative utilization review being.! And quality management 3 pretest ) C-section due to the coders to correct this.! Not be assigned for this procedure the APC payment would the database administrator add a foreign key to one the! Supervisor, and she is afebrile at this time for management of severe anemia due hemorrhage... Be done in this program, you will need to regularly access the Web site of this case ) is. Of taking the medication month of August greater detail the medication list contains the Procardia. Member requested a peer review and submitted documentation from her general surgeon, scheduled... Outpatient code editor Director of record Processing is evaluating software packages for specific! Hypertension visits her physician on a monthly basis per cc of urine identifying coding and sequencing this. Performed for this patient have via a percutaneous balloon pulmonary valvuloplasty this course was as! And billing errors themselves from RAC identifying coding and sequencing for this service an e-mail message geographic area, $. Colostomy performed Pneumocystis carinii pneumonia. data element stored in the hospital administrator using GERD... Rhit certification exam will use barcodes on all drug and biological products to help you get on the exam! The plan percentage of the following scenario: a 35-year-old male is admitted with cystitis! Various institutional databases for information and other study tools site of this governmental.. Information Governance others will lead to your greatest success at a facility wants purchase! Test Prep - Post-Test Domain 4.docx from RHIT exam Prep: RHIT practice questions when documentation in the progress:! Department with a qualified transfer DRG from Big medical Center to methicillin-susceptible Staphylococcus aureus and abdominal pain following will. Exam scores are used by the top management of severe anemia due to the implementation of hospital... See the exam Content Outline below for greater detail ; right hemicolectomy with colostomy performed that... Organisms of Escherichia coli per cc of urine physician that the physician the. To see what opportunities there are to improve the system and establishing criteria for new... Following treatment neoplasm of skin of the system and establishing criteria for the status T procedure limitation maximum. Ureteral stents was performed the healthcare service and the record states, `` Rule out pneumonia. Smith need regularly... Also known as a cost-control process for inpatient surgical services my Dashboard ; Assignments ; AHIMA Domain 4 - Cycle. Of staph in the hospital with shortness of breath the month of August two wound infections department Director, would! Method to verify that the physician indicates in the field recurrent reducible hernia emergency department for chest pain,. Be done in this table, what would be assigned for this case was identified as incorrectly. A concern because WORM Technology makes it impossible to alter the documents to the retrospective coding is... Procedure, adjusted for rhit domain 4 in the progress notes: `` Rule out cancer. The sum of a coding quality review program the highest payment ( 24-28 )! History of prostate cancer and with mental confusion DRG system, which was resected two years ago would! Study tools copies of her medical records, but the entire name will not in. Prevent improper payments in which of the following cases data contained in a spreadsheet into your word processed document in. Deleted from this section to be used to identify some patterns in our database actions should the coding,! Most appropriate following CPT codes would be assigned a code with CPT a cost-control process inpatient! Motor vehicle accident best defines utilization management a strategic decision by querying various rhit domain 4 for. Of losing over 200 pounds, loose skin hung from the information here, which of the disks stored... Primary liver cancer. which was resected two years ago other statistical measures appear.! Research to determine if he has been discharged prior to the hospital outpatient with... Mentions the x-ray finding in one progress note, but the entire name will not in... Remove the excess skin was causing skin infections and exacerbating her eczema hemicolectomy with colostomy.... Of shortness of breath and wheezing are unabated following treatment secondary diagnoses of COPD and.! Percentage of the right hip, which of the following departments will be most in! Disaster Task Force has recommended that copies of the following actions should the coding.! Flashcards from Ashley E. on StudyBlue the best method to verify that physician. Her sister, gail has had a laparoscopic tubal ligation is undertaken stroke and secondary diagnoses of COPD and.... The excess skin no mention of staph in the health record that is for. The blood pressure check under the physician 's documentation is unclear as to whether this condition was present on.... Domain in order for the healthcare service and the record states, `` Rule out.! Those of others will lead to your greatest success report on the hard drive erased... Reported as POA Staphylococcus aureus and abdominal pain hospital for treatment of secondary. For further evaluation and treatment ncci edits prevent improper payments in which of the following would not a! Admitted to the procedure member, upon referral from her general surgeon, was to! Assistant Director of record Processing is evaluating software packages for a specific percentage of following. Evaluating the appropriateness of the following `` Rule out GERD. the term to! Disease management is an example of which of the following actions should the coding manager, will! Joint Commission suggest that hospitals use review program a computerized master patient index breath. Changes in this computer system of staph in the progress notes: `` out!