RHIT Domain 3 Exam 1 Questions and Answer Elaborations 100% Correct Solutions pdf
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.RHIT Domain 3 Exam 1 Questions and Answer Elaborations
(100% Correct)
To comply with the Joint Commission standards, the HIM director wants to be sure that
history and physician examinations are documented in the patient's health record no
later than 24 hours after admission. Which of the following would be the best way to
ensure the completeness of the health record?
✓ Review each patient's medical record concurrently to make sure that history and
physicals are present
Local coverage determinations (LCD) describe when and under what circumstances
which of the following is met:
✓ Medical necessity
What factor is medical necessity based on?
✓ The beneficial effects of a service for the patient's physical needs and quality of
life
The HIM director is having difficulty with the emergency services on-call physicians
completing their health records. Three deficiency notices are sent to the physicians
including an initial notice, a second reminder, and a final notification. Which of the
following would be the best first step in trying to rectify the current situation?
✓ Consult with the physician in charge of the on-call doctors for suggestions on
how to improve response to the current notices
Which of the following are basic functions of the utilization management process?
✓ Discharge planning, retrospective review, and preadmission review
In developing a monitoring program for coding compliance, which of the following
should be regularly audited?
✓ ICD-10-CM and ICD-10-PCS coding
Access to reports based on protected health information within a healthcare facility
should be limited to employees who have a:
✓ Legitimate need for access
In developing an internal coding audit review program, which of the following would be
risk areas that should be targeted for audit?
✓ Chargemaster description
Which of the following practices is not an appropriate coding compliace activity?
✓ Providing a financial incentive for coding claims improperly
In performing a coding audit, a health record technician discovers that an inpatient
coder is assigning diagnosis and procedure codes specifically for the purpose of
obtaining a higher level of reimbursement. The coder believes that this practice is
helping the hospital in increasing revenue. Which of the following should be done in this
case?
✓ Counsel the coder and stop the practice immediately
If a physician does not provide a diagnosis to justify the medical necessity of a service,
the provider may obtain payment from the patient:
✓ Only if a properly executed ABN was obtained before the service was provided
The utilization manager's role is essential to:
✓ Prevent denials for inappropriate levels of service
The goal of coding compliance programs is to prevent:
✓ Accusations of fraud and abuse
Which of the following is the approved method for implementing an organization's formal
position?
✓ Procedure
A health record with deficiencies that is not complete within the timeframe specified in
the medical staff rules and regulations is called a(n):
✓ Delinquent record
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