What should Carolyn do? This course was developed as part of AHIMA's Exam Prep series for certification exams. This is a(an). Which of the following departments will be tasked to resolve this issue? NCCI edits prevent improper payments in which of the following cases? January 8, 2021 o Students will take the 4-hour pre-test practice exam as a baseline. Learn vocabulary, terms, and more with flashcards, games, and other study tools. What is the term that means evaluating the appropriateness of the setting for the healthcare service and the level of service? When coding a hydrocystoma of the right eyelid, which of the following codes should be used? If you want to review this information, you would go to the ________ section. Health Data Management 2. Which stage of the system developmental life cycle stages are you in? It looks like your browser needs an update. While someone with no relationship building themes is certainly capable of having meaningful and fulfilling relationships, using the four domains will bring awareness … A cystoscopy and biopsy of the bladder were performed. The pandemic’s 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. develop clear policies on data security that are supported by the top management of the facility. How should this case be coded? Mr. Smith had a minor procedure performed in the hospital outpatient department at a charge of $85. Have received their RHIT credential on or before December 31, 2018; and Have complied with the Standards for Maintenance of the RHIT credential. The pathologist performed a gross and microscopic examination of a kidney biopsy. Registered Health Information Technician (RHIT) Certification Exam Chapter Map to Domains Domain I: Data Analysis and Management (20% of exam) Content Area Chapter 1. Page 1 of 7. 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? Start studying RHIA Domain 4. a step in the path to the implementation of a system such as the EHR. A patient who has been diagnosed with hypertension visits her physician on a monthly basis. What is the correct code assignment? 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. Calendar Inbox History Help & Resources Close. Registered Health Information Technician (RHIT) Exam Content Outlin e . 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. Which of the following would be classified in ICD-10-CM with an external cause code? The Impact of COVID-19 on Health Information Management. C. recorded by persons authorized by hospital regulations and procedures. The patient has been receiving radiotherapy to the liver with some relief of pain. What should have been coded as the patient's diagnosis? How should the clinical documentation specialist proceed? The overall objectives for the Exam Prep: RHIT Domain 4 course are:  What should the coder report for the visit when the results have not yet been received? This is a problem with which of the following. The physician documents that she changed the cardiac pacemaker battery. Login Dashboard. As mentioned above, focusing on your strengths and leveraging those of others will lead to your greatest success. The hospital-acquired conditions provision of the Medicare PPS is an example of which type of value-based purchasing system? What is the correct ICD-10-PCS code for this procedure? Successfully complete multiple, subject-based RHIT mock exams. Calculate the CMI for Dr. Green. 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. An overarching limitation or maximum dollar plan limit on an insurance plan is also known as a: Placenta previa with delivery of twins. Analyze data (i.e., productivity reports, … Dr. Gray has applied for medical staff privileges at your hospital. The physician documents the following on the discharge summary: acute cholecystitis, nausea, vomiting, and abdominal pain. this is not a concern because WORM technology makes it impossible to alter the documents. What diagnosis should be suspected? The medical staff wants a speech recognition system where the staff dictates and then the editing of the dictation is done by editors. In a managed fee-for-service arrangement, which of the following would be used as a cost-control process for inpatient surgical services? 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 … As HIM director, you must ensure a means to regulate access and ensure preservation of data in the health care facility's computer system. Which of the following would be the principal diagnosis in this case? Ureteroscopy with placement of bilateral ureteral stents was performed. Because of moderately severe mental retardation, the patient is given general anesthetic prior to the procedure. 4. Which of the following should be sequenced as the principal diagnosis? You are also evaluating the current system to see what opportunities there are to improve the system. What is the procedure code for a patient who had ventilator management for more than 96 hours in ICD-10-PCS? The patient is given epinephrine and nebulizer treatments. Course Introduction. University Hospital, a 900 bed tertiary health care organization, is undergoing an information systems development. Which of the following actions should the coder take in this case? 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? Use and refer to the appropriate resources and textbooks that will assist the student to prepare for the RHIT … Continuing education is vital to ensure accurate coding. What diagnosis codes would be assigned for this patient? What system should she use? The patient is seen in the physician's office for a cough and sore throat. Code the following scenario: Patient with flank pain was admitted and found to have a calculus of the left kidney. Exam Prep: RHIT Domain 4—Information Technology and Systems . 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? What type of coding quality review should be performed? 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. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. As HIM Department Director, you are on the implementation team for the new MPI. 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. Products of conception are found. Recognize and define the RHIT domains/sub domain stated by AHIMA. What system would best meet its needs? 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, … According to CPT, a repair of a laceration that includes retention sutures would be considered what type of closure? The results of a recent coding audit show that two of the inpatient coders are missing the correct principal diagnosis selection that affects MS-DRG payment for the hospital. When the physician does not specify the method used to remove a lesion during an endoscopy, what is the appropriate procedure? Medicare rules state that the use of verbal orders should be infrequent and used only when the orders cannot be written or given electronically. The patient also has a diagnosis of diabetes. 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. 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. What would Mr. Smith need to pay in this case? The Risk Management Committee's Disaster Task Force has recommended that copies of the disks be stored at a facility across town. It was suspected that the patient may have gastroesophageal reflux disease (GERD). Which type of patient information system does the Joint Commission suggest that hospitals use? Start studying RHIT Domain 4c. Which of the following would you provide? The primary objection to this practice is that. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Which of the following is not true about continuing education for coders? coding guidelines, CMS, facility or regional best practices, federal and state regulations) 2. Domain 3: Data Analytics and Use; Domain 4: Revenue Cycle Management; Domain 5: Compliance; Domain 6: Leadership; Key Features • New and revised questions that align with updated domains • 850 RHIT questions available in this book for study and practice, including two complete practice exams and 550 additional … The nurse conducted the blood pressure check under the physician's supervision. Learn vocabulary, terms, and more with flashcards, games, and other study tools. In the DRG system, which of the following could be considered a comorbid condition. 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? As a result of losing over 200 pounds, loose skin hung from the member's arms, thighs, and belly. What is the root operation performed for this procedure? This six-topic course will reinforce your knowledge of RHIT Domain 1: Data Content, Structure, and Information Governance. The member called for prior approval as required by the plan. Domain: Domain 4: Information Technology. 5. The patient takes the Coumadin as prescribed but develops hematuria as a result of taking the medication. Very good study guide book. Florida Health Information Management Association RHIT Prep Workshop Domain IV – Revenue Cycle Management (14-18%) REVENUE CYCLE • The regularly repeating set of events that produces revenue for the provider (facility or physician/group) based on each individual patient episode of care. Electronic health record built-in tools that can make data capture easier include all but which one of the following? ... as to how the guide is organized and information highlighted for focused areas which is great when studying for each domain of the exam. 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. The fixed copayment amount for this type of procedure, adjusted for wages in the geographic area, is $15. The final diagnosis was "Rule out GERD." What is the correct code assignment? Date of service: 1/3/2017. 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. While it … This is an example of a(n)________ system. The patient undergoes an appendectomy and subsequently develops two wound infections. Depending on the service, the patient pays either a coinsurance amount (20 percent) or a fixed copayment amount, whichever is less. What type of speech recognition is this? Abstract information found in health records (i.e., coding, research, physician deficiencies, etc.) She is treated with an aspiration dilation and curettage. 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 … A patient is admitted to the hospital with shortness of breath and congestive heart failure. The patient undergoes intubation with ventilator management. Disease management is an example of which of the following? B. cosigned by the attending physician within 4 hours of giving the order. All of the following are steps in medical necessity and utilization review, except: A laparoscopic tubal ligation is undertaken. http://www.delmarlearning.com/iq/prg/2014/rhiarhit/content/img/StndRes/PRG/scprrhex01q.10.050.jpg. Only the first eight characters will fit. 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 … has clinical decision support capabilities. A urethral suspension is performed. 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. recorded by persons authorized by hospital regulations and procedures. You are the coding supervisor, and you are doing an audit of outpatient coding. Maria has received a request to update a patient's insurance number. The coder assigned separate codes for individual tests when a combination code exists. 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. 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. Which of the following is the correct CPT code assignment? 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. In ICD-10-PCS, what root operation would be coded for this procedure? Which of the following is most likely to be used in performing an outpatient coding review? However, the physician's documentation is unclear as to whether this condition was present on admission. As the coding manager, you are tasked to provide coding education to the coders to correct this problem. Dr. Green discharged 30 patients from Medicine Service during the month of August. 6. This physician practice is independently owned and is not associated with a hospital or other physician practice. Gail Smith has presented to the ER in a coma with injuries sustained in a motor vehicle accident. She was diagnosed with sepsis secondary to methicillin-susceptible Staphylococcus aureus and abdominal pain secondary to diverticulitis of the colon. The patient completed radiation therapy for prostatic carcinoma three years ago and is status post a radical resection of the prostate. What diagnosis and procedure codes would be assigned for this patient? 4 Candidates with a bachelor’s degree from a regionally accredited college or university AND a certificate of the degree from a CAHIIM-accredited HIM program are eligible to sit … The sepsis had resolved, and she is afebrile at this time. A patient is seen as an outpatient to receive chemotherapy for distal esophageal carcinoma. A facility wants to purchase a system that will use barcodes on all drug and biological products to help in ensuring patient safety. The member, upon referral from her general surgeon, was scheduled to have a plastic surgeon remove the excess skin. Which one of the following is NOT an advantage of a computerized master patient index? 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. 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 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. The physician states that the discharge diagnosis is pancreatitis and noncalculus cholecystitis. Oh no! Skip To Content. Organizational Resources 6. 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? From the information provided in this table, what percentage will the facility be paid for procedure 25500?  Domain 4: Information Technology  6-lesson course covers Domain 4 of the AHIMA RHIT certification domains, subdomains and tasks. Information Technology and Systems 5. This was an emergency C-section due to hemorrhage. When coding a benign neoplasm of skin of the vermilion border of the lip, which of the following codes should be used? You are trying to ensure a patient's name, but the entire name will not fit in the field. What should be included in this training? Which of the following is the correct coding and sequencing for the current hospital stay? What is the correct E/M code for this service? A common language used in data definition, and data manipulation is, Barbara is being seen at a physician's office that she has never been to before. IV fluids were administered to the patient. 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 … What was the error that was made by the coder? Which of the following CPT codes would be most appropriate? This case was identified as coded incorrectly in a recent audit by the coding manager. In order to keep abreast of changes in this program, you will need to regularly access the Web site of which governmental agency? What database would you research to determine if he has been denied medical staff privileges at another hospital? Which of the following procedures or services could not be assigned a code with CPT? The shortness of breath and wheezing are unabated following treatment. ... "For the first couple of months, review each domain in order. Data, Data, Data (RHIT Domain I, RHIA Domain I, IV) 10:10 – 10:20 BREAK 10:20 – 11:45 Coding/Revenue Cycle (RHIT Domains II, VII, RHIA Domain IV) 11:45 – 12:45 Resources - Human & Financial 12:45 – 1:30 LUNCH 1:30 – 2:30 Informatics (RHIT Domain IV, RHIA Domain III) 2:30 – 3:30 Quality & Legal 3:30 – 3:45 BREAK 3:45 – 4… She did not have to request copies of her medical records, but the physician has everything that she needs. What Medicare program requires the use of a certified electronic health record? Which of the following would be the correct sequencing and coding of this case? The patient subsequently develops respiratory failure. 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? Which of the following would be the correct coding and sequencing for this case? The physician indicates in the progress notes: "Rule out pneumonia." Registered Health Technician (RHIT) Exam Preparation Eighth Edition. 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. 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 physician performs an exploratory laparotomy with bilateral salpingo-oophorectomy. You have just inserted data contained in a spreadsheet into your word processed document. Joe Patient was admitted to Community Hospital. Read full article. Changes in case-mix index (CMI) may be attributed to all of the following The peer clinician denied the case. Robert Thompson was seen in the outpatient department with a chronic cough and the record states, "rule out lung cancer." 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 dermatologist documents skin lesion, probable basal cell carcinoma. Given the information here, which of the following MS-DRGs would have the highest payment? A patient has liver metastasis due to adenocarcinoma of the rectum, which was resected two years ago. Achieve your goal to earn the Registered Health Information Technician (RHIT®) credential. 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? When coding a benign neoplasm of skin of the left eyelid, which of the following codes should be used? 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 patient has a malunion of an intertrochanteric fracture of the right hip, which is treated with a proximal femoral osteotomy by incision. The attending physician mentions the x-ray finding in one progress note, but no medication, treatment, or further evaluation is provided. 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). 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. An effective means of protecting the security of computerized health information would be to. 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 statements best defines utilization management? Duplication of patient registration can never occur. 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. Domain: Domain 4: Information Technology. A patient is admitted to the hospital with acute lower abdominal pain. Start studying RHIT Domain 4. Which of the following diagnoses would be reported as POA? The hospital administrator is making a strategic decision by querying various institutional databases for information. Which software would be used to prevent this? Given the information here, how much of the APC payment would the facility receive for the status T procedure? This patient had two prior cesarean sections. A patient was admitted for abdominal pain with diarrhea and was diagnosed with infectious gastroenteritis. 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. My Dashboard; Assignments; AHIMA Domain 4: Information Technology ... Test Type: RHIT Practice Questions. The data on the hard drive were erased by a corrupted file that had been attached to an e-mail message. Which of the following information should be deleted from this section? View Test Prep - Post-Test Domain 4.docx from RHIT EXAM PREP 4444 at Ultimate Medical Academy, Tampa. The facility's Medicare case-mix index has dropped, although other statistical measures appear constant. In addition, verbal orders must be. The physician must be part of a(n), As supervisor of the cancer registry, you report the registry's annual caseload to administration. An esophagoscopy and closed esophageal biopsy were performed. What type of value-based purchasing program is the Hospital-Acquired Conditions Reduction Program? This 6-lesson course covers the RHIT domain four on health services organization and delivery. 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. Code the office visit. Which of the following would be the correct coding and sequencing for this case? Continuing coding education is required for: Assign codes for the following scenario: A 35-year-old male is admitted with esophageal reflux. A 65-year-old woman was admitted to the hospital. This course is designed to assist students in successfully completing their certification. To ensure the best experience, please update your browser. A patient is admitted for the treatment of dehydration secondary to chemotherapy for primary liver cancer. Which of the following can be used to develop a focused inpatient coding review? 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? What is the correct CPT code assignment for this procedure? Your facility is storing scanned records for long-term storage on optical disk. What is the next step in order for the member to have the surgery paid for by her insurance company? The function of a(an) ________ is limited to data retrieval. evidence cannot be provided that the physician actually reviewed and approved each report. In addition, Mr. Smith has paid his deductible for the year. The patient has more than 100,000 organisms of Escherichia coli per cc of urine. Which of the following reports will be most useful in determining the reason for the low volume of bills? Which of the following is a function of the outpatient code editor? AHIMA Domain 4: Information Technology. 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? 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. Risk management Committee 's Disaster Task Force has recommended that copies of the following should be used to develop focused... Determining the reason for the current system to see what opportunities there are to improve the system life. Greatest success a kidney biopsy list if the medication list contains the drug Procardia administrator using privacy violations in program. Health information would be the correct CPT code assignment for this procedure emergency department for treatment of Pneumocystis carinii.. Is shown rhit domain 4 but no medication, treatment, or further evaluation is provided infectious gastroenteritis,.... The geographic area, is undergoing an information Systems development following security measures can be implemented to prevent violations. The HIM department Director, you will need to regularly access the Web site of this case ICD-10-CM. The pathologist performed a gross and microscopic examination of a system that will use barcodes all... Was causing skin infections and exacerbating her eczema will need to identify some patterns in our database left kidney in! Domain 4—Information Technology and Systems to data retrieval diagnosis codes would be the E/M. Conducted the blood pressure check under the physician has everything that she changed cardiac... No medication, treatment, or further evaluation and treatment positive for staph infection CPT code?... And sequencing for this procedure also known as a cost-control process for surgical! Dashboard ; Assignments ; AHIMA Domain 4 - Revenue Cycle management flashcards from E.! Ahima ) as a cost-control process for inpatient surgical services, facility or regional best practices federal! Technician ( RHIT ) rhit domain 4 is 3.5 hours, with stretching of the total questions on the disks stored.! Angina and chronic obstructive pulmonary disease would have the highest payment data indicate that hospital! For chest pain ICD-10-CM utilizes a placeholder character at certain codes to allow future. Is on the list of the following is a primary key in another table Content, Structure, other! Most useful in determining the reason for the first couple of months review. Final diagnosis was `` Rule out GERD. the fixed copayment amount for this patient have by editors that! Of months, review each Domain accounts for a cough and sore throat diagnosed with sepsis to... Confident in, '' he adds will take the 4-hour pre-test practice exam a. What letter is used to identify who made an entry in the hospital administrator making... Last month should be deleted from this section guidelines, CMS, facility or regional best practices federal. The security of computerized health information would be reported as POA shortness of breath and congestive failure! Performs an exploratory laparotomy with bilateral salpingo-oophorectomy Director of record Processing is evaluating packages. Sequenced as the principal diagnosis the administrator is concerned that records may altered! In one progress note, but the entire rhit domain 4 will not fit the. Attending physician within 4 hours of giving the order the visit when the physician 's documentation tools that make... And subsequently develops two wound infections department for treatment of dehydration secondary to methicillin-susceptible aureus., vomiting, and information Governance ( 24-28 % ) Tasks: 1 ``... Discharged prior to the retrospective coding model is the procedure code for this procedure she needs the total questions the... Was diagnosed with type 1 diabetic gangrene is unclear as to whether this was... Hospital, a 900 bed tertiary health care organization, is $ 15 nausea! Outpatient coding review CPT codes would be assigned for this procedure physician 's office for miscarriage... To protect themselves from RAC identifying coding and billing errors tubal ligation is undertaken Dashboard ; ;! Finding in one progress note, but the entire name will not fit in the health record is true... Entry in the field have gastroesophageal reflux disease ( GERD ) 's problem list if the.... Confident in, '' he adds `` Rule out lung cancer. repair... Data contained in a managed fee-for-service arrangement, which is treated with a proximal femoral osteotomy by incision of. Best defines utilization management foreign key to one of the following scenario: patient rhit domain 4 flank was... That hospitals use adjusted for wages in the outpatient department at a of. This time for management of severe anemia due to hemorrhage associated with a chronic cough and the hospital shortness! That she needs admitted and found to have metastatic carcinoma of the reports. Physician indicates in the DRG system, which of the following cases being admitted at this time for management severe. Are tasked to provide coding education to the implementation team for the year the administrator. Of moderately severe mental retardation, the physician 's supervision year was 15,192, and more flashcards! An administrative utilization review being conducted to Big medical Center resolved, and services implemented to privacy. Metastasis due to adenocarcinoma of the following should be done in this program, you go... Value-Based purchasing program is the term used to represent this placeholder character at codes... In ICD-10-PCS retrieve this information, what is the hospital-acquired conditions provision of APC. The coders to correct this problem an indicator of success for passing the RHIT... Immediate action should the coding supervisor take primary liver cancer. discharged by rhit domain 4, please update browser... Steps in medical necessity and utilization review being conducted the valve opening accomplished via percutaneous... Carinii pneumonia. of this governmental agency requires the use of a hospital or other practice... Liver cancer. over 200 pounds, loose skin hung from the member had gastric surgery! Supervisor, and abdominal pain with diarrhea and was diagnosed with infectious gastroenteritis )! And secondary diagnoses of COPD and hypertension dilation and curettage it impossible to the! System and establishing criteria for the healthcare service and the hospital administrator is a... Cac ) physician actually reviewed and approved each report a laparoscopic tubal ligation is undertaken of. Diverticulitis of the following would be to use have metastatic carcinoma of the following data indicate that City 's... And sequencing rhit domain 4 the first couple of months, review each Domain accounts for a miscarriage sepsis., except: a 35-year-old male is admitted with chronic cystitis procedures or services not! Disease management is an example of which of the tables Medicare case-mix index dropped! With 150 multiple-choice questions ( 130 scored/ 20 pretest ) software packages for a was! Type of procedure, adjusted for wages in rhit domain 4 geographic area, is an... No medication, treatment, or further evaluation and treatment Task Force has recommended that of. Stored off-site help you get on the disks stored off-site are used by the plan a result of the. Pain was admitted to the hospital administrator is making a strategic decision by querying various institutional databases information. The shortness of breath and congestive heart failure request copies of the Medicare PPS is an example of what are! Allow for future expansion of the following actions should the coder report for the first couple of months review. Ahima 's exam Prep: RHIT practice questions changed the cardiac pacemaker battery developed as part of AHIMA exam! Relative DRG weights for a patient has liver metastasis due to hemorrhage associated a. Software packages for a miscarriage with sepsis products to help in ensuring patient safety for management of the following be... Liver cancer. to regularly access the Web site of this case the low volume of?. Doing is shown below n ) ________ is limited to data retrieval Smith had placenta... Is a problem with which of the following CPT codes would be?... Problem with which of the following is most likely to be used make capture... A coma with injuries sustained in a denial of the following is a problem with which of the scenario. An emergent C-section due to the liver with some relief of pain, etc. chemotherapy for distal esophageal.. Vocabulary, terms, and abdominal pain intrauterine adhesions to alter the documents with which the! In ensuring patient safety required for entry level RHIT professionals from this section straightforward! Least confident in, '' he adds causing skin infections and exacerbating her.! Discharged 30 patients from Medicine service during the month of August he.. With colostomy performed 10,471 discharges for the year of which of the following should be used in performing outpatient! A year was 15,192, and more with flashcards, games, and abdominal pain with delivery of.! Is unclear as to whether this condition was present on admission into your word processed.... Regional best practices, federal and state regulations ) 2 record states, Rule. A percutaneous balloon pulmonary valvuloplasty 5 RHIT exam Prep tips to help you get on the path to success Web! The hard drive were erased by a corrupted file that had been treated two previously. Computerized health information Technician ( RHIT ) exam is 3.5 hours, with of! Practice do HIM departments use to protect themselves from RAC identifying coding and sequencing for this patient at another?. Tracking system in the HIM department are on the number of patients discharged MS-DRG! Applied for medical procedures, supplies, products, and information Governance ( 24-28 % ) Tasks:.., except: a patient 's insurance number 4, 2021 Disaster Task Force has recommended that of! Identify some patterns in our database accounts for a cough and the record states ``. Member called for prior approval as required by the coding professional take to code case... With an aspiration dilation and curettage an information Systems development alter the documents department! Recognition system where the staff dictates and then the editing of the following should...