RHIT Domain 6

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Clinical documentation policies and procedures should:
a. Dictate the practices and procedures for medical treatment
b. Encompass nationally recognized guidelines
c. Meet all the requirements of physician leaders
d. Be created by and specifically for each organization

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d

In order to be both effective and efficient, each organization must be guided by policies and procedures that are created and specific to the organization. This includes policies and procedures regarding clinical documentation (Hess 2015, 172).

What document outlines the work to be performed by a specific employee or group of employees with the same responsibilities?
a. Union contract
b. Policy and Procedure Manual
c. Job evaluation
d. Job description

d

What document outlines the work to be performed by a specific employee or group of employees with the same responsibilities?
a. Union contract
b. Policy and Procedure Manual
c. Job evaluation
d. Job description

In all positions it is important to develop requirements for employee success to perform their job. For the release information technician position, the statement, "apply policies and procedures for disclosure of health information to process requests with 98% accuracy," would be considered a:
a. Procedure
b. Mission
c. Policy
d. Competency

d

Competencies are "do" statements identifying measureable skills, abilities, behaviors, or other characteristics required of an individual in order to complete the work required in a successful manner. This example provides competencies for a release of information specialist (Prater 2016, 568-569).

An audit of the document imaging process reveals that the HIM department staff is scanning 250 pages per hour and indexing 114 pages per hour. If the department is meeting its productivity standard for scanning, but is only meeting 60 percent of the indexing standard, how many more pages per hour must be indexed to meet the indexing standard?
a. 45.6 pages
b. 68.4 pages
c. 76 pages
d. 190 pages

c

Productivity standards should be based on both accuracy and volume. In this situation, 114 / 0.60 = 190; 190 − 114 = 76 more pages will need to be indexed to meet the productivity standard (Schraffenberger and Kuehn 2011, 76).

What kind of planning addresses long-term needs and sets comprehensive plans of action?
a. Tactical
b. Operational
c. Strategic
d. Administrative

c

A strategic plan is the document in which the leadership of a healthcare organization identifies the organization's overall mission, vision, and goals to help define the long-term direction of the organization (Gordon and Gordon 2016b, 533).