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Registered Health Information Administrator (RHIA)

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Test Number : RHIA
Test Name : Registered Health Information Administrator (RHIA)
Vendor Name : Healthcare
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Exam : RHIA
Exam Name : Registered Health Information Administrator(R)
Questions : 180
Question Type : multiple choice
Scored : 160
Unscored : 20
Exam Time : 4 hours

Domain 1 � Data Content, Structure & Standards (Information Governance) (18-22%)
A. Classification Systems
A1. Code diagnosis and procedures according to established guidelines

B. Health Record Content & Documentation
B1. Ensure accuracy and integrity of health data and health record documentation (paper or electronic)
B2. Manage the contents of the legal health record (structured and unstructured)
B3. Manage the retention and destruction of the legal health record

C. Data Governance
C1. Maintain data in accordance with regulatory requirements
C2. Develop and maintain organizational policies, procedures, and guidelines for management of health information

D. Data Management & Secondary Data Sources
D1. Manage health data elements and/or data sets
D2. Assist in the maintenance of the data dictionary and data models for database design
D3. Manage and maintain databases (e.g., data migration, updates)

Domain 2 � Information Protection: Access, Disclosure, Archival, Privacy & Security (23-27%)
A. Health Law
A1. Maintain healthcare privacy and security training programs
A2. Enforce and monitor organizational compliance with healthcare information laws, regulations and standards (e.g., audit, report and/or inform)

B. Data Privacy, Confidentiality, and Security
B1. Design policies and implement privacy practices to safeguard Protected Health Information
B2. Design policies and implement security practices to safeguard Protected Health Information
B3. Investigate and resolve healthcare privacy and security issues/breaches

C. Release of Information
C1. Manage access, disclosure, and use of Protected Health Information to ensure confidentiality
C2. Develop policies and procedures for uses and disclosures/redisclosures of Protected Health Information

Domain 3 � Informatics, Analytics & Data Use (22-26%)
A. Health Information Technologies
A1. Implement and manage use of, and access to, technology applications
A2. Evaluate and recommend clinical, administrative, and specialty service applications (e.g., financial systems, electronic record, clinical coding)

B. Information Management Strategic Planning
B1. Present data for organizational use (e.g., summarize, synthesize, and condense information)

C. Analytics & Decision Support
C1. Filter and/or interpret information for the end customer
C2. Analyze and present information to organizational stakeholders
C3. Use data mining techniques to query and report from databases

D. Healthcare Statistics
D1. Calculate healthcare statistics for organizational stakeholders
D2. Critically analyze and interpret healthcare statistics for organizational stakeholders (e.g., CMI)

E. Research Methods
E1. Identify appropriate data sources for research

F. Consumer Informatics
F1. Identify and/or respond to the information needs of internal and external healthcare customers
F2. Provide support for end-user portals and personal health records

G. Health Information Exchange
G1. Apply data and functional standards to achieve interoperability of healthcare information systems
G2. Manage the health information exchange process entity-wide

H. Information Integrity and Data Quality
H1. Apply data/record storage principles and techniques associated with the medium (e.g., paper-based, hybrid, electronic)
H2. Manage master person index (e.g., patient record integration, customer/client relationship management)
H3. Manage merge process for duplicates and other errors entity-wide (e.g., validate data sources)

Domain 4 � Revenue Management (12-16%)
A. Revenue Cycle & Reimbursement
A1. Manage the use of clinical data required in reimbursement systems and prospective payment systems (PPS)
A2. Optimize reimbursement through management of the revenue cycle (e.g., chargemaster maintenance, DNFB, and AR days)

B. Regulatory
B1. Prepare for accreditation and licensing processes [e.g. Joint Commission, Det Norske Veritas (DNV), Medicare, state regulators]
B2. Process audit requests (e.g., RACs or other payors, chart review)
B3. Perform audits (e.g., chart review, POC)

C. Coding
C1. Manage and/or validate coding accuracy

D. Fraud Surveillance
D1. Participate in investigating incidences of medical identity theft

E. Clinical Documentation Improvement
E1. Query physicians for appropriate documentation to support reimbursement
E2. Educate and train clinical staff regarding supporting documentation requirements

Domain 5 � Leadership (12-16%)
A. Leadership Roles
A1. Develop, motivate, and support work teams and/or individuals (e.g., coaching, mentoring) A2. Organize and facilitate meetings
A3. Advocate for department, organization and/or profession

B. Change Management
B1. Participate in the implementation of new processes (e.g., systems, EHR, CAC)
B2. Support changes in the organization (e.g., culture changes, HIM consolidations, outsourcing)

C. Work Design & Process Improvement
C1. Establish and monitor productivity standards
C2. Analyze and design workflow processes
C3. Participate in the development and monitoring of process improvement plans

D. Human Resources Management
D1. Perform human resource management activities (e.g., recruiting staff, creating job descriptions, resolving personnel issues)

E. Training & Development
E1. Conduct training and educational activities (e.g. HIM systems, coding, medical and institutional terminology, documentation and regulatory requirements)

F. Strategic & Organizational Management
F1. Monitor industry trends and organizational needs to anticipate changes
F2. Determine resource needs by performing analyses (e.g., costbenefit, business planning)
F3. Assist with preparation of capital budget

G. Financial Management
G1. Assist in preparation and management of operating and personnel budgets
G2. Assist in the analysis and reporting on budget variances

H. Ethics
H1. Adhere to the AHIMA code of ethics

I. Project Management
I1. Utilize appropriate project management methodologies

J. Vendor/Contract Management
J1. Evaluate and manage contracts (e.g., vendor, contract personnel, maintenance)

K. Enterprise Information Management
K1. Develop and support strategic and operational plans for entity-wide health information management

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Healthcare Administrator learn

Are CT schools secure all over COVID? lecturers, officials balance in-person discovering with health dangers | RHIA PDF Dumps and Questions and Answers

Gov. Ned Lamont has advised school districts to continue to be open for in-person studying provided that they could, even as the coronavirus pandemic continues and instances proceed to upward push.

but a large number of faculty districts throughout the state have closed temporarily – some unless at the least January – whereas the centers for disease handle and Prevention now considers in-grownup discovering as excessive-chance and a coalition of education labor unions in Connecticut are disturbing in-grownup gaining knowledge of end until requests are met. these requests consist of statewide protocols for reporting and responding to high-quality circumstances and common COVID checking out of students and personnel.

while state fitness and education certified argue measures like masks and social distancing have averted transmission of the coronavirus within faculty constructions, some are wondering whether it is protected to be trained in the lecture room.

“The price of in-adult schooling is enormous and desires to be part of the equation,” stated Dr. Thomas Murray, associate clinical director for infection prevention at Yale New Haven children’s hospital. “nonetheless it also must be achieved safely. And by safely, I don’t imply only for the students, but also for members of the family and family participants that live with those college students.”Dr. Thomas Murray, associate medical director for infection prevention at Yale New Haven Children’s Hospital.

The CDC these days changed its counsel, with full, in-grownup researching regarded better or optimum risk, reckoning on mitigation techniques. Hybrid models are considered to be between some to medium possibility, in accordance with what number of college students are within the classroom.

Dr. Scott Gottlieb, the former food and Drug Administration commissioner who served on Lamont’s re-open Connecticut advisory board, noted these days that schools should be the ultimate to shut.

“We may still be trying to curtail anything actions they comprehend are sources of group spread long earlier than they shut faculties,” Gottlieb instructed CNBC. “So, some of these jurisdictions, together with long island city, have it backwards where they close the colleges and leave other things open where the unfold is happening.”

In Connecticut, youngsters, many schools and and districts have briefly closed in fresh weeks as a result of too many employees are quarantined, not since the structures are deemed dangerous.

“We agree that infants are safer and healthier in school,” observed John Barile, superintendent in Brookfield, which is closed unless Dec. 7 as a result of group of workers shortages. “unfortunately, due to the exposures and subsequent requirements of the 14-day quarantine protocols, many educators are on quarantine. therefore, there is not sufficient team of workers to properly teach, or to soundly function the colleges in adult.”schools safer for elementary students

The safest location for anybody—infants blanketed—is the domestic, with individuals handiest leaving for essentials, spoke of Karl Minges, assistant professor and chair of the health administration and policy department at institution of latest Haven.

“however that isn’t feasible for many families,” he talked about. “faculty in fact does provide some degree of safeguard, chiefly for the elementary population.”

but core and high school college students face better risks as a result of extracurricular actions, equivalent to sports, the place situations have spread, he noted. basic-age students have also been superior at donning masks than expected, he noted.

“there’s a specific amount of vigilance so that you can supply elementary-school age inhabitants that can not turn up the equal way because the older inhabitants,” Minges said. “They are more likely to comply with the rules and to comply, and also they don’t have after-school activities in elementary faculty.”

it’s also less difficult to contact hint on the basic level because these infants reside in their same cohorts greater than older college students, Murray said.

“You be aware of the place all and sundry is normally (at fundamental schools),” he observed. “often times, high faculties are not deploy like that.”

The state is right to allow native faculty districts to come to a decision no matter if to shut as a result of fitness circumstances differ from community to community, Minges spoke of.

“All politics is local,” he mentioned. “So is COVID.”

These local health metrics should still be an important element in determination making, Murray, the Yale doctor, mentioned.

“The 2d element that a district might trust is how smartly their risk mitigation strategies are working,” he pointed out.spread minimal interior colleges

it’s “inevitable” that college students and staff would check high quality as instances upward push in the community, Murray referred to.

“We’re going to have widespread group transmission for the next couple months,” he spoke of. “So any school that remains open throughout the next couple months goes to should accomplish that with a transparent strategy on the way to mitigate risk and phone trace in a setting with excessive community transmission.”

but it seems infrequent for situations to spread within colleges, which may implement public fitness precautions, Minges referred to.

“circumstances don’t seem to be being transmitted in the school setting, but fairly the transmission is happening in the after-faculty activities,” he observed.

consultants agreed measures like masks and social distancing were the most valuable to stay away from faculty spread.

“Our mitigation options of donning masks, final socially distant, and inspiring universal hand washing, on precise of thorough contact tracing and appropriate quarantining, have confirmed to be a hit so far,” spoke of Jonathan Supranowitz, spokesman for the Greenwich faculty board.

Greenwich, which has had ninety seven students or body of workers look at various tremendous, has found only 1 case where a person become exposed at school, he referred to.

Brookfield measures in-college transmission according to the number of toddlers or workforce who are in quarantine after which look at various positive.

“Brookfield’s numbers are minimal to none,” Barile stated. “We supply contact tracing priority to those contacts.”

In Bethel, students and personnel have gotten ill from folks or family members, said Kristen Brooks, the school district’s assistant superintendent. adolescence activities have also been an issue, she stated.

devoid of this unfold in the buildings, faculties are frequently protected for many infants, Brooks talked about.

“That doesn’t mean it’s the appropriate resolution for every family unit,” pointed out Brooks, including it might possibly be superior for youth who reside with an older adult or somebody who’s immunocompromised to stay home.benefits of in-grownup discovering

Many educators have said they intention to preserve college students in faculty, but no longer at the cost of their health.

“My No. 1 goal for this year is health and safety,” referred to Megan Bennett, superintendent in area 12, which is open to full in-person studying and comprises Bridgewater, Roxbury and Washington. “training turned into not the top priority. in spite of the fact that I do believe the foremost training is in-adult, it doesn’t mean that you blindly preserve college students in faculty.”

Bethel, too, appears at staffing and native health conditions when choosing even if students can be in school, stated Brooks. The district is on distance getting to know at the least until Dec. 7 as a result of staff shortages.

“We wish to be in faculty,” she talked about. “It changed into a extremely complex decision to stream this way, however they had to at this element.”

On distance getting to know, students can’t collaborate or use substances within the identical means as they may in the classroom, Brooks talked about. it is also harder for teachers to supply comments, above all after they can not read college students’ physique language, she referred to.

“It is very difficult to duplicate what that you would be able to do in a school room digitally,” she mentioned.

college students’ isolation from their peers has additionally sparked problem about their intellectual health.

“If college students aren’t socially and emotionally available, then it’s very hard for any category of academic getting to know to take place,” Brooks stated.Contact tracing, testing

Contact tracing is crucial to ensure college students and team of workers quarantine when essential, officers agreed.

“That can be time ingesting and involve lots of materials and may be beyond what a college can handle,” Murray noted.

Brookfield has found it difficult to contact hint for personnel contributors. The local health branch doesn’t have access to cases amongst team of workers individuals who live out of town.

“We ought to rely on mutual cooperation,” Barile pointed out. “interestingly, at current, there are just too many instances for the local fitness departments to follow up on every case. The system is somewhat effortlessly, overburdened.”

officers must talk to many americans probably related to the case.

“The contact tracing takes a long time,” Brooks mentioned. “The story finally ends up getting larger and greater from time to time. and you have to contact more and more americans.”

students and staff may still be demonstrated in order that districts be aware of the real transmission price amongst these corporations, Minges mentioned.

“The real detriment here is that they don’t have checking out in the schools,” he referred to. “that would be totally a good suggestion.”

In Danbury, which has been on distance learning the entire tutorial year, students and group of workers with symptoms will soon have access to speedy tests.

but since many americans with the virus should not have symptoms, colleges may still verify a random sampling of students and team of workers, Minges referred to.

“focused on just these people who have symptoms is not a most appropriate apply,” he said.

in place of totally closing schools, officials may still put in force measures, equivalent to canceling after-school activities, Minges mentioned.

“there’s at all times the knowledge to have a workaround and to mitigate chance, while not closing everything,” he spoke of.

for example, in vicinity 12, college students are no longer allowed to throw Frisbees to each different or sing outside from 12 ft apart, Bennett talked about.

“we’ve the capability to handle an ambiance, so I do believe we’re featuring a secure discovering opportunity,” she mentioned. “once they aren’t any longer able to do this, that’s when they would shift to far off researching.”

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