Registered Health Information Technician (RHIT®) Practice Exam
Registered Health Information Technician (RHIT®)
Registered Health Information Technician (RHIT®) Practice Eam
Registered Health Information Technicians are the authorities on handling the ins and outs of electronic health records (EHR) operations. From maintaining patient health reports to managing classifications to code and categorize patients’ tests and diagnosis for insurance billing persistence, RHITs excel in interacting with healthcare staff and external insurance spokespeople to guarantee that a patient’s journey is well documented. An RHIT also examines patient data, with the purpose of controlling healthcare costs and increasing patient care. Some RHITs specialize in coding or compiling data for particular diseases or illnesses.
Who should take this exam?
RHIT applicants must meet one of the following eligibility conditions:
- Successfully achieve the academic demands, at an associate's degree level, of a Health Information Management (HIM) program commissioned by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM); OR
- Bachelor from an HIM program recommended by a foreign association with which AHIMA has a reciprocity agreement.
Course Structure
The important topics covered in this exam are -
Domain 1 – Understand Data Content, Structure, and Information Governance (19-25%)
1. Ability to apply health information guidelines (e.g., coding guidelines, CMS, facility or regional best practices, federal and state regulations)
2. Ability to apply healthcare standards (e.g., Joint Commission, Meaningful Use)
3. Ability to identify and maintain the designated record set
4. Ability to maintain the integrity of the health record (e.g., identify and correct issues within the EHR)
5. Ability to audit content and completion of the health record (e.g., validate document content)
6. Ability to educate clinicians on documentation and content
7. Ability to coordinate document control (e.g., create, revise, standardize forms)
8. Ability to assess and maintain the integrity of the Master Patient Index (MPI)
9. Ability to maintain and understand the data workflow
10. Ability to create and maintain functionalities of the EHR
11. Ability to create and maintain EHR reports to ensure data integrity
12. Ability to navigate patient portals and provide education and support
Domain 2 – Understand Access, Disclosure, Privacy, and Security (14-18%)
1. Ability to manage the access, use, and disclosure of PHI using laws, regulations, and guidelines (e.g., release of information, accounting of disclosures)
2. Ability to determine right of access to the health record
3. Ability to educate internal and external customers (e.g., clinicians, staff, volunteers, students, patients, insurance companies, attorneys) on privacy, access, and disclosure
4. Ability to apply record retention guidelines (e.g., retain, archive, or destroy)
5. Ability to mitigate privacy and security risk
6. Ability to identify and correct identity issues within the EHR (e.g., merges, documentation corrections, registration errors, overlays)
Domain 3 – Understanding Data Analytics and Use (12-18%)
1. Ability to identify common internal and external data sources
2. Ability to extract data
3. Ability to analyze data
4. Ability to report patient data (e.g., CDC, CMS, MACs, RACs, insurers)
5. Ability to compile healthcare statistics and create reports, graphs, and charts
6. Ability to analyze common data metrics used to evaluate Health Information functions (e.g., CMI, coding productivity, CDI query rate, ROI turnaround time)
Domain 4 – Revenue Cycle Management (19-25%)
1. Ability to identify the components of the revenue cycle process
2. Ability to demonstrate proper use of clinical indicators to improve the integrity of coded data
3. Ability to code medical/health record documentation
4. Ability to query clinicians to clarify documentation
5. Ability to recall utilization review processes and objectives
6. Ability to manage denials (e.g., coding or insurance)
7. Ability to conduct coding and documentation audits
8. Ability to provide coding and documentation education
9. Ability to monitor Discharged Not Final Billed (DNFB)
10. Ability to analyze the case mix
11. Ability to identify common billing issues for inpatient and outpatient
12. Ability to understand payer guidelines and requirements (e.g., LCDs, NCDs, fee schedules, conditions of participation)
13. Ability to collaborate with clinical documentation integrity (CDI) staff
14. Ability to review and maintain a Charge Description Master (CDM)
15. Ability to describe different payment methodologies and different types of health insurance plans (e.g., public vs private)
Domain 5 – Understanding Compliance (13-17%)
1. Ability to perform quality assessments
2. Ability to monitor Health Information compliance and report noncompliance (e.g., coding, ROI, CDI)
3. Ability to maintain standards for Health Information functions (e.g., chart completion, coding accuracy, ROI turnaround time, departmental workflow)
4. Ability to monitor regulatory changes for timely and accurate implementation
Domain 6 – Understanding Leadership (9-12%)
1. Ability to provide education regarding Health Information laws and regulations
2. Ability to review Health Information processes
3. Ability to develop and revise policies and procedures (e.g., compliance, ROI, coding)
4. Ability to establish standards for Health Information functions (e.g., chart completion, coding accuracy, ROI, turnaround time, departmental workflow)
5. Ability to collaborate with other departments for Health Information interoperability
6. Ability to provide Health Information subject matter expertise
7. Ability to understand the principles and guidelines of project management
Exam Format
- Exam Name: Registered Health Information Technician (RHIT®)
- Number of Questions: 150 questions
- Exam Format: Multiple-choice
- Passing score: 70%
- Time Given: 3.5 hours
- Passing score: 300 and above
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