Data and Information Governance |
17-20% |
This topic covers evaluating the integrity of the health record documentation, applying knowledge necessary to process the required clinical data elements for quality reporting, and understanding and applying data dictionary standardization policies. Moreover, the topic focuses on managing documentation and data standards based on organizational policy, completing data analysis to inform management, and managing the integrity of the master patient index (MPI). |
Compliance with Access, Use, and Disclosure of Health Information |
15-18% |
Compliance with Access, Use, and Disclosure of Health Information involves managing patient access, advocating for health information rights, processing requests per legal standards, monitoring PHI access, developing compliant workflows, following breach protocols, and ensuring privacy and security. |
Data Analytics and Informatics |
23-26% |
Data Analytics and Informatics involves supporting end users in EHR applications, creating reports and visual representations of data, and using database management software and techniques like data mining. It includes auditing documentation with focused tools, optimizing health information technologies to improve workflows, and supporting health information exchange solutions. Additionally, it requires examining software applications for their impact, understanding the information systems development life cycle, and validating healthcare statistics for organizational stakeholders. |
Revenue Cycle Management |
20-23% |
This topic involves educating providers on reimbursement models and ensuring coding accuracy. It includes supporting claims management, conducting CDI activities, and maintaining compliance with HHS documentation requirements. Additionally, it entails performing revenue integrity tasks like coding audits, denials management, and fraud prevention. |
Management and Leadership |
23-26% |
The topic of Management and Leadership involves developing and implementing goals and strategies, including change management to support organizational initiatives, and demonstrating knowledge of contracting/outsourcing processes. It also includes performing human resource management activities, overseeing work design and process improvement, facilitating training and development, and preparing and implementing budgets. Additionally, the topic covers assisting with accreditation, licensing, or certification processes, monitoring organizational compliance with health laws, regulations, or standards, and demonstrating knowledge to lead or facilitate project management. |
Official Information |
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https://ahima.org/media/f5adcqxb/rhia_contentoutline_begin10-01-2023_final.pdf |