RHIT case studies
RHIT · Put your knowledge to work in context.
The Registered Health Information Technician (RHIT) is a credential administered by the AHIMA Commission on Certification for Health Informatics and Information Management (CCHIIM). It is designed for professionals who ensure the quality of medical and health records by verifying completeness, accuracy, and proper entry into computer systems, and for those who specialize in coding diagnoses and procedures for reimbursement and research. The RHIT case studies are 5 cases and about 3,798 words.
1Duplicate MPI Pairs After a Six-Site EHR Go-Live
Harbor Valley Health System went live on a new EHR eight months ago across six registration sites and a 410-bed hospital. The EMPI now holds 412,000 records, and a vendor audit identified 3,710 potential duplicate pairs (0.9%).
698 words, about 3 min2The Daughter With a Health Care POA and a Chart Note Saying No
Riverside Community Hospital (310 beds) receives a call from the adult daughter of a 68-year-old patient on the behavioral health unit. She faxes a durable power of attorney for health care naming her as agent and demands "everything in his chart, including the therapy notes." The patient is alert, oriented, and has decision-making capacity.
781 words, about 4 min3The Readmission Rate That Changed Definitions Overnight
At the quarterly quality committee of a 180-bed hospital, the analyst presents a slide showing 30-day all-cause readmissions rising from 8.2% to 11.6% quarter over quarter. The board chair asks for a rapid improvement team and a report at the next meeting.
700 words, about 4 min4Ninety-Six Denials and a CFO Who Wants Every One Appealed
This quarter a 300-bed hospital received 96 medical-necessity denials on 1,200 inpatient claims from Medicare Advantage and commercial payers; average denied claim value is 8,900. Twenty of the denials are already past the payer's 60-day appeal deadline.
807 words, about 4 min5Post-Merger HIM: DNFB, ROI, and a Registry Deadline in the Same 30 Days
Two hospitals that merged 14 months ago are consolidating HIM under one director. Coding vacancy is 7 of 27 positions (26%), days not final billed sits at 22 against a target of 10, and 2,300 inpatient encounters are uncoded at an average net revenue of 9,400 per discharge.
812 words, about 4 min