Question 1

Hepatitis C antibody.

Accepted Answer

A)  86804 
B)  86803 
C)  87522 
D)  87520 
A)  86804 
B)  86803 
C)  87522 
D)  87520

Question 2

Which classification system is used to classify neoplasms according to site, morphology, and behavior?

Accepted Answer

A)  International Classification of Diseases for Oncology (ICD-O) 
B)  Systematized Nomenclature of Human and Veterinary Medicine International (SNOME
D)  
C)  Diagnostic and Statistical Manual of Mental Disorders (DSM) 
D)  Current Procedural Terminology (CPT) 
A)  International Classification of Diseases for Oncology (ICD-O) 
B)  Systematized Nomenclature of Human and Veterinary Medicine International (SNOME
D)  
C)  Diagnostic and Statistical Manual of Mental Disorders (DSM) 
D)  Current Procedural Terminology (CPT)

Question 3

A cancer program is surveyed for approval by the

Accepted Answer

A)  American Cancer Society 
B)  Commission on Cancer of the American College of Surgeons 
C)  State Department of Health 
D)  Joint Commission on Accreditation of Health care Organizations 
A)  American Cancer Society 
B)  Commission on Cancer of the American College of Surgeons 
C)  State Department of Health 
D)  Joint Commission on Accreditation of Health care Organizations

Question 4

Which modifier indicates that a signed ABN is on file?

Accepted Answer

A)  AB 
B)  GA 
C)  GY 
D)  GZ 
A)  AB 
B)  GA 
C)  GY 
D)  GZ

Question 5

A DandC is performed for postpartum hemorrhage.

Accepted Answer

A)  59160 
B)  58120 
C)  58558 
D)  58578 
A)  59160 
B)  58120 
C)  58558 
D)  58578

Question 6

Your facility is engaged in a research project concerning patients newly diagnosed with type II diabetes. The researchers notice older patients have a longer length of stay than younger patients. They have seen a

Accepted Answer

A)  positive correlation between age and length of stay. 
B)  negative correlation between age and length of stay. 
C)  causal relationship between age and length of stay. 
D)  homologous relationship between age and length of stay. 
A)  positive correlation between age and length of stay. 
B)  negative correlation between age and length of stay. 
C)  causal relationship between age and length of stay. 
D)  homologous relationship between age and length of stay.

Question 7

The HIM department frequently experiences a backlog in loose report filing. A quality improvement team is assembled to identify the outcome variables and the major or root causes. What visual QI tool is helpful to report the findings?

Accepted Answer

A)  PDCA method 
B)  run chart 
C)  fishbone (cause and effect) diagram 
D)  scatter diagram 
A)  PDCA method 
B)  run chart 
C)  fishbone (cause and effect) diagram 
D)  scatter diagram

Question 8

The percentage of records delinquent due to the absence of an operative report

Accepted Answer

A)  is 1.7%. 
B)  is 2.7%. 
C)  is 4.6%. 
D)  cannot be determined from the information given. 
A)  is 1.7%. 
B)  is 2.7%. 
C)  is 4.6%. 
D)  cannot be determined from the information given.

Question 9

A physician prescribes a diuretic for his patient. He could be treating any of the following disorders EXCEPT

Accepted Answer

A)  congestive heart failure. 
B)  mitral stenosis 
C)  pneumonia 
D)  pulmonary edema 
A)  congestive heart failure. 
B)  mitral stenosis 
C)  pneumonia 
D)  pulmonary edema

Question 10

A bee stung little Bobby. He experiences itching, erythema, and respiratory distress caused by laryngeal edema and vascular collapse. In the emergency department, Bobby is diagnosed with

Accepted Answer

A)  allergic rhinitis. 
B)  allergic sinusitis. 
C)  anaphylactic shock. 
D)  asthma. 
A)  allergic rhinitis. 
B)  allergic sinusitis. 
C)  anaphylactic shock. 
D)  asthma.

Question 11

The ________________ refers to a statement sent to the patient to clarify which services were provided, amount billed, and amount of payments made by the health plan.

Accepted Answer

A)  Medicare summary notice. 
B)  remittance advice. 
C)  health care claims transaction. 
D)  coordination of benefits. 
A)  Medicare summary notice. 
B)  remittance advice. 
C)  health care claims transaction. 
D)  coordination of benefits.

Question 12

Amanda, the Coding Supervisor at Mission Medical Center, wants to increase the problem. solving skills among the coders. Which of the following approaches is likely to have the best and most long-lasting results?

Accepted Answer

A)  hiring a consultant to assess the coding area 
B)  developing a coding work team 
C)  taking a field trip to a neighboring facility known for quality coding 
D)  request that Human Resources conduct a training session on program solving 
A)  hiring a consultant to assess the coding area 
B)  developing a coding work team 
C)  taking a field trip to a neighboring facility known for quality coding 
D)  request that Human Resources conduct a training session on program solving

Question 13

Though you work in an integrated delivery network, not all systems in your network communicate with one another. As you meet with your partner organizations, you begin to sell them on the concept of an important development intended to support the exchange of health information across the continuum within a geographical community. You are promoting that your organization join a

Accepted Answer

A)  data warehouse. 
B)  regional health information organization. 
C)  continuum of care. 
D)  data retrieval portal group. 
A)  data warehouse. 
B)  regional health information organization. 
C)  continuum of care. 
D)  data retrieval portal group.

Question 14

Cesarean delivery with antepartum and postpartum care

Accepted Answer

A)  59610 
B)  59514 
C)  59400 
D)  59510 
A)  59610 
B)  59514 
C)  59400 
D)  59510

Question 15

Scott has a deformity of his left ring finger, due to an old tendon injury. He is admitted and undergoes a transfer of the flexor tendon from the distal phalanx to the middle phalanx.

Accepted Answer

A)  727.82, 82.56 
B)  736.20, 905.8, 82.56 
C)  834.02, 82.55 
D)  727.82, 82.55 
A)  727.82, 82.56 
B)  736.20, 905.8, 82.56 
C)  834.02, 82.55 
D)  727.82, 82.55

Question 16

Nonhuman graft for temporary wound closure. Patient has a 5 cm defect on the scalp.

Accepted Answer

A)  15335 
B)  15400 
C)  15420 
D)  15430 
A)  15335 
B)  15400 
C)  15420 
D)  15430

Question 17

Which of the following BEST describes tuberculosis?

Accepted Answer

A)  a chronic, systemic disease whose initial infection is in the lungs 
B)  an acute bacterial infection of the lung 
C)  an ordinary lung infection 
D)  a viral infection of the lungs 
A)  a chronic, systemic disease whose initial infection is in the lungs 
B)  an acute bacterial infection of the lung 
C)  an ordinary lung infection 
D)  a viral infection of the lungs

Question 18

Continuous quality improvement is best described by the following statements EXCEPT:

Accepted Answer

A)  Corrective action targets clinicians more so than processes. 
B)  Standards are defined, measured, and systematically applied. 
C)  Monitoring is ongoing with periodic feedback. 
D)  All personnel support quality improvement efforts, including top management and the governing body. 
A)  Corrective action targets clinicians more so than processes. 
B)  Standards are defined, measured, and systematically applied. 
C)  Monitoring is ongoing with periodic feedback. 
D)  All personnel support quality improvement efforts, including top management and the governing body.

Question 19

A quarterly review reveals the following data for Springfield Hospital:   What is the percentage of incomplete records during this quarter?

Accepted Answer

A)  55% 
B)  54% 
C)  33% 
D)  32% 
A)  55% 
B)  54% 
C)  33% 
D)  32%

Question 20

The steps in developing a record retention program include all but which one of the following?

Accepted Answer

A)  determining the format and location of storage 
B)  notifying the courts of the destruction 
C)  assigning each record a retention period 
D)  destroying records that are no longer needed 
A)  determining the format and location of storage 
B)  notifying the courts of the destruction 
C)  assigning each record a retention period 
D)  destroying records that are no longer needed

Exam 1: Registered Health Information Administrator