Question 1

Patient has metastatic brain lesions. Patient undergoes stereotactic radiosurgery gamma knife of two lesions.

Accepted Answer

A)  61533 
B)  61500 
C)  61796; 61797 
D)  61796 
A)  61533 
B)  61500 
C)  61796; 61797 
D)  61796

Question 2

__________ is usually the first symptom of benign prostate hyperplasia.

Accepted Answer

A)  Abdominal pain. 
B)  Burning pain during urination 
C)  Difficulty in urinating 
D)  Pelvic pain 
A)  Abdominal pain. 
B)  Burning pain during urination 
C)  Difficulty in urinating 
D)  Pelvic pain

Question 3

Patient is on beta-blocker, which is a contraindication for y this medication. Do you want to order this medication? YES or NO This is an example of a(n)

Accepted Answer

A)  reminder. 
B)  alert. 
C)  allergy. 
D)  structured entry. 
A)  reminder. 
B)  alert. 
C)  allergy. 
D)  structured entry.

Question 4

Incomplete spontaneous abortion complicated by excessive hemorrhage; dilation and curettage performed.

Accepted Answer

A)  634.12, 69.09 
B)  634.12, 285.1, 69.09 
C)  634.11, 69.02 
D)  634.91, 69.02 
A)  634.12, 69.09 
B)  634.12, 285.1, 69.09 
C)  634.11, 69.02 
D)  634.91, 69.02

Question 5

Laryngoscopic stripping of vocal cords for leukoplakia of the vocal cords

Accepted Answer

A)  31535 
B)  31540 
C)  31541 
D)  31570 
A)  31535 
B)  31540 
C)  31541 
D)  31570

Question 6

A list or collection of clinical words or phrases with their meanings is a

Accepted Answer

A)  data dictionary. 
B)  language. 
C)  medical nomenclature. 
D)  clinical vocabulary. 
A)  data dictionary. 
B)  language. 
C)  medical nomenclature. 
D)  clinical vocabulary.

Question 7

The term "hard coding" refers to

Accepted Answer

A)  HCPCS/CPT codes that are coded by the coders. 
B)  HPCS/CPT codes that appear in the hospital's chargemaster and will be included automatically on the patient's bill. 
C)  ICD-9-CM codes that are coded by the coders. 
D)  ICD-9-CM codes that appear in the appear in the hospital's chargemaster 
A)  HCPCS/CPT codes that are coded by the coders. 
B)  HPCS/CPT codes that appear in the hospital's chargemaster and will be included automatically on the patient's bill. 
C)  ICD-9-CM codes that are coded by the coders. 
D)  ICD-9-CM codes that appear in the appear in the hospital's chargemaster

Question 8

MMBC receives the best reimbursement for well child visits from Make Me Better Clinic (MMBC) provides well child visits and childhood immunizations for four insurance companies. Data on the services they provided and the reimbursement they received from the four companies are listed in the two tables below:

Accepted Answer

A)  Lifecare. 
B)  Getwell. 
C)  SureHealth. 
D)  BeHealthy. 
A)  Lifecare. 
B)  Getwell. 
C)  SureHealth. 
D)  BeHealthy.

Question 9

In a filing system containing a total of 1,255 records, 48 records are identified as misfiles. What is the percentage of filing accuracy for this area?

Accepted Answer

A)  26.14% 
B)  74% 
C)  3.82% 
D)  96% 
A)  26.14% 
B)  74% 
C)  3.82% 
D)  96%

Question 10

Patient undergoes hysteroscopy with excision uterine fibroids

Accepted Answer

A)  58545 
B)  58140 
C)  58561 
D)  58140; 49320 
A)  58545 
B)  58140 
C)  58561 
D)  58140; 49320

Question 11

Patient has a bronchoscopy with endobronchial biopsies of three sites.

Accepted Answer

A)  31625; 31625; 31625 
B)  31625 
C)  31622; 31625 
D)  31622; 31625; 31625; 31625 
A)  31625; 31625; 31625 
B)  31625 
C)  31622; 31625 
D)  31622; 31625; 31625; 31625

Question 12

Full-term newborn, born in hospital. Mother is addicted to cocaine; however, infant tested negative.

Accepted Answer

A)  V30.00, 760.75 
B)  779.5 V29.8 
C)  V30.00, 779.5 
D)  V30.00, V29.8 
A)  V30.00, 760.75 
B)  779.5 V29.8 
C)  V30.00, 779.5 
D)  V30.00, V29.8

Question 13

Lacrimal fistula closure

Accepted Answer

A)  68760 
B)  68761 
C)  68700 
D)  68770 
A)  68760 
B)  68761 
C)  68700 
D)  68770

Question 14

Kyle, the HIM Director, has received a request to amend a patient's medical record. The appropriate action for him to take is

Accepted Answer

A)  make the modification. 
B)  file the request in the chart. 
C)  route the request to the physician who wrote the note in question. 
D)  return the notice to the patient. 
A)  make the modification. 
B)  file the request in the chart. 
C)  route the request to the physician who wrote the note in question. 
D)  return the notice to the patient.

Question 15

You are providing an educational session to new hires at your hospital. You tell the new employees that hospital records may be used as evidence in court even though hearsay laws bar the use of most evidence that does not represent personal knowledge of the witness. That's because the hospital record

Accepted Answer

A)  is written rather than spoken. 
B)  was kept in the regular course of business. 
C)  has not been tampered with in any way. 
D)  is accurate and complete. 
A)  is written rather than spoken. 
B)  was kept in the regular course of business. 
C)  has not been tampered with in any way. 
D)  is accurate and complete.

Question 16

Annual costs for the only Release of Information Clerk at Happy Valley Hospital (salary benefits) are $36,429. The monthly cost for the copier used solely for ROl is $89 (supplies repairs). It costs the department $0.95 on average for ROI mailings (envelopes and posts; Happy Valley filled 687 requests for ROI last month. The cost per request for release information last month was

Accepted Answer

A)  $4.42. 
B)  $4.55. 
C)  $4.63. 
D)  $5.50. 
A)  $4.42. 
B)  $4.55. 
C)  $4.63. 
D)  $5.50.

Question 17

Julian supervises the department's coding section. He notices that the coding technician is working 30 additional minutes each day before clocking in at her scheduled starting time. After discussing her timecard with her, he discovers she is starting work early in order to check the unbilled account report. Under which act are you required to pay her for all hours worked?

Accepted Answer

A)  ERISA 
B)  Fair Labor Standards Act 
C)  National Labor Relations Act 
D)  Equal Pay Act 
A)  ERISA 
B)  Fair Labor Standards Act 
C)  National Labor Relations Act 
D)  Equal Pay Act

Question 18

A patient with lung cancer and bone metastasis is seen for complex treatment planning by a radiation oncologist.

Accepted Answer

A)  77315 
B)  77263 
C)  77290 
D)  77334 
A)  77315 
B)  77263 
C)  77290 
D)  77334

Question 19

You are writing a new policy for tracking the release of identifiable patient information. Which of the following will be included in the list of disclosures to track?

Accepted Answer

A)  release for patient care 
B)  release to the patient 
C)  release to attorney with patient consent 
D)  release made to law enforcement agencies 
A)  release for patient care 
B)  release to the patient 
C)  release to attorney with patient consent 
D)  release made to law enforcement agencies

Question 20

Which would be the better "best practice" for handling fax transmission of a physician's orders?

Accepted Answer

A)  Treat faxed orders like verbal orders and require authentication of the orders by appropriate medical staff within the required time period. 
B)  Faxed orders should be placed on the patient's chart immediately upon receipt after the head' nurse signs the orders. 
C)  Wait 24 hours before placing faxed orders on the patient's chart to ensure that the orders are legitimate. 
D)  Faxed orders should never be accepted. 
A)  Treat faxed orders like verbal orders and require authentication of the orders by appropriate medical staff within the required time period. 
B)  Faxed orders should be placed on the patient's chart immediately upon receipt after the head' nurse signs the orders. 
C)  Wait 24 hours before placing faxed orders on the patient's chart to ensure that the orders are legitimate. 
D)  Faxed orders should never be accepted.

Exam 1: Registered Health Information Administrator