Question 1

Patient came to the hospital from a local nursing home for a PEG tube placement via EGD.

Accepted Answer

A)  438.81, 43219 
B)  438.82, 438.21, 787.29, 43246 
C)  436, 787.29, 44372 
D)  436, 43246 
A)  438.81, 43219 
B)  438.82, 438.21, 787.29, 43246 
C)  436, 787.29, 44372 
D)  436, 43246

Question 2

Out of 2,543 records requested from the HIM Department, 2375 were located. What is the filing accuracy ratio?

Accepted Answer

A)  6.61% 
B)  75.33% 
C)  89.01% 
D)  93.39% 
A)  6.61% 
B)  75.33% 
C)  89.01% 
D)  93.39%

Question 3

The CIO has given you a list of critical success factors developed for the EHR that your facility ii developing. Which of the following would you expect to see on this list?

Accepted Answer

A)  implement e-prescribing 
B)  get buy-in from the key players 
C)  utilize thin clients 
D)  utilize encryption 
A)  implement e-prescribing 
B)  get buy-in from the key players 
C)  utilize thin clients 
D)  utilize encryption

Question 4

Closure of ureterocutaneous fistula

Accepted Answer

A)  50930 
B)  50920 
C)  57310 
D)  50520 
A)  50930 
B)  50920 
C)  57310 
D)  50520

Question 5

Discharge summary documentation must include

Accepted Answer

A)  a detailed history of the patient. 
B)  a note from social services or discharge planning. 
C)  significant findings during hospitalization. 
D)  correct codes for significant procedures 
A)  a detailed history of the patient. 
B)  a note from social services or discharge planning. 
C)  significant findings during hospitalization. 
D)  correct codes for significant procedures

Question 6

What types of software provide a front-end structure/interface that presents information in familiar format leading to a natural style of interaction through the use of icons and a mouse?

Accepted Answer

A)  graphical user interface 
B)  fiber optics 
C)  assembly level language 
D)  machine language 
A)  graphical user interface 
B)  fiber optics 
C)  assembly level language 
D)  machine language

Question 7

Services were provided to a patient in the emergency room after the patient twisted her ankle stepping down from a curb. The emergency room physician ordered x-rays of the ankle, which came back negative for a fracture. A problem-focused history and physical examination were performed and ankle strapping was applied. A prescription for pain was given to the patient. Code the emergency room visit only.

Accepted Answer

A)  99201 
B)  99282 
C)  99281 
D)  99211 
A)  99201 
B)  99282 
C)  99281 
D)  99211

Question 8

Juan owns a record storage and destruction business in Texas. Under the Immigration Reform and Control Act, he knows all of the following apply EXCEPT:

Accepted Answer

A)  may not hire undocumented workers. 
B)  must give preferences to U.S. citizens. 
C)  may not discriminate against non-citizens. 
D)  must have 1-9 documentation. 
A)  may not hire undocumented workers. 
B)  must give preferences to U.S. citizens. 
C)  may not discriminate against non-citizens. 
D)  must have 1-9 documentation.

Question 9

Nancy arrives for work Monday through Friday any time between 7:00 and 9:00 AM, is on the job until at least 3:00 PM, and then may leave any time between 3:00 and 6:00 PM. Nancy's schedule is an example of

Accepted Answer

A)  the 8/80 work week. 
B)  the staggered work hours program. 
C)  variable work schedule. 
D)  flex time. 
A)  the 8/80 work week. 
B)  the staggered work hours program. 
C)  variable work schedule. 
D)  flex time.

Question 10

The method of calculating errors in a coding audit that allows for benchmarking with other hospitals, and permits the reviewer to track error by case type, is the

Accepted Answer

A)  record method 
B)  benchmarking method. 
C)  code method. 
D)  focused review method. 
A)  record method 
B)  benchmarking method. 
C)  code method. 
D)  focused review method.

Question 11

Part of your job description is to educate physicians regarding proper documentation and standards. You are the

Accepted Answer

A)  Information Security Manager. 
B)  Clinical Data Specialist. 
C)  Health Information Manager. 
D)  Risk Manager. 
A)  Information Security Manager. 
B)  Clinical Data Specialist. 
C)  Health Information Manager. 
D)  Risk Manager.

Question 12

Your system just crashed. Fortunately you have established a site that holds computer processors that can be converted to meet our needs quickly. This is a

Accepted Answer

A)  hot site. 
B)  cold site. 
C)  redundant site. 
D)  backup site 
A)  hot site. 
B)  cold site. 
C)  redundant site. 
D)  backup site

Question 13

United States healthcare providers are concerned about a possible pandemic of avian flu because

Accepted Answer

A)  there is no vaccine currently available. 
B)  it is caused by a group of viruses that mutate very easily. 
C)  the causative virus is being spread around the world by migratory birds. 
D)  all of the above. 
A)  there is no vaccine currently available. 
B)  it is caused by a group of viruses that mutate very easily. 
C)  the causative virus is being spread around the world by migratory birds. 
D)  all of the above.

Question 14

Patient has rhinorrhea which requires repair of the CSF leak with craniotomy.

Accepted Answer

A)  63707 
B)  63709 
C)  62100 
D)  62010 
A)  63707 
B)  63709 
C)  62100 
D)  62010

Question 15

According to CPT, antepartum care includes all of the following EXCEPT

Accepted Answer

A)  initial and subsequent history. 
B)  physical examination. 
C)  monthly visits up to 36 weeks. 
D)  routine chemical urinalysis. 
A)  initial and subsequent history. 
B)  physical examination. 
C)  monthly visits up to 36 weeks. 
D)  routine chemical urinalysis.

Question 16

Preterm infant born via Cesarean section admitted to Children's Hospital for severe birth asphyxia

Accepted Answer

A)  V30.01, 765.10, 768.5 
B)  765.10, 768.5, V30.01 
C)  768.5, 765.10 
D)  768.5 
A)  V30.01, 765.10, 768.5 
B)  765.10, 768.5, V30.01 
C)  768.5, 765.10 
D)  768.5

Question 17

Elizabeth Hoke is the Chief Executive Officer (CEO) at Anywhere Medical Center. At the beginning of each fiscal year, she begins a formal planning cycle. Her annual planning process should begin with which of the following?

Accepted Answer

A)  revising the institutional mission 
B)  developing strategic plans 
C)  establishing the annual organizational objectives 
D)  developing strategic goals 
A)  revising the institutional mission 
B)  developing strategic plans 
C)  establishing the annual organizational objectives 
D)  developing strategic goals

Question 18

Three people applied for a job: Ted is 84, Fred is 62, and Joe is 38. None of the applicants were offered the job. Given some of the remarks made during the interview, all three men felt they were not hired because they might have been considered too old. They went to an attorney to inquire into filing suit under the Federal Age Discrimination in Employment Act. The attorney said

Accepted Answer

A)  Ted may have a case, but Fred and Joe are too young to qualify under the Act. 
B)  Ted and Fred may have a case, but Joe is too young to qualify under the Act. 
C)  Fred and Joe may have a case, but Ted is too old to qualify under the Act. 
D)  Fred may have a case, but Joe is too young and Ted is too old to qualify under the Act. 
A)  Ted may have a case, but Fred and Joe are too young to qualify under the Act. 
B)  Ted and Fred may have a case, but Joe is too young to qualify under the Act. 
C)  Fred and Joe may have a case, but Ted is too old to qualify under the Act. 
D)  Fred may have a case, but Joe is too young and Ted is too old to qualify under the Act.

Question 19

Aaron has suffered a hypoglycemic reaction due to alcohol intoxication. Hypoglycemia is treated.

Accepted Answer

A)  251.2, 305.00 
B)  251.2, 303.90 
C)  995.2, 303.90 
D)  250.80, 305.00 
A)  251.2, 305.00 
B)  251.2, 303.90 
C)  995.2, 303.90 
D)  250.80, 305.00

Question 20

Which of the following best describes the situation of a provider who agrees to accept assignment for Medicare Part B services?

Accepted Answer

A)  The provider is reimbursed at 15% above the allowed charge. 
B)  The provide is paid according to the Medicare physician fee schedule (MPFS) plus 10%. 
C)  The provider cannot bill the patients for the balance between the MPFs amount and the total charges. 
D)  The provider is a nonparticipating provider. 
A)  The provider is reimbursed at 15% above the allowed charge. 
B)  The provide is paid according to the Medicare physician fee schedule (MPFS) plus 10%. 
C)  The provider cannot bill the patients for the balance between the MPFs amount and the total charges. 
D)  The provider is a nonparticipating provider.

Exam 1: Registered Health Information Administrator