Question 1

If this physician is a participating physician who accepts assignment for this claim, the total amount he will receive is

Accepted Answer

A)  $200.00. 
B)  $250.00. 
C)  $218.50. 
D)  $190.00. 
A)  $200.00. 
B)  $250.00. 
C)  $218.50. 
D)  $190.00.

Question 2

The board of directors of a 400-bed women's hospital receives a report of key quality indicator results on a periodic basis. The report always includes the quarterly cesarean section rate and has for many years. This recent period they have seen a rise in the rate and want to know if this is significant. What is the best Q1 tool for this purpose?

Accepted Answer

A)  control chart 
B)  Pareto chart 
C)  run chart 
D)  scatter diagram 
A)  control chart 
B)  Pareto chart 
C)  run chart 
D)  scatter diagram

Question 3

Patient was found at home in a hypoglycemic coma. This patient had never been diagnosed as being diabetic.

Accepted Answer

A)  250.30 
B)  251.0 
C)  251.1 
D)  251.2 
A)  250.30 
B)  251.0 
C)  251.1 
D)  251.2

Question 4

The main difference between concurrent and retrospective coding is

Accepted Answer

A)  when the coding is done. 
B)  what classification system is used. 
C)  the credentials of the coder. 
D)  the involvement of the physician. 
A)  when the coding is done. 
B)  what classification system is used. 
C)  the credentials of the coder. 
D)  the involvement of the physician.

Question 5

The hospital needs information system A to share information with information system B. The ability to exchange data between these two systems is known as

Accepted Answer

A)  electronic data interchange. 
B)  interoperability. 
C)  messaging standards. 
D)  data exchange. 
A)  electronic data interchange. 
B)  interoperability. 
C)  messaging standards. 
D)  data exchange.

Question 6

A physician lists the final diagnosis as diarrhea and constipation due to either irritable bowel syndrome or diverticulitis. The following codes are assigned:

Accepted Answer

A)  564.1, 562.11 
B)  562.10, 564.1 
C)  564.00, 787.91, 564.1, 562.11 
D)  564.1, 562.10, 564.00, 787.91 
A)  564.1, 562.11 
B)  562.10, 564.1 
C)  564.00, 787.91, 564.1, 562.11 
D)  564.1, 562.10, 564.00, 787.91

Question 7

A qualitative review of a health record reveals that the history and physical for a patient admitted on June 26 was performed on June 30 and transcribed on July 1. Which of the following statement regarding the history and physical is ture in this situation? Completion and charting of the H&P indicates.

Accepted Answer

A)  noncompliance with Joint Commission standards. 
B)  compliance with Joint Commission standards. 
C)  compliance with Medicare regulations. 
D)  compliance with Joint Commission standards for nonsurgical patients. 
A)  noncompliance with Joint Commission standards. 
B)  compliance with Joint Commission standards. 
C)  compliance with Medicare regulations. 
D)  compliance with Joint Commission standards for nonsurgical patients.

Question 8

Morbidly obese patient comes in for vertical banding of the stomach.

Accepted Answer

A)  43848 
B)  43659 
C)  43842 
D)  43999 
A)  43848 
B)  43659 
C)  43842 
D)  43999

Question 9

An out-of-town patient presents to a walk-in clinic to have a prescription refilled for a j nonsteroidal anti-inflammatory drug. The physician performs a problem-focused history and physical examination with a straightforward decision.

Accepted Answer

A)  99211 
B)  99201 
C)  99212 
D)  99202 
A)  99211 
B)  99201 
C)  99212 
D)  99202

Question 10

The teaching method selected by an instructor influences the student's ability to understand the material. Instructor-led classrooms work best when

Accepted Answer

A)  in-depth training and interaction are desired. 
B)  there are three shifts of employees to train. 
C)  you want to minimize the cost for training. 
D)  employees from all departments must be trained. 
A)  in-depth training and interaction are desired. 
B)  there are three shifts of employees to train. 
C)  you want to minimize the cost for training. 
D)  employees from all departments must be trained.

Question 11

You are walking around the facility to identify any privacy and security issues. You walk onto the 6W nursing unit and are able to watch the nurse entering confidential patient information. How can you best improve the privacy of the patient's health information?

Accepted Answer

A)  Ask the nurse to type the data at another computer. 
B)  Turn the computer screen so that the public cannot see it. 
C)  Give the nurse additional training. 
D)  none of the above 
A)  Ask the nurse to type the data at another computer. 
B)  Turn the computer screen so that the public cannot see it. 
C)  Give the nurse additional training. 
D)  none of the above

Question 12

Newborn infant transferred to Manasota Hospital for treatment of esophageal atresia. Code for Manasota Hospital.

Accepted Answer

A)  V30.00 
B)  750.3 
C)  V30.00, 750.3 
D)  750.3, V30.00 
A)  V30.00 
B)  750.3 
C)  V30.00, 750.3 
D)  750.3, V30.00

Question 13

According to terminal digit filing, what would be the number of the record immediately after record number 99-99-30?

Accepted Answer

A)  99-98-30 
B)  00-00-31 
C)  01-00-31 
D)  99-99-31 
A)  99-98-30 
B)  00-00-31 
C)  01-00-31 
D)  99-99-31

Question 14

Acute urinary tract infection due to E. coli

Accepted Answer

A)  599.0, 041.4 
B)  599.0 
C)  041.4, 599.0 
D)  590.2, 041.4 
A)  599.0, 041.4 
B)  599.0 
C)  041.4, 599.0 
D)  590.2, 041.4

Question 15

Many states have recognized a minor's right to seek treatment without parental consent in all of the following situations EXCEPT a(n)

Accepted Answer

A)  minor seeking treatment for breast reduction. 
B)  minor seeking treatment for a sexually transmitted disease. 
C)  minor seeking treatment for alcohol and substance abuse. 
D)  emancipated minor seeking treatment for breast enlargement. 
A)  minor seeking treatment for breast reduction. 
B)  minor seeking treatment for a sexually transmitted disease. 
C)  minor seeking treatment for alcohol and substance abuse. 
D)  emancipated minor seeking treatment for breast enlargement.

Question 16

The lack of a discharge order may indicate that the patient left against medical advice. If this situation occurs, you would expect to see the circumstances of the leave

Accepted Answer

A)  documented in an incident report and filed in the patient's health record. 
B)  reported as a potentially compensable event. 
C)  reported to the Executive Committee. 
D)  documented in both the progress notes and the discharge summary 
A)  documented in an incident report and filed in the patient's health record. 
B)  reported as a potentially compensable event. 
C)  reported to the Executive Committee. 
D)  documented in both the progress notes and the discharge summary

Question 17

The physician punctures the left common femoral to examine the right common iliac.

Accepted Answer

A)  36245 
B)  36246 
C)  36247 
D)  36140 
A)  36245 
B)  36246 
C)  36247 
D)  36140

Question 18

Anna Kathryn is attending budget training for new supervisors. The representative from Finale explains that costs ________ will vary in direct proportion to changes in the volume of care provided.

Accepted Answer

A)  fixed 
B)  periodic 
C)  variable 
D)  semi-variable 
A)  fixed 
B)  periodic 
C)  variable 
D)  semi-variable

Question 19

Hypertensive kidney disease, congestive heart failure, and acute systolic heart failure

Accepted Answer

A)  593.9, 401.9, 482.0, 428.21 
B)  404.11, 428.0, 428.21 
C)  403.90, 428.0, 428.21 
D)  404.91 
A)  593.9, 401.9, 482.0, 428.21 
B)  404.11, 428.0, 428.21 
C)  403.90, 428.0, 428.21 
D)  404.91

Question 20

Your facility is storing scanned records for long-term storage on optical disk. The Risk Management Committee's Disaster Task Force has recommended that copies of the disks be stored at a facility across town. The administrator is concerned that records may be altered on the disks stored off-site. You tell the administrator

Accepted Answer

A)  this is a legitimate concern; it should be addressed in the contract written with the storage facility. 
B)  this is not a concern because WORM technology makes it impossible to alter the documents. 
C)  this is a legitimate concern; perhaps the committee should consider storing duplicates in two locations in this facility. 
D)  this is not a concern; there is really no need to make and store duplicate disks as they are difficult to damage. 
A)  this is a legitimate concern; it should be addressed in the contract written with the storage facility. 
B)  this is not a concern because WORM technology makes it impossible to alter the documents. 
C)  this is a legitimate concern; perhaps the committee should consider storing duplicates in two locations in this facility. 
D)  this is not a concern; there is really no need to make and store duplicate disks as they are difficult to damage.

Exam 1: Registered Health Information Administrator