Question 1

The case-mix management system that utilizes information from the minimum data set (MDS) in long-term care settings is called

Accepted Answer

A)  Medicare severity diagnosis related groups (MS-DRGs). 
B)  Resource based relative value system (RBRVS). 
C)  Resource utilization groups (RUGs). 
D)  Ambulatory patient classification (APCs). 
A)  Medicare severity diagnosis related groups (MS-DRGs). 
B)  Resource based relative value system (RBRVS). 
C)  Resource utilization groups (RUGs). 
D)  Ambulatory patient classification (APCs).

Question 2

All of the following data would appear on a "public accountability report card" EXCEPT

Accepted Answer

A)  average cost of bypass surgery. 
B)  average number of clinicians in the operating room during bypass surgery. 
C)  customer satisfaction rating for the hospital providing bypass surgery. 
D)  complication and death rate for bypass surgery. 
A)  average cost of bypass surgery. 
B)  average number of clinicians in the operating room during bypass surgery. 
C)  customer satisfaction rating for the hospital providing bypass surgery. 
D)  complication and death rate for bypass surgery.

Question 3

A patient's husband slipped and fell in your HIM reception area and now he is suing the facility. You have to prepare detailed written answers to a long list of questions and send them to your hospital attorney. You will spend the afternoon working on

Accepted Answer

A)  affidavits. 
B)  allocutions. 
C)  interrogatories. 
D)  depositions. 
A)  affidavits. 
B)  allocutions. 
C)  interrogatories. 
D)  depositions.

Question 4

The HIPAA rule does not require specific technologies to be used but rather provides direction on the outcome. The term used to describe this philosophy is

Accepted Answer

A)  technology free. 
B)  technology neutral. 
C)  administrative rules. 
D)  generic technology. 
A)  technology free. 
B)  technology neutral. 
C)  administrative rules. 
D)  generic technology.

Question 5

The OB/GYN Department reported the following information to the Quality Management/Statistics Committee:   When the committee considers these adverse outcomes from the OB/GYN Department, which of the cases will be included in the numerator of the facility's fetal death rate?

Accepted Answer

A)  101-43-26 
B)  101-43-26 and 101-44-23 
C)  101-43-26 and 101-48-69 
D)  101-43-26 and 101-56-29 
A)  101-43-26 
B)  101-43-26 and 101-44-23 
C)  101-43-26 and 101-48-69 
D)  101-43-26 and 101-56-29

Question 6

The supervisor over the file section has discovered an enormous backlog of loose lab reports. first step that the supervisor should take in attempting to resolve this matter is to

Accepted Answer

A)  analyze possible courses of action. 
B)  gather relevant data regarding the problem. 
C)  identify and clarify the problem. 
D)  choose the best course of action. 
A)  analyze possible courses of action. 
B)  gather relevant data regarding the problem. 
C)  identify and clarify the problem. 
D)  choose the best course of action.

Question 7

Genital warts are caused by

Accepted Answer

A)  HAV. 
B)  HIV. 
C)  HPV. 
D)  VZV. 
A)  HAV. 
B)  HIV. 
C)  HPV. 
D)  VZV.

Question 8

Portal hypertension can contribute to all of the following EXCEPT

Accepted Answer

A)  ascites. 
B)  Dilation of blood vessels lining the intestinal tract. 
C)  Esophageal varices. 
D)  Kidney failure. 
A)  ascites. 
B)  Dilation of blood vessels lining the intestinal tract. 
C)  Esophageal varices. 
D)  Kidney failure.

Question 9

Richard has asked to view his medical record. The record is stored off-site. How long does the facility have to provide this record to him?

Accepted Answer

A)  30 days 
B)  60 days 
C)  14 days 
D)  10 days 
A)  30 days 
B)  60 days 
C)  14 days 
D)  10 days

Question 10

Summer is the document imaging manager. She has had a meeting with the scanning clerks They are complaining that the pay rate for their position is too low in their facility. What would be the best way to deal with this complaint?

Accepted Answer

A)  Submit a request for merit raises for all scanning clerks. 
B)  Work with the Human Resources Department on a job evaluation and current wage and salary survey. 
C)  Explain to the scanning clerks that health care cost containment means little money for raises., 
D)  Ignore the complaint. 
A)  Submit a request for merit raises for all scanning clerks. 
B)  Work with the Human Resources Department on a job evaluation and current wage and salary survey. 
C)  Explain to the scanning clerks that health care cost containment means little money for raises., 
D)  Ignore the complaint.

Question 11

The physician will be called automatically when a lab result is at the panic level. This is example of a

Accepted Answer

A)  data-driven rule. 
B)  database. 
C)  clinical guideline. 
D)  reminder. 
A)  data-driven rule. 
B)  database. 
C)  clinical guideline. 
D)  reminder.

Question 12

The health care providers at your hospital do a very thorough job of periodic open record review to ensure the completeness of record documentation. A qualitative review of surgical records would likely to include checking for documentation regarding

Accepted Answer

A)  the presence or absence of such items as preoperative and postoperative diagnosis description of findings, and specimens removed. 
B)  whether a postoperative infection occurred and how it was treated. 
C)  the quality of follow-up care. 
D)  whether the severity of illness and/or intensity of service warranted acute level care. 
A)  the presence or absence of such items as preoperative and postoperative diagnosis description of findings, and specimens removed. 
B)  whether a postoperative infection occurred and how it was treated. 
C)  the quality of follow-up care. 
D)  whether the severity of illness and/or intensity of service warranted acute level care.

Question 13

Most of the children who are seen at MMBC will have a well child visit and two immunizations. If you factor in the reimbursement for two immunizations with each well child visit, which insurance company benefits MMBC most? 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 14

Which one of the following is NOT a step in developing a record retention program?

Accepted Answer

A)  conducting an inventory of the facility's records 
B)  determining the format and location of storage 
C)  assigning all records the same retention period 
D)  destroying records that are no longer needed 
A)  conducting an inventory of the facility's records 
B)  determining the format and location of storage 
C)  assigning all records the same retention period 
D)  destroying records that are no longer needed

Question 15

The people of Treasure Island Beach have been struck with a rash that seems to be infecting almost everyone in town. The staff of the hospital is working to design a study of this mysteri' disease. They decide to do a cross-sectional study because cross-sectional or prevalence studies are known for

Accepted Answer

A)  quickly identifying cause and effect relationships that can serve as a basis for treatment. 
B)  concurrently describing characteristics and health outcomes at one specific point in time. 
C)  providing the information necessary to test for the most effective treatment of an illness condition. 
D)  supplying entire populations with therapeutic interventions on an epidemiologically basis. 
A)  quickly identifying cause and effect relationships that can serve as a basis for treatment. 
B)  concurrently describing characteristics and health outcomes at one specific point in time. 
C)  providing the information necessary to test for the most effective treatment of an illness condition. 
D)  supplying entire populations with therapeutic interventions on an epidemiologically basis.

Question 16

Decortication of left lung

Accepted Answer

A)  01638-LT 
B)  00542-LT 
C)  00546-LT 
D)  00500-LT 
A)  01638-LT 
B)  00542-LT 
C)  00546-LT 
D)  00500-LT

Question 17

Bunion left foot and hammertoe right foot; Keller procedure and hammer toe repair performed.

Accepted Answer

A)  727.1, 735.4, 77.59, 77.56 
B)  727.1, 735.8, 77.52, 77.59 
C)  727.2, 735.4, 77.52, 77.58 
D)  727.1, 735.3, 77.56, 77.59 
A)  727.1, 735.4, 77.59, 77.56 
B)  727.1, 735.8, 77.52, 77.59 
C)  727.2, 735.4, 77.52, 77.58 
D)  727.1, 735.3, 77.56, 77.59

Question 18

In employer-sponsored health plans, employees may select their health plan.

Accepted Answer

A)  during the contract period. 
B)  at the beginning of each fiscal year. 
C)  during the open enrollment period. 
D)  on the first day of any month. 
A)  during the contract period. 
B)  at the beginning of each fiscal year. 
C)  during the open enrollment period. 
D)  on the first day of any month.

Question 19

Juan is director at a medical center that includes a daycare center and has several employees w have young children. He knows that it's important to be familiar with the provisions of Family Medical Leave Act (FMLA), which includes all the following provisions EXCEPT:

Accepted Answer

A)  ensures any job the employee is qualified for upon return. 
B)  both men and women qualify under the FMLA. 
C)  covers leave to care for a spouse, child, or parent. 
D)  provides up to 12 weeks of unpaid leave annually. 
A)  ensures any job the employee is qualified for upon return. 
B)  both men and women qualify under the FMLA. 
C)  covers leave to care for a spouse, child, or parent. 
D)  provides up to 12 weeks of unpaid leave annually.

Question 20

An example of a primary data source is the

Accepted Answer

A)  physician index. 
B)  health record. 
C)  cancer registry. 
D)  hospital statistical report. 
A)  physician index. 
B)  health record. 
C)  cancer registry. 
D)  hospital statistical report.

Exam 1: Registered Health Information Administrator