Exam 1: Registered Health Information Administrator

Dr. Zambrano ordered a CEA test for Mr. Logan. Dr. Zambrano may be considering a diagnosis of

A record documentation requirement shared by BOTH acute care and emergency departments

The physician documents that the patient has diabetes that was diagnosed prior to admission.

End-stage kidney disease which resulted from malignant hypertension

Female patient has a percutaneous needle biopsy of the left breast lesion in the lower outer quadrant. Following the biopsy frozen section results, the physician followed this with an excisional removal of the same lesion.

You are a new supervisor in the HIM department and find it difficult to deal with performance issues. Laney, an employee in the Release of Information section. has been late several times month. She has already been given a verbal warning. She was late again today. According to progressive discipline process, your next step will be to

A patient is admitted to your hospital 6 weeks post myocardial infarction with severe chest pains. Which is the correct code?

The use of radioactive sources placed into a tumor-bearing area to generate high intensity radiation is termed

A health care organization's compliance plans should not only focus on regulatory compliance, but also have a

Employers may be able to demonstrate that age is a reasonable requirement for a position. Su an exception to the Age Discrimination in Employment Act (ADEA) is called a

Richard is admitted for chemotherapy for leukemia. Chemotherapy is administered. Given this information,

A pathologist on the Health Record Committee asks about the time requirement for reporting a provisional diagnosis when an autopsy is performed. You respond confidently that this information must be on the health record within

The physician provided services to a new patient who was in a rest home for an ulcerative sore on the hip. A problem-focused history and physical examination were performed and a straightforward medical decision was made.

The centers for Medicare and Medicaid Services (CMS) will make an adjustment to the MS­DRG payment the hospital stay. Therefore hospitals are required to report an ____________ indicator for each diagnosis.

Hysteroscopy with D&C and polypectomy

Margaret Vargas need to have her mitral valve replaced. Her surgeon will discuss which of the following issues with her before the surgery?

Your transcription system is set up to back up your hard drive every 5 minutes. The backup is on the hard drive of another computer. This computer is located in the room next door to the primary computer. What should be done to improve the backup process?

Patient comes into the outpatient department at.the local hospital for an MRI of the cervical spine with contrast. Patient is status post automobile accident.

A doctor provides critical care services in the emergency department for a patient in respiratory failure. He initiates ventilator management and spends an hour and ten minutes providing critical care for this patient.

Urinary retention requiring insertion of Foley catheter