Exam 1: Registered Health Information Administrator

Patient was admitted with a cystocele and rectocele. An anterior colporrhaphy was performed.

Drainage of simple external ear abscess

Crystal has been vomiting for 24 hours with complaint of right lower quadrant pain. Examination is suspicious for acute appendicitis. Crystal is taken to surgery and laparoscopic appendectomy is carried out. Pathological diagnosis is consistent with acute appendicitis.

According to the Federal Register, the definition of a "new" patient when assigning a CPT Evaluation and Management (medical visit) code to a Medicare hospital outpatient under the prospective payment system is a patient that has

Male with urinary incontinence. Sling procedure was performed 6 months ago and now the patient has returned for a revision of the sling procedure.

Older age, obesity, and family history of diabetes are all characteristics of

A 32-year-old female known to be HIV positive was admitted with lesions of the anterior trunk. Excisional biopsies of the skin lesions were positive for Kaposi's sarcoma. Further examination revealed thrush.

A patient asked for an amendment to her medical record. The hospital has denied the request. According to HIPAA, this can be done if

As the HIM manager in charge of your department's budget, you are mandated to report on variances of more than 6% either positive or negative to your Chief Financial Officer and include the reasons for the variance and any action plans necessary. Based on the table below for the December variance report, what category would you be required to report on to the CFO?

You recently installed a new computer system and you just learned that the vendor does not ha the right to use one portion of the system. Another company owns the rights to the informa contained in this portion of the system. What clause in your contract would you review to see you are protected from being sued by the other company?

Which of the following acts was passed to stimulate the development of standards to facilitate electronic maintenance and transmission of health information?

Patient admitted with carotid artery disease and acute cerebral infarction with left hemiparesis, dysphagia, and aphasia. Dysphagia and aphasia have resolved by discharge, but residual hemiparesis remains.

Which of the following techniques would a facility employ for access control?

Patient presents to the hospital with ulcer of the right foot. Patient is taken to the operating room where a revision of the right metatarsal head is performed.

The most fatal type of lungs cancer is

Laura is 7 years old and has acute bronchitis and cystic fibrosis. She is admitted to ambulatory surgery for bronchoscopy.

You want to review the one document in your facility that will spell out the documentation requirements for patient records; designate the time frame for completion by the active medical staff; and indicate the penalties for failure to comply with these record standards. Your best resource will be

A stapedectomy is a common treatment for

Which of the following is NOT an alternative storage method for paper records?

The hypothalamus, thalamus, and pituitary gland are all parts of the