Exam 1: Registered Health Information Administrator

Six-year-old Alex attended a birthday party where hot dogs and potato salad were served for lunch. Several hours after returning home, Alex began vomiting and having severe diarrhea. Alex was admitted to the hospital for treatment of his vomiting and diarrhea and was diagnosed with Salmonella food poisoning. Alex was given IV fluids for dehydration. Alex

If the budgeted payroll expense was $24,300 and the actual payroll expense was $25,800, what the percentage of cost variance?

Chronic kidney disease due to hypertension and type I diabetes mellitus

Strong lateral relationships within a facility are most likely when

The old practice of flagging records for deficiencies and requiring retrospective documentation add little or no value to patient care. You try to convince the entire health care team to consistently enter data into the patient's record at the time and location of service instead of waiting for retrospective analysis to alert them to complete the record. You are proposing

Codes from category 655, known or suspected fetal abnormality affecting the mother, should

This means that the service or procedure is reasonable and necessary for the diagnosis or treatment of illness or injury consistent with generally accepted standards of care.

Patient with a diagnosis of aortic valve stenosis and mitral valve regurgitation is admitted for aortic valve replacement. Patient is also under treatment for congestive heart failure. Patient undergoes placement of aortic valve prosthesis with cardiopulmonary bypass.

In a negligence or malpractice case, all of the following elements must be present in order to shift the burden of proof onto the defendant EXCEPT the

The HIM Department at General Hospital has been experiencing an average 30- minute delay in the retrieval of records requested by the Emergency Department. Which one of the following corrective actions would be most effective in reducing the delay in retrieval of requested records?

Elderly man was admitted through the emergency department for severe urinary retention. Upon study, it was determined that his hypertension was uncontrolled (215/108). Prior medical records show admission 8 weeks ago for the same problem. As per conditions on previous admission, his BPH is complicated by acute cystitis. He is noncompliant with medications. Medication for the hypertension was immediately started and his hypertension was quickly brought under control. Urinary retention was relieved by placement of a Foley

You have been assigned to code the cases listed below. Which one will you appropriately assign to Category 402, Hypertensive Heart Disease?

Surgical case review includes all the following EXCEPT

An acute care facility is installing a new computer system in the chart-tracking area. Du implementation, the current existing system will continue to operate while bringing up the system, allowing a comparison of the outputs from both systems for accuracy over a 1-mon period. This process describes what type of conversion?

You are planning a prospective study to try to prove a cause and effect relationship between dipping snuff and throat cancer. First, you identify subjects who regularly dip snuff and who are free of any signs of throat cancer. Next, you need to identify subjects who

What HIM health record function would best benefit from the use of bar coding?

Your Community Hospital utilizes a WAN that transports data across the Internet by using a private tunnel. This is a

Which one of the following cells produces antibodies?

The Central Officer on ICD-9-CM, which publishes Coding Clinic, is maintained by the

Ralph is a 96-year-old nursing home resident who is admitted for malnutrition. Ralph has suffered a previous stroke that has left him with dysphagia. Ralph is treated for malnutritio_tij with hyperalimentation. Ralph was also found to have hypokalemia that was treated with IVY potassium replacement. On the day prior to discharge, Ralph underwent a PEG tube insertion.