Question 1

The causative organism for severe acute respiratory syndrome (SARS) is a

Accepted Answer

A)  bacterium. 
B)  coronavirus 
C)  fungus 
D)  retrovirus 
A)  bacterium. 
B)  coronavirus 
C)  fungus 
D)  retrovirus

Question 2

The new information system that your facility just purchased requires having software loaded on' a server and also requires having software loaded on each individual workstation. This type of architecture is called

Accepted Answer

A)  peer network. 
B)  file server. 
C)  client server. 
D)  dumb terminals. 
A)  peer network. 
B)  file server. 
C)  client server. 
D)  dumb terminals.

Question 3

Major responsibilities of the Risk Manager generally include

Accepted Answer

A)  loss prevention and reduction. 
B)  liability claims management. 
C)  participating in safety and security programs. 
D)  all of the above 
A)  loss prevention and reduction. 
B)  liability claims management. 
C)  participating in safety and security programs. 
D)  all of the above

Question 4

Which of the following tasks is the most appropriate for the Health Information Services to delegate to the Supervisor of Record Processing and Statistics?

Accepted Answer

A)  formulating a record retention policy for the entire facility 
B)  reviewing monthly statistical reports to verify accuracy 
C)  interviewing applicants for the position of Tumor Registrar 
D)  completing a performance rating on the Assistant Director of the department 
A)  formulating a record retention policy for the entire facility 
B)  reviewing monthly statistical reports to verify accuracy 
C)  interviewing applicants for the position of Tumor Registrar 
D)  completing a performance rating on the Assistant Director of the department

Question 5

An elevated serum amylase would be characteristic of

Accepted Answer

A)  acute pancreatitis. 
B)  gallbladder disease. 
C)  post- renal failure. 
D)  pre-renal failure. 
A)  acute pancreatitis. 
B)  gallbladder disease. 
C)  post- renal failure. 
D)  pre-renal failure.

Question 6

Before making recommendations to the Executive Committee regarding new physicians who have applied for active membership, the Credentials Committee must query the

Accepted Answer

A)  peer review organization. 
B)  National Practitioner Data Bank. 
C)  risk manager. 
D)  Health Plan Employer Data and Information Set. 
A)  peer review organization. 
B)  National Practitioner Data Bank. 
C)  risk manager. 
D)  Health Plan Employer Data and Information Set.

Question 7

Which one of the following is an advantage of straight numeric filing over terminal digit filing?

Accepted Answer

A)  All sections of the file expand uniformly. 
B)  The training period is short. 
C)  Work can be evenly distributed, causing accountability for accuracy in each of the 100 sections. 
D)  Inactive records can be purged evenly. 
A)  All sections of the file expand uniformly. 
B)  The training period is short. 
C)  Work can be evenly distributed, causing accountability for accuracy in each of the 100 sections. 
D)  Inactive records can be purged evenly.

Question 8

An encoder that prompts the coder to answer a series of questions and choices based on the documentation in the medical record is called a(n)

Accepted Answer

A)  logic-based encoder. 
B)  automated codebook. 
C)  grouper. 
D)  automatic code assignment. 
A)  logic-based encoder. 
B)  automated codebook. 
C)  grouper. 
D)  automatic code assignment.

Question 9

The "cooperating party" responsible for maintaining the ICD-9-CM disease classification is the

Accepted Answer

A)  Centers for Medicare and Medicaid Services (CMS). 
B)  National Center for Health Statistics (NCHS). 
C)  American Hospital Association (AH
A) . 
D)  American Health Information Management Association (AHIM
A) . 
A)  Centers for Medicare and Medicaid Services (CMS). 
B)  National Center for Health Statistics (NCHS). 
C)  American Hospital Association (AH
A) . 
D)  American Health Information Management Association (AHIM
A) .

Question 10

Referring to the record completion data for December, you would be most concerned with the

Accepted Answer

A)  overall number of incomplete records. 
B)  percentage of incomplete records. 
C)  percentage of delinquent operative reports. 
D)  percentage of delinquent records. 
A)  overall number of incomplete records. 
B)  percentage of incomplete records. 
C)  percentage of delinquent operative reports. 
D)  percentage of delinquent records.

Question 11

An effective means of protecting the security of computerized health information would be to

Accepted Answer

A)  require all facility employees to change their passwords at least once a month. 
B)  write detailed procedures for the entry of data into the computerized information system. 
C)  install a system that would require fingerprint scanning and recognition for data access. 
D)  develop clear policies on data security that are supported by the top management of the facility. 
A)  require all facility employees to change their passwords at least once a month. 
B)  write detailed procedures for the entry of data into the computerized information system. 
C)  install a system that would require fingerprint scanning and recognition for data access. 
D)  develop clear policies on data security that are supported by the top management of the facility.

Question 12

In the ICD-9-CM classification system, a nonfunctioning pacemaker due to the disintegration of the electrodes (leads) would be coded as a(n)

Accepted Answer

A)  current injury. 
B)  late effect. 
C)  mechanical complication of an internal prosthetic device. 
D)  abnormal reaction of the body to the presence of an internal prosthetic device. 
A)  current injury. 
B)  late effect. 
C)  mechanical complication of an internal prosthetic device. 
D)  abnormal reaction of the body to the presence of an internal prosthetic device.

Question 13

You have been appointed as chair of the Health Record Committee at a new hospital. Your committee has been asked to recommend time-limited documentation standards for inclusion in the Medical Staff Bylaws, Rules and Regulations. The committee documentation standards must meet the standards of both the Joint Commission and the Medicare Conditions of Participation. The standards for the history and physical exam documentation are discussed first. You advise them that the time period for completion of this report be should be set at

Accepted Answer

A)  12 hours after admission. 
B)  24 hours after admission. 
C)  12 hours after admission or prior to surgery. 
D)  24 hours after admission or prior to surgery. 
A)  12 hours after admission. 
B)  24 hours after admission. 
C)  12 hours after admission or prior to surgery. 
D)  24 hours after admission or prior to surgery.

Question 14

Under APCs, payment status indicator "C" means

Accepted Answer

A)  ancillary services. 
B)  inpatient only service. 
C)  multiple procedure reduction applies. 
D)  multiple procedure reduction does not apply. 
A)  ancillary services. 
B)  inpatient only service. 
C)  multiple procedure reduction applies. 
D)  multiple procedure reduction does not apply.

Question 15

This prospective payment system is for ______________ and utilizes a patient assessment instrument (PAI) to classify patients into case-mix groups (CMGs).

Accepted Answer

A)  skilled nursing facilities 
B)  inpatient rehabilitation facilities 
C)  home health agencies 
D)  long-term acute care hospitals 
A)  skilled nursing facilities 
B)  inpatient rehabilitation facilities 
C)  home health agencies 
D)  long-term acute care hospitals

Question 16

Acute epileptic twilight state with delirium

Accepted Answer

A)  293.0 
B)  780.02 
C)  293.1 
D)  294.0, 345.00 
A)  293.0 
B)  780.02 
C)  293.1 
D)  294.0, 345.00

Question 17

Under Medicare Part B, Medicare participating providers

Accepted Answer

A)  will be able to collect his or her total charges. 
B)  agrees to charge no more than 15% (limiting charge) over the allowed charge from the nonPAR fee schedule. 
C)  accepts, as payment in full, the allowed charge from the nonPAR fee schedule. 
D)  agrees to charge no more than 10% (limiting charge) over the allowed charge from the nonPAR fee schedule. 
A)  will be able to collect his or her total charges. 
B)  agrees to charge no more than 15% (limiting charge) over the allowed charge from the nonPAR fee schedule. 
C)  accepts, as payment in full, the allowed charge from the nonPAR fee schedule. 
D)  agrees to charge no more than 10% (limiting charge) over the allowed charge from the nonPAR fee schedule.

Question 18

In the ICD-9-CM classification system, an esophageal stricture due to a burn received in a house fire several years ago would be coded as a(n)

Accepted Answer