Question 1

Parker is a type I diabetic with hypertension that is currently controlled with medication. Parker was admitted through the ED for an emergency appendectomy. Following surgery, the patient developed an infection at the wound site that was treated with antibiotics. When making decisions about sequencing the codes for this case, the coder should rely on definitions found in the

Accepted Answer

A)  UHDDS 
B)  Coding Clinic 
C)  CMS Coding Guidelines. 
D)  Federal Register.

Question 2

Pap smear with cervical high-risk human papillomavirus (HPV) DNA test positive

Accepted Answer

A)  795.05 
B)  795.09 
C)  795.04 
D)  795.02

Question 3

If the same condition is described as both acute and chronic and separate subentries exist in the ICD-9-CM alphabetic index at the same indentation level

Accepted Answer

A)  they should both be coded, acute sequenced first. 
B)  they should both be coded, chronic sequenced first. 
C)  only the acute condition should be coded. 
D)  only the chronic condition should be coded.

Question 4

Webster Medical Center is installing a computerized provider order-entry system. Currently are training the staff and testing the system. We must be in the

Accepted Answer

A)  design phase. 
B)  implementation phase. 
C)  maintenance phase. 
D)  analysis phase.

Question 5

Which of the following tubes conveys sperm from the seminal vesicle to the urethra?

Accepted Answer

A)  ejaculatory duct. 
B)  epididymis 
C)  oviduct 
D)  vas deferens

Question 6

The use of computer key signatures requires the same administrative controls as

Accepted Answer

A)  rubber stamp signatures. 
B)  computer passwords. 
C)  signatures made by interns and residents. 
D)  use of faxed signatures.

Question 7

Female, 68 years old, was admitted with type II diabetes mellitus with a diabetic ulcer of the left heel. Patient was taken to the operating room for excisional debridement of the ulcer.

Accepted Answer

A)  250.80, 707.14, 86.22 
B)  707.14, 250.80, 86.22 
C)  250.81, 707.13, 86.22 
D)  250.82, 707.14, 86.28

Question 8

According to the American Medical Association, medical decision making is measured by all of the following except

Accepted Answer

A)  number of diagnoses or management options. 
B)  Amount and complexity of data reviewed. 
C)  Risk of complications. 
D)  Specialty of the treating physician.

Question 9

Radiologist provides fluoroscopic guidance for facet joint injection.

Accepted Answer

A)  71023 
B)  77002 
C)  76001 
D)  77003

Question 10

The Phalen's wrist flexor test is a noninvasive method for diagnosing

Accepted Answer

A)  carpal tunnel syndrome. 
B)  Down syndrome 
C)  severe acute respiratory syndrome. 
D)  Tourette's syndrome

Question 11

Laparoscopic removal and replacement of both a gastric band and the subcutaneous port components

Accepted Answer

A)  43774, 43659 
B)  43659 
C)  43773 
D)  43848

Question 12

Once all data are posted to a patient's account, the claim can be reviewed for accuracy and completeness. Many facilities have internal auditing systems. The auditing systems run each claim through a set of edits specifically designed for the various third-party payers. The auditing system identifies data that have failed edits and flags the claim for correction. These "internal" auditing systems are called

Accepted Answer

A)  scrubbers. 
B)  outliers. 
C)  groupers. 
D)  encoders.

Question 13

A signed consent for release of information dated December 1, 2005, is received with a request for the chart from the patient's admission of 12/5/2005. Indicate the appropriate response from the options below.

Accepted Answer

A)  Request another authorization that is dated closer, but prior to, the admission date. 
B)  Request another authorization dated after the discharge date. 
C)  Release the requested information. 
D)  Call the patient for a verbal authorization.

Question 14

Sheena is an RHIA who continued her education and has a master's degree in Public Health. She is the Director of Health Information for the large County Health Department. In seeking tit most reliable reference for a job applicant, which of the following would be preferred?

Accepted Answer

A)  a telephone reference from a personal friend of the applicant 
B)  a written reference from a former supervisor of the applicant 
C)  a telephone reference from a former supervisor of the applicant 
D)  a written reference from the Human Resources Department of the applicant's former employer

Question 15

You work in a unionized organization and have filed a grievance. Which of the following most likely take place?

Accepted Answer

A)  You can be terminated for registering a grievance. 
B)  The grievance procedure regulations stipulated in the union contract will be followed. 
C)  Follow facility policies and procedures for prompt and fair action on any grievance. 
D)  The time from complaint to resolution should be no longer than 90 days.

Question 16

The extent to which the HIPAA privacy rule may regulate an individual's rights of access is not meant to preempt other existing federal laws and regulations. This means that if an individual's rights of access

Accepted Answer

A)  is less under another existing federal law, I IIPAA must follow the directions of that law. 
B)  is refused by a federal facility, HIPAA must also refuse the individual of the access. 
C)  is greater under another applicable federal law, the individual should be afforded the greater access. 
D)  is greater under another existing federal law, l-iIPAA can obstruct freedoms of the other federal law when using electronic health records.

Question 17

Your facility is part of a community health information network and you belong to a committee charged with the responsibility of encouraging the uniform collection and reporting of data. Among your recommendations is the adoption of a common

Accepted Answer

A)  data set. 
B)  forms design. 
C)  record format. 
D)  data quality monitoring system.

Question 18

Patient presents to the emergency room with chest pains. The patient is admitted as a 23-hour observation. The cardiologist orders cardiac workup and the patient undergoes left heart catheterization via the left femoral artery with visualization of the coronary arteries and left ventriculography. The physician interprets the report. Code the heart catheterization.

Accepted Answer

A)  36245; 93514; 93545; 93540; 93555 
B)  93524; 93545; 93542; 93555; 93556 
C)  93510; 93545; 93543; 93555; 93556 
D)  93511; 93539; 93541; 93545; 93555

Question 19

Physicians who are members of the Surgery Committee meet to review surgical cases referred f quality issues and deviations from standard care norms. This type of review in which physician's record is reviewed by his or her professional colleagues is known as

Accepted Answer

A)  concurrent review. 
B)  clinical pertinence review. 
C)  incident screening. 
D)  peer review.

Question 20

The Director of the Health Information Services Department has determined that an in- service for department supervisors on improving productivity levels in their respective areas is needed. As an outcome of this in-service, the director would like the supervisors to understand that when setting productivity levels, a supervisor must

Accepted Answer

A)  tailor any training needs to each individual employee to achieve the productivity levels. 
B)  direct training needs to the most efficient employee within the department in order to achieve the productivity levels. 
C)  determine the productivity standards for each area and job function. 
D)  consider only quantity and not quality.

Exam 1: Registered Health Information Administrator