Question 1

The quality improvement team for the HIM department meets to generate ideas to address physician complaints about missing dictation reports. What QI tool would prove useful in discussing various recommendations for solving this problem?

Accepted Answer

A)  flowchart 
B)  scatter diagram 
C)  check sheet 
D)  brainstorming

Question 2

Which of the following employees would be considered exempt under the Fair Labor Standards Act?

Accepted Answer

A)  the head of the Department of Health Information Services who is involved in decision making and planning 90%, of the time 
B)  the coding supervisor who has responsibility for three employees and performs analysis and coding 80% of the time 
C)  the departmental secretary who is responsible for performing a variety of clerical and administrative tasks 
D)  the sole employee in the physician's workroom who has responsibility for maintaining and tracking medical record deficiencies

Question 3

What QI tool uses criteria to weigh different alternatives? This display would assist in viewing all relevant information at the same time.

Accepted Answer

A)  the PDSA method 
B)  a decision matrix 
C)  a flowchart 
D)  a customer satisfaction survey

Question 4

You want to construct a data display for a frequency distribution. You will use a

Accepted Answer

A)  frequency polygon or histogram. 
B)  frequency polygon or bar chart. 
C)  line graph or histogram. 
D)  line graph or bar chart.

Question 5

Angela has just undergone orthopedic surgery. Documentation indicates that she lost 700 cc of blood during surgery. Her hemoglobin and hematocrit are monitored following surgery. Subsequently she is transfused. The physician documents anemia as a secondary diagnosis. The coder would

Accepted Answer

A)  query the physician to clarify the type of anemia as acute blood loss. 
B)  assign a code for unspecified anemia. 
C)  assign a code for acute blood loss anemia. 
D)  not assign a code for anemia.

Question 6

An example of objective entry in the health record supplied by a health care practitioner is the

Accepted Answer

A)  past medical history. 
B)  physical assessment. 
C)  chief complaint. 
D)  review of systems.

Question 7

When a patient is admitted in respiratory failure due to a chronic nonrespiratory condition,

Accepted Answer

A)  the respiratory failure is the principal diagnosis. 
B)  the chronic nonrespiratory problem is the principal diagnosis. 
C)  only the respiratory failure is coded. 
D)  only the chronic nonrespiratory condition is coded.

Question 8

Refer to the table Summary of Selected Blood Product Review. The table was first produced during which quality improvement function?

Accepted Answer

A)  pharmacy and therapeutics function 
B)  drug usage evaluation 
C)  medical record review 
D)  blood usage review

Question 9

Amy Chan, RHIT, is Manager of Health Information at Golden Gate Home Care. She is elected leader of the documentation team, and is preparing to call a meeting. Which of the following is NOT an advantage of committee meetings?

Accepted Answer

A)  Group judgment improves decision making. 
B)  Group process stimulates creativity. 
C)  Committees enhance acceptance. 
D)  Committees are economical.

Question 10

Patient presents to the hospital for a three-view x-ray of the right shoulder. The diagnosis shoulder pain and the radiology report states the patient has a dislocated shoulder. What would be the correct codes to report to the insurance company?

Accepted Answer

A)  831.00; 73060-RT 
B)  719.41; 73020-RT 
C)  831.01; 73030-RT 
D)  831.00; 73030-RT

Question 11

Fareeda's method improvement objectives are to use an organized approach to determine how to accomplish a task with less effort in less time or at a lower cost while maintaining or improving the quality of the outcome. Frequently, methods improvement is referred to as

Accepted Answer

A)  benchmarking. 
B)  work distribution. 
C)  work simplification 
D)  data quality improvement.

Question 12

An office consultation is performed for a post-menopausal woman who is complaining of spotting in the past 6 months with right lower quadrant tenderness. A detailed history and physical were performed with a low-complexity medical decision.

Accepted Answer

A)  99242 
B)  99243 
C)  99253 
D)  99254

Question 13

Ultrasonic guidance for the needle biopsy of the liver. Code the complete procedure.

Accepted Answer

A)  47000; 76942 
B)  47000;76937 
C)  47000; 76999 
D)  47000;77002

Question 14

What was the net death rate at Happy Valley Hospital last year? Happy Valley Hospital discharged 6069 adults/children and 545 newborns last year. A total of 1 adults/children and 1279 newborns were seen in the emergency department. Information on deaths at Happy Valley last year is listed below.

Accepted Answer

A)  1.6% 
B)  1.7% 
C)  1.8% 
D)  1.9%

Question 15

Tina, the Coding Supervisor at Upstate Hospital, has heard rumors that the Health Information Management Department at her facility is starting a coding training program. Rumor also has it that the Department Director, Rose, is trying to recruit the coding supervisor from a neighboring hospital to head up the training position. Tina makes the following statement to the assistant director: "I'm obviously not good enough for the training position. Perhaps I should resign." As the Assistant Director, how should you respond?

Accepted Answer

A)  Ignore Tina's statement. 
B)  Refer Tina to the Employee Assistance Program. 
C)  Assist Tina in developing her career goals. 
D)  Guarantee Tina that she will be considered for the position.

Question 16

There were some HIM professionals who refused to participate in the job stress/job satisfaction study. This is of great concern to the AHIMA researchers, who worry about the introduction of

Accepted Answer

A)  recall bias. 
B)  selection bias. 
C)  interviewer bias. 
D)  nonresponse bias.

Question 17

A pregnant patient has an incompetent cervix which was repaired using a vaginal cerclage.

Accepted Answer

A)  57700 
B)  57531 
C)  59320 
D)  53902

Question 18

Patient has been diagnosed with prostate cancer. Patient arrived in the operating room where a therapeutic orchiectomy is performed.

Accepted Answer

A)  54560 
B)  54530 
C)  55899 
D)  54520

Question 19

A covered entity:

Accepted Answer

A)  is exempt from the H1PAA privacy and security rules. 
B)  includes all healthcare providers. 
C)  includes healthcare providers who perform specified actions electronically. 
D)  must utilize business associates.

Question 20

Hemorrhagic cystitis; cystoscopy with biopsy of bladder

Accepted Answer

A)  595.9, 57.33 
B)  595.9, 041.4, 57.32 
C)  595.82, 57.33 
D)  596.7, 57.33

Exam 1: Registered Health Information Administrator