Question 1

Mary is scheduled to program the interfaces in June. John will develop the training plan in July. Robert will test the system in July. Mark will be on sick leave during August and he has to write the documentation before he leaves. In order to make sure that the staff needed is available during these time periods, what process should be utilized?

Accepted Answer

A)  systems analysis 
B)  implementation 
C)  resource allocation 
D)  Gantt chart

Question 2

Juan comes out to speak to a patient's family. He tells them that the patient came through surgery fine. The mass was benign and they could see the patient in an hour. He talks low so that other people will not hear, but someone walked by and heard. This is

Accepted Answer

A)  a HIPAA violation because another patient overheard. 
B)  an incidental disclosure. 
C)  a HIPAA violation because he shared this with the patient's family who is actively involved. 
D)  acceptable if the patient who overheard was asked to keep his or her mouth shut.

Question 3

The health information practitioner had two patient records, each with a final diagnosis fracture of the pelvis. Patient A had a single break in the pelvic ring; patient B had severe multiple fractures of the pelvis and a possible pulmonary embolus. Although the principal diagnosis is the same, what method can be used to further recognize the patient who is at a higher risk?

Accepted Answer

A)  SNDO codes 
B)  HCPCS codes 
C)  severity of illness system 
D)  resource utilization groups (RUGS)

Question 4

The following performance tool is used to provide structure by classifying information into smaller groups. What is the name of this chart/diagram?

Accepted Answer

A)  flowchart 
B)  matrix 
C)  affinity diagram 
D)  arrow diagram

Question 5

Frank has been diagnosed with sick sinus syndrome and is being admitted for dual chamber pacemaker and leads insertion. Frank also has type II diabetes on oral medication as well as insulin regimen. Surgery is carried out without complication.

Accepted Answer

A)  427.81, 250.00, V58.67, 37.72, 37.83 
B)  427.81, 250.01, 37.71, 37.83 
C)  427.81, 37.70, 37.83 
D)  427.81, 250.00, 250.01, 37.72, 37.83

Question 6

You are heading a research study that includes a patient questionnaire. Five of the questions will be answered using the following scale:  The data collected using this scale is called

Accepted Answer

A)  cardinal data. 
B)  ordinal data 
C)  nominal data 
D)  continuous data.

Question 7

Targeted states (California, Flordia, and New York) with a large Medicare population were included in a Medicare payment recovery demonstration project. This project's purpose was to determine if the use of ___________ is a cost-effective means of ensuring correct payments are provided under Medicare. These are charged with identifying underpayments and overpayments for claims filed under Medicare Part A and Part B. They recoup overpayments from the providers.

Accepted Answer

A)  clinical data abstraction centers (CDA
C)  
B)  quality improvement organizations (QIO) 
C)  recovery audit contractors (RA
C)  
D)  peer review organizations (PRO)

Question 8

john Palmer was in a car accident and sustained sever chest trauma resulting in a tension pneumothorax. Manifestations of this disorder include all of the following EXCEPT

Accepted Answer

A)  severe chest pain. 
B)  dyspnea 
C)  shock 
D)  clubbing

Question 9

Patient has been diagnosed with uterine fibroids and undergoes a total abdominal hysterectomy with bilateral salpingo-oophorectomy.

Accepted Answer

A)  58200 
B)  58150 
C)  58262 
D)  58150; 58720

Question 10

What is the biggest problem with the pie graph displayed?

Accepted Answer

A)  There is not enough variation in the patterns to clearly distinguish between females and children. 
B)  The total males and females do not equal the total children, adolescents, and adults. 
C)  There are no definitions for children, adolescents, and adults. 
D)  There is more than one variable displayed on the chart.

Question 11

Styles Hospital has 200 beds and 20 bassinets. In a nonleap year, Styles Hospital admitted 16, adults and children; 16,570 adults and children were discharged. There were 1,764 live births a 1,798 newborns discharged. The bed turnover rate for Styles Hospital that year was

Accepted Answer

A)  82.2. 
B)  82.7. 
C)  82.9. 
D)  93.5.

Question 12

The CFO of your facility asks you to prepare a budget for the fiscal year based on the pa volume and type of healthcare services compared to anticipated needs for the services. process is an example of using the "__________" budgeting method.

Accepted Answer

A)  rolling budget 
B)  fixed budget 
C)  statistics budget 
D)  zero-based budget

Question 13

The presence of fluid in the alveoli of the lungs I s characteristic of

Accepted Answer

A)  COPD 
B)  Crohn's disease 
C)  pneumonia 
D)  tuberculosis

Question 14

Which of the following is considered confidential information if the patient is seeking treatment in a substance abuse facility?

Accepted Answer

A)  patient's name 
B)  patient's address 
C)  patient's diagnosis 
D)  all of the above

Question 15

Kari works 40 hours per week at Rocky Mountain Radiology Associates, which pays time- and-a-half for overtime and double-time for holidays. During the past week, Kari took 6 hours of unpaid personal leave, and worked an 8-hour holiday. How many hours will Kari be paid for?

Accepted Answer

A)  34 
B)  50 
C)  42 
D)  48

Question 16

In 1987, OBRA helped shift the focus in long-term care to patient outcomes. As a result, core assessment data elements are collected on each resident as defined in the

Accepted Answer

A)  UHDDS. 
B)  MDS. 
C)  Uniform Clinical Data Set. 
D)  Uniform Ambulatory Core Data.

Question 17

The term used to describe a diagram depicting grouper logic in assigning MS-DRGs is

Accepted Answer

A)  blended chart. 
B)  case-mix index. 
C)  decision tree. 
D)  grouper hierarchy.

Question 18

New equipment has just been purchased for a Health Information Services Department. Prior its arrival and placement in the department, it is important for the manager to adhere to the and regulations governed by

Accepted Answer

A)  FDA 
B)  OSHA 
C)  CMS 
D)  SSA

Question 19

Exacerbation of myasthenia gravis resulting in acute respiratory failure. Patient required mechanical ventilation for 10 hours, following endotracheal intubation.

Accepted Answer

A)  358.00, 518.81, 96.71, 96.04 
B)  518.81, 358.01, 96.71, 96.04 
C)  358.00, 581.89, 96.71, 96.05 
D)  518.82, 358.00, 96.72, 96.04

Question 20

Adding the UCL (upper control limit) and LCL (lower control limit) to the chart ?

Accepted Answer

A)  control chart. 
B)  frequency distribution. 
C)  run chart. 
D)  variation graph.

Exam 1: Registered Health Information Administrator