Question 1

Which one of the following is NOT considered a challenge in the adoption of an electronic health record system?

Accepted Answer

A)  executive commitment and support 
B)  physician willingness to adopt 
C)  contribution to the quality of patient care 
D)  individual state legal and regulatory issues

Question 2

Lindsay has combined her HIM education with a master's degree in Human Resources, and is training a new supervisor to interview a candidate for a credentialed position for handling subpoenas in the release of information section. Which of the following is the LEAST appropriate question?

Accepted Answer

A)  Do you have transportation for attendance at depositions and court? 
B)  Please share an experience where you had to determine applicable state law. 
C)  Please provide a copy of your most recent CE certificate and AHIMA membership. 
D)  Do you have family responsibilities that would keep you from remaining at a trial?

Question 3

Which of the following employees is exempt under the Fair Labor Standards Act?

Accepted Answer

A)  an RHIA who performs record analysis and coding 90% of the time and who supervises three employees 
B)  an RHIT who manages the Health Information Services department and is involved wig planning and decision-making activities 90% of the time 
C)  the department secretary who spends 100% of her time performing clerical duties for the Director of Health Information Services 
D)  a file clerk who spends 100% of the time on filing activities

Question 4

Patient admitted to the hospital for repair of ventral hernia. Surgery is canceled after chest x-ray revealed lower lobe pneumonia. Patient is placed on antibiotics to treat the pneumonia.

Accepted Answer

A)  553.20, 486, V64.1 
B)  486, 553.20, V64.3 
C)  486, 553.20 
D)  553.20, 486

Question 5

Under the RBRVS, each HCPCS/CPT code contains 3 components, each having assigned relative value units. These 3 components are

Accepted Answer

A)  geographic index, wage index, and cost of living index. 
B)  fee-for-service, per diem payment, and capitation. 
C)  conversion factor, CMS weight, and hospital-specific rate. 
D)  physician work, practice expense, and malpractice insurance expense.

Question 6

Excision of mediastinal cyst

Accepted Answer

A)  11400 
B)  39200 
C)  17000 
D)  39400

Question 7

If administrators of a home health agency wanted to measure the outcomes of adult pati receiving their agency's services, which tool would they use?

Accepted Answer

A)  OASIS 
B)  HEDIS 
C)  ORYX 
D)  QAI

Question 8

If your network was graphed, it would show a hub in t he middle wit h nodes surrounding it. What type of network is it and why would you choose it?

Accepted Answer

A)  star, ease of adding computers 
B)  ring, operates over high distance 
C)  bus, ease of adding computers 
D)  ring, does not go down much

Question 9

What ICD-9-CM coding scheme is used to show that a therapeutic abortion resulted in a live fetus?

Accepted Answer

A)  spontaneous abortion; V30 code to show a newborn birth 
B)  code 644.21, early onset of delivery; V27 code (outcome of delivery) 
C)  abortion by type; V27 code (outcome of delivery) 
D)  therapeutic abortion

Question 10

The physician has documented the final diagnoses as acute myocardial infarction, COPD, CHF, hypertension, atrial fibrillation and status-post cholecystectomy. The following conditions should he reported

Accepted Answer

A)  410.9, 496, 402.91, 427.31, V45.79 
B)  410.91, 496, 428.0, 401.9, 427.31 
C)  410.91, 496, 428.0, 401.9, 427.31, V45.79 
D)  410.91, 496, 428.0, 401.1, 427.31

Question 11

The information collected for your registry includes patient demographic information, diagnosis codes, functional status, and histocompatibility information. This type of registry is a

Accepted Answer

A)  birth defects registry. 
B)  diabetes registry. 
C)  transplant registry. 
D)  trauma registry.

Question 12

Spinal tap

Accepted Answer

A)  62272 
B)  64999 
C)  62268 
D)  62270

Question 13

Your department's productivity and morale have been steadily deteriorating, while absent and turnover are increasing. As you go through the department, you notice that there are questionable jokes pinned on the department corkboard. The source of the problems you experiencing in the department could likely be

Accepted Answer

A)  cutbacks in staffing. 
B)  a need for job enrichment. 
C)  boredom. 
D)  sexual harassment in the workplace.

Question 14

Mary Ellen Smith has been an excellent biller for the past 5 years of employment. Lately, you have noticed that she has the highest error rate and the lowest productivity rate of the entire billing section. She also seems to be distracted and unhappy. You have a conversation with her and she confides that she is having many "personal problems" that are causing her enormous stress. As her supervisor, you

Accepted Answer

A)  accept this explanation and determine that it is probably a temporary situation. 
B)  issue a verbal warning to Mary Ellen td shape up. 
C)  issue a written warning with a date to review her progress. 
D)  refer her to the EAP.

Question 15

Abscess with cellulitis of the abdominal wall. Culture is positive for Staph aureus.

Accepted Answer

A)  682.8, 041.11 
B)  682.2, 041.11 
C)  682.2, 707.8 
D)  682.2

Question 16

Laser destruction of penile condylomas

Accepted Answer

A)  54057 
B)  17106 
C)  17270 
D)  54055

Question 17

Which quality management theorist focused on zero defects as the goal of performan improvement efforts?

Accepted Answer

A)  Kaizen 
B)  Crosby 
C)  Peters 
D)  Deming

Question 18

When a decubitus ulcer has progressed to a stage in which osteomyelitis is present, the ulcer has extended to the

Accepted Answer

A)  bone. 
B)  fascia. 
C)  muscle. 
D)  subcutaneous tissue.

Question 19

As Chief Privacy Officer, you have been asked why you are conducting a risk assessment. Which reason would you give?

Accepted Answer

A)  get rid of problem staff 
B)  change organizational culture 
C)  prevent breach of confidentiality 
D)  None of the above

Question 20

Which of the following sequences correctly depicts the flow of blood through the heat to the lungs?

Accepted Answer

A)  right atrium, right ventricle, lungs, pulmonary artery 
B)  right atrium, right ventricle, pulmonary artery, lungs 
C)  right ventricle, right atrium, lungs, pulmonary artery 
D)  right ventricle, right atrium, pulmonary artery, lungs

Exam 1: Registered Health Information Administrator