Question 1

A radiologist is asked to review a patient's CT scan that was taken at another facility. The modifier -26 attached to the code indicates that the physician is billing for what component of the procedure?

Accepted Answer

A)  professional. 
B)  technical. 
C)  global. 
D)  confirmatory.

Question 2

Release of information has increased its use of part-time prn clerical support in order to respond to increased requests for release of information. The budget variance report will reflect

Accepted Answer

A)  the increase in the cost of part-time clerical support for ROI, but not the increase in revenue from this area. 
B)  the increase in revenue from increased volume in ROI, but not the increased costs of part-time clerical support. 
C)  both the increases in revenue and increased costs for clerical support in ROI. 
D)  neither the increased costs nor increased revenue, as temporary changes are rarely reflected on variance reports.

Question 3

The Level I (CPT) codes of the HCPCS coding system are maintained by the

Accepted Answer

A)  American Medical Association 
B)  American Hospital Association. 
C)  Local fiscal intermediary. 
D)  Centers for Medicare and Medicaid Services

Question 4

You are developing your Information Systems Strategic Plan. Which of the following should be your basis for the plan?

Accepted Answer

A)  business plan 
B)  previous IS strategic plan 
C)  consultant's recommendations 
D)  previous IS budgets

Question 5

A research request has been received by the HIM Department from the Quality Improvement Committee. The Committee plans to review the records of all patients who were admitted with CHF in the month of January 2008. Which of the following indices would be the best source in locating the needed records?

Accepted Answer

A)  master patient index 
B)  physicians' index 
C)  disease index 
D)  operation index

Question 6

Your facility is developing a new information system. Your department is viewing the product as it develops and providing feedback that is used to update the system. This process is called

Accepted Answer

A)  prototyping. 
B)  data flow diagramming. 
C)  diagramming entity relationships. 
D)  updating the data dictionary.

Question 7

Patient returns to the operating room following open-heart bypass for exploration of blood vessel to control postoperative bleeding in the chest.

Accepted Answer

A)  35820 
B)  20101 
C)  35761 
D)  35905

Question 8

The HIPAA Privacy and Security Rule requires that training be documented. What methods of documenting training efforts need to be used?

Accepted Answer

A)  retention of training aids and handouts 
B)  meeting handouts and minutes 
C)  training content, training dates, and attendee names 
D)  signed confidentiality statements

Question 9

An organization that is a covered entity, performs functions that are covered and noncovered by HIPAA, and specifies the portion of the organization that will be subject to HIPAA is called a(n)

Accepted Answer

A)  hybrid entity. 
B)  affiliated covered entity. 
C)  organized health care arrangement. 
D)  business associate.

Question 10

Which of the following types of members is best for a committee?

Accepted Answer

A)  individuals of equal rank and authority. 
B)  a diverse group with widely varied rank and authority. 
C)  a blend of managers and entry level staff 
D)  There is no clear benefit to one form or another.

Question 11

What data cannot be retrieved from the MEDPAR?

Accepted Answer

A)  ICD-9-CM diagnosis and procedure codes 
B)  charges broken down by specific types of services 
C)  non-Medicare patient data 
D)  data on the provider

Question 12

Happy Valley Hospital recorded six fetal deaths during the last year; details are listed below:  How should these deaths be counted in the hospital death rates?

Accepted Answer

A)  All the deaths except B will be included in the gross death rate. 
B)  Deaths D and F will be included in the gross death rate. 
C)  Deaths C, D, and F will be included in the gross death rate. 
D)  None of these deaths will be included in the gross death rate.

Question 13

Margot has just gone through some computer training. One of the issues covered was how to prevent viruses from being spread. Actions that she, a computer user, should take include all of the following EXCEPT

Accepted Answer

A)  do not e-mail a file to anyone else in the organization if a virus has been identified. 
B)  do not download shareware on her computer. 
C)  do not share diskettes between computers. 
D)  update the virus protection on at least a daily basis.

Question 14

Which filing system would provide the most convenient method for the record retrieval of 200 patients consecutively admitted to the hospital?

Accepted Answer

A)  terminal digit 
B)  unit. 
C)  straight numeric 
D)  serial unit.

Question 15

Valley View Hospital collected the data displayed above concerning their four highest volume MS-DRGs. Which MS-DRG generated the most revenue for the hospital?

Accepted Answer

A)  MS-DRG A 
B)  MS-DRG B 
C)  MS-DRG C 
D)  MS-DRG D

Question 16

The legislation that required all federally funded facilities to inform patients of their rights under rights under state law to accept or refuse medical treatment is known as____.

Accepted Answer

A)  advance directives. 
B)  living wills. 
C)  Patient Self-determination Act. 
D)  Durable power of attorney.

Question 17

Male patient admitted with gastrointestinal hemorrhage resulting in acute blood loss anemia. Colonoscopy and Esophagogastroduodenoscopy fail to reveal source of bleed.

Accepted Answer

A)  285.9, 578.1, 45.13, 45.23 
B)  578.1, 285.1, 45.13, 45.23 
C)  578.9, 285.1, 45.13, 45.23 
D)  578.9, 280.0, 45.13, 45.23

Question 18

Sarasota Community Health Center has an approved cancer registry. A patient is readmitted for further treatment of a previously diagnosed cancer. The CTR should

Accepted Answer

A)  complete a new cancer abstract. 
B)  assign a new accession number. 
C)  updated the follow-up file. 
D)  complete a new master index file.

Question 19

All of the following are examples of direct transmission of a disease EXCEPT

Accepted Answer

A)  contaminated foods. 
B)  coughing or sneezing. 
C)  droplet spread. 
D)  physical contact.

Question 20

You are preparing a training program for specific functional areas of the department (e.g. coding; transcription, etc.). Which of the following is the primary factor to consider in developing an effective training program?

Accepted Answer

A)  credentials of the employees 
B)  objectives of each functional area 
C)  cost of training the employees 
D)  number of employees to be trained

Exam 1: Registered Health Information Administrator