Question 1

High-energy ESW of the lateral humeral epicondyle using general anesthesia

Accepted Answer

A)  0019T 
B)  0102T 
C)  0101T 
D)  28890

Question 2

According to AHIMA's Position on Transmission of Health Information, the health information manager should engage in all of the following to ensure that information is properly sent via facsimile transmission EXCEPT

Accepted Answer

A)  to always follow up by sending the original record by mail. 
B)  to pre-program into the machine the number of destination sites. 
C)  encrypt the data if public channels are used for electronic transmittal. 
D)  as the sender contact the recipient prior tb and after transmission.

Question 3

A patient develops difficulty during surgery and the physician discontinues the procedure. Identify the modifier that may be reported by the physician to indicate that the procedure was discontinued.

Accepted Answer

A)  -52 
B)  -53 
C)  -73 
D)  -74

Question 4

One of your new employees has just completed orientation, receiving basic HIPAA training. You are now providing more specific training related to her job. She asks whether the information she provided during the hiring process, as well as benefits claims, are also protected under HIPAA. Which of the following can you assure her that the Human Resources Department protects?

Accepted Answer

A)  all personal health information (PHI) 
B)  benefits enrollment 
C)  Employee Assistance Program contacts 
D)  OSHA information

Question 5

Patient returns to the physician's office complaining of obscured vision. Patient has had cataract surgery 6 months prior. Patient requires laser discission of secondary cataract.

Accepted Answer

A)  66821 
B)  64831 
C)  67835 
D)  66830

Question 6

Dr. Smith goes to Hollywood Hospital's website and logs in. He sees a list of patients currently in the hospital, test results, and more. Ms. Brown, a patient of Dr. Smith who is having surgery next week, logs onto the same website and only sees the date and time of her preoperative visit. This is an example of:

Accepted Answer

A)  web portal 
B)  single sign-on technology 
C)  application service provider 
D)  intranet

Question 7

Female, 26 weeks' pregnancy is treated for reduction of fracture performed

Accepted Answer

A)  813.44, 79.02 
B)  648.93, 813.44, 79.02 
C)  813.44, V22.2, 79.02 
D)  V22.2, 813.44, 79.02

Question 8

An ophthalmologist has requested permission to perform specialized laser procedures within the hospital. His request is evaluated by the Credentials Committee through a process to determine the specific procedures and services this physician can perform. This is known as

Accepted Answer

A)  discharge planning. 
B)  medical staff evaluation. 
C)  delineation of privileges. 
D)  reappointment.

Question 9

A patient has written to request a copy of his own record. When the clerk checked the record, it was noted that the patient was last admitted to the psychiatric unit of the facility. You advise the clerk to

Accepted Answer

A)  comply with the request immediately. 
B)  contact the patient's attending physician before complying. 
C)  ignore the request and advise you if it is repeated. 
D)  ask the patient to send the required fee prior to the release.

Question 10

This information is printed on the UB-04 claim form to represent the cost center (e.g, lab, radiology, cardiology, respiratory, etc.) for the department in which the item is provided. It is used for Medicare billing.

Accepted Answer

A)  modifier 
B)  revenue code 
C)  charge code 
D)  general ledger key

Question 11

Which one of the following master patient index core data elements is OPTIONAL, NOT RECOMMENDED by AHIMA?

Accepted Answer

A)  internal patient identification 
B)  discharge date 
C)  martial status 
D)  ethnicity

Question 12

The patient was admitted due to increasingly severe pain in his right arm, shoulder, and neck for the past 6 weeks. MRI tests showed herniation of the C5-C6 disc. Patient underwent cervical laminotomy and diskectomy C5-C6 disc. The patient is currently being treated for

Accepted Answer

A)  722.0, 492.8, 414.01, V45.82, 80.51 
B)  722.11, 496, 414.01, V45.82, 03.09, 80.51 
C)  722.11, 492.8, 414.00, 03.09, 80.51 
D)  722.0, 496, 414.01, V45.82, 80.51

Question 13

a fractured distal radius and ulna; closed Patient diagnosed with tubal pregnancy; unilateral salpingectomy for removal of tubal pregnancy performed.

Accepted Answer

A)  633.20, 66.63 
B)  633.11, 66.62 
C)  633.00, 66.61 
D)  633.10, 66.62

Question 14

This information is the numerical identification of the service or supply. Each item has a unique number with a prefix that indicates the department number (the number assigned to a specific ancillary department) and an item number (the number assigned by the accounting department or the business officer) for a specific procedure or service represented on the chargemaster.

Accepted Answer

A)  charge code 
B)  HCPCS code 
C)  revenue code 
D)  general ledger key

Question 15

Roscoe is 57-years old and has been diagnosed with gynecomastia. Roscoe also is on medication for temporal arteritis. Roscoe is admitted and bilateral mammectomy is performed. Roscoe's intravenous catheter infiltrates and he develops cellulitis at the IV site in the arm. This condition requires additional treatment.

Accepted Answer

A)  611.1, 85.36, 85.36 
B)  611.1, 999.39, 446.5, 85.36 
C)  611.1, 999.39, 682.3, 446.5, 85.36 
D)  611.1, 682.3, 446.5, 85.34

Question 16

The hospital outpatient prospective payment system for Medicare applies to all of the following EXCEPT.

Accepted Answer

A)  professional services, such as physician fees. 
B)  facility reimbursement for outpatient hospital clinic visits. 
C)  facility reimbursement for emergency department visits. 
D)  facility reimbursement for hospital-based ambulatory surgery.

Question 17

If a time standard is determined from sample observations to be 2.50 minutes per record for coding emergency room records, what is the daily standard for the number of records coded when a 15% fatigue factor is allowed? The coder works 7.5 hours per day.

Accepted Answer

A)  153 records per day 
B)  180 records per day 
C)  192 records per day 
D)  200 records per day

Question 18

The Privacy Act of 1974 permits patients to request amendments to their medical record in which type of facility?

Accepted Answer

A)  private proprietary health care facility 
B)  mental health and chemical dependency facility 
C)  university-based teaching facility 
D)  Department of Defense health care facility

Question 19

According to HIPAA, covered entities may include marketing in a newsletter that is sent to a wide range of individuals.

Accepted Answer

A)  true 
B)  true if there is an opt-out procedure identified 
C)  false 
D)  false if services marketed do not apply to the individual

Question 20

Steven, a 7-year-old, is seen in the emergency department with severe joint pain. Following work-up it is discovered that he is having a severe crisis due to sickle cell anemia.

Accepted Answer

A)  282.61 
B)  282.62 
C)  282.63 
D)  282.69

Exam 1: Registered Health Information Administrator