Question 1

Which of the following services is LEAST likely to be provided by a facility accredited by CARF?

Accepted Answer

A)  chronic pain management. 
B)  palliative care. 
C)  brain injury management. 
D)  vocational evaluation.

Question 2

Chronic ulcers of the calf and back. Both ulcers are excisionally debrided and the ulcer on the back has a split-thickness skin graft.

Accepted Answer

A)  707.12, 707.8, 86.22, 86.22, 86.69 
B)  707.12, 707.8, 86.22 
C)  707.8, 86.22, 86.69 
D)  707.8, 86.22, 86.22, 86.69

Question 3

Patient has right sacroiliac joint dysfunction and requires a right S2-S3 paravertebral facet joint] anesthetic nerve block.

Accepted Answer

A)  62311 
B)  64475 
C)  64483 
D)  64520

Question 4

The following coding system(s) /are utilized in the MS-DRG prospective payment methodology for assignment and proper reimbursement.

Accepted Answer

A)  HCPCS/CPT codes 
B)  ICD-9-CM codes 
C)  both HCPCS/CPT codes and ICD-9-CM codes 
D)  none of the above

Question 5

All Women's Hospital reports the following statistics:  How many deliveries occurred?

Accepted Answer

A)  50 
B)  57 
C)  60 
D)  67

Question 6

Which of the following autoimmune diseases affects tissues of the nervous system?

Accepted Answer

A)  Goodpasture's syndrome. 
B)  Hashimoto's disease. 
C)  myasthenia gravis. 
D)  rheumatoid arthritis.

Question 7

Patient comes to the hospital with a history of right flank pain. Urine tests are negative. Radiology examination reveals that the patient has renal cysts. Patient is now admitted for laparoscopic ablation of the cysts.

Accepted Answer

A)  50541 
B)  50390 
C)  50280 
D)  50920

Question 8

A sweat test was done on a patient with the following symptoms: frequent respiratory infections, chronic cough, and foul-smelling bloody stools. Which of the following disease is probably suspected?

Accepted Answer

A)  cystic breast disease. 
B)  cystic fibrosis 
C)  cystic lung disease 
D)  cystic pancreas

Question 9

Laparoscopic adrenalectomy, complete

Accepted Answer

A)  60650 
B)  60650-50 
C)  60659 
D)  60540

Question 10

What was the percentage of occupancy for adults and pediatrics in February? Royal Palm Hospital has 500 beds and 55 bassinets. In February of a nonleap year, it reported the following statistics:

Accepted Answer

A)  84.8% 
B)  88.2% 
C)  79.6% 
D)  80.5%

Question 11

Kimberly Wolf wants a Mercedes and the position of Vice President of Information Services. feels that achieving these goals will provide her with a sense of achievement, prestige, reputation in the eyes of others. What level of Maslow's hierarchy of needs is she operating at?

Accepted Answer

A)  esteem 
B)  safety 
C)  self-actualization 
D)  basic physiological

Question 12

The Uniform Business Records as Evidence Act addresses

Accepted Answer

A)  medical records maintained on health care workers. 
B)  insurance documents. 
C)  medical and lab reports in health care facilities. 
D)  admissibility of record reproductions.

Question 13

Mary Schnering was admitted to Community Hospital on 1/3/08 and assigned a record number of 54-47-53. The patient was later admitted on 2/14/08 and assigned the number 54­88-42. Both records were eventually filed under 54-88-42. What type of numbering/filing system is being used at Community Hospital?

Accepted Answer

A)  serial-unit 
B)  serial 
C)  unit 
D)  terminal digit

Question 14

In your facility it has become critical that information regarding patients who are transferred to the oncology unit be sent to an outpatient scheduling system to facilitate outpatient appointments. This information can be obtained most efficiently from

Accepted Answer

A)  generic screens used by record abstractors. 
B)  Disease index. 
C)  R-ADT system. 
D)  Indicator monitoring program.

Question 15

Correction of trichiasis by incision of lid margin

Accepted Answer

A)  67840 
B)  67830 
C)  67835 
D)  67850

Question 16

Physicians at South Seas Clinic are expected to see six patients per hour, on average. The physicians with the highest productivity each week are exempted from on-call responsibilities for the weekend. Which physician will get the weekend off this week?

Accepted Answer

A)  Robinson 
B)  Beasley 
C)  Hiltz 
D)  Wolf

Question 17

According to CPT, in which of the following cases would an established E/M code be used?

Accepted Answer

A)  A home visit with a 45-year-old male with a long history of drug abuse and alcoholism. The man is seen at the request of Adult Protective Services for an assessment of his mental capabilities. 
B)  John and his family have just moved to town. John has asthma and requires medication to control the problem. He has an appointment with Dr. You and will bring his records from his previous physician. 
C)  Tom is seen by Dr. X for a score throat. Dr. X is on-call for Tom's regular physician, Dr. Y. The last time that Tom saw Dr. Y was a couple of years ago. 
D)  A 78-year-old female with weight loss and progressive agitation over the past 2 months is seen by her primary care physician for drug therapy. She has not seen her primary care physician in 4 years.

Question 18

The Chief of Staff, Chief of Medicine, President of the Governing Body, and most departmental managers have already completed CQI training. Unfortunately, the hospital administrator has not been to training, refuses to get involved with CQI, and refuses to let the administrative departmental staff get training.

Accepted Answer

A)  This level of involvement is enough to meet Joint Commission standards. 
B)  The Joint Commission only expects involvement from clinical staff. 
C)  This will not do because it violates Joint Commission standards and CQI philosophy. 
D)  If you can talk him into training his staff, you can let him skip the training.

Question 19

Margaret has signed an authorization to release information regarding her ER visit for a fractured finger to her attorney. Specifically, she says to release the ER history and physical, x-rays, and any procedure notes for finger fracture. Which of the following violates her privacy?

Accepted Answer

A)  release of face sheet used in ER as a history 
B)  x-ray of chest 
C)  x-ray of finger 
D)  documentation of suturing of finger

Question 20

As the Data Security Officer for your institution, you plan to implement a log-on process for electronic signing that is LEAST susceptible to improper delegation of use. The method you will recommend is

Accepted Answer

A)  password assigned by system administrator. 
B)  password assigned by user. 
C)  biometrics-based identifier. 
D)  encryption.

Exam 1: Registered Health Information Administrator