Question 1

A 40-year-old female suddenly develops a painful rash. A visit to her physician reveals she has shingles. She is experiencing a great amount of anxiety and stress, so her physician prescribes medication for the shingles and for the anxiety that occurred as a reaction to the stress.

Accepted Answer

A)  053.9, 308.0 
B)  053.9, 308.3, 300.00 
C)  053.8, 300.00 
D)  053.8, 308.0

Question 2

The enforcement of the HIPAA privacy rule has been delegated to the

Accepted Answer

A)  Office of Civil Rights. 
B)  CMS. 
C)  Joint Commission. 
D)  states.

Question 3

Bone mineral density (BMD) is a useful diagnostic test for

Accepted Answer

A)  osteoarthritis. 
B)  osteomyelitis 
C)  osteoporosis 
D)  rheumatoid arthritis

Question 4

State law says that the hospital must keep a record of disclosures for 10 years. HIPAA says 6 years. What should the hospital do to comply with the conflicting laws?

Accepted Answer

A)  Keep it the 10 years required by the state because it is stricter than HIPAA, 
B)  Keep it 6 years because HIPAA is a federal law that preempts state laws. 
C)  Keep it 10 years if you are a state hospital, 6 years if you are not a state hospital. 
D)  Keep it 6 years if you are a federal hospital, 6 years if you are not a federal hospital.

Question 5

For inpatients, the first data item collected of a clinical nature is usually

Accepted Answer

A)  principal diagnosis. 
B)  expected payer. 
C)  admitting diagnosis. 
D)  review of systems.

Question 6

Many bacterial diseases are transmitted directly from person to person. Which of the disease listed below is a bacterial disease that is transmitted by way of a tick vector?

Accepted Answer

A)  Legionnaires' disease. 
B)  Lyme disease 
C)  tetanus 
D)  tuberculosis

Question 7

After reviewing the following excerpt from CPT, code 27646 would be interpreted as

Accepted Answer

A)  27646 radical resection of tumor, bone; tibia and fibula. 
B)  27646 radical resection of tumor, bone; fibula. 
C)  27646 radical resection of tumor, bone; fibula or tibia. 
D)  27646 radical resection of tumor, bone; fibula, talus or calcaneus.

Question 8

Holly is the day supervisor who works from 7:00 AM to 4:00 PM. Kim is the evening supervisor who works from 2:00 PM to 11:00 PM. Suni is a transcriptionist who works from 10:00 AM to 7:00 PM which overlaps the day and evening shifts. Suni asked 1 lolly, the day supervisor, if she could leave early for personal reasons. Holly said she could leave early if Kim, the evening supervisor, agrees. This situation violates which theory of management?

Accepted Answer

A)  span of control 
B)  formal theory of authority 
C)  specialization of labor 
D)  unity of command

Question 9

Your state regulations require records to be kept for a statute of limitations period of 7 years. Federal law requires records to be retained for 5 years. The minimum retention period for health records in your facility should be

Accepted Answer

A)  5 years. 
B)  7 years. 
C)  10 years. 
D)  either 5 or 7 years, as determined by

Question 10

Look again at the graph you used for the last question. From this graph, you can assume that more people

Accepted Answer

A)  were admitted to the facility with infections than without infections. 
B)  were admitted to the facility with infections than is typical for U.S. hospitals. 
C)  were admitted to the facility with infections than acquired infections in the hospital. 
D)  acquired infections in the hospital than were admitted with infections.

Question 11

All of the following items mean the same thing, with one exception:

Accepted Answer

A)  inpatient service day. 
B)  daily inpatient census. 
C)  daily census. 
D)  inpatient census.

Question 12

Vaginal hysterectomy

Accepted Answer

A)  00846 
B)  00944 
C)  00840 
D)  01963

Question 13

The decision makers in the HIM department have decided to use the decision analysis matrix method to select coding software. Use of this method will help ensure

Accepted Answer

A)  all alternatives/vendors are evaluated subjectively. 
B)  the personalities of individual vendors will not influence the decision. 
C)  consistent criteria are used to evaluate the alternatives/vendors. 
D)  the level of software support will be considered in the decision.

Question 14

Which set of records filed consecutively on a shelf displays terminal digit filing order?

Accepted Answer

A)  00-79-99, 00-79-01, 99-78-99 
B)  57-78-00, 57-78-01, 56-78-99 
C)  99-05-26, 01-06-26, 49-04-02 
D)  55-55-55, 33-33-33, 44-44-44

Question 15

Jon is a recent graduate who is considering accepting a position as Trauma Registrar at a large metropolitan medical center while he prepares to apply to graduate school. In making the decision, he considers the offer of $15 per hour for a 40-hour week, benefits of 27.5% of his salary, and tuition waivers of 6 credits per year at $145. He calculated that the total compensation would be

Accepted Answer

A)  $40, 650.00 
B)  $39,563.25. 
C)  $38,599.00 
D)  $31,030.00

Question 16

The Director of the Health Information Department had to resign immediately due a family crisis requiring her to leave the country. Her superior, the Administrator of Support Services, must appoint an Acting Director as soon as possible, but is questioning who might be the best individual for this temporary role. What tool would assist the administrator with this decision?

Accepted Answer

A)  staffing table 
B)  replacement chart 
C)  proximity chart 
D)  frequency chart

Question 17

Which of the following statements describes a method?

Accepted Answer

A)  Medical records requested by the emergency room will be retrieved and delivered within minutes. 
B)  Multiple-page discharge summaries are stapled together in the left-hand corner. 
C)  Transcription turnaround time is established as 24 hours following completion of dictation by the physician. 
D)  Only HIM personnel have access to the medical record filing area.

Question 18

The purpose of the new security awareness program is(are)

Accepted Answer

A)  to help staff realize the importance of security. 
B)  remind users of procedures. 
C)  lock down PHI. 
D)  both A and B

Question 19

A system of preferred terminology for naming diseases processes is known as a

Accepted Answer

A)  set of categories. 
B)  classification system. 
C)  medical nomenclature. 
D)  diagnosis listing.

Question 20

You have to decide which type of firewall that you want to use in your facility. Which of the following is one of your options?

Accepted Answer

A)  packet filter 
B)  secure socket layer 
C)  CCOW 
D)  denial of service

Exam 1: Registered Health Information Administrator