Question 1

You notice on the admission H&P that Mr. McKahan, a Medicare patient, was admitted for disc surgery, but the progress notes indicate that due to some heat irregularities, he many not be a good surgical risk. Because of your knowledge of COP regulations, you expect that a(n)_______________ will be added to his health record

Accepted Answer

A)  interval summary. 
B)  consultation report. 
C)  advance directive. 
D)  interdisciplinary care plan.

Question 2

A rule is helpful to both managers and the employees in the decision-making process. A rule

Accepted Answer

A)  allows judgments to be made. 
B)  requires interpretation. 
C)  pre-decides issues. 
D)  provides the necessary details.

Question 3

Codes act as a primary means of communication with third-party payers. You look forward to the day that you will use

Accepted Answer

A)  ICD-9-CM procedure codes for inpatients and HCPCS or CPT procedure codes for outpatients. 
B)  ICD-9-CM procedure codes for outpatients and HCPCS or CPT procedure codes for inpatients. 
C)  ICD-9-CM procedure codes for all patients, regardless of setting. 
D)  one universal procedure coding system for all patients, regardless of setting.

Question 4

These are financial protections to ensure that certain types of facilities (e.g., children's hospitals) recoup all of their losses due to the differences int heir APC payments and the pre-APC payments.

Accepted Answer

A)  limiting charge 
B)  indemnity insurance 
C)  hold harmless 
D)  pass through

Question 5

It would be most profitable for Sea Side Clinic to increase episode of care service with Sea Side Clinic (SSC) provides episode of care service for four insurance companies. Data on services provided and reimbursement received are provided below.

Accepted Answer

A)  Lifecare. 
B)  Get Well. 
C)  SureHealth. 
D)  BeHealthy.

Question 6

Pathologist performs a postmortem examination including brain of an adult. Tissue is being sent to the lab for microscopic examination.

Accepted Answer

A)  88309 
B)  88025 
C)  88099 
D)  88028

Question 7

The performance of ongoing record reviews is an important tool is ensuring data quality through accurate health records. These reviews evaluate

Accepted Answer

A)  quality of care through the use of pre-established criteria. 
B)  adverse effects and contraindications of drugs utilized during hospitalization. 
C)  potentially compensable events. 
D)  completeness, adequacy, and quality of documentation.

Question 8

Which of the following responsibilities would you expect to find on the job description of a facility's Information Security Officer, but NOT on the job description of Chief Privacy Officer?

Accepted Answer

A)  cooperate with the Office of Civil Rights in compliance investigations 
B)  conduct audit trails to monitor inappropriate access to system information 
C)  oversee the patient's right to inspect, amend, and restrict access to protected health information 
D)  monitor the facility's business associate agreements

Question 9

Heartland Health System has set hiring goals and taken steps to guarantee equal employment opportunities for protected groups' members (e.g., American Indians, women, blacks, etc.). It is complying with

Accepted Answer

A)  Affirmative Action. 
B)  Equal Pay Act. 
C)  Minority Hiring Act. 
D)  Civil Rights Act.

Question 10

A nomenclature of codes and medical terms and that provides standard terminology for reporting physicians' services for third-party reimbursement is

Accepted Answer

A)  Current Medical Information and Terminology (CMIT). 
B)  Current Procedural Terminology (CPT). 
C)  Systemized Nomenclature of Pathology (SNOP). 
D)  Diagnostic and Statistical Manual of Mental Disorders (DSM).

Question 11

As supervisor of the record completion function of the HIM department, you are asked for record completion statistics for specific physicians who are being evaluated for reappointment to the medical staff. Which of the following information elements would you report for each physician?

Accepted Answer

A)  physician education and training 
B)  number of delinquent records 
C)  state licensure expiration date 
D)  prior physician malpractice claims history

Question 12

Chronic interstitial cystitis; cystoscopy with biopsy performed

Accepted Answer

A)  599.0, 57.32 
B)  595.1, 57.33 
C)  595.2, 57.32, 57.33 
D)  595.1, 599.0, 57.32

Question 13

You are considering the classification of two patients discharged from your hospital yester Both patients had a length of stay that was increased due to co-morbidities and/or complicat described below:  The best way to describe these two cases would be to say that:

Accepted Answer

A)  Both Fred and Ted have concomitant chronic co-morbidities; Fred also had a nosocom complication. 
B)  Both Fred and Ted have concomitant chronic co-morbidities; Ted also had an iatrog complication. 
C)  Fred had a concomitant chronic co-morbidity; Ted had a concomitant complication. 
D)  Fred had a concomitant chronic complication; Ted had a concomitant co-morbidity.

Question 14

Psychogenic paroxysmal tachycardia

Accepted Answer

A)  427.2, 316 
B)  306.2, 427.1 
C)  427.1, 306.2 
D)  316, 427.2

Question 15

Patient comes in through the emergency room with a laceration of the posterior tibial nerve. Patient is taken to the operating room where the nerve requires transposition and suture.

Accepted Answer

A)  64856 
B)  64831; 64832; 64876 
C)  64840; 64874 
D)  64834; 64859; 64872

Question 16

Beth Huber, Director of Health Information, has been selected to participate in a strategic planning retreat for her health system. In preparation, she refreshes her understanding of strategic planning. Which of the following will likely be included in the retreat?

Accepted Answer

A)  improvement of existing programs and services 
B)  opportunities to review internal structures and systems 
C)  enhancing customer and patient satisfaction 
D)  focus on the organization's fit with the external environment

Question 17

A patient is on Coumadin therapy. Which of the following tests is commonly ordered to monitor the patient's Coumadin levels?

Accepted Answer

A)  bleeding time. 
B)  blood smear 
C)  partial thromboplastin time 
D)  prothrombin time

Question 18

The laboratory system was installed 3 years ago. It is running well and meeting the needs of the department. Which stage of the IS life cycle is the laboratory system in?

Accepted Answer

A)  initiation 
B)  development 
C)  implementation 
D)  operation

Question 19

Admission for intestinal obstruction due to adhesions. Peripheral vascular disease and chronic urinary tract infections, both conditions treated with oral medication.

Accepted Answer

A)  560.81, 443.9, 599.0 
B)  560.9 
C)  560.9, 443.9, 599.0 
D)  560.89, 443.9, 599.0

Question 20

Mr. McDonaldson was admitted to your hospital at 10:45 PM on January 1, 2008. He died at 4:22 AM on January 3, 2008. How many inpatient service days did Mr. McDonaldson receive?

Accepted Answer

A)  1 
B)  2 
C)  3 
D)  4

Exam 1: Registered Health Information Administrator