Question 1

Your committee is charged with developing procedures for the Health Information Services staff of a new home health agency. You recommend that the staff routinely check to verify that a summary on each patient is provided to the attending physician so that he or she can review, updated, and recertify the patient as appropriate. The time frame for requiring this summary is at least every

Accepted Answer

A)  week. 
B)  month. 
C)  60 days. 
D)  90 days.

Question 2

Which one of the following is NOT an advantage of a computerized master patient index?

Accepted Answer

A)  It allows access to data alphabetically, phonetically, or by date of birth, social security number, medical record, or billing number. 
B)  It solves most space and retrieval problems. 
C)  It provides other departments with immediately access to the inform maintained in the master patient index. 
D)  Duplication of patient registration can never occur.

Question 3

Cervical cerclage is a procedure used to help prevent

Accepted Answer

A)  breathing restrictions. 
B)  miscarriage. 
C)  torsion. 
D)  torticollis.

Question 4

A health care facility has received a request to participate in a statewide study on cleft lip and cleft palate. This study would include data from the past year and subsequent years. Given that each of the data sources cited below contains the necessary information, the initial data would be most easily collected from the

Accepted Answer

A)  newborn records. 
B)  state bureau of vital statistics. 
C)  maternal records. 
D)  birth defects registry.

Question 5

Patient with Bell's palsy requiring a total facial nerve decompression

Accepted Answer

A)  64742 
B)  64771 
C)  69955 
D)  64864

Question 6

D and C performed for patient with diagnosis of incomplete abortion at 8 weeks.

Accepted Answer

A)  59812 
B)  59820 
C)  58120 
D)  59160

Question 7

This is the difference between what is charged and what is paid.

Accepted Answer

A)  costs 
B)  charges 
C)  reimbursement 
D)  contractual allowance

Question 8

Liza has been diagnosed with anemia. She is being admitted for a bone marrow aspiration to determine the specific type of anemia. The pathology report indicates that she has iron-deficiency anemia.

Accepted Answer

A)  280.0, 41.38 
B)  280.9, 41.31 
C)  280.9, 41.91 
D)  280.8, 41.38

Question 9

The Director of a Health Information Department has received the quarterly variance budget report. The report indicates the "overtime" category is unfavorable. The director is required justify this overtime expense. Which of the following would be considered an accept explanation for this expenditure? Overtime is unfavorable this quarter due to

Accepted Answer

A)  the annual purging of inactive files. 
B)  a chronic backlog in transcription. 
C)  a decrease in admissions this quarter. 
D)  a lack of supervision in the file area.

Question 10

There was an unexpected hardware failure for our EHR. It is expected to be up and operational in three hours. Until then, which of the following plans would you need to initiate?

Accepted Answer

A)  information system strategic plan 
B)  implementation plan 
C)  business continuity plan 
D)  project planning

Question 11

What criterion is critical in selecting performance indicators for a medical record department?

Accepted Answer

A)  The indicators must include the most important aspects of performance. 
B)  Indicators must correlate with Deming's 14 points. 
C)  Identify at least 25 indicators that are reflective of all department functions. 
D)  Select only indicators that reflect positively on the department.

Question 12

In preparation for conversion to a computerized patient record, a committee at your facility is defining each of the data elements in a patient record to determine which elements should be required and to set parameters for each element. The committee is working on the data

Accepted Answer

A)  edits. 
B)  reasonableness. 
C)  dictionary. 
D)  feasibility.

Question 13

The data display below is a

Accepted Answer

A)  normal distribution or curve. 
B)  positive skewed curve. 
C)  negative skewed curve. 
D)  heterogenous curve. 
E)  none of the above.

Question 14

Patient is 24 weeks' pregnant and arrives in the emergency room following an automobile accident. No fetal movement or heartbeat noted. Patient is taken to the OB ward where prostaglandin is given to induce abortion.

Accepted Answer

A)  59200 
B)  59855 
C)  59821 
D)  59410

Question 15

Patient had a cholecystectomy 6 days ago and is now coming back with evidence of staphylococcal cellulitis at the site of operative incision.

Accepted Answer

A)  958.3, 682.2, 041.19 
B)  998.51, 682.8, 041.11 
C)  958.3, 682.8, 041.11 
D)  998.59, 682.2, 041.10

Question 16

Chronic paranoia due to continuous cocaine dependence. Drug rehabilitation 'provided.

Accepted Answer

A)  301.0, 305.61, 94.63 
B)  297.1, 304.21, 94.64 
C)  297.1, 305.61, 96.64 
D)  297.1, 304.21, 96.63

Question 17

You are choosing restaurants where you might eat while you are in Chicago at the AHIMA Leadership conference. You have collected the following information about four possible lunch restaurants that are all located within easy walking distance of the meeting site. The data is displayed below:  You want to stay within the reimbursement rate allowed by your Component State Association, so it is important to you that you have at least a 95% chance of eating a lunch that costs no more than $10.00. Therefore, when lunchtime comes you head to

Accepted Answer

A)  Bon Appetite or Mario's. 
B)  Mario's or Au Courant. 
C)  Au Courant or The Windy City Grill. 
D)  The Windy City Grill or Bon Appetite.

Question 18

Patient was admitted from the nursing home in acute respiratory failure that was due to congestive heart failure. Chest x-ray also showed pulmonary edema. Patient was intubated and placed on mechanical ventilation and expired the day after admission.

Accepted Answer

A)  428.1, 518.84, 518.4, 96.71, 96.04 
B)  428.20, 428.0, 518.81, 518.4, 96.71, 96.04 
C)  518.81, 428.0, 96.71, 96.04 
D)  428.0, 518.4, 96.04, 96.71

Question 19

Postage charges in the Health Information Department have increased during the last qua The department director has seen metered envelopes in the mail bin that do not appear to those used for departmental business. The best course of action for the director would be to

Accepted Answer

A)  remove the postage meter from the department. 
B)  keep a watchful eye on the meter and who uses it. 
C)  issue employee warnings at the next departmental meeting. 
D)  assign responsibility for the postage meter to one employee.

Question 20

A 75-year-old female was admitted for repair of a hiatal hernia which was performed on the first day of admission. While recovering, the patient fell out of her bed and sustained a fractured femur which was surgically reduced. Further complications included severe angina for which a cardiac catheterization and PTCA were performed. The principal procedure is

Accepted Answer

A)  femur reduction. 
B)  herniorrhaphy. 
C)  catheterization. 
D)  PTCA.

Exam 1: Registered Health Information Administrator