Question 1

You have been asked by a peer review committee to print a list of the medical record numbers of all patients who had CABGs performed in the past year at your acute care hospital. Which secondary data source could be used to quickly gather this information?

Accepted Answer

A)  disease index. 
B)  physician index. 
C)  master patient index. 
D)  operation index.

Question 2

Patient with a history of malignant neoplasm of the lung is admitted with seizures. Workup revealed metastasis of the lung cancer to the brain.

Accepted Answer

A)  780.39, V10.11, 198.3 
B)  162.9, V10.11, 198.3, 780.39 
C)  198.3, 780.39, V10.11 
D)  198.3, 780.39, 162.9

Question 3

Arizona Health System has numerous semiretired staff. The Human Resources Department has provided training regarding the Age Discrimination in Employment Act (ADEA), emphasizing that it protects employees and applicants between what ages?

Accepted Answer

A)  50 and 75 
B)  45 and 99 
C)  62 and 85 
D)  40 and 70

Question 4

The responsibility of obtaining an informed consent for a surgical or invasive procedure rests with the

Accepted Answer

A)  patient. 
B)  nurse. 
C)  physician. 
D)  hospital.

Question 5

The Utilization Review Coordinator reviews inpatient records at regular intervals to justify necessity and appropriateness of care'to warrant further hospitalization. Which of the following utilization review activities is being performed?

Accepted Answer

A)  admission review 
B)  pre-admission 
C)  retrospective review 
D)  continued stay review

Question 6

In planning for a file system conversion to a new physical location, it is wise to schedule the actual conversion process to occur

Accepted Answer

A)  during a Joint Commission survey. 
B)  during a 2-week period when the department is closed. 
C)  at an off-peak time for the department such as a weekend (Friday to Monday). 
D)  before purging inactive records.

Question 7

The ownership of the information contained in the physical medical/health record is considered to belong to the

Accepted Answer

A)  patient. 
B)  hospital. 
C)  physician. 
D)  insurance company.

Question 8

Cynthia wants to retrieve a list of patients from the new electronic document manage system. She wants a list of patients admitted to the hospital by Dr. Smith. Which of the folio would explain why she cannot generate this list?

Accepted Answer

A)  improper scanning 
B)  the necessary indexing to retrieve this list was not done 
C)  the data is stored on optical disk so it not readily available 
D)  the COLD technology has not downloaded the lab reports

Question 9

The failure to obtain the written consent of the patient before performing a surgical procedure may constitute

Accepted Answer

A)  battery. 
B)  contempt. 
C)  libel. 
D)  malpractice.

Question 10

One-half hour of IV chemotherapy by infusion followed by IV push of a different drug

Accepted Answer

A)  96413 
B)  96413; 96411 
C)  96413; 96409 
D)  96409; 96411

Question 11

Modified radical mastoidectomy

Accepted Answer

A)  69511 
B)  69505 
C)  69635 
D)  69641

Question 12

The MS-DRG weight in a particular case is 2.0671 and the hospital's payment rate is $3,027. H much would the hospital receive as reimbursement in this case?

Accepted Answer

A)  $3,027.00 
B)  $5,094.10 
C)  $6,257.11 
D)  $ 960.00

Question 13

In determining your acute care facility's degree of compliance with prospective payment requirements for Medicare, the best resource to reference for recent certification standards is the

Accepted Answer

A)  CARF manual. 
B)  hospital bylaws. 
C)  Joint Commission accreditation manual. 
D)  Federal Register.

Question 14

Patient admitted with fever due to bacteremia.

Accepted Answer

A)  780.61, 790.7 
B)  038.9 
C)  780.61 
D)  790.7, 780.61

Question 15

Decompression internal auditory canal

Accepted Answer

A)  69979 
B)  69915 
C)  69970 
D)  69960

Question 16

The health care facility is testing all parts of the system, including volume, data flow, and screen design. This is called

Accepted Answer

A)  stress testing. 
B)  acceptance testing. 
C)  rigorous testing. 
D)  final testing.

Question 17

Case Study #3 A 73-year-old male was admitted to the Sunset Nurcing Facility with senility, cataracts, and S/P cerebrovascular accident with right-side hemiplegia. On his second day at the facility, the resident was discovered to have extensive thermal burns on his buttocks and legs by one of the facility's attendants. Referring to Case Study #3, the resident's family brought legal action against the nursing facility for

Accepted Answer

A)  medical abandonment. 
B)  vicarious liability. 
C)  assault and battery. 
D)  negligence.

Question 18

A physician performs a PTCA with drug-eluting stent placement in the left anterior descending' artery and angioplasty only in the right coronary artery.

Accepted Answer

A)  92996; 92980 
B)  92980-LD; 92984-RC 
C)  93510; 92980; 92981 
D)  92982; 92996; 92981

Question 19

Male patient has been diagnosed with benign prostatic hypertrophy and undergoes a transurethral destruction of the prostate by radiofrequency thermotherapy.

Accepted Answer

A)  52648 
B)  53852 
C)  52601 
D)  53850

Question 20

What cells produce histamine in a type I hypersensitivity reaction?

Accepted Answer

A)  lymphocyte. 
B)  macrophages. 
C)  mast cells. 
D)  neutrophils.

Exam 1: Registered Health Information Administrator