Question 1

There are a limited number of late effect codes in ICD-9-CM. When coding a residual condition where there is no applicable late effect code, one should code

Accepted Answer

A)  the residual condition followed by its cause. 
B)  the cause followed by the residual condition. 
C)  only the residual condition. 
D)  only the cause of the residual condition.

Question 2

Boil, left face; incision and drainage

Accepted Answer

A)  680.0, 86.04 
B)  680.0, 86.09 
C)  680.8, 86.11 
D)  680.0, 86.04, 86.11

Question 3

Obstetric patient comes in for a pelvimetery with placental placement.

Accepted Answer

A)  74710 
B)  76946 
C)  76805 
D)  76825

Question 4

One of the most common rater biases that affect an employee's evaluation is the halo effect halo effect suggests that the supervisor

Accepted Answer

A)  rates everyone as average. 
B)  is too lenient or too strict in rating employee performance. 
C)  rates the employee on the basis of a strong like or dislike of the person. 
D)  bases the employee evaluation on his behavior in the most recent period rather than the en ' evaluation period.

Question 5

In ICD-9-CM, when an exploratory laparotomy is performed followed by a therapeutic procedure, the coder reports

Accepted Answer

A)  therapeutic procedure first, exploratory laparotomy second. 
B)  exploratory laparotomy, therapeutic procedure, closure of wound. 
C)  exploratory laparotomy first, therapeutic procedure second. 
D)  therapeutic procedure only.

Question 6

Rheumatoid arthritis typically affects the

Accepted Answer

A)  intervertebral disks. 
B)  hips and shoulders 
C)  knees and small joints of the hands and feet. 
D)  large, weight-bearing joints.

Question 7

Your HIS Department receives an authorization for Sara May's medical history to be sent to her attorney, but the expiration date noted on the authorization has passed. What action is appropriate according to HIPAA privacy rules?

Accepted Answer

A)  Do not honor because the authorization is invalid. 
B)  Contact the patient to get permission to respond. 
C)  Contact the attending physician for permission to respond. 
D)  Honor the authorization since the patient obviously approves of the release.

Question 8

Diabetic microvascular disease occurs

Accepted Answer

A)  as a direct result of elevated serum glucose. 
B)  as a result of elevated fat in blood. 
C)  due to damage to nerve cells. 
D)  only in type 1 diabetics.

Question 9

Patient has been on the bone marrow transplant recipient list for 3 months. A perfect match was made and the patient came in and received peripheral stem cell transplant.

Accepted Answer

A)  38242 
B)  38230 
C)  38241 
D)  38240

Question 10

Under the Americans with Disabilities Act (ADA), prior to employment, it is illegal to require a

Accepted Answer

A)  math aptitude test. 
B)  typing skill test. 
C)  coding proficiency test. 
D)  pre-employment physical exam.

Question 11

Blindness due to an allergic reaction to ampicillin administered 6 years ago would be reported as a(n)

Accepted Answer

A)  poisoning. 
B)  adverse reaction to a drug. 
C)  late effect of a poisoning. 
D)  late effect of an adverse reaction.

Question 12

Patient complains of recurrent syncope following carotid thromboendarterectomy. Patient returns 2 weeks after initial surgery and undergoes repeat carotid thromboendarterectomy.

Accepted Answer

A)  33510 
B)  35301 
C)  35201 
D)  35301; 35390

Question 13

Fee schedules are updated by third party payers

Accepted Answer

A)  monthly 
B)  weekly 
C)  annually 
D)  semiannually

Question 14

Gary's primary concern is job continuity and adequate health insurance for his large family. level of Maslow's hierarchy of needs does Gary operate from?

Accepted Answer

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

Question 15

Patient is admitted to the hospital with acute abdominal pain. The attending medical physician requests a surgical consult. The consultant agrees to see the patient and conducts a comprehensive history and physical examination. The physician ordered lab work to rule out pancreatitis, along with an ultrasound of the gallbladder and abdominal x-ray. Due to the various diagnosis possibilities and the tests reviewed, a moderate medical decision was made.

Accepted Answer

A)  99244 
B)  99222 
C)  99254 
D)  99204

Question 16

Health care is known for rapid change. Cherelle understands the importance of change management and being a positive change agent. Which of the following approaches would be LEAST likely to support her approach?

Accepted Answer

A)  being available to listen to staff 
B)  holding on to the vision 
C)  measuring and celebrating success 
D)  easing up on delegating

Question 17

The key diagnostic finding for typical pneumonia is

Accepted Answer

A)  abnormal blood electrolytes. 
B)  elevated WBC 
C)  lung consolidation x-ray. 
D)  positive sputum culture

Question 18

Which of the following documents is subject to the HIPAA security rule?

Accepted Answer

A)  document faxed to the facility 
B)  copy of discharge summary 
C)  paper medical record 
D)  scanned operative report stored on CD

Question 19

In preparing your facility for initial accreditation by Joint Commission, you are trying to improve the process of ongoing record review. All health record reviews are presently performed by a team of Him department personnel. The committee meets quarterly and reports to a Quality Management Committee. In reviewing Joint Commission standards your first recommended change is to

Accepted Answer

A)  have more frequent committee meetings. 
B)  have the committee report to the Executive Committee. 
C)  have a physician perform all the reviews. 
D)  provide for record reviews to be performed by an interdisciplinary team of care providers.

Question 20

Patient complains of frequent temporal headaches and the physician suspects temporal arteritis. Patient underwent temporal artery biopsy.

Accepted Answer

A)  784.0; 37615 
B)  784.0; 37609 
C)  446.5; 37600 
D)  446.5; 37609

Exam 1: Registered Health Information Administrator