Question 1

Many of the principles of forms design apply to both paper-based and computer-based systems. For example, the physical layout of the form and/or screen should be organized to match the way the information is requested. Facilities that are scanning and imaging paper records as part of a computer-based system must give careful consideration to

Accepted Answer

A)  placement of hospital logo. 
B)  signature line for authentication. 
C)  use of box design. 
D)  bar code placement.

Question 2

The census taken at midnight on August 1 showed 99 patients remaining in the hospital. On August 2, four patients were admitted, there was one fetal death, one DOA, and seven patients were discharged. One of these patients was admitted in the morning and remained only 8 hours. How many inpatient service days were rendered on August 2?

Accepted Answer

A)  94 
B)  95 
C)  96 
D)  97

Question 3

Cooley's anemia

Accepted Answer

A)  282.41 
B)  282.0 
C)  282.49 
D)  282.42

Question 4

Sally had three babies in 4 years and she considered that more than enough. During her hospitalization for her third delivery, Sally had a sterilization procedure performed. When the record is coded, the V-code for sterilization, V25.2 is

Accepted Answer

A)  not used. 
B)  used and sequenced as the principal diagnosis. 
C)  used and sequenced as a secondary diagnosis. 
D)  the only code used.

Question 5

Contributing factors of mental disorders include

Accepted Answer

A)  heredity 
B)  trauma 
C)  stress 
D)  all of the above

Question 6

The foundation for communicating all patient care goals in long-term care settings is the

Accepted Answer

A)  legal assessment. 
B)  labor and delivery record. 
C)  interdisciplinary patient care plan. 
D)  Uniform Hospital Discharge Data Set.

Question 7

You and your colleague are designing a study to try to determine the ideal mean cost for discretionary service. You will market your service to a very large population. Your colleague thinks you will get the best data if you take lots of small samples. You think the data will be neat reliable if you take one or two very large samples.

Accepted Answer

A)  Your colleague is right-the mean of multiple samples will yield more reliable results. 
B)  You are right-the means of a few large samples will yield more reliable results. 
C)  You are equally correct-there is little difference in the reliability of these sampling methods. 
D)  You are equally wrong-unles you use stratified sampling, you cannot expect reliable

Question 8

As the HIM clerical supervisor, Debbie is concerned that some employees are not utilizing theft talents and skills effectively. Which of the following should Debbie consider first?

Accepted Answer

A)  revising job descriptions 
B)  performing a job analysis 
C)  observing the workers more closely 
D)  giving the employees additional responsibilities

Question 9

Male presented to operating room for sterilization by bilateral vasectomy.

Accepted Answer

A)  55200 
B)  55400 
C)  55250 
D)  55450

Question 10

Patient has a history of chronic alcohol abuse with portal hypertension. Patient has been vomiting blood for the past 3 days and presented to his physician's office. Patient was sent to the hospital for evaluation and an EGD was performed. Biopsy findings showed gastritis, esophagitis and bleeding esophageal varices, which were injected with sclerosing solution.

Accepted Answer

A)  43235; 43244; 43204 
B)  43239; 43244 
C)  43239; 43243 
D)  43239; 43243; 43204

Question 11

Coastal Hospital is a covered entity under HIPAA,. In order to comply with the requirements, the, must train their workforce on policies and procedures with respect to protected health information (PHI). Which of the following levels of the workforce would be exempt front training?

Accepted Answer

A)  HIM staff because they have already received training in release of information 
B)  staff physicians because they have taken the Hippocratic Oath 
C)  administrative staff because they do.not perform hands-on care 
D)  none of the above

Question 12

The HIM supervisor is evaluat ing software that would ut ilize elect ronic logging and monitoring of requests for copies of patient information. What department function is this most useful for?

Accepted Answer

A)  correspondence/ROY control 
B)  record completion 
C)  record location/tracking 
D)  transcription

Question 13

You are selecting the database model for your new information system's database. You ha chosen the one that is structurally independent, is easy to use and manage, and has a s database management system. What have you chosen?

Accepted Answer

A)  network 
B)  relational 
C)  hierarchical 
D)  bus

Question 14

Mary processed a request for information and mailed it out last week. Today, the requestor, an attorney, called and said that all of the requested information was not provided. Mary pulls the documentation, including the authorization and what was sent. She believes that she sent everything that was required. She confirms this with her supervisor. The requestor still believes that some extra documentation is required. Given the above information, which of the following statements is true?

Accepted Answer

A)  Mary is not required to release the extra documentation because the facility has the right to interpret a request and apply the minimum standard rule. 
B)  Mary is required to release the Extra documentation because the requestor knows what is needed. 
C)  Mary is required to release the extra documentation because, in the customer service program for the facility, the customer is always right. 
D)  Mary is not required to release the additional information because her administrator agrees with her.

Question 15

Looking more closely at the LOS for these patients. When you calculate the standard deviation the data, you would expect

Accepted Answer

A)  a large standard deviation because the dispersion is large. 
B)  a small standard deviation because the dispersion is small. 
C)  a large standard deviation because the dispersion is small. 
D)  a small standard deviation because the dispersion is large.

Question 16

The effective coordination of utilization review, quality assessment functions, and risk management activities can help eliminate

Accepted Answer

A)  antitrust violations. 
B)  occurrence screening. 
C)  duplicate record review. 
D)  incident reporting.

Question 17

These are assigned to every HCPCS/CPT code under the Medicare hospital outpatient prospective payment system to identify how the service or procedure described by the code would be paid.

Accepted Answer

A)  geographic practice cost indices 
B)  major diagnostic categories 
C)  minimum data set 
D)  payment status indicator

Question 18

Patient data collection requirements vary according to health care setting. A data element you would expect to be collected in the MDS, but not in the UHDDS would be

Accepted Answer

A)  personal identification. 
B)  cognitive patterns. 
C)  procedures and dates. 
D)  principal diagnosis.

Question 19

This program, formerly called CHAMPUS (Civilian Health and Medical Program-Uniformed Services), is a health care program for active members of the military and other qualified family members.

Accepted Answer

A)  TRICARE 
B)  CHAMPVA 
C)  Indian Health Service 
D)  workers' compensation

Question 20

The patient underwent bypass surgery for life-threatening coronary artery disease. With the aid of extracorporeal circulation, the right internal mammary artery was taken down to the left anterior descending artery and saphenous vein grafts were brought from the aorta to the diagonal, the right coronary artery, and the posterior descending artery. What is the correct ICD-9-CM coding for this procedure?

Accepted Answer

A)  single internal mammary artery bypass; aortocoronary artery bypass of three vessels 
B)  aortocoronary bypass of three coronary arteries 
C)  aortocoronary bypass of four coronary arteries 
D)  single internal mammary artery bypass; aortocoronary bypass of three vessels, extracorporeal circulation

Exam 1: Registered Health Information Administrator