Question 1

Pasadena Bay Hospital reports an average LOS in February of 3.7 days with a standard deviation of 20. This tells us that

Accepted Answer

A)  most patients had a LOS of 3 to 4 days. 
B)  there was a small variation in the LOS. 
C)  patients at Pasadena Bay stay longer than average. 
D)  there was a large variation in the LOS.

Question 2

Patient with laryngeal cancer has a tracheoesophageal fistula created and has a voicebox inserted.

Accepted Answer

A)  31611 
B)  31580 
C)  31395 
D)  31502

Question 3

Transesophageal echocardiography (TEE) with probe placement, image, and interpretation a report.

Accepted Answer

A)  93307 
B)  93303; 93325 
C)  93312; 93313; 93314 
D)  93312

Question 4

As database administrator, you have just added a foreign key to one of your tables. Why did do this?

Accepted Answer

A)  the data element refers to ethnicity 
B)  to indicate that it is a primary key in another table 
C)  to ensure that each row is unique 
D)  to separate two tables

Question 5

Hydrocelectomy of spermatic cord

Accepted Answer

A)  55500 
B)  55000 
C)  55041 
D)  55520

Question 6

Bleeding prolapsed internal hemorrhoids and chronic constipation. Patient is admitted for

Accepted Answer

A)  455.1, 564.09, 49.44 
B)  455.1, 49.45 
C)  455.2, 564.09 49.45 
D)  455.1, 455.2, 49.45

Question 7

In regards to quality of coding, the degree tow which the codes selected accurately reflect the diagnoses and procedures refers to

Accepted Answer

A)  reliability. 
B)  validity. 
C)  completeness. 
D)  timeliness.

Question 8

The Joint Commission suggests that hospitals use which type of patient information system?

Accepted Answer

A)  unit record 
B)  computer-based patient record 
C)  protocol for requesting information, whereby the request is provided to the practitioner in a timely manner 
D)  any one of the above

Question 9

The third step is

Accepted Answer

A)  cases are differentiated based on the presence or absence of complications/ comorbidites (CCs) or major complications comorbidites (MCCS). 
B)  cases are divided into either a surgical partition or a medical partition. 
C)  the principal diagnosis determines the MDC assignment. 
D)  diagnoses and procedures are coded using ICD-9-CM.

Question 10

Under the inpatient prospective payment system (IPPS), there is a three-day payment window (formerly referred to as the 72-hour rule). This rule requires that outpatient preadmission services that are provided by a hospital up to three calendar days prior to a patient's inpatient admission be covered by the IPPS MS-DRG payment for

Accepted Answer

A)  diagnostic services. 
B)  therapeutic (or non-diagnostic) services whereby the inpatient principal diagnosis code (ICD-9-CM) exactly matches the code used for pre-admission services. 
C)  therapeutic (or non-diagnostic) services whereby the inpatient principal diagnosis code (ICD-9-CM) does not match the code used for pre-admission services. 
D)  both A and B.

Question 11

Creatinine clearance.

Accepted Answer

A)  82550 
B)  82565 
C)  82575 
D)  82585

Question 12

To ensure consistency of coverage among trainers, you may want to develop

Accepted Answer

A)  training manuals. 
B)  meeting handouts and minutes. 
C)  signed confidentiality statements acknowledging receipt and understanding of any training attended. 
D)  ongoing training to keep the issues in front of the workforce.

Question 13

Patient with a traumatic rupture of the eardrum. Repaired with tympanoplasty with incision of the mastoid. Repair of ossicular chain not required.

Accepted Answer

A)  69641 
B)  69646 
C)  69642 
D)  69635

Question 14

Laceration of left wrist with injury to radial nerve as a result of an accident with embedded glass. Wrist laceration repaired with sutures.

Accepted Answer

A)  881.02, 86.59 
B)  88112, E920.8, 86.59 
C)  955.3, E920.8, 86.59 
D)  881.12, 955.3, E920.8, 86.59

Question 15

Which of the following is an example of health care operations?

Accepted Answer

A)  sending bill to insurance company 
B)  providing copy of record to Department of Homeland Security for national security purposes 
C)  sharing record with hospital attorney definin,$ facility in malpractice case 
D)  providing record to physician for patient care

Question 16

The Anesthesia Department is adding a new indicator to its plan. The Chief Anesthesiologist has come to you, the Director of Quality Management, to help her design a data collection methodology. The two of you are now considering who will be doing the data collection. All of the following are factors in your deliberations EXCEPT

Accepted Answer

A)  quality management organizational model of the institution. 
B)  Joint Commission standards and required characteristics. 
C)  the location of data. 
D)  the expertise of the staff.

Question 17

Patient is a type II diabetic with a diabetic cataract. Patient has phacoemulsification of the cataract with synchronous insertion of lens.

Accepted Answer

A)  250.51, 366.42, 13.59, 13.71 
B)  250.50, 366.41, 13.41, 13.71 
C)  250.52, 366.41, 13.41, 13.71 
D)  366.41, 250.50, 13.41, 13.71

Question 18

Medical record information may be exempt from the Freedom of Information Act requirements if the request for information meets the test of being an unwarranted invasion of personal privacy. Which of the following is NOT one of the conditions of the test?

Accepted Answer

A)  The information must be contained in a personal, medical, or similar file. 
B)  The information is generated from federally funded research conducted by a private health care organization. 
C)  Disclosure of the information constitutes an invasion of personal privacy. 
D)  The severity of the invasion must outweigh the public's interest in disclosure.

Question 19

The formula used to calculate the percentage of ambulatory care visits made with same day appointments is

Accepted Answer

A)  number of patients seen with same day appointments for a period x 100 number of patients seen with advance appointments for the same period 
B)  number of patients seen with advance appointments for a period x 100 number of patients seen with same day appointments for the same period 
C)  number of patients seen with same day appointments for a period x 100 number of patients seen in the same period 
D)  number of patients seen with advance appointments for a period x 100 number of patients seen in the same period

Question 20

The American College of Surgeons mandates a successful follow-up rate for all cancer cases of at least ________ to meet approval requirements as a cancer program.

Accepted Answer

A)  70% 
B)  80% 
C)  90% 
D)  100%

Exam 1: Registered Health Information Administrator