Question 1

You just learned that you will be storing the same data in two places in the database. What kind of problem do you have?

Accepted Answer

A)  data quality 
B)  schema 
C)  normalization 
D)  knowledge management

Question 2

At our integrated delivery system, the hospital and clinic have separate networks. There are times when they need to share information across the network. This can be accomplished with a

Accepted Answer

A)  gateway. 
B)  hub. 
C)  router. 
D)  bridge.

Question 3

Patient was admitted with hemoptysis and underwent a bronchoscopy with transbronchial lung biopsy. Following the bronchoscopy the patient was taken to the operating room where a left lower lobe lobectomy was performed without complications. Pathology reported large cell carcinoma of the left lower lobe.

Accepted Answer

A)  162.9, 31625 
B)  162.5, 31628, 32480 
C)  162.9, 32405, 32484 
D)  162.8, 32440

Question 4

Which of the following is NOT a safety hazard in the file area of the HIM Department?

Accepted Answer

A)  tightly packed open-shelf files 
B)  heavy objects placed on top file drawers 
C)  stepladders which are fully open and locked in place 
D)  plastic wastebasket for trash

Question 5

Key reports in a health record, such as history and physicals, discharge summaries, and operative reports, are generally dictated and transcribed. This recommended standard contributes most to data

Accepted Answer

A)  timeliness. 
B)  accuracy. 
C)  legibility. 
D)  security.

Question 6

Patient is admitted with abdominal pain. Needle biopsy of the liver reveals secondary malignancy. of the liver. Patient has an exploratory laparotomy to determine primary site. Primary site is unknown at time of discharge.

Accepted Answer

A)  197.7, 199.1, 54.11, 50.12 
B)  197.7, 789.00, 54.11, 50.11 
C)  197.7, 199.1, 54.11, 50.11 
D)  197.7, 199.1, 789.00, 54.11, 50.12

Question 7

You are working with a database that is created from multiple databases being stored in a single database. This is a(n)

Accepted Answer

A)  electronic health record. 
B)  personal health record. 
C)  clinical data repository. 
D)  health information exchange.

Question 8

When appropriate, under the outpatient PPS, a hospital can use this CPT code in place of, but not in addition to, a code for a medical visit or emergency department service.

Accepted Answer

A)  CPT Code 99291 (critical care) 
B)  CPT Code 99358 (prolonged evaluation and management service) 
C)  CPT Code 35001 (direct repair of aneurysm) 
D)  CPT Code 50300 (donor nephrectomy)

Question 9

Outsourcing information systems results in which of the following?

Accepted Answer

A)  increased accessibility of competent IT staff 
B)  reduced equipment investment 
C)  reduction in time to implement 
D)  all of the above

Question 10

All of the following are elements of a contract EXCEPT

Accepted Answer

A)  offer/communication. 
B)  duty. 
C)  price/consideration. 
D)  acceptance.

Question 11

Look at the graph below. It is an example of a

Accepted Answer

A)  stacked bar chart; it is well constructed. 
B)  histogram; it is well constructed. 
C)  comparison bar chart; it is not well constructed. 
D)  frequency polygon; it is not well constructed.

Question 12

What feature is a trademark of an effective PI program?

Accepted Answer

A)  a one-time cure-all for a facility's problems 
B)  an unmanageable project that is too expensive 
C)  a cost-containment effort 
D)  a continuous cycle of improvement projects over time

Question 13

The most common rickettsial disease in the United Stats is

Accepted Answer

A)  Hantavirus. 
B)  Lyme disease. 
C)  Rocky Mountain spotted fever 
D)  syphilis.

Question 14

According to AHIMA's recommended retention standards, which one of  the following types of health information does NOT need to be retained permanently?

Accepted Answer

A)  physician index 
B)  register of births 
C)  register of surgical procedures 
D)  register of deaths

Question 15

Consent forms may be challenged on all the following grounds EXCEPT

Accepted Answer

A)  wording was too technical. 
B)  the treating physician obtained the patient's signature. 
C)  it's written in a language that the patient could not understand. 
D)  the signature was not voluntary.

Question 16

Based on the budget illustrated below, what is the monthly budget variance percent for supplies?

Accepted Answer

A)  13.6% 
B)  36% 
C)  26.6% 
D)  11.9%

Question 17

When purchasing file guides, the Health Information Manager should be primarily concerned with which of the following?

Accepted Answer

A)  cost and color 
B)  durability and visibility 
C)  cost and visibility 
D)  color and durability

Question 18

Quality requirements of providers participating in the Medicare program are found in all EXCEPT the

Accepted Answer

A)  Conditions of Participation. 
B)  Federal Register. 
C)  ORYX. 
D)  QIO regulations governing work scope.

Question 19

Case Study #2 You are the director of the Health Information Management Department for Bayshore Hospital. A former patient of the hospital, Barbara Masters, is suing the hospital for negligent care of an infected decubitus ulcer. You are asked by Barbara's attorney to provide sworn verbal testimony and/or written answers to questions. Referring to Case Study #2, Bayshore Hospital is the _________________ in this case.

Accepted Answer

A)  appellant 
B)  appellee 
C)  defendant 
D)  plaintiff

Question 20

Your facility has the technology in place for physicians to log on to your website and enter a password. Once they have successfully logged into the system, they are able to view information that is not available to the general public. Which of the following are the physicians utilizing?

Accepted Answer

A)  intranet 
B)  extranet 
C)  Internet 
D)  clinical information system

Exam 1: Registered Health Information Administrator