Question 1

Diagnostic testing for meaningitis usually involves

Accepted Answer

A)  blood cultures. 
B)  cerebrospinal fluid analysis. 
C)  stool cands. 
D)  testing urine.

Question 2

Accreditation by Joint Commission is a voluntary activity for a facility and it is

Accepted Answer

A)  a considered unnecessary by most health care facilities. 
B)  required for state licensure in all states. 
C)  conducted in each facility annually. 
D)  required for reimbursement of certain patient groups.

Question 3

You have just inserted data contained in a spreadsheet into your word processed document. is an example of a(n) __________ system.

Accepted Answer

A)  integrated 
B)  interfaced 
C)  mapped 
D)  graphical user interface

Question 4

In electronic health records, authentication may be achieved by

Accepted Answer

A)  handwritten signature. 
B)  digital signature. 
C)  verbal statement. 
D)  all the above.

Question 5

Under APCs, payment status indicator "V" means

Accepted Answer

A)  ancillary services. 
B)  medical visits. 
C)  inpatient procedure. 
D)  multiple procedure reduction does not apply.

Question 6

Lung mass; diagnostic bronchoscopy.

Accepted Answer

A)  518.89, 33.23 
B)  786.6, 33.23 
C)  793.1, 33.27 
D)  786.6, 33.27

Question 7

Dana, the transcription supervisor, has prepared an evaluation for one of her employees. As the evaluation is reviewed by the HIM director, he notes that the employee received an overall rating of "needs improvement." After reading the comments, the director asks Dana to document specific performance improvement recommendations. Dana is unable to do so because she is basing her assessment on her memory of incidents that have occurred over the past year. The director suggests that Dana reassess the employee's evaluation because, ideally, performance appraisals should occur

Accepted Answer

A)  at the end of the 90 day probationary period. 
B)  when the employee needs counseling. 
C)  on a continuous basis. 
D)  once a year.

Question 8

Which of the following statements is correct regarding HIPAA preemption analysis?

Accepted Answer

A)  If the state law that recognizes a patient's right to health care information privacy is more stringent than the HIPAA federal rule, then the state law prevails. 
B)  State law regarding a patient's right to health care information privacy can never prevail over the HIPAA federal rule. 
C)  If a state law that recognizes a patient's right to health care information privacy is more stringent than the HIPAA federal rule, then the courts must decide which shall prevail. 
D)  Even if the state law that recognizes a patient's right to health care information privacy is more stringent than the HIPAA federal rule, the HIPAA federal rule will still prevail.

Question 9

Excision of thyroid adenoma

Accepted Answer

A)  60210 
B)  60200 
C)  60280 
D)  60100

Question 10

Corneal transplant

Accepted Answer

A)  00144 
B)  00140 
C)  00147 
D)  00190

Question 11

Acute respiratory failure due to congestive heart failure. Patient is placed on the ventilator for 3 days following insertion of endotracheal tube.

Accepted Answer

A)  518.81, 428.0, 96.71, 96.04 
B)  518.81, 428.0, 96.72, 96.04 
C)  428.0, 518.81, 96.71, 96.04 
D)  428.0, 518.83, 96.72, 96.04

Question 12

If the physician's standard fee for a service is $210.00 and the Medicare PAR fee is $115.00, what is the limiting charge for a nonparticipating (nonPAR) provider?

Accepted Answer

A)  $241.50 
B)  $109.25 
C)  $132.25 
D)  $125.63

Question 13

Scabies, a highly contagious condition that produces intense pruritus and rash, is caused by

Accepted Answer

A)  head lice. 
B)  itch mites 
C)  jock itch 
D)  rignworm

Question 14

In your facility, the health care providers from every discipline document progress notes sequentially on the same form. Your facility is utilizing

Accepted Answer

A)  integrated progress notes. 
B)  interdisciplinary treatment plans. 
C)  source-oriented records. 
D)  SOAP notes.

Question 15

Rachel, a nurse, can write progress notes in the patient's electronic health record. Vera, a cod can view the progress notes but is not authorized to write a progress note. What controls this?

Accepted Answer

A)  authentication 
B)  two-factor authentications 
C)  biometrics 
D)  based access control

Question 16

A clerical-level employee reports an incident in which the clerk felt the first-line supervisor discriminated on the basis of the clerk's gender. The best action for you to take at this time is to

Accepted Answer

A)  thoroughly investigate the matter and document your findings. 
B)  talk with the first-line supervisor to determine what happened. 
C)  ask the other clerical level staff if they have had similar experiences. 
D)  ask the clerk to provide objective evidence of the discrimination.

Question 17

Patient is admitted with alcohol cirrhosis and has a TIPS procedure performed.

Accepted Answer

A)  35476; 36011; 36481 
B)  37183 
C)  37182 
D)  37140

Question 18

Patient presents to the radiology department where a fine-needle aspiration of the breast is performed utilizing computer tomography.

Accepted Answer

A)  19120; 77012 
B)  19102 
C)  19125 
D)  10022, 77012

Question 19

Patient has a history of hiatal hernia for many years, which has progressively gotten worse. The decision to repair the hernia was made and the patient was sent to the operating room where the repair took place via the thorax and abdomen.

Accepted Answer

A)  39545 
B)  39530 
C)  39502 
D)  39503

Question 20

Patient comes into the office for removal of impacted earwax.

Accepted Answer

A)  69210 
B)  69200 
C)  69222 
D)  69000

Exam 1: Registered Health Information Administrator