Question 1

Your HIM department is moving to a new location, and in order to arrange your employees functions for optimal work flow efficiency and to decide which employees need to be placed d to each other, the tool you decide to use is a

Accepted Answer

A)  data flow diagram. 
B)  PERT chart. 
C)  proximity chart. 
D)  flow process chart.

Question 2

IV push of one anti-neoplastic drug

Accepted Answer

A)  96401 
B)  96409 
C)  96411 
D)  96413

Question 3

Patient presents to the hospital for debridement of a diabetic ulcer of the left ankle. The patient has a history of recurrent ulcers. Medication taken by the patient includes Diabeta and the patient was covered in the hospital with insulin sliding scales. The ulcer was debrided down to the bone.

Accepted Answer

A)  250.81, 707.06, 11044 
B)  250.71, 11043 
C)  250.80, 707.06, 11044 
D)  250.81, 250.70, 707.09, 11044

Question 4

As the chair of a Forms Review Committee, you need to track the origin of data in a particular field and the security levels applicable to that field. Your best source for this information would be the

Accepted Answer

A)  facility's data dictionary. 
B)  MDS. 
C)  Glossary of Health Care Terms. 
D)  UHDDS.

Question 5

Patient with chronic otitis media requiring eustachian tube catheterization

Accepted Answer

A)  69400 
B)  69424 
C)  69421 
D)  69405

Question 6

Most health care facilities use this type of screening criteria for utilization review purposes to determine the need for inpatient services and justification for continued stay.

Accepted Answer

A)  severity of illness/intensity of service criteria (SI/IS) 
B)  critical pathways 
C)  Joint Commission defined and developed criteria 
D)  HEDIS measures

Question 7

Which of the following are considered late effects regardless of time?

Accepted Answer

A)  congenital defect 
B)  nonunion, malunion, scarring 
C)  fracture, burn 
D)  poisoning

Question 8

Patient undergoes enucleation of left eye and muscles were reattached to an implant.

Accepted Answer

A)  65135-LT 
B)  65105-LT 
C)  65730-LT 
D)  65103-LT

Question 9

At Community Hospital the average admission will create a file that will take up 0.25 inch of file space. Each new ER record requires 0.125 inch of filed space. Approximately 25,000 new patients are admitted per year and 15,000 ER patients are treated per year. The shelving cost is $1.05 per filing inch. How much money should be allocated for storage space in next year's budget?

Accepted Answer

A)  $8,531.25 
B)  $8,125.00 
C)  $853.25 
D)  $1,875.00

Question 10

Which of the following statements is false in regard to departmental reengineering?

Accepted Answer

A)  It is mainly done to reduce departmental costs. 
B)  It is intended to make small or minor changes in order to improve a function or process. 
C)  It is intended to improve departmental productivity. 
D)  It is intended to ensure satisfied customers.

Question 11

Commercial insurance plans usually reimburse health care providers under some type of __________ payment system, whereas the federal Medicare program uses some type of ___________ payment system.

Accepted Answer

A)  prospective, retrospective 
B)  retrospective, concurrent 
C)  retrospective, prospective 
D)  prospective, concurrent

Question 12

Prolonged pregnancy is a pregnancy that has advanced beyond _______ completed weeks of gestation.

Accepted Answer

A)  39 
B)  40 
C)  41 
D)  42

Question 13

Which of the following statements is true about the Privacy Act of 1974?

Accepted Answer

A)  It applies to all organizations who maintain health care data in any form. 
B)  It applies to all health care organizations. 
C)  It applies to the federal government. 
D)  It applies to federal government except for the Veterans Health Administration.

Question 14

The following "sentinel events" must be available for Joint Commission review EXCEPT

Accepted Answer

A)  infant abduction. 
B)  petechiae due to adverse drug reaction. 
C)  rape. 
D)  surgery on wrong patient or wrong body part.

Question 15

__________ is the most common type of skin cancer and ___________ is the most deadly type of skin cancer?

Accepted Answer

A)  malignant melanoma, basal cell carcinoma 
B)  basal cell carcinoma, malignant melanoma 
C)  oat cell carcinoma, squamous cell carcinoma 
D)  squamous cell carcinoma, oat cell carcinoma

Question 16

An important element of data quality is security in preventing unauthorized access, corruption, misuse, and loss of data. Both technical and procedural methods will bed used with the CPR to control and manage confidential information. An example of a procedural method for protecting data is

Accepted Answer

A)  confidentiality statements signed by all staff. 
B)  limiting access of certain screens based on the staff's need to know. 
C)  auditing capability of system to track data access. 
D)  computer backup systems

Question 17

Nephropathy due to tuberculosis (confirmed histologically) of the kidney. Patient has a right nephrectomy performed.

Accepted Answer

A)  016.05, 583.81, 55.51 
B)  583.81, 016.0, 55.52 
C)  016.02, 583.81, 55.51 
D)  016.02, 583.81, 55.52

Question 18

Patient was admitted to the hospital with. sharp pelvic pains. A pelvic ultrasound was ordered { and the results showed a possible ovarian cyst. The patient was taken to the operating room where a laparoscopic destruction of two corpus luteum cysts was performed.

Accepted Answer

A)  49321 
B)  58925 
C)  58561 
D)  58662

Question 19

Michael is a new manager at Tri-County Health Systems. Human Resources has recently provided training for and implemented a new performance appraisal system which includes input from managers, peers, and staff. This approach is typically known as

Accepted Answer

A)  360-degree evaluation. 
B)  group appraisal. 
C)  holistic appraisal. 
D)  multi-factor evaluation.

Question 20

The local safety council requests statistics on the number of head injuries occurring as a result of skateboarding accidents during the last year. To retrieve this data, you will need to have the correct

Accepted Answer

A)  CPT code. 
B)  Standard Nomenclature of Injuries codes. 
C)  E-codes and ICD-9-CM codes. 
D)  HCPCS Level II codes.

Exam 1: Registered Health Information Administrator