Question 1

Malunion of humeral fracture (original injury occurred 1 year ago). Open reduction with internal fixation performed.

Accepted Answer

A)  812.20, 79.39 
B)  733.82, 905.2, 79.31 
C)  733.81, 905.2, 79.31 
D)  733.94, 905.2, 79.32

Question 2

Chronic nontraumatic rotator cuff tear. Arthroscopic subacromial decompression with mini-open rotator cuff repair.

Accepted Answer

A)  840.4, 726.10, 29823 
B)  727.61, 29826, 23412 
C)  840.4, 29826, 29821 
D)  727.61, 23410

Question 3

Fracture of the medial malleolus due to fall down steps. Fracture treated with closed reduction.

Accepted Answer

A)  824.1, E880.9, 79.05 
B)  824.0, E880.9, 79.06 
C)  824.0, 79.09 
D)  824.1, E880.1, 79.05

Question 4

This information is used because it provides a uniform system of identifying procedures, services, or supplies. Multiple columns can be available for various financial classes.

Accepted Answer

A)  HCPCS code 
B)  revenue code 
C)  general ledger key 
D)  charge code

Question 5

Patient presents to the hospital for a two-view chest x-ray for a cough. The radiology report

Accepted Answer

A)  V72.5; 71020 
B)  786.2; 71020 
C)  V72.5; 71035 
D)  786.2; 786.3, 71010

Question 6

Which of the listed MS-DRGs has the highest CMS relative weight?

Accepted Answer

A)  247 
B)  470 
C)  871 
D)  293

Question 7

Patient is admitted for a blepharoplasty of the left lower eyelid and a repair for a tarsal strip of the left upper lid.

Accepted Answer

A)  67917-El; 15822-E2 
B)  67917-El; 15820-E2 
C)  67917-El 
D)  67917-El; 15823-E2

Question 8

The difference between a rejected claim and a denied claim is that

Accepted Answer

A)  a rejected claim is sent back to the provider; errors may be corrected and the claim resubmitted. 
B)  a denied claim is sent back to the provider; errors may be corrected and the claim resubmitted. 
C)  a rejected claim may be appealed, but a denied claim may not be appealed. 
D)  if a procedure or service is unauthorized, the claim will be rejected, not denied.

Question 9

What feature distinguishes the Nominal Group Technique (NAT) from brainstorming?

Accepted Answer

A)  NGT can be accomplished by mail. 
B)  NGT uses a visual device like a flip chart to keep track of responses. 
C)  NGT draws responses from a large group of people. 
D)  NGT determines the importance of responses through a rating system.

Question 10

An 11-year-old female is brought to the emergency room with a compound, comminuted fracture of the right tibia and fibula. Her mother was very seriously injured in the same accident and unconscious. What should be done?

Accepted Answer

A)  Nothing until consent can be obtained from the nearest relative. 
B)  The mother can be treated under implied consent, but not the child. 
C)  The hospital should quickly seek a court-appointed guardian for the child. 
D)  Both patients can be treated under implied consent.

Question 11

A disease of the ear that causes vertigo is

Accepted Answer

A)  labyrinthitis.. 
B)  mastoiditis. 
C)  Meniere's disease. 
D)  A and C

Question 12

Which of the following issues would be of LEAST concern when storing health records in off-site storage?

Accepted Answer

A)  operating hours of the storage facility 
B)  safety and confidentiality procedures 
C)  filing order of the records 
D)  procedure for request of a record in an emergency

Question 13

A female patient was admitted with uncontrolled type II diabetes. Patient also had an abscessed diabetic ulcer of the foot that was treated with incision and drainage. Culture and sensitivity of abscess shows growth of Staphylococcus aureus, methicillin resistant. Patient was started on the appropriate antibiotic. Patient is on oral as well as injectional insulin for control of diabetes.

Accepted Answer

A)  250.83, 682.8, V09.0, 86.04 
B)  682.7, 682.7, 707.15, 041.19, 86.01 
C)  682.8, 041.19, 250.82, 707.00, 86.04, 
D)  250.82, 682.7, 707.15, 041.11, V09.0, 86.04

Question 14

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, you are involved in what phase of the lawsuit?

Accepted Answer

A)  pretrial conference 
B)  trial 
C)  discovery 
D)  appeal

Question 15

You are interested in performing some data analysis on patients with cardiac problems. You have downloaded the data that you need on the cardiology patients from the data warehouse into a smaller database that you can work with. You are using a

Accepted Answer

A)  data mart. 
B)  clinical data repository. 
C)  specialized data warehouse. 
D)  executive information system.

Question 16

In general, excessive RBC breakdown could result in

Accepted Answer

A)  Crohn's disease. 
B)  elevated BUN 
C)  high bilirubin levels 
D)  peptic ulcers

Question 17

Your facility would like to improve physician documentation in order to allow improved cod' As coding supervisor, you have found it very effective to provide the physicians with

Accepted Answer

A)  a copy of the facility coding guidelines, along with written information on improve documentation. 
B)  the UHDDS and information on where each data element is collected and/or verified in y facility. 
C)  regular in-service presentations on documentation, including its importance and tips improvement. 
D)  feedback on specific instances when improved documentation would improve coding.

Question 18

Herniated lumbar intervertebral disc with paresthesia; lumbar laminectomy with diskectomy performed.

Accepted Answer

A)  722.11, 80.51, 03.09 
B)  839.20, 80.51 
C)  722.10, 80.59, 03.09 
D)  722.10, 80.51

Question 19

In the event of water damage to a large volume of records, what action should be taken immediately to assist in disaster recovery?

Accepted Answer

A)  Turn on the heat to help retard mold or mildew from forming. 
B)  Turn off the air conditioning to reduce temperature and humidity. 
C)  Turn off the fans to prevent circulation of air. 
D)  Freeze the records to prevent mold or mildew from forming.

Question 20

Intentional threats to security could include

Accepted Answer

A)  a natural disaster (flood). 
B)  equipment failure (software failure). 
C)  human error (data entry error). 
D)  data theft (unauthorized downloading of files).

Exam 1: Registered Health Information Administrator

Malunion of humeral fracture (original injury occurred 1 year ago) . Open reduction with internal fixation performed.