Question 1

An exception to the minimum necessary rule can be made when:

Accepted Answer

A)  releasing PHI to patients. 
B)  fulfilling the purpose of a request for information. 
C)  providing information to business associates. 
D)  requesting information form other covered entities.

Question 2

Emma Miller, RHIA, interviewed one applicant for the position of inpatient coder and subsequently hired the applicant. During the 20-minute interview, she told the applicant about the department and hospital and what the job entailed. Much to Emma's disappointment, this newly hired employee did not work out. What went wrong?

Accepted Answer

A)  Emma asked too many questions during the interview. 
B)  Emma should not have told the applicant anything about the hospital because that is the responsibility of Human Resources. 
C)  Emma failed to interview enough applicants. 
D)  Emma did not allow enough time for the interview.

Question 3

You are considering three vendors for your new encoder. Your facility wants to purchase the system from a stable company. After reviewing the vendor profile information below, which of the vendors would you eliminate from consideration?

Accepted Answer

A)  Vendor A 
B)  Vendor B 
C)  Vendor C 
D)  cannot eliminate any of the vendors

Question 4

The Unified Medical Language System (UMLS) is a project sponsored by the

Accepted Answer

A)  National Library of Medicine. 
B)  CMS. 
C)  World Health Organization. 
D)  Officer of Inspector General.

Question 5

You and the statistician, Dr. Cline, are working to determine sample size. You are discussing which sampling method you will use. There are 1,200 possible records and you need 100 records for the study. Dr. Cline suggests you select every twelfth record until sample size is achieved. This makes sense to you. It takes less time and is less subject to error than other sampling methods. The two of you agree to use

Accepted Answer

A)  random sampling. 
B)  simple sampling. 
C)  systematic sampling. 
D)  stratified random sampling.

Question 6

Patient undergoes total thyroidectomy with parathyroid autotransplantation.

Accepted Answer

A)  60240; 60512 
B)  60520; 60500 
C)  60260; 60512 
D)  60650; 60500

Question 7

In the RFP, you have asked for information regarding the amount of time that a vendor has been in business and the number of installations of the product under consideration. If you want to review this information, you would go to the section.

Accepted Answer

A)  functional specifications. 
B)  organizational profile. 
C)  vendor information. 
D)  licensing and contractual details.

Question 8

Mark is an HIM employee who utilizes six different information systems as part of his job. Each of these has a different password. In order to keep up with the password for each system, Mark has written them all on paper and taped it to the back of his wife's picture on his desk. What technology could be used to eliminate this problem for Mark and other employees in the same situation?

Accepted Answer

A)  role-based access 
B)  user-based access 
C)  SSO 
D)  DAC

Question 9

If HIPAA and state law conflicts, which prevails:

Accepted Answer

A)  HIPAA always 
B)  state law always 
C)  whichever is more protective of the patient's privacy 
D)  HIPAA unless the state law is weaker

Question 10

Common kidney stone treatments that allow small particles to be flushed out of the body through the urinary system include all of the following EXCEPT

Accepted Answer

A)  extracorporeal shock wave lithotripsy. 
B)  Fluid hydration. 
C)  Ureteroscopy and stone basketing. 
D)  Using medication to dissolve the stone(s)

Question 11

A surgeon on the Health Record Committee voices a concern that, although he has been told that the operative report is to be dictated immediately after surgery, he has often had to deal with the problem of transcription backlog which prevented the report from getting on the health record in a timely manner. Your advice to this doctor is that when a known backlog exists, he should

Accepted Answer

A)  provide the dictated tape to his staff. 
B)  request a "stat" report. 
C)  write a detailed operative note in the record. 
D)  request that administration hire more transcriptions.

Question 12

A major consideration in a hospital or facility closure is to

Accepted Answer

A)  notify all patients to pick up their original records by the date of closure. 
B)  seek approval for destruction of all records with a last date of treatment over 3 years ago. 
C)  ensure that authorized parties have access to the information as provided by law. 
D)  arrange for donating the records to an HIA/HIT education program for student use.

Question 13

Office visit for 43-year-old male, new patient, with no complaints. Patient is applying for life insurance and requests a physical examination. A detailed health and family history was obtained and a basic physical was done. Physician completed life insurance physical form at patient's request. Blood and urine were collected.

Accepted Answer

A)  99450 
B)  99386 
C)  99396 
D)  99381

Question 14

When coding neoplasms, topography means

Accepted Answer

A)  cell structure and form. 
B)  site. 
C)  variation from normal tissue. 
D)  extent of the spread of the disease.

Question 15

You are developing a complete data dictionary for your facility. Which of the following resources will be most helpful in providing standard definitions for data commonly collected in acute care hospitals?

Accepted Answer

A)  Minimum Data Set 
B)  Uniform Hospital Discharge Data Set 
C)  Conditions of Participation 
D)  Federal Register

Question 16

A distribution is said to be positively skewed when the mean is

Accepted Answer

A)  bimodal. 
B)  multimodal. 
C)  shifted to the left. 
D)  shifted to the right.

Question 17

The project definition justifies the need for the new project. What would you expect to see in the project justification?

Accepted Answer

A)  project scope, resources needed, and amount of time required 
B)  project scope, resources needed, and developing the solution 
C)  resources needed, amount of time required, and preparing supporting documentation for the system chosen 
D)  amount of time required, alternative analysis, and implementation review

Question 18

The surgeon comes out to speak to a patient's family. He tells them that the patient came through the surgery fine. The mass was benign and they could see the patient in an hour. He talks low so that the other people in the waiting room will not hear but someone walked by and heard. This is called a(n)

Accepted Answer

A)  privacy breach. 
B)  violation of policy 
C)  incidental disclosure. 
D)  privacy incident.

Question 19

Under ASCs, when multiple procedures are performed during the same surgical session, a payment reduction is applied. The procedure in the highest level group is reimbursed at ____ (percent) and all remaining procedures are reimbursed at ____(percent).

Accepted Answer

A)  50$, 25%. 
B)  100%, 50%. 
C)  100%, 25%. 
D)  100%, 75%.

Question 20

As a member of the project team for document imaging implementation, you were asked to provide the information in the grid. This is an example of a(an)

Accepted Answer

A)  PERT diagram. 
B)  Gantt chart. 
C)  PMBOK chart. 
D)  work flow diagram.

Exam 1: Registered Health Information Administrator

An exception to the minimum necessary rule can be made when:

You are considering three vendors for your new encoder. Your facility wants to purchase the system from a stable company. After reviewing the vendor profile information below, which of the vendors would you eliminate from consideration?

The Unified Medical Language System (UMLS) is a project sponsored by the

Patient undergoes total thyroidectomy with parathyroid autotransplantation.

In the RFP, you have asked for information regarding the amount of time that a vendor has been in business and the number of installations of the product under consideration. If you want to review this information, you would go to the section.

If HIPAA and state law conflicts, which prevails:

Common kidney stone treatments that allow small particles to be flushed out of the body through the urinary system include all of the following EXCEPT

A major consideration in a hospital or facility closure is to

When coding neoplasms, topography means

You are developing a complete data dictionary for your facility. Which of the following resources will be most helpful in providing standard definitions for data commonly collected in acute care hospitals?

A distribution is said to be positively skewed when the mean is

The project definition justifies the need for the new project. What would you expect to see in the project justification?

Under ASCs, when multiple procedures are performed during the same surgical session, a payment reduction is applied. The procedure in the highest level group is reimbursed at (percent) and all remaining procedures are reimbursed at (percent) .

As a member of the project team for document imaging implementation, you were asked to provide the information in the grid. This is an example of a(an)

Exam 1: Registered Health Information Administrator

An exception to the minimum necessary rule can be made when:

You are considering three vendors for your new encoder. Your facility wants to purchase the system from a stable company. After reviewing the vendor profile information below, which of the vendors would you eliminate from consideration?

The Unified Medical Language System (UMLS) is a project sponsored by the

Patient undergoes total thyroidectomy with parathyroid autotransplantation.

In the RFP, you have asked for information regarding the amount of time that a vendor has been in business and the number of installations of the product under consideration. If you want to review this information, you would go to the section.

If HIPAA and state law conflicts, which prevails:

Common kidney stone treatments that allow small particles to be flushed out of the body through the urinary system include all of the following EXCEPT

A major consideration in a hospital or facility closure is to

When coding neoplasms, topography means

You are developing a complete data dictionary for your facility. Which of the following resources will be most helpful in providing standard definitions for data commonly collected in acute care hospitals?

A distribution is said to be positively skewed when the mean is

The project definition justifies the need for the new project. What would you expect to see in the project justification?

Under ASCs, when multiple procedures are performed during the same surgical session, a payment reduction is applied. The procedure in the highest level group is reimbursed at ____ (percent) and all remaining procedures are reimbursed at ____(percent) .

As a member of the project team for document imaging implementation, you were asked to provide the information in the grid. This is an example of a(an)

Under ASCs, when multiple procedures are performed during the same surgical session, a payment reduction is applied. The procedure in the highest level group is reimbursed at (percent) and all remaining procedures are reimbursed at (percent) .