Question 1

Your new optical disk system has the ability to automatically route charts that need cod' analyzing, and other processing to the appropriate person. What is this technology called?

Accepted Answer

A)  workflow 
B)  data flow 
C)  routing 
D)  integration

Question 2

A patient admitted to the hospital on January 24 and discharged on February 9 has a length

Accepted Answer

A)  16 days. 
B)  15 days. 
C)  17 days. 
D)  14 days.

Question 3

The supervisor over release of information has requested a meeting with her superior, the Director of Health Information Services. She begins the meeting by describing how overwhelmed she is feeling. She is extremely behind in her work and she doesn't know what she can do to change the situation. In advising the supervisor, the director suggests that perhaps she should begin addressing her problem by attending a management workshop. Which of the following workshop topics is more likely to help the supervisor with her problem?

Accepted Answer

A)  "Leadership Styles for Women Manager's and Supervisors" 
B)  "The Nature of Delegation" 
C)  "Understanding Your Employee" 
D)  "Writing Skills for the Release of Information Supervisor"

Question 4

You have been the supervisor in quality management at Happy Valley Hospital for almost a y now and your appraisal is right around the corner. Your director has asked the members of y, staff and the physicians on the committees you service to complete forms that will provide in' into the appraisal process. In addition, you have been asked to formally assess your own progress in this new position. It is time consuming and more than a little intimidating, but you suppose will provide you with some good insights into the quality of your work. Because you are, after the supervisor in QM, it is only fair that you participate fully in your facility's commitment to

Accepted Answer

A)  participative evaluation. 
B)  360-degree evaluation. 
C)  conductive evaluation. 
D)  managed evaluation.

Question 5

Harry H. Potter was admitted to your hospital to receive a second round of chemotherapy for an invasive tumor. Four days after admission, Harry complained of a sore throat and developed a fever. Harry's throat culture was positive for strep. His strep throat will be

Accepted Answer

A)  added to the denominator of the hospital's nosocomial infection rate. 
B)  added to the numerator of the hospital's community-acquired infection rate. 
C)  considered separately because Harry H. Potter is immune suppressed from chemotherapy. 
D)  added to the numerator of the hospital's nosocomial infection rate.

Question 6

Sally has been diagnosed with panic attacks and is prescribed Xanax. She has been taking the medication as prescribed by her physician for 3 days and is now having hallucinations. Her physician advises her to stop taking the medication and her symptoms abate. Her doctor determines that the hallucinations were due to the Xanax.

Accepted Answer

A)  292.12, E939.4, 300.01 
B)  292.12 
C)  E939.4, 292.12 
D)  300.01, 292.12

Question 7

Female, 76 years old, admitted with tachycardia due to theophylline toxicity.

Accepted Answer

A)  785.0, E942.1 
B)  995.20, E942.1 
C)  785.0, E944.1 
D)  995.20, E944.1

Question 8

A patient was admitted to the hospital with hemiplegia and aphasia. The hemiplegia and aphasia were resolved before discharge and the patient was diagnosed with cerebral thrombosis. What is the correct coding and sequencing?

Accepted Answer

A)  hemiplegia; aphasia 
B)  cerebral thrombosis 
C)  cerebral thrombosis; hemiplegia; aphasia 
D)  hemiplegia; cerebral thrombosis; aphasia

Question 9

Patient comes in for a percutaneous needle biopsy of the thyroid gland.

Accepted Answer

A)  60000 
B)  60270 
C)  60699 
D)  60100

Question 10

The most common type of vaginitis is

Accepted Answer

A)  yeast. 
B)  protozoan 
C)  viral 
D)  A and B

Question 11

Young child presents with cleft lip and cleft palate. This is the first attempt of repair, which includes major revision of the cleft palate and unilateral cleft lip repair.

Accepted Answer

A)  42200; 40701 
B)  42225; 40700 
C)  42220; 40720 
D)  42215; 40700

Question 12

You are developing an entity-relationship diagram. The entity that you are currently working is "patient". Which of the following would be the primary key for the entity patient?

Accepted Answer

A)  last name 
B)  address 
C)  attending physician number 
D)  health record number

Question 13

Which of the following is an example of the breach of confidentiality?

Accepted Answer

A)  a nurse speaking with the physician in the patient's room 
B)  staff members discussing patients in the elevator 
C)  the admission clerk verifying over the phone that the patient is in-house 
D)  the hospital operator paging code blue in room 3 north

Question 14

Which type of system would be utilized to help the CEO of a facility in determining whether not to expand the radiation therapy services?

Accepted Answer

A)  clinical information system 
B)  strategic decision support system 
C)  ambulatory care system 
D)  enterprise system

Question 15

The MS-DRG (Medicare Severity-Diagnosis-Related Group) system was designed to pay

Accepted Answer

A)  multiple groups of reimbursement based on each diagnosis. 
B)  only one amount (group) of reimbursement per hospitalization. 
C)  multiple group of reimbursement based on the per diem rates. 
D)  multiple groups of reimbursement based on the principal diagnosis and the most substantial comorbidity

Question 16

As a concurrent record reviewer for an acute care facility, you have asked Dr. Crossman to provide an updated history and physical for one of her recent admissions. Dr. Crossman pages through the medical record to a copy of an H&P performed in her office a week before admission. You tell Dr. Crossman.

Accepted Answer

A)  a new H&P is required for every inpatient admissions. 
B)  that you apologize for not noticing the H&P she provided. 
C)  the H&P copy is acceptable as long as she documents any interval changes. 
D)  Joint Commission standards do not allow copies of any kind in the original record.

Question 17

Based on this patient volume, the MS-DRG which brings in the highest total reimbursement to the hospital is

Accepted Answer

A)  470. 
B)  247. 
C)  392. 
D)  871.

Question 18

Patient presents to the operating room and undergoes an endovascular repair of an infrarenal abdominal aortic aneurysm utilizing a unibody bifurcated prosthesis.

Accepted Answer

A)  34800; 34813 
B)  34802 
C)  34804 
D)  35081

Question 19

In preparing a capital budget request, the first priority will be to document

Accepted Answer

A)  the specific type of equipment requested. 
B)  where the new equipment will be located. 
C)  the need for the new equipment. 
D)  the cost of the new equipment.

Question 20

What was the average length of stay at Royal Palm Hospital in February? Royal Palm Hospital has 500 beds and 55 bassinets. In February of a nonleap year, it reported the following statistics:

Accepted Answer

A)  6.8 days 
B)  7 days 
C)  9 days 
D)  9.1 days

Exam 1: Registered Health Information Administrator