Question 1

What would be the most cost-effective and prudent course of action for the storage or disposition of 250,0000 records at a large teaching and research hospital?

Accepted Answer

A)  storing the records off-site at a cost of $25,000 per year 
B)  microfilming all 250,000 records of the cost of $195,000 
C)  purging all death records and storing them off-site 
D)  destroying all records older than the time frame required by the statute of limitations

Question 2

The patient has no visible bleeding, but remains anemic. Her physician is concerned about possible gastrointestinal bleeding. Which of the following tests might be ordered?

Accepted Answer

A)  DEXA scan. 
B)  guaiac smear test 
C)  Pap smear test 
D)  prostatic-specific antigen test

Question 3

In order to use the inpatient CPT consultation codes, the consulting physician must

Accepted Answer

A)  order diagnostic tests. 
B)  document his findings in the patient's medical record. 
C)  communicate orally his opinion to the attending physician. 
D)  use the term "referral" in his report.

Question 4

A 75-year-old man is admitted to your facility with acute cerebral embolism with infarction. He had hemiplegia and dysphagia. Physical therapy was given for the hemiplegia. Dysphagia was resolved at the time of discharge

Accepted Answer

A)  434.11, 342.90, V57.1 
B)  434.11, 342.90,787.20 
C)  434.11, 342.90 
D)  434.11, 342.90, 787.20, V57.1

Question 5

Pyogenic arthritis of the hip due to Group A Streptococcus; arthrocentesis done

Accepted Answer

A)  716.95, 041.01, 81.91 
B)  715.95, 041.01, 81.92 
C)  711.05, 041.01, 81.91 
D)  711.05, 81.91

Question 6

An established patient was seen by the physician in the office for DTaP vaccine and HiB.

Accepted Answer

A)  90471, +90472, 90721 
B)  90720, 90471 
C)  90700, 90748, 99211 
D)  90471, 90721

Question 7

As a systems analyst, Mark acts as:

Accepted Answer

A)  database administrator. 
B)  Web master. 
C)  liaison between end users and technical support staff. 
D)  network administrator.

Question 8

Dr. Brown insists on the new EHR assisting physicians in their decision-making process by using a technology that brings available information to the attention of the physician. This is called

Accepted Answer

A)  push technology. 
B)  pull technology. 
C)  workflow. 
D)  tactical decision making.

Question 9

Your department must send information electronically to the state health department every day. Currently this is taking a significant amount of time. What technology can be used to' automatically send this information without human intervention?

Accepted Answer

A)  electronic data interchange 
B)  LAN 
C)  Internet 
D)  network interface card

Question 10

Mary Mulholland has diabetes. Her physician has told her about some factors that put her more at risk for infections. Which of the following factors would probably NOT be applicable?

Accepted Answer

A)  hypoxia. 
B)  increased glucose in body fluids 
C)  increased blood supply 
D)  A and C

Question 11

In general, all three key components (history, physical examination, and medical decision making) for the E/M codes in CPT should be met or exceeded when

Accepted Answer

A)  the patient is established. 
B)  a new patient is seen in the office. 
C)  the patient is given subsequent care in the hospital. 
D)  the patient is seen for a follow-up inpatient consultation.

Question 12

A Medicare patient has arthroscopic analysis of adhesions and shaving of the particular  The Medicare CCI (Correct Coding Initiative) edits indicate that code 29877 is not a component code for 29884, but code 29884 is a component code for 29877. The correct code(s) to be reported on this claim is (are)

Accepted Answer

A)  29884-RT and 29877-RT. 
B)  29884-RT. 
C)  29877-RT. 
D)  neither code.

Question 13

The plus sign beside survival time for subjects two (2) and six (6) in the table above indicate observations on these subjects were censored. This means the subjects

Accepted Answer

A)  entered the study at an advanced stage of the subject's illness. 
B)  have one or more risk factors in addition to the subject's illness. 
C)  withdrew from the study alive or were lost to follow-up. 
D)  died prior to the end of the study, regardless of cause.

Question 14

A 5-year-old female is admitted to ambulatory surgery with chronic otitis media. Patient has bilateral myringotomy with insertion of tubes.

Accepted Answer

A)  381.20, 20.01 
B)  381.3, 20.01 
C)  382.9, 20.01, 20.01 
D)  381.89, 20.01

Question 15

Laparosopic gastric restrictive procedure and placement of adjustable gastric band

Accepted Answer

A)  43770 
B)  43800 
C)  43845 
D)  43846

Question 16

A patient undergoes outpatient surgery. During the recovery period, the patient develops a trial fibrillation and is subsequently admitted to the hospital as an inpatient.

Accepted Answer

A)  Y 
B)  N 
C)  U 
D)  W

Question 17

Repair of retinal detachment with vitrectomy

Accepted Answer

A)  67112 
B)  67105 
C)  67108 
D)  67040

Question 18

Gunshot wound to abdomen with moderate laceration of liver. Patient was assaulted with a pistol.

Accepted Answer

A)  864.00, E965.1 
B)  864.10, E965.0 
C)  864.13, E965.1 
D)  864.13, E965.0

Question 19

You have been hired to work with a computer-assisted coding initiative. The technolog y that you will be working with is:

Accepted Answer

A)  electronic data interchange 
B)  intraoperability 
C)  message standards 
D)  natural language processing

Question 20

Laparoscopic submucosal removal of non-plastic lesion of the vocal cord with graft reconstruction. An operating microscope was used.

Accepted Answer

A)  31546, 69990 
B)  31546, 20926 
C)  31546 
D)  31546, 20926-51

Exam 1: Registered Health Information Administrator