Question 1

Mallory, the coding supervisor, must determine the number of full-time employees (FTEs) needed to code 600 discharges per week. It takes an average of 20 minutes to code each record and each coder will work 40 hours per week. How many coders are needed?

Accepted Answer

A)  6.0 
B)  5.0 
C)  12.0 
D)  4.5

Question 2

The director of a Health Information Department has asked the department supervisors to review and revise all job descriptions. Missie Harris, the supervisor over coding and analysis, i determined that the job description for the senior coders must be revised. Ms. Harris' decision revise the job description is probably due to a change in the

Accepted Answer

A)  number of coders. 
B)  recruitment practices for coders. 
C)  scope of coding responsibilities. 
D)  method in which the coders' performance is evaluated.

Question 3

Encryption, access control, emergency access to records, and biometrics are examples of

Accepted Answer

A)  transmission security. 
B)  technical security. 
C)  a security incident. 
D)  telecommunications.

Question 4

The coding supervisor is responsible for reviewing a random sample of each coder's work and reporting on the error rate for each coder. A check sheet is used to collect the number of char reviewed, the number of errors for each coder, and the type of errors. What types of graphs orj charts could be used to report the information gathered?

Accepted Answer

A)  bar charts 
B)  Pareto charts 
C)  histograms 
D)  all of the above

Question 5

Jessica is the leader of a project team working on the definition of the women's health service line. Several departments are so enthusiastic about the progress that they ask for additions to the project. This is not uncommon, and is known as

Accepted Answer

A)  add-ons. 
B)  scope creep. 
C)  effort expansion 
D)  deliverable increase.

Question 6

A patient who is HIV positive and currently asymptomatic is admitted with a compound fracture of the tibia. The patient was treated previously for pneumocystis carinii pneumonia. Given the following codes, which is the correct coding and sequencing?

Accepted Answer

A)  823.90, V08 
B)  823.90, 042 
C)  823.80, V08, 136.3 
D)  823.80, 042

Question 7

On his 5/23/08 admission to Metropolitan Hospital, David Robinson was assigned the medical record number 07-23-38. The previous record number assigned to Mr. Robinson during a 4/1/07 admission was 07-10-47. In a serial numbering/filing system, how would these records be filed?

Accepted Answer

A)  Both records are combined under 07-10-47. 
B)  Both records are combined under 07-23-38. 
C)  Each admission is filed under its own number. 
D)  Previous records are brought forward and filed under the latest number issued.

Question 8

Which of the following names would be filed first alphabetically?

Accepted Answer

A)  Lovette, Thomas 
B)  Lovette, Lyle 
C)  Lovett, T.J. (Senior) 
D)  Lovett, William

Question 9

According to AHIMA and AHA guidelines, which of the following would be an acceptable authorization for release of information from the medical record of an adult, mentally competent patient hospitalized from 4/16/2007 to 5/10/2007? An authorization dated

Accepted Answer

A)  7/10/2007 and presented 7/15/2007 
B)  5/09/2007 and presented 1/15/2008 
C)  3/10/2007 and presented 5/1,5/2007 
D)  2/15/2007 and presented 1/10/2008

Question 10

The nursing initial assessment upon admission documents the presence of a decubitus ulcer. There is no mention of the decubitus ulcer in the physician documentation until several days after admission.

Accepted Answer

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

Question 11

Atherosclerotic peripheral vascular disease of the lower leg with claudication. Angioplasty of the lower leg artery performed.

Accepted Answer

A)  440.20, 39.50 
B)  440.21, 39.50 
C)  444.22, 38.08 
D)  443.9, 39.50

Question 12

The Director of Health Information Services has recently received approval to purchase the necessary equipment to place all inactive records on optical disc. The director plans to redo the department layout to accommodate the equipment and to ensure that the equipment is placed in the most appropriate area of the department. Which of the following tools will best assist the director with this new layout?

Accepted Answer

A)  proximity chart 
B)  frequency chart 
C)  Gantt chart 
D)  replacement chart

Question 13

Patient with Parkinson's disease is admitted for insertion of a brain neurostimulator pulse generator with one electrode array.

Accepted Answer

A)  61885 
B)  61850; 61863 
C)  61888 
D)  61867; 61870

Question 14

Sea Crest Hospital has 200 beds and 20 bassinets. There was a sudden spurt in the birth rate in town in November-the hospital set up five additional bassinets for the entire month. Total bed count days for Sea Crest Hospital in a nonleap year would be

Accepted Answer

A)  73,000. 
B)  80,300. 
C)  80,450. 
D)  80,455.

Question 15

Patient has breast carcinoma and is now undergoing sentinel node biopsy. Patient was injected for sentinel node identification and two deep axillary lymph nodes showed up intensely. These two lymph nodes were completely excised. Path report was positive for metastatic carcinoma.

Accepted Answer

A)  38525; 38790 
B)  38589 
C)  38308; 38790 
D)  38525; 38792

Question 16

Accepted Answer

A)  491.21 
B)  486, 491.21 
C)  491.20, 486 
D)  486

Question 17

Based on the information below, what was the net death rate at Seaside Hospital in January?

Accepted Answer

A)  2.4% 
B)  2.8% 
C)  3.8% 
D)  5.8%

Question 18

Anxiety with depression

Accepted Answer

A)  300.11, 311 
B)  300.4 
C)  309.28 
D)  300.00, 311

Question 19

Advantages of a centralized filing system include all but which one of the following?

Accepted Answer

A)  There is less transportation time and effort when a facility operates from several sites. 
B)  There is less duplication of effort to create, maintain, and store records. 
C)  Record control and security are easier to maintain. 
D)  There is decreased cost in space and equipment.

Question 20

A patient is admitted to the hospital for  a coronary artery bypass surgery. Postoperatively, he develops a pulmonary embolism.

Accepted Answer