Question 1

After your coders helped you rank the reasons for coding errors in the order of their importance, you then plotted the results on the chart above. The results of your work surprise you because

Accepted Answer

A)  you expected the coders to put more emphasis on time pressure. 
B)  you thought limited training was the primary reason for the errors. 
C)  the rankings show surprising disagreement on the issue. 
D)  the results appear to violate the Pareto principle.

Question 2

An indicator about the institution's death rate would be which type?

Accepted Answer

A)  process 
B)  outcome 
C)  structure 
D)  regulation

Question 3

Twelve new cases of a certain disease occurred during the month of August. If 4,000 persons were at risk during August, then the

Accepted Answer

A)  prevalence was 3 per 1,000 persons. 
B)  prevalence was 6 per 1,000 persons. 
C)  incidence was 3 per 1,000 persons. 
D)  incidence was 6 per 1,000 persons.

Question 4

You are the Chief Privacy Officer for Premier Medical Center. Which of the following are you responsible for?

Accepted Answer

A)  backing up data 
B)  developing a plan for reporting privacy complaints 
C)  writing policies on protecting hardware 
D)  writing policies on encryption standards

Question 5

Joanie Howell presents to Dr. Franklin requesting rhinoplasty. Because Howell is covered by, Medicare, Dr. Franklin must provide Howell with

Accepted Answer

A)  a Notice of Exclusion, because rhinoplasty is not a Medicare covered service. 
B)  an Advance Beneficiary Notice, because rhinoplasty is not a Medicare covered service. 
C)  a Notice of Exclusion, because Howell's rhinoplasty may not be medically necessary. 
D)  an Advance Beneficiary Notice, because Howell's rhinoplasty may not be medically necessary.

Question 6

You are calculating the fee schedule payment amount for physician services covered under Medicare Part B. You already have the relative value unit figure. The only other information you need is

Accepted Answer

A)  the facility's case-mix index. 
B)  a national conversion factor. 
C)  the facility's base rate. 
D)  MS-DRG relative weights.

Question 7

Code 402, Hypertensive Heart Disease, would appropriately be used in which of the following situations?

Accepted Answer

A)  left heart failure with benign hypertension 
B)  congestive heart failure; hypertension 
C)  Hypertensive cardiovascular disease with congestive heart failure 
D)  cardiomegaly with hypertension

Question 8

Joint Commission requires that medical record review be performed to evaluate adequacy, accuracy, completeness, and quality of documentation

Accepted Answer

A)  annually. 
B)  every 2 years. 
C)  on an ongoing basis. 
D)  quarterly.

Question 9

Barbara is being seen at a physician's office that she has never been to before. This physician practice is independently owned. She did not have to request copies of her medical records, but the physician has everything that she needs. The physician must be part of a(n)

Accepted Answer

A)  integrated health network. 
B)  corporation. 
C)  regional health information organization. 
D)  electronic health record.

Question 10

The total number of records filed during the month is 2,500 and, upon completion of a filing accurate study, 90 records were not found. What is the accuracy of filing?

Accepted Answer

A)  1% 
B)  4% 
C)  28% 
D)  96%

Question 11

Which of the following is a lethal arrhythmia?

Accepted Answer

A)  atrial fibrillation. 
B)  atrial tachycardiA 
C)  bradycardia. 
D)  ventricular fibrillation.

Question 12

The medical malpractice crisis of the 197Os prompted development of what type of programs in health care facilities?

Accepted Answer

A)  utilization management 
B)  financial analysis programs 
C)  quality improvement programs 
D)  risk management

Question 13

CMS has increased the weight for MS-DRG A by 14%, increased the weight for MS­DRG B 20%, and decreased the weight for MS-DRG D by 10%. Given these new weights, which MS-D generated the most revenue for Rocky Top Hospital?

Accepted Answer

A)  MS-DRG A 
B)  MS-DRG B 
C)  MS-DRG C 
D)  MS-DRG D

Question 14

Which resource is the most valuable to monitor Medicare changes?

Accepted Answer

A)  Journal of AHIMA 
B)  HIM peers 
C)  Federal Register 
D)  Medical Records Briefing

Question 15

The fourth step is

Accepted Answer

A)  cases are differentiated based on the presence or absence of complications/ comorbidites (CCs) or major complications comorbidites (MCCS). 
B)  cases are divided into either a surgical partition or a medical partition. 
C)  the principal diagnosis determines the MDC assignment. 
D)  diagnoses and procedures are coded using ICD-9-CM.

Question 16

A major disadvantage of cross-sectional studies is that

Accepted Answer

A)  the time sequence of exposure and disease is usually not known. 
B)  they are usually more expensive and can take a long time to complete. 
C)  prevalence rates cannot be calculated. 
D)  they cannot provide information on both exposure and disease status in the same individual.

Question 17

You are developing an entity relationship diagram. In the entity of patient shown here, which of the attributes in the primary key?

Accepted Answer

A)  last name 
B)  combination of last and first name 
C)  street address 
D)  medical record number

Question 18

Madeline is diagnosed with bilateral carotid stenosis. She is being admitted for a bilateral endarterectomy. Madeline is also treated for Parkinson's disease and glaucoma.

Accepted Answer

A)  433.30, 38.12 
B)  433.30, 38.12, 38.12 
C)  433.30, 332.0, 365.9, 38.12 
D)  433.30, 332.0, 365.9, 38.12, 38.12

Question 19

Litholapaxy, 3.0 cm calculus

Accepted Answer

A)  52353 
B)  50590 
C)  52318 
D)  52317

Question 20

The second step is

Accepted Answer

A)  cases are differentiated based on the presence or absence of complications/ comorbidites (CCs) or major complications comorbidites (MCCS). 
B)  cases are divided into either a surgical partition or a medical partition. 
C)  the principal diagnosis determines the MDC assignment. 
D)  diagnoses and procedures are coded using ICD-9-CM.

Exam 1: Registered Health Information Administrator

After your coders helped you rank the reasons for coding errors in the order of their importance, you then plotted the results on the chart above. The results of your work surprise you because

An indicator about the institution's death rate would be which type?

Twelve new cases of a certain disease occurred during the month of August. If 4,000 persons were at risk during August, then the

You are the Chief Privacy Officer for Premier Medical Center. Which of the following are you responsible for?

Joanie Howell presents to Dr. Franklin requesting rhinoplasty. Because Howell is covered by, Medicare, Dr. Franklin must provide Howell with

You are calculating the fee schedule payment amount for physician services covered under Medicare Part B. You already have the relative value unit figure. The only other information you need is

Code 402, Hypertensive Heart Disease, would appropriately be used in which of the following situations?

Joint Commission requires that medical record review be performed to evaluate adequacy, accuracy, completeness, and quality of documentation

Barbara is being seen at a physician's office that she has never been to before. This physician practice is independently owned. She did not have to request copies of her medical records, but the physician has everything that she needs. The physician must be part of a(n)

The total number of records filed during the month is 2,500 and, upon completion of a filing accurate study, 90 records were not found. What is the accuracy of filing?

Which of the following is a lethal arrhythmia?

The medical malpractice crisis of the 197Os prompted development of what type of programs in health care facilities?

CMS has increased the weight for MS-DRG A by 14%, increased the weight for MSDRG B 20%, and decreased the weight for MS-DRG D by 10%. Given these new weights, which MS-D generated the most revenue for Rocky Top Hospital?

Which resource is the most valuable to monitor Medicare changes?

The fourth step is

A major disadvantage of cross-sectional studies is that

You are developing an entity relationship diagram. In the entity of patient shown here, which of the attributes in the primary key?

Madeline is diagnosed with bilateral carotid stenosis. She is being admitted for a bilateral endarterectomy. Madeline is also treated for Parkinson's disease and glaucoma.

Litholapaxy, 3.0 cm calculus

The second step is

Exam 1: Registered Health Information Administrator

After your coders helped you rank the reasons for coding errors in the order of their importance, you then plotted the results on the chart above. The results of your work surprise you because

An indicator about the institution's death rate would be which type?

Twelve new cases of a certain disease occurred during the month of August. If 4,000 persons were at risk during August, then the

You are the Chief Privacy Officer for Premier Medical Center. Which of the following are you responsible for?

Joanie Howell presents to Dr. Franklin requesting rhinoplasty. Because Howell is covered by, Medicare, Dr. Franklin must provide Howell with

You are calculating the fee schedule payment amount for physician services covered under Medicare Part B. You already have the relative value unit figure. The only other information you need is

Code 402, Hypertensive Heart Disease, would appropriately be used in which of the following situations?

Joint Commission requires that medical record review be performed to evaluate adequacy, accuracy, completeness, and quality of documentation

Barbara is being seen at a physician's office that she has never been to before. This physician practice is independently owned. She did not have to request copies of her medical records, but the physician has everything that she needs. The physician must be part of a(n)

The total number of records filed during the month is 2,500 and, upon completion of a filing accurate study, 90 records were not found. What is the accuracy of filing?

Which of the following is a lethal arrhythmia?

The medical malpractice crisis of the 197Os prompted development of what type of programs in health care facilities?

CMS has increased the weight for MS-DRG A by 14%, increased the weight for MS­DRG B 20%, and decreased the weight for MS-DRG D by 10%. Given these new weights, which MS-D generated the most revenue for Rocky Top Hospital?

Which resource is the most valuable to monitor Medicare changes?

The fourth step is

A major disadvantage of cross-sectional studies is that

You are developing an entity relationship diagram. In the entity of patient shown here, which of the attributes in the primary key?

Madeline is diagnosed with bilateral carotid stenosis. She is being admitted for a bilateral endarterectomy. Madeline is also treated for Parkinson's disease and glaucoma.

Litholapaxy, 3.0 cm calculus

The second step is

CMS has increased the weight for MS-DRG A by 14%, increased the weight for MSDRG B 20%, and decreased the weight for MS-DRG D by 10%. Given these new weights, which MS-D generated the most revenue for Rocky Top Hospital?