Question 1

"Qualified employees should be given priority when vacancies within the organization occur"! an example of

Accepted Answer

A)  a policy of the organization. 
B)  an objective for the organization. 
C)  a rule for the organization. 
D)  a procedure for the organization.

Question 2

Which of the following is NOT a consideration in the file folder size and design?

Accepted Answer

A)  reinforced top and side panels 
B)  scoring on folder bottoms 
C)  vendor location 
D)  weight of folder

Question 3

Mercedes, supervisor of the HIM analysts, determined that the outpatient surgery center had record analysts who were doing comparable jobs. The outpatient analysts were ranked two job grades above the HIM analysts. What document could she revise to reflect the actual skills, knowledge, and responsibilities in order to have the HIM analysis position re- evaluated?

Accepted Answer

A)  needs assessment 
B)  job description/job specifications 
C)  wage and salary survey 
D)  department policy and procedures

Question 4

Male patient presents to the ER in acute renal failure; he is also being treated for hypertension

Accepted Answer

A)  410.00, 586 
B)  401.9, 584.9 
C)  585.9, 401.1 
D)  584.9, 401.9

Question 5

Carlos has noted increased complaints by employees of headaches and fatigue. Which of the following factors should he consider?

Accepted Answer

A)  room temperature 
B)  humidity 
C)  lighting 
D)  air quality

Question 6

Written consent from the patient is required for which of the following in order to learn a patient's HIV status?

Accepted Answer

A)  insurance companies 
B)  emergency medical personnel 
C)  spouse or needle partner 
D)  health care workers

Question 7

John Doe is an information specialist in the Department of Information Technology. He has been asked to assist with the Joint Commission survey process, which accounts for approximately 75% of his time. He also receives project assignments supervisor, as well as the overall project manager. relationship?

Accepted Answer

A)  functional 
B)  parallel 
C)  matrix 
D)  divisional

Question 8

David was experiencing chronic fatigue and was experiencing flulike symptoms. Blood testing indicated that he had hepatitis C. A percutaneous liver biopsy was performed to determine the stage of the disease.

Accepted Answer

A)  070.51,487.1,780.79,50.12 
B)  070.41, 50.11 
C)  070.51,487.1, 50.11 
D)  070.51, 50.11

Question 9

Pathologist bills for gross and microscopic examination of medial meniscus.

Accepted Answer

A)  88300 
B)  88302; 88311 
C)  88325 
D)  88304

Question 10

Patient presents with a history of upper abdominal pain. Cholangiogram was negative and patient was sent to the hospital for ERCP. During the procedure the sphincter was incised and a stent was placed for drainage.

Accepted Answer

A)  43260; 43262; 43624 
B)  43262; 43269 
C)  43267 
D)  43262; 43268

Question 11

A PEG procedure would most likely be done to facilitate

Accepted Answer

A)  breathing. 
B)  eating. 
C)  urination. 
D)  none of the above.

Question 12

The proper method for correcting a documentation error in a medical record is for the author to

Accepted Answer

A)  draw an "X" through the incorrect documentation. 
B)  draw a single line through the incorrect information, date and initial the change. 
C)  white it out, date and initial the change. 
D)  remove the form from the chart and add a revised form.

Question 13

As your acute care facility moves toward the adoption of an HER, your planning committee is trying to prioritize systems that will contribnute to patient safety. Your physicians have indicated readiness to enter data directly into the HER, and they acknowledge the need for decision support regarding drug dosages and contraindications. You think they are ready for a

Accepted Answer

A)  computer-output-to-laser-disk system. 
B)  electronic medication administration record system. 
C)  electronic document management system. 
D)  computerized provider order-entry system.

Question 14

This document is published by the Office of Inspector General (OIG) every year. It details the OIG's focus for Medicare fraud and abuse for that year. It gives health care providers an indication of general and specific areas that are targeted for review. It can be found on the Internet on CMS' Web Site.

Accepted Answer

A)  The OIG's Evaluation and Management Documentation Guidelines 
B)  The OIG's Model Compliance Plan 
C)  The Federal Register 
D)  The OIG's Workplan

Question 15

Extrinsic asthma with status asthmaticus

Accepted Answer

A)  493.11 
B)  493.90 
C)  493.91 
D)  493.81

Question 16

A 75- year-old patient was admitted for repair of a hiatal hernia, which was performed on the first day of admission. While recovering, the patient fell out of bed and sustained a fractured femur which was surgically reduced. Further complications included severe angina for which a cardiac catheterization and PTCA were performed. The principal procedure is

Accepted Answer

A)  femur reduction. 
B)  herniorrhaphy. 
C)  catheterization. 
D)  PTCA.

Question 17

Grace Holt, RHIA, is the HIM Department Manager. She is reviewing interviewing techniques with Maria Hernandez, RHIT, as she prepares to interview for a new analyst. Grace recommends that Maria should

Accepted Answer

A)  ask questions that encourage a "yes" or "no" response. 
B)  interrupt occasionally to seek clarification. 
C)  talk down to the applicant. 
D)  phrase questions so the expected answer is encouraged.

Question 18

The Director of Health Information Services has asked the supervisor over files to determine productivity standards for the file clerks. In initiating this process, the supervisor has determined that the best way to institute work standards is to

Accepted Answer

A)  determine which employee can work the fastest. 
B)  perform time and motion studies. 
C)  improve employee morale. 
D)  develop standards based on professional standards and industry benchmarks.

Question 19

HEDIS gathers data in'the following area:

Accepted Answer

A)  measures of access (e.g., at least one visit to a provider within three years). 
B)  measures of quality (e.g., cholesterol screenings). 
C)  measures of financial performance (e.g., cost per member). 
D)  all of the above

Question 20

Cheryl has had chronic worsening pain of her left knee from rheumatoid arthritis. She has decided to undergo a total knee replacement as recommended by her physician. The surgery goes well; however, she develops a urinary tract infection that requires an additional day of stay in the hospital.

Accepted Answer

A)  715.96, 599.0, 81.54 
B)  714.0, 599.0, 81.54 
C)  714.31, 81.53 
D)  714.31, 81.54

Exam 1: Registered Health Information Administrator