Question 1

Which of the following processes is mandatory for health care facilities?

Accepted Answer

A)  accreditation 
B)  certification 
C)  AHA registration 
D)  licensure

Question 2

Which of the following is a disadvantage of retrospective data collection?

Accepted Answer

A)  Data are all available. 
B)  Fewer data collectors are required. 
C)  Deficiencies in documentation can effect reimbursement. 
D)  Reviewer bias is reduced.

Question 3

In assigning E/M codes, three key components are used. These are

Accepted Answer

A)  history, examination, counseling. 
B)  history, examination, time. 
C)  history, nature of presenting, problem, time. 
D)  history, examination, medical-decision making.

Question 4

Your hospital has been having financial difficulty. They desperately need to implement a NEW information system because their current one is about to crash, but they just do not have the fun& to outlay for hardware, software, and a long implementation. They just read about a project where the software and hardware resides at the vendor's data center facility. The hospital USERS VPN to access the database that also resides at the vendor's data center. They are serious a considering this model because the implementation time would be short and the upfront COST ARE low when compared to an onsite installation. Which of the following are they considering?

Accepted Answer

A)  Internet 
B)  application service provider 
C)  e-commerce 
D)  e-health

Question 5

Patient diagnosed with cystic hygroma of the axilla, which was excised.

Accepted Answer

A)  38555 
B)  11400 
C)  38550 
D)  38300

Question 6

A fiscal year is a yearly accounting period. It is the 12-month period on which a budget is planned. The federal fiscal year is

Accepted Answer

A)  October 1st through September 30th of the next year. 
B)  January 1st through December 21st. 
C)  July 1st through the June 30th of the next year. 
D)  April 1st through March 31st of the next year.

Question 7

Which physician spent the longest average time with patients on that day?

Accepted Answer

A)  Beasley 
B)  Wolf 
C)  Baumstark 
D)  Robinson

Question 8

When interviewing a prospective employee, which of the following questions is inappropriate ask?

Accepted Answer

A)  "Can you type?" 
B)  "Where may we contact you?" 
C)  "What language other than English can you speak or write?" 
D)  "Do you own a home?"

Question 9

Nicole is developing an agreement that will be used between the hospital and the health care clearing house. This agreement will require the two parties to protect the privacy of data exchanged. This is called a

Accepted Answer

A)  business associate agreement. 
B)  business contract 
C)  trading partner agreement. 
D)  none of the above

Question 10

A basic concept of office layout and workflow is that the

Accepted Answer

A)  paper and employee move to a predetermined location. 
B)  employee moves to the paper. 
C)  office layout and workflow should be revised frequently. 
D)  paper moves to the employee.

Question 11

The Director of the Health Information Services Department is preparing the department's budget for the coming year. She has included the costs for the coding staff to attend at least two workshops in the budget. What portion of the department's budget will the cost of the workshops be allocated to?

Accepted Answer

A)  staffing budget 
B)  revenue budget 
C)  personnel budget 
D)  expense budget

Question 12

Emma Grace is a transcriptionist. Her productivity level, as determined by line count per day, has dropped significantly over the past 2 weeks. As a result, there is a backlog in transcription of history and physical reports and surgical reports. Several doctors and the operating room supervisor have complained. An appropriate initial course of action for the Supervisor of Transcription is to

Accepted Answer

A)  counsel the transcriptionist privately.' 
B)  fire the transcriptionist immediately. 
C)  refer the matter to the Human Resources Department. 
D)  suspend the transcriptionist without pay for 3 days.

Question 13

Full-term infant, born in hospital. Diagnosed with polycystic kidneys.

Accepted Answer

A)  753.12 
B)  V30.00, 753.12 
C)  V30.00 
D)  753.12, V30.00

Question 14

Unless state or federal laws require longer time periods, AHIMA recommends that patient health information for minors be retained for at least how long?

Accepted Answer

A)  age of majority plus statute of limitation 
B)  10 years after the most recent encounter 
C)  120 years after the age of majority 
D)  permanently

Question 15

In CPT, Category III codes include codes

Accepted Answer

A)  to describe emerging technologies. 
B)  to measure performance. 
C)  for use by nonphysician practitioners. 
D)  for suppliers, drugs, and durable medical equipment.

Question 16

To enter the results of a CBC into the computer system, you would use a:

Accepted Answer

A)  laboratory system 
B)  radiology system 
C)  pharmacy system 
D)  order entry/results reporting system

Question 17

Employing the SOAP style of progress notes, choose the "assessment" statement from the following:

Accepted Answer

A)  patient states low back pain with sciatica is as severe as it was on admission. 
B)  patient moving about very cautiously, appears to be in pain. 
C)  adjust pain medication; begin physical therapy tomorrow. 
D)  sciatica unimproved with hot pack therapy.

Question 18

In creating a new form or computer view, the designer should be most driven by

Accepted Answer

A)  QIO standards. 
B)  medical staff bylaws. 
C)  needs of the users. 
D)  flow of data on the page or screen.

Question 19

Patient is admitted for elective cholecystectomy for treatment of chronic cholecystitis with cholelithiasis. Prior to administration of general anesthesia, patient suffers cerebral thrombosis. Surgery is subsequently canceled. Code and sequence the coding from the following codes.

Accepted Answer

A)  997.02, 574.10, 51.22 
B)  574.10, 434.00, V64.1 
C)  997.02, 434.00, V64.1 
D)  434.00, V64.1

Question 20

Priapism operation with spongiosum shunt

Accepted Answer

A)  54450 
B)  54352 
C)  54430 
D)  55899

Exam 1: Registered Health Information Administrator