Question 1

As the Project Manager for the upcoming HER implementation, you ask one of your assistants to develop a work breakdown structure (WBS). Critical to implementations and project success, the WBS

Accepted Answer

A)  lists steps needed to complete the project. 
B)  determines dependencies among project tasks. 
C)  describes project responsibilities. 
D)  defines the project's critical path.

Question 2

The HIM Department receives a request for a certified copy of a birth certificate on a patient born in the hospital 30 years ago. The Department should

Accepted Answer

A)  issue a copy of the birth certificate from the patient's record. 
B)  direct the request to the state's office of vital records. 
C)  direct the request to the attending physician. 
D)  issue a copy of the newborn's record.

Question 3

Patient undergoes Iaparoscopic orchiopexy for intra-abdominal testes.

Accepted Answer

A)  54650 
B)  54699 
C)  54692 
D)  55899

Question 4

ICD-10-CM has two categories for myocardial infarction: I21, Acute myocardial infarction I22, Subsequent acute myocardial infarction.According to the guidelines, a code from I21 is to be used from onset of the acute MI until __________ following onset.

Accepted Answer

A)  10 weeks 
B)  8 weeks 
C)  6 weeks 
D)  4 weeks

Question 5

Mother brings her 1-year-old in for the influenza split virus vaccine. Physician discusses merits of the vaccine with the mother.

Accepted Answer

A)  90658; 90472 
B)  90657; 90465 
C)  90703 
D)  90657

Question 6

Case Study #5 Upon employment at your facility, all new employees read, demonstrate understanding, and sign Confidentiality Statements. Disclosure of confidential information is grounds for immediate dismissal. Each year, during the annual performance evaluation, every employee again reads, demonstrates understanding, and signs the Confidentiality Statement. You are the Director of the Quality Department. Your Department has found that the femoral-popliteal bypass failure rate of one of your vascular surgeons, Dr. Z., is twice that of the national average. Members of the surgery department have reviewed that vascular surgeon's performance both by reading the medical records and by watching videos of her surgery. The Surgery Department and the Executive Committee have decided to deny reappointment for this surgeon. Lucille X, the mother of one of your quality coordinators, has severe peripheral vascular disease. She was admitted to your facility and has an angiogram. The angiogram shows that she should have a femoral-popliteal bypass. She had told you that she would be in your facility and asked you to visit her. You are now fulfilling that promise and are also bringing her flowers. While pausing to knock on her door, you hear your employee, Mary G., vehemently state to her mother, "Mom, Dr. Z is z quack; half of her bypass surgeries fail. You must have Dr. DoGood!" Referring to Case Study #5, what do you do as Director of the Quality Department?

Accepted Answer

A)  Seek the advice of the facility's legal counsel. 
B)  Immediately dismiss Mary G upon her arrival back in the department. 
C)  Walk into Lucille's room and state that Dr. Z is a fine surgeon and also advise Mary G to lower her voice. 
D)  Upon Mary G's arrival back in the department, give her a written warning.

Question 7

The ______________ is a statement sent to the provider to explain payments made by third party payers.

Accepted Answer

A)  remittance advice. 
B)  advance beneficiary notice. 
C)  attestation statement. 
D)  acknowledgement notice.

Question 8

Your large office practice has decided to try an e-health initiative. They have established a practice Web site and encourage patients to submit questions electronically instead of calling the advice nurse. After an initial surge in interest, very few patients use the service. The Web site is attractive and easy to navigate. Questions submitted via the site are answered by the nursing staff within 2 working days. You suspect few patients use the service because

Accepted Answer

A)  most of your patients are too old to be Internet savvy. 
B)  the turnaround time is too long to. replace the advice nurse. 
C)  the nurses may be using language that is too technical for patients. 
D)  most patients just prefer the personal touch they get on the phone.

Question 9

Chronic pelvic inflammatory disease with dysmenorrhea. Patient undergoes ft diagnostic laparoscopy.

Accepted Answer

A)  625.3, 54.21 
B)  614.4, 54.4 
C)  625.3, 614.4, 54.21 
D)  614.4, 625.3, 54.21

Question 10

A pharmacist at your facility was caught running a drug ring. The pharmacist filled orders valuable medications with cheap outdated ones purchased on the Internet, then sold the g' drugs for profit. Patients have been injured and the lawsuits are starting. Unfortunately, y facility is going to be held responsible for the pharmacist's negligent acts under the doctrine of

Accepted Answer

A)  adjudicus res. 
B)  res ipsa loquitur. 
C)  respondeat superior. 
D)  stare decisis.

Question 11

Carpal tunnel syndrome; arthroscopic release of carpal tunnel.

Accepted Answer

A)  354.0,04.43 
B)  354.1,80.23 
C)  354.1,04.43,80.23 
D)  354.0,04.43,80.23

Question 12

A 36-year-old woman was admitted to the hospital for an obstetrical delivery of her third child. During the admission, a sterilization procedure was performed for contraceptive purposes. The V25.2 code for sterilization would be

Accepted Answer

A)  assigned as a principal diagnosis. 
B)  assigned as a secondary diagnosis. 
C)  not assigned because this was the patient's third child. 
D)  not assigned because it is the same admission as the delivery.

Question 13

A 75-year-old patient has a sore tongue with tingling and numbness of the hands and feet. She has headaches and is fatigued. Following diagnostic workup, the doctor orders monthly injections of vitamin B12. This patient mostly likely has which of the following conditions?

Accepted Answer

A)  aplastic anemia. 
B)  autoimmune hemolytic anemia 
C)  pernicious anemia. 
D)  sickle cell anemia

Question 14

In the event of corrupted, lost, or damaged electronic data, one method of disaster recovery planning is to

Accepted Answer

A)  create regular backups that are stored in a safe location off premises. 
B)  establish passwords and audit trails. 
C)  make duplicate copies of all paper records and store them in an off-site location. 
D)  submit all electronic records to a health information exchange.

Question 15

Latent schizophrenia, chronic with acute exacerbation

Accepted Answer

A)  295.52 
B)  295.55 
C)  295.54 
D)  295.53

Question 16

The patent is being admitted for a preoperative EKG on an outpatient basis. He is scheduled to have an elective cholecystectomy tomorrow for chronic cholecystitis and cholelithiasis. EKG reveals atrial flutter.

Accepted Answer

A)  574.10 
B)  V72.81, 51.23 
C)  V72.81, 574.10, 427.32 
D)  427.32

Question 17

The same patient was admitted on three different occasions and assigned a new medical record number each time. In order to correct this situation in a unit numbering system, which medical record number should be used given the following information? Admitted 5/04/07 Patty Miller 23-33-56 Admitted 6/05/07 P.J. Miller 25-56-88 Admitted 9/27/07 Patricia Miller 27-12-12

Accepted Answer

A)  Void the first and last numbers and file all admissions under 25-56-88. 
B)  Delete all previous numbers and assign a completely new number. 
C)  Void the first two numbers and file all admissions under 27-12-12. 
D)  Void the last two numbers and file all admissions under 23-33-56.

Question 18

A physician orders a lipid panel on a 54-year-old male with hypercholesterolemia, hypertension, and a family history of heart disease. The lab employee in his office performs and reports the total cholesterol and HDL cholesterol only.

Accepted Answer

A)  272.0, 80061-52 
B)  272.0, 401.9, V17.49, 80061-52 
C)  272.0, 401.9, V17.49, 82465, 83718 
D)  272.0, 402.90, 82465, 83718

Question 19

Amelia Claire is a CNA and an RHIA who is a clinical documentation trainer for a large health system. The results of a quality improvement study indicated that an informed consent was not obtained for 25% of the surgical procedures performed. Brooke had discussed the problem with the director of the Health Information Department and they have decided to begin corrective action by providing an in-service. The most important participants that should attend this in-service are

Accepted Answer

A)  nurses and unit clerks. 
B)  medical record and quality improvement personnel. 
C)  physicians and residents. 
D)  administrators.

Question 20

One of the problems facing National Health Information Network is:

Accepted Answer

A)  lack of interest in the electronic health record. 
B)  intraoperability. 
C)  lack of HIM professionals. 
D)  multiple types of data collected.

Exam 1: Registered Health Information Administrator

As the Project Manager for the upcoming HER implementation, you ask one of your assistants to develop a work breakdown structure (WBS) . Critical to implementations and project success, the WBS