Question 1

What process assists a health care facility in continuously looking at the ways that problems develop and seeking ways to prevent problems from happening in the future?

Accepted Answer

A)  risk management 
B)  quality control 
C)  utilization management 
D)  performance improvement

Question 2

William Rumple was pronounced dead on arrival (DOA). The hospital pathologist performed an autopsy on Mr. Rumple's body. This statistical event would be counted in the

Accepted Answer

A)  net death rate. 
B)  gross death rate. 
C)  net autopsy rate. 
D)  hospital autopsy rate.

Question 3

Your organization is sending confidential patient information across the Internet using technology that will transform the original data into unintelligible code that can be re­created by authorized users. This technique is called

Accepted Answer

A)  a firewall. 
B)  validity processing. 
C)  a call-back process. 
D)  data encryption.

Question 4

A diabetic patient is admitted to the hospital with acute gastrointestinal hemorrhage due to ulcer disease. In this case, the diabetes would be

Accepted Answer

A)  the principal diagnosis. 
B)  a comorbid condition. 
C)  a complication. 
D)  irrelevant and not coded.

Question 5

Sickle cell pain crisis

Accepted Answer

A)  282.62 
B)  282.60 
C)  282.5 
D)  282.42

Question 6

Which of the following agencies is empowered to implement the law governing Medicare and Medicaid?

Accepted Answer

A)  Centers for Medicare and Medicaid Services (CMS) formerly known as Health Care Financing Administration (HCF
A)  
B)  Joint Commission 
C)  Institutes of Health 
D)  Department of Health and Human Services

Question 7

Lizzie O'Leary, Director of the Health Information Services Department, is writing a memo about a recent problem the department has had with a contracted copy service when she is notified of an emergency, hospital-wide department-head meeting. Because it is necessary that the memo be completed by the end of the day, it is most appropriate for the director to delegate its completion to the supervisor of

Accepted Answer

A)  storage and retrieval. 
B)  transcription. 
C)  coding and abstracting. 
D)  release of information.

Question 8

What is the best tool for differentiating between common cause variation and special ca variation?

Accepted Answer

A)  control chart 
B)  Pareto chart 
C)  run chart 
D)  scatter diagram

Question 9

Southwest Home Care utilizes a discipline system that provides for stronger penalties for successive repeat offense. You are most likely using

Accepted Answer

A)  corrective discipline. 
B)  preventive discipline. 
C)  progressive discipline. 
D)  terminating discipline.

Question 10

As a general rule, a person making a report in good faith and under statutory command (e.g., on child abuse, communicable diseases, births, deaths, etc.) is

Accepted Answer

A)  not protected from liability claims. 
B)  subject to penalties imposed by federal law. 
C)  subject to penalties imposed by state law. 
D)  protected.

Question 11

Severe malnutrition, percutaneous endoscopic gastrostomy

Accepted Answer

A)  263.9, 43.11 
B)  261, 43.11 
C)  261, 43.19 
D)  263.8, 43.11

Question 12

The limiting charge is a percentage limit on fees specified by legislation that the nonparticipating physician may bill Medicare beneficiaries above the nonPAR fee schedule amount. The limiting charge is

Accepted Answer

A)  10% 
B)  15% 
C)  20% 
D)  50%

Question 13

CT scan of the head with contrast

Accepted Answer

A)  70460 
B)  70542 
C)  70551 
D)  70470

Question 14

Mary had resection of the large bowel for carcinoma of the colon. She is admitted for further staging of her cancer and receives radiation therapy during this admission.

Accepted Answer

A)  153.9, 92.29 
B)  V58.0, V10.05 
C)  V67.09, V58.0 
D)  V10.05, V58.0

Question 15

The delinquent rate

Accepted Answer

A)  cannot be determined. 
B)  is 36%. 
C)  is 50%. 
D)  is 71%.

Question 16

Gastric ulcer with hemorrhage resulting in acute blood-loss amnia Esophagogastroduodenoscopy performed.

Accepted Answer

A)  531.20, 285.1, 45.13 
B)  285.1, 531.20, 45.13 
C)  531.40, 280.0, 45.14 
D)  531.40, 285.1, 45.13

Question 17

If this physician is a nonparticipating physician who does not accept assignment for this claim, the total amount of the patient's financial liability (out-of-pocket expense) is

Accepted Answer

A)  $66.50. 
B)  $38.00. 
C)  $190.00. 
D)  $152.00.

Question 18

The file section supervisor, is preparing the staffing budget for the coming fiscal year. Presently the staff is filing approximately 500 charts per day. By the time the fiscal year begins, this is expected to increase to 650 charts per day. Currently it takes 9 FTEs to file 500 charts. The supervisor should project a FTE increase for the coming year's budget of

Accepted Answer

A)  13%. 
B)  76%. 
C)  23%. 
D)  55%.

Question 19

Collins Family Hospital had a bed count of 150 for the first 6 months of the year. On June 1, it added 15 beds when it opened a new wing. If you are given the average length of stay for the year, can you calculate the annual bed turnover rate? How?

Accepted Answer

A)  Yes, using the direct method. 
B)  Yes, using the indirect method. 
C)  Yes, using the Joint Commission method. 
D)  No, there is insufficient data to complete the calculation.

Question 20

This is a ten digit, intelligence-free, numeric identifier designed to replaced all previous provider legacy numbers. This number identifies the physician universally to all payers. This number is issued to all HIPAA-covered entities. It is mandatory on the CMS­1500 and UB-04 claim forms.

Accepted Answer

A)  National Practitioner Databank (NP
D)  
B)  Universal Physician Number (UPN) 
C)  Master Patient Index (MPI) 
D)  National Provider Identifier (NPI)

Exam 1: Registered Health Information Administrator

What process assists a health care facility in continuously looking at the ways that problems develop and seeking ways to prevent problems from happening in the future?

William Rumple was pronounced dead on arrival (DOA) . The hospital pathologist performed an autopsy on Mr. Rumple's body. This statistical event would be counted in the

Your organization is sending confidential patient information across the Internet using technology that will transform the original data into unintelligible code that can be recreated by authorized users. This technique is called

A diabetic patient is admitted to the hospital with acute gastrointestinal hemorrhage due to ulcer disease. In this case, the diabetes would be

Sickle cell pain crisis

Which of the following agencies is empowered to implement the law governing Medicare and Medicaid?

What is the best tool for differentiating between common cause variation and special ca variation?

Southwest Home Care utilizes a discipline system that provides for stronger penalties for successive repeat offense. You are most likely using

As a general rule, a person making a report in good faith and under statutory command (e.g., on child abuse, communicable diseases, births, deaths, etc.) is

Severe malnutrition, percutaneous endoscopic gastrostomy

The limiting charge is a percentage limit on fees specified by legislation that the nonparticipating physician may bill Medicare beneficiaries above the nonPAR fee schedule amount. The limiting charge is

CT scan of the head with contrast

Mary had resection of the large bowel for carcinoma of the colon. She is admitted for further staging of her cancer and receives radiation therapy during this admission.

The delinquent rate

Gastric ulcer with hemorrhage resulting in acute blood-loss amnia Esophagogastroduodenoscopy performed.

If this physician is a nonparticipating physician who does not accept assignment for this claim, the total amount of the patient's financial liability (out-of-pocket expense) is

Collins Family Hospital had a bed count of 150 for the first 6 months of the year. On June 1, it added 15 beds when it opened a new wing. If you are given the average length of stay for the year, can you calculate the annual bed turnover rate? How?

This is a ten digit, intelligence-free, numeric identifier designed to replaced all previous provider legacy numbers. This number identifies the physician universally to all payers. This number is issued to all HIPAA-covered entities. It is mandatory on the CMS1500 and UB-04 claim forms.

Exam 1: Registered Health Information Administrator

What process assists a health care facility in continuously looking at the ways that problems develop and seeking ways to prevent problems from happening in the future?

William Rumple was pronounced dead on arrival (DOA) . The hospital pathologist performed an autopsy on Mr. Rumple's body. This statistical event would be counted in the

Your organization is sending confidential patient information across the Internet using technology that will transform the original data into unintelligible code that can be re­created by authorized users. This technique is called

A diabetic patient is admitted to the hospital with acute gastrointestinal hemorrhage due to ulcer disease. In this case, the diabetes would be

Sickle cell pain crisis

Which of the following agencies is empowered to implement the law governing Medicare and Medicaid?

What is the best tool for differentiating between common cause variation and special ca variation?

Southwest Home Care utilizes a discipline system that provides for stronger penalties for successive repeat offense. You are most likely using

As a general rule, a person making a report in good faith and under statutory command (e.g., on child abuse, communicable diseases, births, deaths, etc.) is

Severe malnutrition, percutaneous endoscopic gastrostomy

The limiting charge is a percentage limit on fees specified by legislation that the nonparticipating physician may bill Medicare beneficiaries above the nonPAR fee schedule amount. The limiting charge is

CT scan of the head with contrast

Mary had resection of the large bowel for carcinoma of the colon. She is admitted for further staging of her cancer and receives radiation therapy during this admission.

The delinquent rate

Gastric ulcer with hemorrhage resulting in acute blood-loss amnia Esophagogastroduodenoscopy performed.

If this physician is a nonparticipating physician who does not accept assignment for this claim, the total amount of the patient's financial liability (out-of-pocket expense) is

Collins Family Hospital had a bed count of 150 for the first 6 months of the year. On June 1, it added 15 beds when it opened a new wing. If you are given the average length of stay for the year, can you calculate the annual bed turnover rate? How?

This is a ten digit, intelligence-free, numeric identifier designed to replaced all previous provider legacy numbers. This number identifies the physician universally to all payers. This number is issued to all HIPAA-covered entities. It is mandatory on the CMS­1500 and UB-04 claim forms.

Your organization is sending confidential patient information across the Internet using technology that will transform the original data into unintelligible code that can be recreated by authorized users. This technique is called

This is a ten digit, intelligence-free, numeric identifier designed to replaced all previous provider legacy numbers. This number identifies the physician universally to all payers. This number is issued to all HIPAA-covered entities. It is mandatory on the CMS1500 and UB-04 claim forms.