Question 1

The occurrence of an OCE (outpatient code editor) edit can result in one of __________ different dispositions, which help to ensure that the fiscal intermediaries in all parts of the country are following similar claims processing procedures. An example of one of these dispositions is "claim rejection."

Accepted Answer

A)  100 
B)  50 
C)  3 
D)  6

Question 2

Patient was seen in the Emergency Department with lacerations on the left arm. Two lacerations, one 7 cm and one 9 cm, were closed with layered sutures.

Accepted Answer

A)  12045 
B)  12035 
C)  12002, 12004 
D)  12004

Question 3

You want to graph the number of patients admitted to three different medical staff services of each day of the last month. Because you have a large number of observations (one for each day of the month) and you want to be able to compare the observations for each of the three services on one data display, your best choice is a

Accepted Answer

A)  table. 
B)  bar chart. 
C)  line graph. 
D)  histogram.

Question 4

In the ICD-9-CM classification systems, shooting pain in the right eye due to the presence of an intact, correctly positioned permanent contact lens would be coded as a(n)

Accepted Answer

A)  current injury. 
B)  Late effect. 
C)  Mechanical complication of an internal prosthetic device. 
D)  Abnormal reaction of the body to the presence of an internal prosthetic device.

Question 5

With the passage of Medicare (Title XVIII of the Social Security Act) in 1965, which of the following functions became mandatory?

Accepted Answer

A)  quality improvement 
B)  risk management 
C)  quality assessment 
D)  utilization review

Question 6

Upon learning that a court order violates state law, the HIM professional should

Accepted Answer

A)  call the judge issuing the court order. 
B)  call the opposing attorney. 
C)  call the legal counsel for the health care institution. 
D)  ignore the court order.

Question 7

The most realistic approach that could encourage increased productivity in the tedious record file/retrieval area is to

Accepted Answer

A)  shorten the workday by 1 hour. 
B)  vary and rotate the work assigned to each file clerk. 
C)  have all the file clerks work on a part-time basis. 
D)  arrange for all the file clerks to have flex time.

Question 8

The HIM Department is located in a teaching hospital and provides record access 24 hours a day, 7 days a week. To secure the file area and continue to maintain accessibility, the department director should

Accepted Answer

A)  be on call during the evening hours. 
B)  staff the file area with file clerks on all three shifts. 
C)  instruct medical staff in record retrieval. 
D)  instruct nurse supervisors in record retrieval.

Question 9

Bronchoscopy with multiple transbronchial right upper and right lower lobe lung biopsy with fluoroscopic guidance

Accepted Answer

A)  31628-RT; 76000-RT 
B)  31717-RT; 31632-RT 
C)  32405-RT 
D)  31628-RT; 31632-RT

Question 10

In calculating the fee for a physician's reimbursement, the three relative value units are each multiplied by

Accepted Answer

A)  geographic practice cost indices. 
B)  national conversion factor. 
C)  usual and customary fees for the service 
D)  the cost of living index for the particular region

Question 11

The prevention of illness through vaccination occurs due to the formation of

Accepted Answer

A)  helper B cells. 
B)  immunosurveillance. 
C)  mast cells. 
D)  memory cells.

Question 12

Patient presents to the operating room for excision of three lesions. The 1.5 cm and 2.0 cm lesions of the back were excised with one excision. The 0.5 cm lesion of the hand was excised. The pathology report identified both back lesions as squamous cell carcinoma. The hand lesion was identified as seborrheic keratosis.

Accepted Answer

A)  11604; 11420 
B)  11402; 11420; 11403 
C)  11403; 11642; 11462 
D)  11602; 11402

Question 13

Internal disclosures of patient information for patient care purposes should be granted

Accepted Answer

A)  to legal counsel. 
B)  on a need to know basis. 
C)  to any physician on staff. 
D)  to a family member who is an employee.

Question 14

A pregnant patient was admitted to the hospital with uncontrolled diabetes mellitus. She is a type I diabetic and was brought under control and subsequently discharged. The following code was assigned:  Which of the following describe why the coding is in error?

Accepted Answer

A)  the incorrect fifth digit was used. 
B)  the condition should have been coded as gestational diabetes because she is pregnant. 
C)  an additional code describing the diabetes mellitus should be used. 
D)  only the code for the diabetes mellitus should have been used.

Question 15

The organism transmitted by a mosquito bite that causes malaria is a

Accepted Answer

A)  bacteria. 
B)  protozoa 
C)  prion 
D)  virus

Question 16

Pernicious anemia

Accepted Answer

A)  280.9 
B)  280.8 
C)  281.1 
D)  281.0

Question 17

Hepatic coma with ascites due to Laennec's cirrhosis

Accepted Answer

A)  572.2, 571.2, 789.59 
B)  571.2, 789.59 
C)  789.59, 572.2 
D)  789.59, 572.2, 571.2

Question 18

If this physician is a nonparticipating physician who does NOT accept assignment for this claim, the total amount he will receive is

Accepted Answer

A)  $250.00. 
B)  $200.00. 
C)  $218.50. 
D)  $190.00.

Question 19

Your organization has many information systems from several different vendors. These sys need to share common information such as patient name and medical record number. Some elements, such as service, may be stored differently in the different systems. You should cons using a(n)

Accepted Answer

A)  ASP 
B)  network. 
C)  Internet. 
D)  interface engine.

Question 20

You are trying to improve communications with your staff by posting graphs of signs statistics on the employee bulletin board. You recently calculated the percentage of employees spend on each of six major tasks. Because you would like the employees to appreciate each task as a percentage of their whole day, you will post these figures using a

Accepted Answer

A)  line graph. 
B)  bar graph. 
C)  scatter diagram. 
D)  pie graph.

Exam 1: Registered Health Information Administrator