Question 1

You are a researcher at the local university hospital. You will need to access patient information without patient authorization to conduct your research. Which of the following statements is true?

Accepted Answer

A)  You cannot gain any information without patient consent. 
B)  You can obtain the information if the institutional review board waives the requirement for patient authorization. 
C)  You can access anything that you need as long as you sign a statement saying that you will only use it for the purpose described on the form. 
D)  You can access the information if you call the patients personally and get their written permission.

Question 2

A health information manager develops a formal plan or record retention schedule for the automatic transfer of records to inactive storage and potential destruction based on all but which one of the following factors?

Accepted Answer

A)  statute of limitations 
B)  volume of research 
C)  readmission rate 
D)  file area staffing

Question 3

Case Study #4 William is a 16-years-old male who lives at home with his parents and works part-time as al dishwasher at one of the local restaurants. While emptying the dishwasher, William is severely scalded and rendered unconscious. He is taken to the emergency room of the local acute care hospital for emergency treatment. Referring to Case Study #4, given the emergency of the situation, who should the health care provider, seek consent from in order to provide treatment to William?

Accepted Answer

A)  the employer 
B)  the parents 
C)  the patient 
D)  no consent is needed for emergency care

Question 4

While performing routine quantitative analysis of a record, a medical record employee finds an incident report in the record. The employee brings this to the attention of her supervisor. Which best practice should the supervisor follow to deal with this situation?

Accepted Answer

A)  remove the incident report and send it to the patient. 
B)  tell the employee to leave the report in the record. 
C)  remove the incident report and have nursing personnel transfer all documentation from the report to the medical record. 
D)  refer this record to the Risk Manager for further review and removal of the incident report.

Question 5

As HIM Department Director, you are on the implementation team for the new MPI. You have been assigned the responsibility of looking at every data element stored in the system and establishing criteria for the use of each. An example of what you are doing ______ is below:  You are responsible for the

Accepted Answer

A)  data flow diagram. 
B)  decision tree. 
C)  data dictionary.

Question 6

The data display below is a

Accepted Answer

A)  bar chart, which is commonly used to display continuous data. 
B)  bar chart, which is commonly used to display discrete data. 
C)  histogram, which is commonly used to display continuous data. 
D)  histogram, which is commonly used to display discrete data.

Question 7

Sixty-seven-year-old is admitted with acute dehydration secondary to nausea and vomiting that is due to acute gastroenteritis. Patient is treated for dehydration. Esophagogastroduodenoscopy is performed.

Accepted Answer

A)  558.9, 787.01, 276.51, 45.13 
B)  558.9, 787.01, 276.51, 45.16 
C)  276.51, 787.01, 558.9, 45.13 
D)  276.51, 558.9, 45.13

Question 8

The Correct Coding Initiative (CCI) edits contain a listing of codes under two columns titled, "comprehensive codes" and "component codes." According to the CCI edits, when a provider bills Medicare for a procedure that appears in both columns for the same beneficiary on the same date of service.

Accepted Answer

A)  code only the component code. 
B)  do not code either one. 
C)  code only the comprehensive code. 
D)  code both the comprehensive code and the component code.

Question 9

The time period of a facility's Institutional Review Board (IRB) or Independent Ethics Committee (IEC) registration with the Department of Health and Human Services (NHS) is

Accepted Answer

A)  6 months. 
B)  1 year. 
C)  2 years. 
D)  3 years.

Question 10

A patient is 6 weeks post-mastectomy for carcinoma of the breast. She is admitted for chemotherapy. What is the correct sequencing of the codes?

Accepted Answer

A)  V58.11, 174.9 
B)  V58.1, V10.3 
C)  V67.09, V58.1 
D)  V10.3, V67.00

Question 11

The name given to the error committed when the null hypothesis is rejected and it is actually true is: The name given in

Accepted Answer

A)  type II error. 
B)  selection bias. 
C)  type I error. 
D)  alternative hypothesis.

Question 12

Laparoscopy with multiple biopsies of retroperitoneal lymph nodes

Accepted Answer

A)  38570 
B)  38571 
C)  38570-22 
D)  38572

Question 13

How many major diagnostic categories are there in the MS-DRG system?

Accepted Answer

A)  29 
B)  20 
C)  19 
D)  25

Question 14

As your meeting with the clerical staff on the stat report continues, one clerk suggests a reason for the delays is a lack of training concerning the nature of stat reports. On the cause effect diagram, this would most appropriately be listed under

Accepted Answer

A)  personnel. 
B)  equipment. 
C)  materials. 
D)  methods.

Question 15

Removal of nephrostomy tube with fluoroscopic guidance

Accepted Answer

A)  50387 
B)  50389 
C)  99212 
D)  99213

Question 16

A supervisor reviews a job to determine the required content, skills, knowledge, abilities, responsibilities for the position. The tasks are grouped and lines of responsibility and au are defined. The supervisor is writing a job

Accepted Answer

A)  description. 
B)  analysis. 
C)  process. 
D)  detail.

Question 17

This information is used to assign each item to a particular section of the general ledger in a particular facility's accounting section. Reports can be generated from this information to include statistics related to volume in terms of numbers, dollars, and payer types.

Accepted Answer

A)  general ledger key 
B)  charge code 
C)  revenue code 
D)  HCPCS code

Question 18

Maria Giovanni is in the hospital recovering form surgery. Based on her symptoms, her doctors are concerned about the possibility that she has developed a pulmonary embolism. Which of the following procedures will provide the definitive diagnosis?

Accepted Answer

A)  chest x-ray. 
B)  lung scan 
C)  pulmonary angiography 
D)  none of the above

Question 19

Under APCs, payment status indicator "T" means

Accepted Answer

A)  ancillary services. 
B)  medical visits. 
C)  multiple procedure reduction applies. 
D)  multiple procedure reduction does not apply.

Question 20

Physical safeguards include:

Accepted Answer

A)  1 and 2 only 
B)  1 and 3 only 
C)  2 and 3 only 
D)  2 and 4 only

Exam 1: Registered Health Information Administrator