Question 1

Under the outpatient prospective payment system (OPPS), status indicator "______" is a payment indicator that refers to "significant procedures for which the multiple procedure reduction applies." This means that the reported CPT and/or HCPCS Level II code will be paid a discounted APC reimbursement rate when reported with other procedures on the same claim.

Accepted Answer

A)  "T" 
B)  "X" 
C)  "S" 
D)  "A"

Question 2

A transcription unit has been asked to tally the number of times they have to leave sections of a report blank for various reasons (poor dictation technique, background noise, etc.). The quality improvement tool most likely to help collect this data would be

Accepted Answer

A)  force field analysis. 
B)  decision matrix. 
C)  flowchart. 
D)  check sheet.

Question 3

Kim Khoury is planning a luncheon for the team members and stakeholders on the CPOE implementation to celebrate reaching a major milestone. Which of the following is true?

Accepted Answer

A)  Acknowledging accomplishments and milestones motivates teams. 
B)  Budgets rarely permit these extra expenses. 
C)  Celebrations are only appropriate at the close of a project. 
D)  Professionals are self-motivated, making celebrations unnecessary.

Question 4

Two-year-old patient returns to the hospital for cleft palate repair where a secondary lengthening procedure takes place.

Accepted Answer

A)  40720 
B)  42220 
C)  42226 
D)  42145

Question 5

Community Hospital reported an average LOS in December of 3.7 days with a standard deviation of 23. This information indicates that

Accepted Answer

A)  there was a small variation in the LOS at Community Hospital. 
B)  there was a large variation in the LOS at Community Hospital. 
C)  most of the patients at Community Hospital stay 3 to 4 days. 
D)  patients stay longer at Community than at most hospitals.

Question 6

Sara has Dupuytren's contracture of the right middle finger. She has an incision and division of the palmar fascia.

Accepted Answer

A)  728.6, 82.12 
B)  728.71, 82.19 
C)  728.6, 82.19 
D)  728.86, 82.12

Question 7

Acute and chronic cholecystitis with cholelithia'sis. Laparoscopic cholecystectomy attempted and converted to open.

Accepted Answer

A)  574.00, 574.10, V64.41, 51.22 
B)  574.00, 574.10, 51.22, 51.23 
C)  574.00, 51.22, 51.23 
D)  574.00, V64.41, 51.22

Question 8

A discharge in which the patient was discharged from the inpatient rehabilitation facility and returned within 3 calendar days is called a(n)

Accepted Answer

A)  interrupted stay. 
B)  transfer. 
C)  per diem. 
D)  qualified discharge.

Question 9

Abscessed pilonidal cyst; excision of cyst

Accepted Answer

A)  685.1, 86.04 
B)  686.09, 86.04 
C)  685.0, 86.21 
D)  686.01, 86.22

Question 10

HIPAA workforce security requires

Accepted Answer

A)  a criminal background check. 
B)  a two-factor authentication. 
C)  that access to PHI be appropriate. 
D)  the use of card keys.

Question 11

Clinical privileges are granted to the physician for an interval specified in the medical staff bylaws, but not longer than

Accepted Answer

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

Question 12

Aplastic anemia secondary to chemotherapy administered for multiple myeloma.

Accepted Answer

A)  284.89, 203.00, E933.1 
B)  203.00, 284.81, E933.1 
C)  284.9, 203.00, E933.1 
D)  203.01, 284.89, E933.1

Question 13

Which of the following is a type of laser technology that is ideal for health records because it stores data in a permanent capacity, prohibiting users from altering, misfiling, or erasing data?

Accepted Answer

A)  EDI. 
B)  OCR. 
C)  WORM. 
D)  COM.

Question 14

The supervisor of retention and retrieval was receiving frequent complaints from the file clerks regarding the discharge clerk's job performance. The file clerks stated it was becoming difficult to maintain their productivity levels because the discharge clerk was not processing the requisition slips in a timely manner. In order to get a clearer understanding of the situation, the supervisor asked the file clerks and the discharge clerk to complete a task list for a 2-week period. The supervisor is constructing a

Accepted Answer

A)  flow process chart. 
B)  movement diagram. I 
C)  work distribution chart. 
D)  procedure flowchart.

Question 15

Currently, payment to the physician for outpatient surgery performed ona Medicare patient is based upon which prospective payment system?

Accepted Answer

A)  set of categories. 
B)  classification system. 
C)  medical nomenclature. 
D)  diagnosis listing.

Question 16

Your facility is implementing a new document management system. This system will require the storage of large amounts of data. Which of the following storage devices would you recommend?

Accepted Answer

A)  external hard drive 
B)  CDs 
C)  file server 
D)  redundant arrays of independent disks

Question 17

The ideal consent for medical treatment obtained by the physician is

Accepted Answer

A)  expressed. 
B)  informed. 
C)  implied. 
D)  verbal.

Question 18

To be admitted into court as evidence, medical records or health information are introduced as

Accepted Answer

A)  torts or contracts. 
B)  privileged information. 
C)  records or exceptions to hearsay rule. 
D)  product liability.

Question 19

The HIM department is asked to pull records for review by the Quality Improvement Organization (QIO). The QIO reviewers analyze records to ensure that health care services are

Accepted Answer

A)  rendered according to appropriate professional standards. 
B)  medically necessary. 
C)  performed in the most efficient, effective, and economical manner. 
D)  all of the above

Question 20

Patient is at a fertility clinic and undergoes intrauterine embryo transplant.

Accepted Answer

A)  58679 
B)  58322 
C)  58323 
D)  58974

Exam 1: Registered Health Information Administrator

A transcription unit has been asked to tally the number of times they have to leave sections of a report blank for various reasons (poor dictation technique, background noise, etc.) . The quality improvement tool most likely to help collect this data would be