Question 1

The administrator has asked us to develop a patient satisfaction database internally. This data will be used to collect data that can be used to improve our services. He does not want this to long, drawn-out process. Which of the following could speed up this process?

Accepted Answer

A)  RFl 
B)  RFP 
C)  prototyping 
D)  functional requirements

Question 2

A patient is seen by a surgeon who determines that an emergency procedure is necessary. Identify the modifier that may be reported to indicate that the deciion to do surgery was made on this office visit.

Accepted Answer

A)  -25. 
B)  -55. 
C)  -57 
D)  -58

Question 3

As Privacy Officer of Florida Beach Hospital, you are reviewing the following new policy for approval and implementation.  Based on the HIPAA accounting of, disclosure rules, what problem with the policy do you have?

Accepted Answer

A)  You do not have to track release to employers because it is exempted from legislation. 
B)  You do not have to track release to attorneys because it is exempted from legislation. 
C)  You do not have to track release to patients because it is exempted from legislation. 
D)  You do not have to track release to external researchers because it is exempted from legislation.

Question 4

In order for the EHR and other systems to be interoperable, the systems must meet certain

Accepted Answer

A)  rules. 
B)  guidelines. 
C)  standards. 
D)  alerts.

Question 5

In the computerization of forms, good screen view design, along with the options of alerts and alarms, makes it easier to ensure that all essential data items have been captured. One essential item to be captured on the physical exam is the

Accepted Answer

A)  objective survey of body systems. 
B)  chief complaint. 
C)  family history. 
D)  subjective review of systems.

Question 6

The first stage of alcoholic liver disease is

Accepted Answer

A)  alcoholic hepatitis. 
B)  cirrhosis 
C)  fatty liver. 
D)  jaundice

Question 7

The number of deliveries in the facility in October is

Accepted Answer

A)  53 
B)  55 
C)  56 
D)  58

Question 8

A physician excises a 3.1-cm malignant lesion of the scalp that requires full-thickness graft from the thigh to the scalp. In CPT, which of the following procedures should be coded?

Accepted Answer

A)  full-thickness skin graft to scalp only 
B)  excision of lesion; full-thickness skin graft to scalp 
C)  excision of lesion; full-thickness skin graft to scalp; excision of skin from thigh 
D)  code 15000 for surgical preparation of recipient site; full-thickness skin graft to scalp

Question 9

These services are those performed by a nonphysician practitioner (such as a Physician Assistant) that are an integral yet incidental component of a physician's treatment for illness or injury. A physician must have personally performed an initial visit and must remain actively involved in the continuing care to the patient. Medicare requires direct supervision for these services to be billed.

Accepted Answer

A)  "technical component" billing. 
B)  "assignment" billing. 
C)  "incident to" billing. 
D)  "assistant" billing.

Question 10

The most common type of registry located in hospitals of all sizes and in every region of the country is the

Accepted Answer

A)  trauma registry. 
B)  cancer registry. 
C)  AIDS registry. 
D)  birth defects registry.

Question 11

The most widely discussed and debated unique patient identifier is the

Accepted Answer

A)  patient's date of birth. 
B)  patient's first and last names. 
C)  patient's Social Security number. 
D)  Unique Physician Identification Number (UPIN).

Question 12

What would be the average cost for training an employee? The training staff in the Human Resources Department is proposing a computer-based training program for 200 employees and needs to prepare a budget for the time and cost of the training. The training program will be 30 minutes in length. The employees can take the training online at any time. There are 200 employees to be trained. The rate of pay for 50 of the employees is $15.50 per hour. The rate of pay for 50 employees is $12.00 per hour. The rate of pay for the other 100 employees is $18.00.

Accepted Answer

A)  $ 7.94 
B)  $ 9.00 
C)  $15.50 
D)  $15.87

Question 13

Fractures occur in patients with osteoporosis due to

Accepted Answer

A)  falling from loss of balance. 
B)  Fibrous joint adhesions tearing apart small bones. 
C)  Loss of bone mass. 
D)  Tendency to fall from lack of joint mobility.

Question 14

According to Frederick Herzberg, challenging work, recognition of workers and accomplishments, and employee self-improvement are examples of

Accepted Answer

A)  maintenance factors. 
B)  needs. 
C)  motivators. 
D)  hygienic factors.

Question 15

Patient presents to the emergency room following a fall from a tree. X-rays were ordered for the left upper arm which showed a fracture of the humerus shaft. The emergency room physician performed a closed reduction of the fracture and placed the patient in a long arm spica cast. Code the diagnoses and procedures, excluding the x-ray.

Accepted Answer

A)  812.21, E884.9, 24505-LT 
B)  812.21, 24515-LT 
C)  812.21, E884.9, 24505-LT, 29065 
D)  812.31, 24500-LT

Question 16

The EHR system implementation team is using simulated patients and simulated patient information to add progress notes, nurses' notes, etc., to the EHR prior to implementation. Which phase is the team involved in?

Accepted Answer

A)  conversion 
B)  testing 
C)  analysis 
D)  site preparation

Question 17

Documentation found in acute care health records should include core measure quality indications required for compliance with Medicare's Health Care Quality Improvement Program (HCQIP). A typical indicator for pneumonia patients is

Accepted Answer

A)  beta blocker at discharge. 
B)  blood culture before first antibiotic received. 
C)  early administration of aspirin. 
D)  discharged on antithrombotic.

Question 18

TO gather statistics for surgical services provided on an outpatient basis, which of the following codes are needed?

Accepted Answer

A)  ICD-9-CM codes 
B)  Evaluation and Management Codes 
C)  HCPCS Level II Codes 
D)  CPT codes

Question 19

Amniocentesis

Accepted Answer

A)  59000 
B)  59200 
C)  57550 
D)  57530

Question 20

Community Hospital Administration decided to change the number of adult and children beds from 300 to 375 effective July 1. The total number of inpatient service days for adults and children for the year was 111,963. What was the percentage of occupancy rate for adults and children for the entire year?

Accepted Answer

A)  0.9% 
B)  45.4% 
C)  90.8% 
D)  91.0%

Exam 1: Registered Health Information Administrator