Question 1

Brad Thomas is a former patient at Alabama General Hospital. He came to the HIM Department today and asked for a list of people who have requested his medical records over the past 10 years. He also wants to know what was released. Which is the appropriate response to Brad's request?

Accepted Answer

A)  Give him what he requested. 
B)  Give him the information on records released over the past 6 years. 
C)  Do not give him any information. 
D)  Give him his medical record and let him find out who requested information for himself.

Question 2

Third-degree burn to thigh and second-degree burn to foot. Patient was burned by hot liquid.

Accepted Answer

A)  945.36, 945.22, E924.0 
B)  945.22, 945.36, E924.0 
C)  945.22, E924.00 
D)  945.29, 945.39, E924.0

Question 3

One of the ways that an EHR is distinguished from a clinical data repository is that the HER

Accepted Answer

A)  has clinical decision support capabilities. 
B)  has data from multiple information systems. 
C)  can have digital images. 
D)  aggregates data.

Question 4

Patient presents to the hospital with a diagnosis of femoral artery atherosclerotic disease. The patient is taken to the operating room and undergoes an aortofemoral popliteal bypass.

Accepted Answer

A)  35551 
B)  3551 
C)  35556 
D)  35656

Question 5

Treatments for sensorineural hearing loss include

Accepted Answer

A)  cochlear implants. 
B)  myringotomy 
C)  removal of impacted cerumen 
D)  stapedectomy

Question 6

You are starting your new job as the sole HIM professional at a small psychiatric practice. The practice uses DSM for billing purposes. You find this "theoretically" reasonable because DSM

Accepted Answer

A)  is a widely used and accepted classification system. 
B)  codes are also valid ICD-9-CM codes. 
C)  codes are also valid CPT codes. 
D)  is the industry standard for psychiatric billing systems.

Question 7

What type of filing system would store records in the following order: 00-76-05, 01-76-04, 01-77-04, 02-76-05?

Accepted Answer

A)  terminal digit 
B)  middle digit 
C)  serial unit 
D)  straight numeric

Question 8

Installation of a new electronic document management system is scheduled for the HIM department. The department director calls a meeting of the HIM supervisors to coordinate plans for training the HIM staff. What key factors must be taken into consideration as part of the training preparation process?

Accepted Answer

A)  the total storage capacity and price of the new system 
B)  co llect ing the results of the RFP responses and vendo r select ion pro cess used during the select ion process 
C)  presentation content and scheduling to accommodate all employee shifts 
D)  scheduling training times and locations for all physicians and hospit al per sonnel who will use t he system

Question 9

Meningitis sarcoidosis

Accepted Answer

A)  321.2, 136.1 
B)  135, 321.4 
C)  136.1, 321.2 
D)  321.4, 135

Question 10

Patient was admitted with third-degree burn of upper back which involved 20% of his body surface. There was an explosion and fire at his home.

Accepted Answer

A)  942.25, 948.02, E890.2 
B)  942.44, 948.21, E895 
C)  942.34, 948.22, E890.3 
D)  942.24, 949.3, E897

Question 11

Cytopathology of cervical Pap smear with automated thin-layer preparation utilizing computer screening and manual rescreening under physician supervision.

Accepted Answer

A)  88175 
B)  88148 
C)  88160;88141 
D)  88161

Question 12

When is it appropriate to use category V10, history of malignant neoplasm?

Accepted Answer

A)  primary malignancy recurred at original site and adjunct chemotherapy is directed at the site 
B)  primary malignancy has been eradicated and no adjunct treatment is being given at this time 
C)  primary malignancy eradicated and the patient is admitted for adjunct chemotherapy to primary site 
D)  primary malignancy is eradicated; adjunct treatment is refused by patient even thought here is some remaining malignancy

Question 13

CPT provides Level I modifiers to explain all of the following situations EXCEPT

Accepted Answer

A)  when a service or procedure is partially reduced or eliminated at the physician's discretion. 
B)  when one surgeon provides only postoperative services. 
C)  when a patient sees a surgeon for follow-up care after surgery. 
D)  when the same laboratory test is repeated multiple times on the same day.

Question 14

A RHIO is a(n)

Accepted Answer

A)  group of organizations that share clinical services. 
B)  application service provider. 
C)  group of national organizations that share clinical information. 
D)  group of organizations in a geographic region that shares clinical information.

Question 15

The Health Department is considering a big newspaper advertising campaign to promote their family planning services. You suggest they first conduct an external analysis to determine the type of advertising most of the people in your target group rely on when making health care choices. You are suggesting the Health Department first engage in a(n)

Accepted Answer

A)  SWOT analysis. 
B)  gap analysis. 
C)  utilization analysis. 
D)  allocation analysis.

Question 16

As a HIM coding supervisor, you are asked to compare the current coding process with proposed concurrent coding process. What visual tool would be the best to identify all the logical steps and sequence of each procedure?

Accepted Answer

A)  decision matrix 
B)  cause and effect diagram 
C)  flowchart 
D)  run chart

Question 17

A toxic goiter has what distinguishing characteristic?

Accepted Answer

A)  iodine deficiency. 
B)  parathyroid involvement 
C)  presence of muscle spasm 
D)  thyroid hyperfunction

Question 18

A 200-bed acute care hospital currently has 15 years of records in hard copy and filing space is limited. What action should be taken?

Accepted Answer

A)  Return inactive records to each individual patient. 
B)  Destroy records of all deceased patients. 
C)  Destroy inactive records that exceed the statute of limitations. 
D)  Maintain the records indefinitely in hard copy.

Question 19

Would an entity that conducts the sale or dispensing of a drug, device, equipment , or other item in accordance with a prescription be a covered entity ?

Accepted Answer

A)  yes 
B)  no

Question 20

Female with 6 months of stress incontinence. Outpatient therapies are not working and the patient decides to have the problem fixed. Laparoscopic urethral suspension was completed.

Accepted Answer

A)  51992 
B)  51990 
C)  51840 
D)  51845

Exam 1: Registered Health Information Administrator