Question 1

You are the Coding Supervisor and wish to know the amount of time eight employees had spent coding this month. You have the following productivity log. What percentage of time was spent on coding?

Accepted Answer

A)  14.7% 
B)  6.8% 
C)  8.8% 
D)  11.3%

Question 2

This information indicates the most recent activity of an item.

Accepted Answer

A)  general ledge key 
B)  charge code 
C)  activity date 
D)  activity code

Question 3

When interviewing a candidate, which of the following questions is inappropriate to ask?

Accepted Answer

A)  "Can you type?" 
B)  "Where may we contact you?" 
C)  "What language other than English can you speak or write?" 
D)  "Do you own a home?"

Question 4

A transcription supervisor collected the data displayed below. What kind of data display And, how many errors are attributed to skipped words?

Accepted Answer

A)  This is a Pareto diagram; twelve (12) errors were due to skipped words. 
B)  This is a bar chart; eighteen (18) errors were due to skipped words. 
C)  This is a Pareto diagram; eighteen (18) errors were due to skipped words. 
D)  This is a bar chart; twelve (12) errors were due to skipped words.

Question 5

Home health agencies (HHAs) utilize a data entry software system developed by the Centers for Medicare and Medicaid Services (CMS). This software is available to HHAs at no cost through the CMS Web site or on a CD-ROM.

Accepted Answer

A)  PACE (Patient Assessment and Comprehensive Evaluation) 
B)  HAVEN (Home Assessment Validation and Entry) 
C)  HHASS (Home Health Agency Software System) 
D)  PEPP (Payment Error Prevention Program)

Question 6

According to ICD-9-CM, which one of the following is NOT a mechanical complication of an internal implant?

Accepted Answer

A)  erosion of skin by pacemaker electrodes 
B)  inflammation of urethra due to indwelling catheter 
C)  leakage of breast prosthesis 
D)  IUD embedded in uterine wall

Question 7

Patient arrives to the hospital and has a Nissen fundoplasty done endoscopically.

Accepted Answer

A)  43410 
B)  43415 
C)  43502 
D)  43280

Question 8

In order to alter the facility's health record format to achieve a record that is strictly chronological, the committee would recommend a(n)

Accepted Answer

A)  integrated medical record. 
B)  universal chart order. 
C)  problem-oriented medical record. 
D)  source-oriented medical record.

Question 9

Which of the four distinct components of the problem-oriented record contains the medical and social history of the patient?

Accepted Answer

A)  database. 
B)  problem list. 
C)  initial plan. 
D)  progress notes.

Question 10

When Robert was discharged, his physician listed his diagnoses as congestive heart failure with acute pulmonary edema. You're coding Robert's record and you will code

Accepted Answer

A)  the CHF only. 
B)  the edema only. 
C)  both the CHF and the edema; sequence the CHF first. 
D)  both the CHF and the edema; sequence the edema first.

Question 11

A patient has major surgery and sees the surgeon 10 days later for an unrelated e/m services. Indicate the modifier that should be attached to the E/M code for the service provided.

Accepted Answer

A)  -24 
B)  -25 
C)  -59 
D)  -79

Question 12

The transcription area has an opening for a transcriptionist with demonstrated skill in medical and surgical reports. Which of the following types of tests should be administered?

Accepted Answer

A)  performance 
B)  aptitude 
C)  intelligence 
D)  stress

Question 13

Patient undergoes partial nephrectomy for carcinoma of the kidney.

Accepted Answer

A)  50220 
B)  50340 
C)  50240

Question 14

Strictly from a quality standpoint, which of the following organizations was a forerunner of the evaluation of medical care?

Accepted Answer

A)  Joint Commission on Accreditation of Health care Organizations (Joint Commission) 
B)  Peer Review Organizations (PRO) 
C)  Professional Standards Review Organization (PSRO) 
D)  Health Care Financing Administration (HCF
A)

Question 15

You have been given the responsibility of deciding which access control to use. Which of the following is one of your options?

Accepted Answer

A)  audit trail 
B)  biometrics 
C)  authentication 
D)  mitigations

Question 16

Cesarean section

Accepted Answer

A)  00840 
B)  01961 
C)  00940 
D)  01960

Question 17

Scrotal wall abscess drainage

Accepted Answer

A)  55100 
B)  55150 
C)  54700 
D)  55110

Question 18

Patient has extensive bladder cancer. She underwent a complete cystectomy with bilateral pelvic lymphadenectomy and creation of ureteroileal conduit.

Accepted Answer

A)  51575;50820 
B)  50825; 51570; 38770 
C)  51595 
D)  51550; 38770

Question 19

Which of the following scenarios best describes job enrichment as a motivational technique?

Accepted Answer

A)  Anna is a good clerical worker. In addition to her regular job duties, her supervisor has assigned her to special projects and committee assignments. 
B)  Becky prefers to work where she can be active and have personal contacts. The supervisor rotates her through all clerical jobs in the department so that she can have variety in her world 
C)  Cheryl's job keeps her fully occupied all day. In fact, she frequently has to rush to get the work completed daily. Cheryl's supervisor decides to remove some responsibility from her job so she has less stress. 
D)  Derek has worked in the department for several years. His supervisor decided to combine several jobs and add other tasks to enable Derek to use his knowledge and skills gained school. With these increased responsibilities he is increasing his chances of being promoted.

Question 20

Which of the following statements would be found in the laboratory report section of the health record?

Accepted Answer

A)  BUN reported as 20 mg 
B)  Morphine sulfate gr. ¼ q.4h. for pain 
C)  IV sodium Pentothal 1% started at 9:05 AM 
D)  TPR recorded q.h. for 12 hr.

Exam 1: Registered Health Information Administrator