Question 1

Cancer derived from epithelial tissue is classified as a(n)

Accepted Answer

A)  adenomA. 
B)  carcinomA. 
C)  lipoma. 
D)  sarcoma.

Question 2

There is an opening for a coder in a 150-bed acute care hospital. The position requires someone who can code from a wide variety of medical records using both ICD and CPT. Of the following candidates interviewing for this position, which would be the most appropriate to hire?

Accepted Answer

A)  a high school graduate who has applied for entry into the 2-year community college RHIT program 
B)  a recent graduate of a 4-year HIM program, RHIA eligible, who hopes to become a department manager within 1 year 
C)  a graduate of a 2-year community college HIT program, RHIT eligible, with 1 year of outpatient coding experience 
D)  a RHIA with 5 years of supervisory experience in medical records who recently moved to this city and can find no other available position as a supervisor at this time

Question 3

Sickle cell anemia with crisis

Accepted Answer

A)  282.61 
B)  282.62 
C)  282.63 
D)  282.69

Question 4

The data on your hard drive was erased by a corrupted file that had been attached to an e-message. If you had ___________ software, maybe this would not have happened.

Accepted Answer

A)  productivity 
B)  utility 
C)  virus 
D)  encryption

Question 5

Patient presents to the operating room where the physician performed, using imaging guidance, a percutaneous breast biopsy utilizing a rotating biopsy device.

Accepted Answer

A)  19103 
B)  19125; 19295 
C)  19120 
D)  19000

Question 6

Which of the following would be a business associate?

Accepted Answer

A)  release of information company 
B)  bulk food service provider 
C)  childbirth class instructor 
D)  marketing consultant

Question 7

If the HIM Department has purchased 100 unites of 8-shelf files and plans to use the terminal digit filing system, how many shelves should be allocated to each primary number?

Accepted Answer

A)  8 
B)  10 
C)  12 
D)  100

Question 8

In your new position as Director of Health Information Services, you have noticed that department supervisors arbitrarily allow employees to make up missed time due to absences. You decide that you need a policy to reinforce the attendance policy and cut down on tardiness and absences. Which policy statement would support your overall departmental goals?

Accepted Answer

A)  Make-up time is allowed only with approval from the director. 
B)  Sick days can be used in lieu of time missed due to tardiness or absences. 
C)  No make-up time for absences and tardiness is allowed. 
D)  Changes in work schedules must be approved in advance and depend upon departmental operations.

Question 9

The case-mix index (CMI) for the top 10 MS-DRGs above is

Accepted Answer

A)  1.164. 
B)  1.278. 
C)  .7823. 
D)  1.097.

Question 10

Vitamin B12

Accepted Answer

A)  84590 
B)  82180 
C)  84591 
D)  82607

Question 11

You are implementing a new information system. You have to deal with issues related to other existing systems such as lack of integrations and differences in how data are stored. These existing systems are called:

Accepted Answer

A)  hospital information systems 
B)  practice management system 
C)  legacy systems 
D)  continuity of care record

Question 12

Which of the following contains a list of coding edits developed by CMS in an effort to promote correct coding nationwide and to prevent the inappropriate unbundling of related services?

Accepted Answer

A)  National Coverage Determination (NC
D)  
B)  National Correct Coding Initiative (NCCI) 
C)  CPT Assistant 
D)  Health care Common Procedure Coding System (HCPCS)

Question 13

Mary has recommended using an infrared wireless network for the new clinical informati system. This system will allow the hospital and physicians to communicate no matter where physician's office is located. You tell Mary that that this is not feasible because

Accepted Answer

A)  the bandwidth is not wide enough. 
B)  you can only operate 200 feet away. 
C)  infrared is not a type of wireless network. 
D)  infrared requires a line of sight.

Question 14

It is common practice to forgo patient authorization for the release of information when the

Accepted Answer

A)  patient is an employee. 
B)  patient is a physician. 
C)  patient has a direct transfer from the hospital to a long-term care facility. 
D)  patient is incompetent.

Question 15

Administration of initial oral radionuclide therapy for hyperthyroidism

Accepted Answer

A)  78015 
B)  77402 
C)  78099 
D)  79005

Question 16

Admission for colostomy takedown. Takedown performed.

Accepted Answer

A)  V44.3, 46.52 
B)  569.60, 46.52 
C)  997.4, 46.52 
D)  V55.3, 46.52

Question 17

The ADT system is undergoing testing, training, and programming. Therefore this system must be in t he stage of t he information life cycle

Accepted Answer

A)  implementation. 
B)  obsolescence. 
C)  initiation. 
D)  maintenance.

Question 18

Case definition is important of all types of registries. Age will certainly be an important criterion for accessing a case in a(n) ____________ registry.

Accepted Answer

A)  implant. 
B)  trauma. 
C)  HIV/AIDS. 
D)  birth defects.

Question 19

You are developing a list of functions needed by users of a release of information system. You also evaluating the current system to see what opportunities there are to improve the system. Which stage of the system developmental life cycle stages are you in?

Accepted Answer

A)  analysis 
B)  implementation 
C)  design 
D)  obsolescence

Question 20

An oral consent is binding if it

Accepted Answer

A)  can be proven or corroborated. 
B)  has the signature of the patient. 
C)  does not cause confusion. 
D)  Occurs only at the time of admission

Exam 1: Registered Health Information Administrator