Question 1

The emergency department staff has complained that the clerical staff in your depart delaying stat reports. You decide to meet with your staff and develop a cause and effect DIAGRAM to determine possible reasons for the delay. You have explained the issue to your staff and set up a blank cause and effect diagram. The next step is to

Accepted Answer

A)  discuss the importance of prompt delivery of stat reports. 
B)  determine whether there are internal conflicts in the area. 
C)  brainstorm possible reasons for delays in delivering the reports. 
D)  design a new system that will support prompt report delivery.

Question 2

A company that contracts with the Centers for Medicare and Medicaid Services (CMS) to pay Medicaid claims is called a

Accepted Answer

A)  carrier. 
B)  fiscal intermediary. 
C)  fiscal agent. 
D)  preferred provider.

Question 3

As a new RHIA and coding manager, how likely is it that you will participate on committee?

Accepted Answer

A)  Infrequently until you are promoted to a higher position 
B)  You should expect committee participation to be a regular part of your job. 
C)  Occasionally, mostly with your staff. 
D)  It depends on whether your organization chooses to use the committee structure.

Question 4

Necrosis extending down to the underlying fascia is characteristic of a decubitus ulcer in stage

Accepted Answer

A)  one. 
B)  two. 
C)  three. 
D)  four.

Question 5

The state is considering the closure of the Arcadia Hospital. In reviewing the hospital statistics, which indicator will best help state officials determine whether closure is warranted?

Accepted Answer

A)  daily census 
B)  percentage of occupancy 
C)  inpatient service days 
D)  average length of stay

Question 6

The general New Employee Orientation training at Mid-Atlantic Mental Health would most likely cover which of the following HIPAA components?

Accepted Answer

A)  marketing issues 
B)  business associate agreements 
C)  physical/workstation security 
D)  job-specific training (e.g., patient's right to amend record)

Question 7

A patient is admitted with fever and severe headache. Diagnostic workup revealed viral meningitis. Patient also has asthma with acute exacerbation and hypertension, both of which are treated.

Accepted Answer

A)  047.9, 780.60, 784.0, 493.90, 401.9 
B)  047.8, 493.92, 401.1 
C)  047.9, 493.92, 401.9 
D)  780.60, 784.0, 047.9, 493.90, 401.9

Question 8

The responsibility for performing quality monitoring and evaluation activities in a departmentalized hospital is delegated to the

Accepted Answer

A)  director of utilization management. 
B)  chairman of the board of trustees. 
C)  clinical chairpersons of medical staff committees or ancillary department directors. 
D)  chief executive officer.

Question 9

Patient presents to the operating room for a secondary Achilles tendon repair.

Accepted Answer

A)  27599 
B)  27654 
C)  27650 
D)  27698

Question 10

Your HMO manager has requested a report on the number of patient visits per year for preschool children. Which of the age groupings below will you use for your report?

Accepted Answer

A)  0-1 year 1-2 YEARS 2-3 years 3-4 years 4-5 years 
B)  <12 months 12-24 month 25-37 months 38-50 months 51-63 months

Question 11

You have had a problem with duplicate medical record numbers in your facility's MPI. Now you are joining a health information exchange, so you will need to clean up your database and prevent the duplicates from happening again. If you want to find near matches as well as identical matches in your MPI, you should implement a __________ algorithm.

Accepted Answer

A)  probabilistic 
B)  deterministic 
C)  fuzzy 
D)  none of the above

Question 12

The prospective payment system based upon resource utilization groups (RUGs) is used for reimbursement to ________________ for Medicare patients.

Accepted Answer

A)  freestanding ambulatory surgery centers 
B)  hospital-based outpatients 
C)  intermediate care facilities 
D)  skilled nursing facilities

Question 13

LCDs and NCDs are review policies that describe the circumstances of coverage for various types of medical treatment. They advise physicians which services Medicare considers reasonable and necessary and may indicate the need for an advance beneficiary notice. They are developed by the Centers for Medicare and Medicaid Services (CMS), Medicare carriers, or fiscal intermediaries LCD and NCD are acronyms that stand for

Accepted Answer

A)  local covered determinations and non-covered determinations. 
B)  local coverage determinations and national coverage determinations. 
C)  list of covered decisions and non-covered decisions. 
D)  local contractor's decisions and national contractor's decisions.

Question 14

In compiling statistics to report the specific cause of death for all open-heart surgery cases, the quality coordinator assists in documenting

Accepted Answer

A)  patient care outcomes. 
B)  utilization of hospital resources., 
C)  delineation of physician privileges. 
D)  compliance with OSHA standards.

Question 15

Ronald is admitted for stenosis of his tracheostomy. He is a quadriplegic, C1-C4 secondary to spinal cord injury suffered in a diving accident. He has chronic respiratory failure and is maintained on mechanical ventilation. He undergoes revision of his tracheostomy.

Accepted Answer

A)  518.83, 519.09, 907.2, 31.74 
B)  344.01, 518.83, 519.02, 31.79, V46.11 
C)  519.02, 344.01, 518.83, 907.2, V46.11, 31.74, 96.72 
D)  519.02, 518.83, 907.2, 31.74

Question 16

All of the following are sources for the rules and regulations that define the legal aspects of medical records EXCEPT

Accepted Answer

A)  institutional policies. 
B)  laws. 
C)  paralegals. 
D)  regulations, governmental and nongovernmental.

Question 17

Thrombocytopenia, purpura; splenectomy

Accepted Answer

A)  287.4, 41.5 
B)  287.8, 41.5 
C)  287.9, 41.42 
D)  287.30, 41.5

Question 18

Because Fred is recovering nicely, he asks Dr. Jones if he can go home for the weekend. Dr. Jones approves a two-night leave of absence (LOA). Chances are Fred is a patient in

Accepted Answer

A)  an acute care facility; his LOA will decrease the month's average daily inpatient census. 
B)  a long-term care facility; his LOA will increase the month's percentage of occupancy. 
C)  an acute care facility; his LOA will increase the month's total discharge days. 
D)  a long-term care facility; his LOA will decrease the month's total inpatient service days.

Question 19

As a new HIM manager, you recognize that employee development is a necessary investment the long-term survival and growth of the organization. Your goal is to design and implement staff development program for your employees, so one of your first steps is to

Accepted Answer

A)  implement training programs that emphasize teamwork. 
B)  establish a budget for all hospital employee training. 
C)  survey the HIM employees to assess their need for new skills or knowledge. 
D)  establish HIPAA training programs hospital-wide.

Question 20

The health care providers in a large teaching hospital requires access to health records 24 hours a day, 7 day a week. To secure the area an continue to maintain accessibility, the Director of the HIM Department should

Accepted Answer

A)  staff the department with personnel 24 hours a day. 
B)  be on a call every evening and weekends for emergency requests. 
C)  train security guards to retrieve records after the department closes. 
D)  arrange for records to be retrieved at 7:00 AM every morning.

Exam 1: Registered Health Information Administrator