Question 1

As the Information Security Officer at your facility, you have been asked to provide examples o the physical safeguards used to manage data security measures throughout the organization Which of the following would you provide?

Accepted Answer

A)  audit controls 
B)  entity authentication 
C)  chain-of-trust partner agreements 
D)  workstation use and location

Question 2

The following type of hospital is considered excluded, which means that it does not participate in any type of prospective payment system (PPS).

Accepted Answer

A)  rehabilitation hospital 
B)  long-term care hospital 
C)  psychiatric hospital 
D)  cancer hospital

Question 3

Elizabeth is the manager of the state cancer registry. In developing a training "to do list," she is reviewing the staff and what general training and specialized training topics would be necessary. What tool would be most helpful in organizing this information?

Accepted Answer

A)  Gantt chart to show who gets trained when 
B)  spreadsheet with grids identifying who needs what type of training 
C)  a "train-the-trainers" training manual to help in consistency in training 
D)  documentation of previous orientation training to see what has already been covered

Question 4

this prospective payment system replaced the Medicare physician payment system of "customary, prevailing, and reasonable (CPR)" charges whereby physicians were reimbursed according to historical record of the charge for the provision of each service.

Accepted Answer

A)  Medicare Physician Fee Schedule (MPFS) 
B)  Medicare Severity Diagnosis Related Groups (MS-DRGs) 
C)  Medicare Case Mix Index 
D)  MEDISGRPS

Question 5

When is it appropriate to use category V1O, 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 though there is some remaining malignancy.

Question 6

This information is published by the Medicare contractors to describe when and under what circumstances Medicare will cover a services. The ICD-9-CM and CPT/HCPCS codes are listed in the memoranda.

Accepted Answer

A)  LCD (Local Coverage Determinations) 
B)  CCI (Correct Coding Initiatives) 
C)  OSHA (Occupational Safety and Health Administration) 
D)  PEPP (Payment Error Prevention Program)

Question 7

Ms. Hall has requested that Dr. Moore amend her medical record. He emphatically refused. What type of documentation is required, if any?

Accepted Answer

A)  no documentation is required 
B)  documentation of request and refusal 
C)  documentation of request 
D)  none of the above

Question 8

The inpatient census at midnight is 67. Two patients were admitted in the morning; I died two hours later; the second patient was transferred to another facility that same afternoon. The inpatient service days for that day will be

Accepted Answer

A)  65. 
B)  67. 
C)  68. 
D)  69.

Question 9

If population size (N) = 1200 and the proportion of subjects needed (p) = 0.5 and the acceptable amount of error (B) = 0.05, then sample size (n) =

Accepted Answer

A)  200. 
B)  300. 
C)  400. 
D)  600.

Question 10

A patient is admitted with shortness of breath and hemoptysis. A chest x-ray revealed patchy infiltrates in the left lung and possible pneumonia. On the third day of hospitalization a bronchoscopy with biopsy was done which revealed a small cell carcinoma of the left upper lobe of the lung. A metastatic lesion in the brain was detected. The principal diagnosis is the

Accepted Answer

A)  metastatic brain carcinoma. 
B)  small cell lung carcinoma. 
C)  hemoptysis. 
D)  pneumonia.

Question 11

As Director of Health Information Services, you are negotiating a contract to purchase a new computerized dictation system that will be used across three satellite ambulatory clinics. What element is most critical in the contract negotiation to ensure use of the software in multiple environments?

Accepted Answer

A)  delivery terms 
B)  scope and term of warranties 
C)  price and payment terms 
D)  license grant

Question 12

A.J. is employed as a regional coding consultant by a corporate hospital chain. In the organization. chart, this position would be

Accepted Answer

A)  shown as a line position. 
B)  shown as a staff position. 
C)  not shown, because it is a consulting position. 
D)  not shown, because this function is outsourced.

Question 13

Patient is treated for congestive heart failure with pleural effusion. A therapeutic

Accepted Answer

A)  511.9, 34.91 
B)  428.0, 34.04 
C)  428.0, 511.9 
D)  428.0, 511.9, 34.91

Question 14

Patients in the pediatrics ward were studied to determine their favorite color. The survey results are listed below. The results of the favorite color study are reported in a

Accepted Answer

A)  percentage. 
B)  ratio. 
C)  frequency distribution. 
D)  systematic fashion.

Question 15

When an open biopsy is followed by a more extensive definitive procedure the coder reports

Accepted Answer

A)  the open biopsy. 
B)  the extensive definitive procedure and the open biopsy. 
C)  no procedures. 
D)  the extensive definitive procedure.

Question 16

A good first step toward protecting the security of data contained in a health information computer system would be to

Accepted Answer

A)  establish a good record tracking system. 
B)  define levels of security for different types of information, depending on sensitivity. 
C)  provide remote terminals for improved access to the record. 
D)  provide internet access to facility records.

Question 17

Clotting factor VII

Accepted Answer

A)  85220 
B)  85240 
C)  85362 
D)  85230

Question 18

The patient has had abnormal heavy uterine bleeding and abdominal pain. There was bright red blood in the vagina and the right adnexa was enlarged. The woman was admitted. In surgery, a laparoscopy revealed a right follicular ovarian cyst. A laparoscopic ovarian cystectomy was performed. Following surgery she was transfused two units of packed red blood cells for acute blood-loss anemia.

Accepted Answer

A)  620.0, 285.1, 65.25 
B)  620.0, 280.0, 65.39 
C)  620.0, 285.1, 65.39 
D)  620.0, 280.0, 65.25

Question 19

Skilled nursing facilities may choose to submit MDS data using RAVEN software, or software purchased commercially through a vendor, provided that the software meets

Accepted Answer

A)  Joint Commission standards 
B)  NHIN standards 
C)  HL-7 standards 
D)  CMS standards

Question 20

Patient presents to the operating room for excision of a 4.5 cm malignant melanoma of the left forearm. A 6 cm x 6 cm rotation flap was created for closure.

Accepted Answer

A)  14021 
B)  11606; 14020 
C)  14300 
D)  11606; 15100

Exam 1: Registered Health Information Administrator