Question 1

All of following items are packaged under the Medicare outpatient prospective payment system, EXCEPT for

Accepted Answer

A)  recovery room. 
B)  supplies. 
C)  anesthesia. 
D)  medical visits.

Question 2

Which of the following is a valid ICD-9-CM principal diagnosis code?

Accepted Answer

A)  V27.2 Outcome of delivery, twins, both live born 
B)  V30.00 Single live born, born in hospital 
C)  E867 Accidental poisoning by gas distributed by pipeline 
D)  M9010/0 Fibroadenoma, NOS

Question 3

Which of the following is a DISADVANTAGE of terminal digit filing as compared to straight numeric filing?

Accepted Answer

A)  File personnel are crowded in the highest numbers. 
B)  Inactive records are pulled from one common area. 
C)  The training period is slightly longer. 
D)  Files expand at the end of the number series, requiring backshifting.

Question 4

You just used a scheduling syste m to schedule an appendectomy for Dr. Smith. The system auto matically looked up how long it takes Dr. Smith to perform the surgery. It contacted the patient's insurance company to confirm that the procedure is covered by the patient's policy and notified materials management of the supplies that would be needed that day. This is an example of how ___________could work.

Accepted Answer

A)  reminders 
B)  alerts 
C)  OLAF 
D)  clinical guidelines

Question 5

Mountaintop Hospital has decided to use the "best of breed" philosophy. Because of this, they need a(n)____________ to manage the sharing of data.

Accepted Answer

A)  DBMS 
B)  RFP 
C)  consultant 
D)  interface engine

Question 6

Patient presents to the operating room where a CABG x 3 is performed using the mammary artery and two sections of the saphenous vein.

Accepted Answer

A)  33534;33511 
B)  33534; 33518; 33511 
C)  33535 
D)  33533; 33518

Question 7

What was the gross (hospital) death rate at Happy Valley Hospital last year? Happy Valley Hospital discharged 6069 adults/children and 545 newborns last year. A total of 1 adults/children and 1279 newborns were seen in the emergency department. Information on deaths at Happy Valley last year is listed below.

Accepted Answer

A)  3.8% 
B)  5.4% 
C)  5.5% 
D)  5.6%

Question 8

The first cancer patient seen in your facility on January 1, 2008, was diagnosed with colon cancer, with no known history of previous malignancies. Th eaccession number assigned to this patient is

Accepted Answer

A)  2008-0000/00. 
B)  2008-0000/01. 
C)  2008-0001/00. 
D)  2008-0001/01.

Question 9

Refer to the table Summary of Selected Blood Product Review. Based on the results reported in the table, which blood component or derivative should first be the topic of an in- depth study?

Accepted Answer

A)  packed red blood cells 
B)  fresh frozen plasma 
C)  platelets 
D)  unable to determine from the table

Question 10

In a terminal digit filing system, with all records in the system, which record numbers fall directly before and after the record number 25-31-99?

Accepted Answer

A)  24-31-98 and 26-31-00 
B)  25-30-98 and 26-32-99 
C)  24-30-99 and 26-32-00 
D)  24-31-99 and 26-31-99

Question 11

The minimum record retention period for patients who are minors is

Accepted Answer

A)  age of majority. 
B)  age of majority plus the statute of limitations. 
C)  5 years past treatment. 
D)  2 years past treatment.

Question 12

Case study #6 You are helping the Nursing Department to write indicators, to determine appropriate formulas ratios and to determine data collection time frames. One important aspect of care is documentation of education of patients. More specifically, the nursing department would like assess its documentation of education on colostomy care for patients with new colostomies. Referring to Case Study #6, what would be the most cost-effective and appropriate collection time frame?

Accepted Answer

A)  prospectively 
B)  concurrently 
C)  retrospectively 
D)  long-term care review

Question 13

under Medicare Part B, all of the following statements are true and are applicable to nonparticipating physician providers, EXCEPT

Accepted Answer

A)  providers must file all Medicare claims. 
B)  nonparticipating providers have a higher fee schedule than that for participating providers. 
C)  fees are restricted to charging no more than the "limiting charge" on nonassigned claims. 
D)  collections are restricted to only the deductible and coinsurance due at the time of service on an assigned claim.

Question 14

Assume the patient has already met his or her deductible and that the physician is a Medicare participating (PAR) provider. The physician's standard fee for the services provider is $120.00. Medicare's PAR fee is $60.00. How much reimbursement will the physician receive from Medicare?

Accepted Answer

A)  $ 120.00 
B)  $ 60.00 
C)  $ 48.00 
D)  $ 96.00

Question 15

Which of the following should record destruction program include?

Accepted Answer

A)  the method of destruction 
B)  name of person responsible for destruction 
C)  cite of laws followed 
D)  requirement of daily destruction

Question 16

Aspiration pneumonia with pneumonia due to Staphylococcus aureus. Patient also has emphysema.

Accepted Answer

A)  507.0, 482.9, 496 
B)  507.0, 482.41, 496 
C)  507.0, 491.21 
D)  507.0, 482.41, 492.8

Question 17

Which of the following lists is in correct alphabetical order?

Accepted Answer

A)  Ferlazzo, Joshua; Ferlazzo, Joshua P.; Ferlazzo, Joshua Philip; Ferlazzo, J. 
B)  Ferlazzo, J.; Ferlazzo, Joshua; Ferlazzo, Joshua P.; Ferlazzo, Joshua Philip 
C)  Ferlazzo, Joshua; Ferlazzo, Joshua P.; Ferlazzo, J.; Ferlazzo, Joshua Philip 
D)  Ferlazzo, Joshua A.; Ferlazzo, B.; Ferlazzo, Joshua; Ferlazzo, Joshua Philip

Question 18

The mean number of minutes with the physician (considering all physicians) is

Accepted Answer

A)  7 minutes. 
B)  8 minutes. 
C)  8.4 minutes. 
D)  9 minutes.

Question 19

In an acute care hospital, a complete history and physical may not be dictated for a new admission when

Accepted Answer

A)  the patient is readmitted for a similar problem within 1 year. 
B)  the patient's stay is less than 24 hours. 
C)  the patient has an uneventful course in the hospital. 
D)  a legible copy of a recent H&P performed in the attending physician's office is available.

Question 20

Delirium tremens with alcohol dependence

Accepted Answer

A)  291.0, 303.90 
B)  303.91, 291.0 
C)  291.3, 303.90 
D)  291.0, 303.00

Exam 1: Registered Health Information Administrator