Question 1

The notice of privacy practices says: "Your medical record may be used for quality reviews." The reason this statement is on the notice is

Accepted Answer

A)  the verbiage is required by HIPAA, 
B)  it is an example of health care operations. 
C)  it is the purpose of the medical record. 
D)  the covered entity cannot use the medical record unless this is specifically documented in the

Question 2

The abstract completed on the patients in your hospital contains the following items: patient demographics; pre-hospital interventions; vital signs on admission; procedures and treatment prior to hospitalization; transport modality; and injury severity score. The hospital uses this data for its

Accepted Answer

A)  AIDS registry. 
B)  diabetes registry. 
C)  implant registry. 
D)  trauma registry.

Question 3

This is the amount collected by the facility for the services it bills.

Accepted Answer

A)  costs 
B)  charges 
C)  reimbursement 
D)  contractual allowance

Question 4

The manager of a transcription agency is preparing December's staffing schedule. Because month has several holidays, there are more requests for vacation and personal days than Additionally, it is apparent to the supervisor that she will not be able to approve all requests time off. It will be best for the supervisor to construct the schedule by

Accepted Answer

A)  processing requests based on seniority. 
B)  granting requests on a first-come basis. 
C)  adhering to the hospital and department policy regarding requests for time off. 
D)  not approving any time off, thus eliminating any conflicts.

Question 5

Placement of double-J stent

Accepted Answer

A)  52341 
B)  52320 
C)  52330;52332 
D)  52332

Question 6

DSMIV-TR is used most frequently in what type of healthcare setting?

Accepted Answer

A)  behavioral health centers. 
B)  ambulatory surgery centers. 
C)  home health agencies. 
D)  nursing homes.

Question 7

Your administrator is concerned about the snuff study (see previous question #88). The administrator would like to consider using a case control study model rather than the prospective one you are planning. One of the biggest reasons the administrator is promoting the case control model is because case control is

Accepted Answer

A)  more likely to be free of design errors than a prospective study. 
B)  the best way to analytically test the hypothesis of cause and effect. 
C)  more likely to decrease recall bias errors than prospective studies. 
D)  less expensive than prospective studies because it uses existing records.

Question 8

Your assignment is to collect and analyze some data. Which type of software package will you use?

Accepted Answer

A)  word processing 
B)  e-mail 
C)  database 
D)  spreadsheet

Question 9

Peggy has thymic dysplasia with immunodeficiency.

Accepted Answer

A)  279.3, 254.8 
B)  254.0 
C)  ,279.2 
D)  279.2, 254.9

Question 10

The Health Information Department receives research requests from various committees in the hospital. The Medicine Committee wishes to review all patients having a diagnosis of anterolateral myocardial infarction within the past 6 months. Which of the following would be the best source to identify the necessary charts?

Accepted Answer

A)  operation index. 
B)  consultation index. 
C)  disease index. 
D)  physician's index.

Question 11

Lye burn of the larynx repaired by laryngoplasty

Accepted Answer

A)  31588 
B)  16020 
C)  31360 
D)  31540

Question 12

Sybil has been admitted to Shady Acres Psychiatric facility for treatment of schizophrenia. Sybil is also manic depressive and has been noncompliant with her medications.

Accepted Answer

A)  V15.81, 296.89, 295.40 
B)  296.89, 295.41, V15.81 
C)  296.7, 295.90 
D)  295.90, 296.80, V15.81

Question 13

All of the following elements are found in the charge description master, EXCEPT for

Accepted Answer

A)  ICD-9-CM code. 
B)  charge. 
C)  HCPCS/CPT code. 
D)  narrative description.

Question 14

Patient is admitted to the hospital for treatment of dehydration following chemotherapy as treatment for ovarian cancer.

Accepted Answer

A)  276.51, 183.0 
B)  183.0, 276.51, 99.25 
C)  276.50, 183.0, 99.25 
D)  183.0, 276.51

Question 15

Placement of vascular shunt in forearm

Accepted Answer

A)  01844 
B)  01850 
C)  00532 
D)  01840

Question 16

Case Study #2 You are the director of the Health Information Management Department for Bayshore Hospital. A former patient of the hospital, Barbara Masters, is suing the hospital for negligent care of an infected decubitus ulcer. You are asked by Barbara's attorney to provide sworn verbal testimony and/or written answers to questions. Referring to Case Study #2, the sworn verbal testimony you are asked to provide is called a(n)

Accepted Answer

A)  interrogatory. 
B)  deposition. 
C)  physical and mental examination. 
D)  court order.

Question 17

A p value of less than 0.05 is what researchers commonly use to reject the null hypothesis. small p value may place interpretation of the results of the study at risk for a

Accepted Answer

A)  sampling error. 
B)  stratification error. 
C)  type 1 (a) error. 
D)  type 2 (b) error.

Question 18

A qualitative analysis of OB records reveals a pattern of inconsistent data entries when comparing documentation of the same data elements captured on both the prenatal form and labor and delivery form. The characteristic of data quality that is being compromised in this case is data

Accepted Answer

A)  reliability. 
B)  accessibility. 
C)  legibility. 
D)  completeness.

Question 19

The outpatient coding staff has been working to improve coding accuracy. The standard for the number of cases that must be coded has been raised four times in the past year. The staff states that "the more cases that must be coded, the greater the error rate will be for the corresponding time period." The department keeps statistics on both the numbers of cases coded and the corresponding error rate. What is the best QI tool for testing the coding staff's theory?

Accepted Answer

A)  control chart 
B)  Pareto chart 
C)  run chart 
D)  scatter diagram

Question 20

A new health information management clerk has been on staff for 2 days. She has thus far analyzed charts incorrectly, sent out confidential information improperly, and used the cop machine inappropriately. Evaluate this situation and determine the best resolution.

Accepted Answer

A)  Review the job description and job procedure with clerk and follow up with an in-service. 
B)  Review the job procedure with the clerk and have the analysis supervisor monitor her progress. 
C)  Review the job description and job procedure with the clerk and follow up with a merit evaluation. 
D)  Review job procedures with the clerk and follow up with an in-service.

Exam 1: Registered Health Information Administrator