Question 1

Established 42-year-old patient comes into your office to obtain vaccines required for his trip to Sri Lanka. The nurse injects intramuscularly the following vaccines: hepatitis A and B vaccines, cholera vaccine, and yellow fever vaccine. As the coding specialist, what would you report on the CMS 1500 form?

Accepted Answer

A)  office visit, hepatitis A and B vaccine, cholera vaccine and yellow fever vaccine 
B)  office visit, intramuscular injection; HCPCS Level II codes 
C)  office visit; administration of two or more single vaccines; vaccine products for hepatitis A and B, cholera, and yellow fever 
D)  Administration of two or more single vaccines; vaccine products for hepatitis A and B, cholera, and yellow fever.

Question 2

Patient presents with a traumatic partial amputation of the second, third, and fourth fingers on the right hand. Patient was taken to the operating room where completion of the amputation of three fingers was performed with direct closure.

Accepted Answer

A)  26910-F6; 26910-F7; 26910-F8 
B)  26843-RT 
C)  26951-F6; 26951-F7; 26951-F8 
D)  26550-RT

Question 3

Ralph has asked for a list of disclosures of his medical record. He seems surprised not to see his physician, Dr. Emory, on it. What do you tell him?

Accepted Answer

A)  Dr. Emory has not viewed the medical record. 
B)  Disclosures used for treatment are not recorded. 
C)  You will run the report again to make sure you rant he report correctly. 
D)  Go talk to Dr. Emory.

Question 4

Decrease in blood pressure, salivation, and heart rate are examples of

Accepted Answer

A)  automatic nervous system responses. 
B)  higher brain function. 
C)  parasympathetic nervous system responses. 
D)  sympathetic nervous system responses.

Question 5

Neonatal jaundice in preterm infant born in hospital. Phototherapy done to treat jaundice.

Accepted Answer

A)  V30.00, 774.2, 99.83 
B)  774.2, 99.83 
C)  V30.00, 99.83 
D)  V30.00, 774.2

Question 6

Your job description states that as Assistant Director of the Health Information Management Department, you will supervise day-to-day operations for the record processing, transcription, and release of information areas. What principle of management is described?

Accepted Answer

A)  specialization 
B)  centralized authority 
C)  span of control 
D)  delegation

Question 7

As part of quality improvement study you have been asked to provide information on the menstrual history, number of pregnancies, and number of living children on each OB patient from a stack of old obstetrical records the best place in the record to locate this information is the

Accepted Answer

A)  prenatal record. 
B)  labor and delivery record. 
C)  postpartum record. 
D)  discharge summary.

Question 8

Pain in hip due to displaced hip prosthesis. Patient is admitted and undergoes revision of hip prosthesis.

Accepted Answer

A)  996.49, 81.53 
B)  996.77, 81.53 
C)  719.45, 81.53 
D)  996.49, 719.45, 81.53

Question 9

In the number "99-0001" listed in a tumor registry accession register, what does the prefix "99" represent?

Accepted Answer

A)  the number of primary cancers reported for that patient 
B)  the year the case was entered into the database of the registry 
C)  the sequence number of the case 
D)  the stage of the tumor based upon the TNM system of staging

Question 10

Total shoulder replacement

Accepted Answer

A)  01760 
B)  01630 
C)  01402 
D)  01638

Question 11

Nurse Jones suffers a needle stick and presents for HIV testing. She sees her physician for the test results and counseling.

Accepted Answer

A)  V72.6, 795.71 
B)  795.71, V65.8 
C)  V08, V72.6, V65.44 
D)  V73.89, V65.44, V01.79

Question 12

You are implementing a quality improvement plan that utilizes the PDSA cycle. If you correctly implement PDSA, which phase of the project will take the most of your time?

Accepted Answer

A)  P 
B)  D 
C)  S 
D)  A

Question 13

A data item to include on a qualitative review checklist of infant and children inpatient health records which need not be included on adult records would be

Accepted Answer

A)  chief complaint. 
B)  condition on discharge. 
C)  time and means of arrival. 
D)  growth and development record.

Question 14

A HIM Department Budget Report for May shows a payroll budget of $25,000 and an actual payroll expense of $22,345. The percentage of budget variance for the month is

Accepted Answer

A)  $2,655. 
B)  11%. 
C)  $265. 
D)  0.9%.

Question 15

James is admitted to the hospital for severe anemia that is a result of the chemotherapy treatments he is receiving for metastatic prostate cancer to bone. James receives blood transfusions and is discharged home.

Accepted Answer

A)  185, 198.5, 285.22, E933.1 
B)  E933.1, 285.22 
C)  285.22, E933.1 
D)  285.22, 185, 198.5, E933.1

Question 16

Patient has been followed by his primary care physician for elevated PSA . Patient underwet prostate needle biopsy in the physician office 2 weeks ago and final pathology was positive 10 carcinoma. Patient is admitted for prostatectomy. Frozen section of the prostate and one lymp node is positive for prostate cancer with metastatic disease to the lymph node. Prostatectom became a radical perineal with bilateral pelvic lymphadenectomy.

Accepted Answer

A)  55845 
B)  55815 
C)  55815; 38562 
D)  38770

Question 17

Reviewing a medical record to ensure that all diagnoses are justified by documentation throughout the chart is an example of

Accepted Answer

A)  peer review. 
B)  quantitative review. 
C)  qualitative review. 
D)  legal analysis.

Question 18

When a healthcare facility fails to investigate the qualifications of a physician hired to work as an independent contractor in the emergency room and is accused of negligence, the healthcare facility can be held liable under

Accepted Answer

A)  respondent superior. 
B)  corporate negligence. 
C)  contributory negligence. 
D)  general negligence.

Question 19

You have just constructed the chart displayed below:  The names of the hospital services are hard to read. The best way to deal with this problem would be to

Accepted Answer

A)  construct a line graph instead of a bar chart. 
B)  use a column chart instead of a bar chart. 
C)  plot your primary variable along the x axis. 
D)  divide the data into two charts.

Question 20

Which of the following BEST summarizes the current treatment of cervical cancer?

Accepted Answer

A)  A new three-shot vaccination series protects against the types of HPV that cause most cervical cancer cases. 
B)  All stages have extremely high cure rates. 
C)  Early detection and treatment of cervical cancer does not improve patient survival rates. 
D)  Over 99 percent of cases are linked to long-term HPV infections.

Exam 1: Registered Health Information Administrator