Question 1

Jane Doe is 6 weeks post mastectomy for carcinoma of the breast. She is admitted for chemotherapy. What is the correct sequencing of the codes?

Accepted Answer

A)  V58.11 (chemotherapy), 174.9 (malignant neoplasm of the breast), V45.71 (acquired absence of breast) 
B)  V58.11 (chemotherapy), V10.3 (personal history of malignant neoplasm of breast), V45.71 (acquired absence of breast) 
C)  V67.00 (follow-up exam after surgery), V58.11 (chemotherapy) 
D)  V10.3 (personal history of malignant neoplasm of breast)

Question 2

Under ASCs, bilateral procedures are reimbursed at _______ of the payment rate for their group

Accepted Answer

A)  50% 
B)  100% 
C)  200% 
D)  150%

Question 3

Jason collected data on the length of stay (LOS) for 10 patients and then determined the LOS as follows:  What is wrong with Jason's determination of the median?

Accepted Answer

A)  There is nothing wrong with Jason's determination of the median. 
B)  Jason forgot to put the numbers in sequential order before determining the median. 
C)  It is not possible to determine the median on such a small number of data points. 
D)  It is not possible to determine the median on an even number of data points.

Question 4

Which of the following measures should a health care facility incorporate into its institution-wide. security plan to protect the confidentiality of the patient record?

Accepted Answer

A)  verification of employee identification 
B)  locked access to data processing and record areas 
C)  use unique computer passwords, key cares, or biometric identification 
D)  all of the above

Question 5

A hospital reported the following statistics during a nonleap year. Calculate the percentage of occupancy for the entire year.

Accepted Answer

A)  85.2% 
B)  88% 
C)  90.0% 
D)  91.2%

Question 6

Patient suffers from strabismus and requires surgery. Recession of the lateral rectus (horizontal), muscle with adjustable sutures was performed.

Accepted Answer

A)  67340; 67500 
B)  67314; 67320 
C)  67332; 67334 
D)  67311; 67335

Question 7

Septicemia due to methicillin-resistant Staphylococcus aureus. Patient also was admitted with septic shock and decubitus ulcer of the sacrum. Patient had a central line inserted and infusion of drotrecogin alfa.

Accepted Answer

A)  038.19, 785.59, 707.02, 38.91 
B)  038.11, V09.0, 707.03, 995.92, 785.52, 38.93, 00.11 
C)  707.00, 038.11, 785.59, 38.93, 00.11 
D)  038.11, 755.59, 995.92, 38.93

Question 8

A patient is admitted with pneumonia. Cultures are requested to determine the infecting organism. Which of the following, if present, would alert the coder to ask the physician whether or not this should be coded as gram-negative pneumonia?

Accepted Answer

A)  Pseudomonas. 
B)  Clostridium. 
C)  Staphylococcus. 
D)  Listeria.

Question 9

Jordan is an RHIA who works at a large academic medical center. Her $37,540 salary is paid 60% from research grants as clinical trial coordinator, and 40% by HIM as a database manager. The hospital's fringe benefit rate is 23%. How much must the HIM director include in the budget (rounded to the nearest dollar) to cover Jordan's database management role?

Accepted Answer

A)  $15,016 
B)  $18,470 
C)  $22,524 
D)  $27.705

Question 10

Contingency planning includes which of the following processes?

Accepted Answer

A)  data quality 
B)  systems analysis 
C)  disaster planning 
D)  hiring practices

Question 11

In the managed care industry, there are specific reimbursement concepts, such as "capitation." All of the following statements are true in regard to the concept of "capitation," EXCEPT

Accepted Answer

A)  each service is paid based upon the actual charges. 
B)  the volume of services and their expense does not affect reimbursement. 
C)  capitation means paying a fixed amount per member per month. 
D)  captions involves a group of physicians or an individual physician.

Question 12

Which of the following is coded as an adverse effect in ICD-9-CM?

Accepted Answer

A)  tinnitus due to allergic reaction after administration of ear drops 
B)  mental retardation due to intracranial abscess 
C)  rejection of transplanted kidney 
D)  nonfunctioning pacemaker due to defective soldering

Question 13

If the Medicare nonPAR approved payment amount is $128.00 for a proctoscopy, what is the total Medicare approved payment amount for a doctor who does not accept assignment, applying the limiting charge for this procedure?

Accepted Answer

A)  $ 140.80 
B)  $ 143.00 
C)  $ 192.00 
D)  $ 147.20

Question 14

Natalie was an orientation counselor in college and knows that a well-designed program can help those new to a setting feel comfortable. As a new manager, she continues her commitment and contributes to new employee orientation. Which of the following statements about orientation programs is NOT true?

Accepted Answer

A)  A good orientation program can substitute for a job-specific departmental training. 
B)  The most meaningful training program includes a "show and tell" format by peers. 
C)  The orientation assists the employee in learning about the workplace culture. 
D)  Proper training can enhance employee satisfaction.

Question 15

When is a data use agreement required?

Accepted Answer

A)  when a complaint has been issued 
B)  when a limited data set is used 
C)  when a notice of disclosure is requested 
D)  when information is provided to a business associate

Question 16

The process of comparing the outcomes of HIM abstracting functions at your facility with those of comparable departments of superior performance in other health care facilities to help improve accuracy and quality is referred to as

Accepted Answer

A)  focused review. 
B)  benchmarking. 
C)  peer review. 
D)  occurrence screening.

Question 17

How long will it take to complete the project described below?

Accepted Answer

A)  12 days 
B)  17 days 
C)  20 days 
D)  29 days

Question 18

Facelift utilizing the SMAS flap technique

Accepted Answer

A)  15825 
B)  15788 
C)  15829 
D)  15828

Question 19

As a new CTR, you are interested in identifying every reportable case of cancer from the previous year. A key resource will be the facility's

Accepted Answer

A)  disease index. 
B)  number control index. 
C)  physicians' index. 
D)  patient index.

Question 20

This accounting method attributes a dollar figure to every input required to provide a service.

Accepted Answer

A)  cost accounting 
B)  charge accounting 
C)  reimbursement 
D)  contractual allowance

Exam 1: Registered Health Information Administrator