Question 1

Patient was admitted for right upper quadrant pain. Workup included various x-rays that showed cholelithiasis. Patient was taken to the operating room where a laparoscopic cholecystectomy was performed. During the procedure, the physician was unable to visualize through the ports and an open cholecystectomy was elected to be performed. Intraoperative cholangiogram was performed. Pathology report states acute and chronic cholecystitis with cholelithiasis.

Accepted Answer

A)  789.01, 574.10, 47563 
B)  789.01, 574.00, 574.10, 47563, 47605 
C)  574.00, 574.10, V64.41, 47605 
D)  574.00, 47563, 47605

Question 2

All of the following are among Joint Commission's initial core measure sets for hospitals EX

Accepted Answer

A)  acute myocardial infarction. 
B)  diabetes. 
C)  pneumonia. 
D)  surgical procedures and complications.

Question 3

Mary presents to the emergency department with complaints of chest pain. Myocardial infarction is ruled out, however gastrointestinal studies indicate Mary is suffering from gastroesophageal reflux disease (GERD). Mary is given medication to relieve her symptoms and instructed to follow up with her physician.

Accepted Answer

A)  530.81 
B)  786.50 
C)  530.81, 410.91 
D)  410.91, 786.50

Question 4

The average percent of patients exceeding acceptable waiting time was 3.7% (see table for question number 91). The calculated UCL is 9.4. When you plot the upper and lower limits, what would you suggest as the reason for the June variation?

Accepted Answer

A)  common cause variation 
B)  root cause variation 
C)  special cause variation 
D)  unable to determine with the data given

Question 5

What code is used for a culture of embryos less than 4 days?

Accepted Answer

A)  89251 
B)  89272 
C)  89268 
D)  89250

Question 6

Myringoplasty

Accepted Answer

A)  69620 
B)  69635 
C)  69610 
D)  69420

Question 7

The Cancer Committee at your hospital requests a list of all patients entered into your cancer registry in the last year. This information would be obtained by checking the

Accepted Answer

A)  disease index. 
B)  tickler file. 
C)  accession register. 
D)  suspense file.

Question 8

Laser destruction extensive herpetic lesions of the vulva

Accepted Answer

A)  17106 
B)  17004 
C)  56515 
D)  56501

Question 9

____________ indicates that the claim has been  released as a complete for submission to the insurer for payment.

Accepted Answer

A)  bill drop. 
B)  account receivables. 
C)  bill hold. 
D)  concurrent review.

Question 10

The patient's pathology report revealed the presence of Reed-Sternberg cells. This is indicative of

Accepted Answer

A)  Hodgkin's disease. 
B)  leukemia 
C)  non-Hodgkin's lymphoma. 
D)  sarcoma

Question 11

Pregnant female comes in for a complete fetal and maternal evaluation via ultrasound.

Accepted Answer

A)  76856 
B)  76805 
C)  76811 
D)  76810

Question 12

Trauma patient was rushed to the operating room with multiple injuries. Open reduction with internal fixation of intertrochanteric femoral fracture; open reduction of the tibial and fibula shaft with internal fixation was performed.

Accepted Answer

A)  27245; 27759 
B)  20690 
C)  27248; 27756 
D)  27244; 27758

Question 13

In negotiating a contract with a commercial storage company for storage of inactive records, what would be the most important issue to clarify in writing?

Accepted Answer

A)  who completes the list of what records are to be stored 
B)  what are the billing terms 
C)  who will purge inactive files for transfer 
D)  confidentiality policies and liability concerns

Question 14

Pencillin is effective in the treatment of all the following diseases EXCEPT

Accepted Answer

A)  lordosis. 
B)  Lyme disease. 
C)  strep throat. 
D)  syphilis.

Question 15

Which code listed below would be used to report an esophageal electrogram during an EPS?

Accepted Answer

A)  93600 
B)  93615 
C)  93612 
D)  93616

Question 16

The CEO needs to make a decision about the future of the health care facility. To make tk decision, he utilizes an information system that queries a database containing data from a numb of different information systems. What type of system is being used?

Accepted Answer

A)  EHR 
B)  results reporting 
C)  financial information system 
D)  executive information system

Question 17

Hypertrophic tonsillitis; bilateral tonsillectomy and adenoidectomy

Accepted Answer

A)  463, 28.3, 28.3 
B)  474.00, 28.3 
C)  474.02, 28.3, 28.3 
D)  463, 28.3

Question 18

There are times when documentation is incomplete or insufficient to support the diagnoses found in the chart. The most common way of communicating with the physician for answers is by

Accepted Answer

A)  emailing physicians. 
B)  using physician query forms. 
C)  calling the physician's office. 
D)  leaving notes in the chart.

Question 19

Patient is admitted for chemotherapy, for treatment of breast cancer with liver metastasis. Patient had a mastectomy 4 months ago. Chemotherapy is given.

Accepted Answer

A)  197.7, V10.3, 99.25 
B)  174.9, 197.7, 99.25 
C)  V58.11, V10.3, 197.7, 99.25 
D)  V58.11, 174.9, V45.71, 197.7, 99.25

Question 20

Lou has profound mental retardation due to mongolism.

Accepted Answer

A)  318.2, 758.0 
B)  318.0, 759.0 
C)  758.0, 318.2 
D)  317, 758.0

Exam 1: Registered Health Information Administrator