RHIT Mock Exam
Dr. Reed tried to explain wound care to Mr. Baker prior to discharge, but Baker (who is 104
and moderately senile) just could not seem to understand or remember what the doctor said.
Mr. Baker's daughter was with him, so Dr. Reed explained Mr. Baker's aftercare to his
daughter. Dr. Reed should document discharge instructions
in the discharge summary and on a patient instructions form signed by Dr. Reed and Mr. Baker's
daughter and filed in Mr. Baker's medical record.
Johnston City was set upon by a swarm of killer bees. All 5,000 residents are at risk of a bee
attack. If 25 residents were attacked by the bees, the incidence of bee attacks
is 5 in 1,000
Delinquency rate
Number of delinquent records / monthly discharges x 100
A supervisor reviews a job to determine the required content, skills, knowledge, abilities, and
responsibilities for the position. The tasks are grouped and lines of responsibility and
authority are defined. The supervisor is writing a job
description
A piece of objective data collected upon initial assessment of the patient is the
vital signs
Which of the following is considered a late effect regardless of time?
nonunion
The purpose of CMS's National Correct Coding Initiative is to
detect and prevent payment for improperly coded services
Which of the following scenarios identifies a pathologic fracture?
compression fracture of the vertebrae as a result of bone metastasis
The patient's family asked the attending physician to keep the patient in the hospital for a few
days more until they could make arrangements for the patient's home care. Because the
,patient no longer meets criteria for continued stay, if the physician complies with the family's
request, this would be considered
an inappropriate use of hospital resources
case-mix index
volume of patients in each category x DRG weight
MS-DRG weights / total discharges
A pharmacist at your facility was caught running a drug ring. The pharmacist filled orders of
valuable medications with cheap outdated ones purchased on the Internet and then sold the
good drugs for profit. Patients have been injured, and the lawsuits are starting. Unfortunately,
your facility is going to be held responsible for the pharmacist's negligent acts under the
doctrine of
respondeat superior
Community Hospital Administration decided to change the number of adult and children beds
from 300 to 375 effective on the first day in July. The total number of inpatient service days
for adults and children for the year was 111,963. What was the percentage of occupancy rate
for adults and children for the entire year?
90.8%
Occupancy Rate: Total IPSD / total bed count
Bed Count: number of beds x number of days in period
You supervise five clerical employees who will be moving when a new wing of your facility is
completed. When you meet with the architect to plan their space, you will ask for
300 square feet of space for your clerical staff
60 sq ft per employee
The difference between an Institutional Review Board (IRB) and a hospital's Ethics Committee
is that
the IRB deals with the ethical treatment of human research subjects, and the Ethics Committee
covers a wide range of issues.
You have been asked to report the registry's annual caseload to administration. The most
efficient way to retrieve this information would be to use
accession register
,Incomplete abortion complicated by excessive hemorrhage; dilation and curettage performed.
Code the diagnoses using ICD-10-CM and procedures using ICD-10-PCS.
D62 Acute posthemorrhagic anemia
O03.1 Delayed or excessive hemorrhage following incomplete spontaneous abortion
O03.6 Delayed or excessive hemorrhage following complete or unspecified spontaneous
abortion
O03.4 Incomplete spontaneous abortion without complication
10D17ZZ Extraction, retained products of conception, via natural opening
0UDB7ZZ Extraction, endometrium, via natural opening
O03.1, 10D17ZZ
A 4-year-old child had a repair of an incarcerated inguinal hernia. This is the first time this
child had been treated for this condition.
49496 Repair initial inguinal hernia full-term infant, under age 6 months, or preterm infant
over 50 weeks' post conception age and under 6 months at the time of surgery, with or
without hydrocelectomy; incarcerated or strangulated
49501 Repair initial inguinal hernia, age 6 months to under 5 years, with or without
hydrocelectomy; incarcerated or strangulated
49521 Repair recurrent inguinal hernia, any age; incarcerated or strangulated
49553 Repair initial femoral hernia, any age; incarcerated or strangulated
49501
A patient initially consulted with Dr. Vasseur at the request of Dr. Meche, the patient's
primary care physician. Dr. Vasseur examined the patient, prescribed medication, and ordered
tests. Additional visits to Dr. Vasseur's office for continuing care would be assigned from
which E/M section?
office and other outpatient services, established patient
You are the office manager at a large group practice. One of the physicians at your practice
has asked you to research and supply her with information about Medicare's newest payment
incentives and how to comply with the quality reporting requirements. You will bring this
inquisitive physician facts from CMS regarding
Merit-based Incentive Payment System (MIPS)
In a research study that includes a patient questionnaire, five of the questions will be
answered using the following scale:
1 Strongly disagree
2 Disagree
, 3 No opinion
4 Agree
5 Strongly agree
The data collected using this scale are commonly referred to as
ordinal data
A patient has written to request a copy of his own record. When the clerk checked the record,
it was noted that the patient was last admitted to the psychiatric unit of the facility. You
advise the clerk to
contact the patient's attending physician before complying.
The census taken at midnight on January 1 showed 99 patients remaining in the hospital. On
January 2, four patients were admitted, there was one fetal death, one DOA, and seven
patients were discharged. One of these patients was admitted in the morning and remained
only 8 hours. How many inpatient service days were rendered on January 2?
97
You are calculating the fee schedule payment amount for physician services covered under
Medicare Part B. You already have the relative value unit figure. The system you are likely
referencing is
RBRVS
In reviewing the policies on release of information in respect to the privacy rules, you note
that it is still acceptable to allow release of protected health information without patient
permission to quality review committees within the hospital. In this case, the PHI is being
used as part of the facility's
health care operations
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?
P
Four patients were discharged from Crestview Hospital yesterday. A final progress note is an
appropriate discharge summary for
Babson, who delivered a healthy 8-pound boy without complications for either mother or child,
and was discharged within 36 hours of admission
Dr. Reed tried to explain wound care to Mr. Baker prior to discharge, but Baker (who is 104
and moderately senile) just could not seem to understand or remember what the doctor said.
Mr. Baker's daughter was with him, so Dr. Reed explained Mr. Baker's aftercare to his
daughter. Dr. Reed should document discharge instructions
in the discharge summary and on a patient instructions form signed by Dr. Reed and Mr. Baker's
daughter and filed in Mr. Baker's medical record.
Johnston City was set upon by a swarm of killer bees. All 5,000 residents are at risk of a bee
attack. If 25 residents were attacked by the bees, the incidence of bee attacks
is 5 in 1,000
Delinquency rate
Number of delinquent records / monthly discharges x 100
A supervisor reviews a job to determine the required content, skills, knowledge, abilities, and
responsibilities for the position. The tasks are grouped and lines of responsibility and
authority are defined. The supervisor is writing a job
description
A piece of objective data collected upon initial assessment of the patient is the
vital signs
Which of the following is considered a late effect regardless of time?
nonunion
The purpose of CMS's National Correct Coding Initiative is to
detect and prevent payment for improperly coded services
Which of the following scenarios identifies a pathologic fracture?
compression fracture of the vertebrae as a result of bone metastasis
The patient's family asked the attending physician to keep the patient in the hospital for a few
days more until they could make arrangements for the patient's home care. Because the
,patient no longer meets criteria for continued stay, if the physician complies with the family's
request, this would be considered
an inappropriate use of hospital resources
case-mix index
volume of patients in each category x DRG weight
MS-DRG weights / total discharges
A pharmacist at your facility was caught running a drug ring. The pharmacist filled orders of
valuable medications with cheap outdated ones purchased on the Internet and then sold the
good drugs for profit. Patients have been injured, and the lawsuits are starting. Unfortunately,
your facility is going to be held responsible for the pharmacist's negligent acts under the
doctrine of
respondeat superior
Community Hospital Administration decided to change the number of adult and children beds
from 300 to 375 effective on the first day in July. The total number of inpatient service days
for adults and children for the year was 111,963. What was the percentage of occupancy rate
for adults and children for the entire year?
90.8%
Occupancy Rate: Total IPSD / total bed count
Bed Count: number of beds x number of days in period
You supervise five clerical employees who will be moving when a new wing of your facility is
completed. When you meet with the architect to plan their space, you will ask for
300 square feet of space for your clerical staff
60 sq ft per employee
The difference between an Institutional Review Board (IRB) and a hospital's Ethics Committee
is that
the IRB deals with the ethical treatment of human research subjects, and the Ethics Committee
covers a wide range of issues.
You have been asked to report the registry's annual caseload to administration. The most
efficient way to retrieve this information would be to use
accession register
,Incomplete abortion complicated by excessive hemorrhage; dilation and curettage performed.
Code the diagnoses using ICD-10-CM and procedures using ICD-10-PCS.
D62 Acute posthemorrhagic anemia
O03.1 Delayed or excessive hemorrhage following incomplete spontaneous abortion
O03.6 Delayed or excessive hemorrhage following complete or unspecified spontaneous
abortion
O03.4 Incomplete spontaneous abortion without complication
10D17ZZ Extraction, retained products of conception, via natural opening
0UDB7ZZ Extraction, endometrium, via natural opening
O03.1, 10D17ZZ
A 4-year-old child had a repair of an incarcerated inguinal hernia. This is the first time this
child had been treated for this condition.
49496 Repair initial inguinal hernia full-term infant, under age 6 months, or preterm infant
over 50 weeks' post conception age and under 6 months at the time of surgery, with or
without hydrocelectomy; incarcerated or strangulated
49501 Repair initial inguinal hernia, age 6 months to under 5 years, with or without
hydrocelectomy; incarcerated or strangulated
49521 Repair recurrent inguinal hernia, any age; incarcerated or strangulated
49553 Repair initial femoral hernia, any age; incarcerated or strangulated
49501
A patient initially consulted with Dr. Vasseur at the request of Dr. Meche, the patient's
primary care physician. Dr. Vasseur examined the patient, prescribed medication, and ordered
tests. Additional visits to Dr. Vasseur's office for continuing care would be assigned from
which E/M section?
office and other outpatient services, established patient
You are the office manager at a large group practice. One of the physicians at your practice
has asked you to research and supply her with information about Medicare's newest payment
incentives and how to comply with the quality reporting requirements. You will bring this
inquisitive physician facts from CMS regarding
Merit-based Incentive Payment System (MIPS)
In a research study that includes a patient questionnaire, five of the questions will be
answered using the following scale:
1 Strongly disagree
2 Disagree
, 3 No opinion
4 Agree
5 Strongly agree
The data collected using this scale are commonly referred to as
ordinal data
A patient has written to request a copy of his own record. When the clerk checked the record,
it was noted that the patient was last admitted to the psychiatric unit of the facility. You
advise the clerk to
contact the patient's attending physician before complying.
The census taken at midnight on January 1 showed 99 patients remaining in the hospital. On
January 2, four patients were admitted, there was one fetal death, one DOA, and seven
patients were discharged. One of these patients was admitted in the morning and remained
only 8 hours. How many inpatient service days were rendered on January 2?
97
You are calculating the fee schedule payment amount for physician services covered under
Medicare Part B. You already have the relative value unit figure. The system you are likely
referencing is
RBRVS
In reviewing the policies on release of information in respect to the privacy rules, you note
that it is still acceptable to allow release of protected health information without patient
permission to quality review committees within the hospital. In this case, the PHI is being
used as part of the facility's
health care operations
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?
P
Four patients were discharged from Crestview Hospital yesterday. A final progress note is an
appropriate discharge summary for
Babson, who delivered a healthy 8-pound boy without complications for either mother or child,
and was discharged within 36 hours of admission
