RHIT CERTIFICATION EXAM READINESS : THE ULTIMATE
COMPREHENSIVE MOCK ASSESSMENT FEATURING 200+
BOARD-STYLE QUESTIONS, DETAILED RATIONALE
BREAKDOWNS, FULL DOMAIN COVERAGE, AND PROVEN
TEST-TAKING STRATEGIES TO GUARANTEE YOUR FIRST-
TRY PASS| JUST RELEASED !!!
Him director is part of the revenue cycle management team. the discharged-not-
final-billed days are increasing bc discharges are increasing. the number of
coding staff is 5. with the implementation of an EDSS, telecommuting has been
suggested as an alternative. studies report that coding productivity can
increase ax much as 20% with telecommuting. Given that discharges have
increased from 100/day to 144, how many more FTEs would need to be hired if
the dept went toe telecommuting?
A. 0.5 FTE
B. 0.75 FTE
C. 1 FTE
D. 2 FTEs
ANSWER: C. 1 FTE
Rationale:
• Current workload increase = 44% (from 100 to 144).
• Without telecommuting, you'd need 5 × 1.44 = 7.2 FTEs → +2.2 FTEs.
• With 20% productivity gain, each existing FTE does 1.2× the work: 5 × 1.2
= 6.0 effective FTEs of output.
, • Need 7.2 effective → 7.2 − 6.0 = 1.2 FTEs → closest option is 1 FTE (exam
rounding). So C.
Managing an organizations data and those who enter it is an ongoing challenge
requiring active administration and oversight. This can be accomplished by the
organization through management of which of the following?
A. data dictionary
B. data warehouse
C. data mapping
D. data set
ANSWER: A. Data Dictionary
Rationale: A data dictionary is the foundational tool for governing data
definitions, allowable values, and entry rules. It directly controls how data is
entered and by whom (through access controls and validation rules).
• Data warehouse (B) is for storage/reporting, not real-time entry control.
• Data mapping (C) is for translating data between systems.
• Data set (D) is just a collection of data — no administrative control.
A consumer nonprofit organization wants to conduct studies on the quality of
care provided to medicare patients in a specific region. A HIT professional has
been hired to manage this project. The nonprofit org asks the HIT professional
about the viability of using billing data as the basis for its analysis. Which of the
following would NOT be as quality consideration in using billing data?
A. accuracy of the data
B. consistency of the data
C. appropriateness of the data elements
D. cost to process the data
ANSWER: D. cost to process the data
Rationale: Data quality focuses on fitness for use — accuracy, consistency, and
appropriateness of elements are all direct quality attributes. Cost is an
operational/financial constraint, not a quality characteristic of the data itself.
,Which of the following documentation must be included in a patients health
record prior to performing a surgical procedure?
A. consent for operative procedure, anesthesia report, surgical report
B. consent for operative procedure, history, physical exam
C. history, physical, exam, anesthesia report
D. problem list, history, physical exam
ANSWER: B. consent for operative procedure, history, physical exam
Rationale: CMS Conditions of Participation (CoP) and Joint Commission
require informed consent + a complete history & physical (H&P) before surgery.
• Anesthesia and surgical reports are generated during/after the
procedure, not before.
Cancer registries are established by hospitals
A. by federal law or state law
B. voluntarily or by state law
C. voluntarily or by federal law
D. by mandate from the american college of Surgeons
ANSWER: B. voluntarily or by state law
Rationale: Some hospitals choose to have registries for quality/internal research
(voluntary), and some states mandate them by law. They are not federally
mandated, nor solely by the American College of Surgeons (though ACS
accredits, it doesn't mandate establishment).
In addition to case mix, other factors that may influence episode-related data
quality include all of the following except:
A. length of inpatient stay
B. health record documentation
C. data abstract type
D. workflow issues
ANSWER: D. workflow issues
Rationale: Case mix, LOS, documentation quality, and abstract type all directly
affect clinical/data quality. Workflow issues are operational process problems —
they affect efficiency, but they are not a data-quality factor in the same direct
sense for episode grouping.
, In May, 270 women were admitted to the obstetrics service. of these, 263
women delivered; 33 deliveries were by C-Sec. What is the denominator for
calculating the C-sec rate?
A. 33
B. 263
C. 270
D. 296
ANSWER: B. 263
Rationale: C-section rate = (number of C-sections) / (total deliveries).
Women admitted (270) includes those who didn't deliver. Only 263 delivered, so
denominator = 263.
Community hospital discharged 9 patients on 4/1. the LOS for each of the
patients was as follows: Patient A-1 day; patient B-5 days; patient C-3 days;
patient D-3 days; patient E-8 days; patient F-8 days; patient G-8 days; patient H-9
days; patient I-9 days. what was the average LOS for these 9 patients?
A. 5 days
B. 6 days
C. 8 days
D. 9 days
ANSWER: B. 6 days
Rationale: Sum LOS = 1+5+3+3+8+8+8+9+9 = 54. 54 ÷ 9 = 6 days.
In designing a paper-based storage system, which of the following should be
used if conservation of floor space is the major concern?
A. carousel system
B. five-drawer filing cabinets
C. mobile filing units
D. open-shelf filing units
ANSWER: C. mobile filing units
Rationale: Mobile shelving (compact storage) eliminates multiple aisles — you
roll rows together, saving up to 40–50% floor space vs. fixed shelving or
cabinets. Carousels save vertical space, not floor space.
which of the following elements of coding quality represent consistency of code
assignments among different coders?
A. reliability
B. validity
COMPREHENSIVE MOCK ASSESSMENT FEATURING 200+
BOARD-STYLE QUESTIONS, DETAILED RATIONALE
BREAKDOWNS, FULL DOMAIN COVERAGE, AND PROVEN
TEST-TAKING STRATEGIES TO GUARANTEE YOUR FIRST-
TRY PASS| JUST RELEASED !!!
Him director is part of the revenue cycle management team. the discharged-not-
final-billed days are increasing bc discharges are increasing. the number of
coding staff is 5. with the implementation of an EDSS, telecommuting has been
suggested as an alternative. studies report that coding productivity can
increase ax much as 20% with telecommuting. Given that discharges have
increased from 100/day to 144, how many more FTEs would need to be hired if
the dept went toe telecommuting?
A. 0.5 FTE
B. 0.75 FTE
C. 1 FTE
D. 2 FTEs
ANSWER: C. 1 FTE
Rationale:
• Current workload increase = 44% (from 100 to 144).
• Without telecommuting, you'd need 5 × 1.44 = 7.2 FTEs → +2.2 FTEs.
• With 20% productivity gain, each existing FTE does 1.2× the work: 5 × 1.2
= 6.0 effective FTEs of output.
, • Need 7.2 effective → 7.2 − 6.0 = 1.2 FTEs → closest option is 1 FTE (exam
rounding). So C.
Managing an organizations data and those who enter it is an ongoing challenge
requiring active administration and oversight. This can be accomplished by the
organization through management of which of the following?
A. data dictionary
B. data warehouse
C. data mapping
D. data set
ANSWER: A. Data Dictionary
Rationale: A data dictionary is the foundational tool for governing data
definitions, allowable values, and entry rules. It directly controls how data is
entered and by whom (through access controls and validation rules).
• Data warehouse (B) is for storage/reporting, not real-time entry control.
• Data mapping (C) is for translating data between systems.
• Data set (D) is just a collection of data — no administrative control.
A consumer nonprofit organization wants to conduct studies on the quality of
care provided to medicare patients in a specific region. A HIT professional has
been hired to manage this project. The nonprofit org asks the HIT professional
about the viability of using billing data as the basis for its analysis. Which of the
following would NOT be as quality consideration in using billing data?
A. accuracy of the data
B. consistency of the data
C. appropriateness of the data elements
D. cost to process the data
ANSWER: D. cost to process the data
Rationale: Data quality focuses on fitness for use — accuracy, consistency, and
appropriateness of elements are all direct quality attributes. Cost is an
operational/financial constraint, not a quality characteristic of the data itself.
,Which of the following documentation must be included in a patients health
record prior to performing a surgical procedure?
A. consent for operative procedure, anesthesia report, surgical report
B. consent for operative procedure, history, physical exam
C. history, physical, exam, anesthesia report
D. problem list, history, physical exam
ANSWER: B. consent for operative procedure, history, physical exam
Rationale: CMS Conditions of Participation (CoP) and Joint Commission
require informed consent + a complete history & physical (H&P) before surgery.
• Anesthesia and surgical reports are generated during/after the
procedure, not before.
Cancer registries are established by hospitals
A. by federal law or state law
B. voluntarily or by state law
C. voluntarily or by federal law
D. by mandate from the american college of Surgeons
ANSWER: B. voluntarily or by state law
Rationale: Some hospitals choose to have registries for quality/internal research
(voluntary), and some states mandate them by law. They are not federally
mandated, nor solely by the American College of Surgeons (though ACS
accredits, it doesn't mandate establishment).
In addition to case mix, other factors that may influence episode-related data
quality include all of the following except:
A. length of inpatient stay
B. health record documentation
C. data abstract type
D. workflow issues
ANSWER: D. workflow issues
Rationale: Case mix, LOS, documentation quality, and abstract type all directly
affect clinical/data quality. Workflow issues are operational process problems —
they affect efficiency, but they are not a data-quality factor in the same direct
sense for episode grouping.
, In May, 270 women were admitted to the obstetrics service. of these, 263
women delivered; 33 deliveries were by C-Sec. What is the denominator for
calculating the C-sec rate?
A. 33
B. 263
C. 270
D. 296
ANSWER: B. 263
Rationale: C-section rate = (number of C-sections) / (total deliveries).
Women admitted (270) includes those who didn't deliver. Only 263 delivered, so
denominator = 263.
Community hospital discharged 9 patients on 4/1. the LOS for each of the
patients was as follows: Patient A-1 day; patient B-5 days; patient C-3 days;
patient D-3 days; patient E-8 days; patient F-8 days; patient G-8 days; patient H-9
days; patient I-9 days. what was the average LOS for these 9 patients?
A. 5 days
B. 6 days
C. 8 days
D. 9 days
ANSWER: B. 6 days
Rationale: Sum LOS = 1+5+3+3+8+8+8+9+9 = 54. 54 ÷ 9 = 6 days.
In designing a paper-based storage system, which of the following should be
used if conservation of floor space is the major concern?
A. carousel system
B. five-drawer filing cabinets
C. mobile filing units
D. open-shelf filing units
ANSWER: C. mobile filing units
Rationale: Mobile shelving (compact storage) eliminates multiple aisles — you
roll rows together, saving up to 40–50% floor space vs. fixed shelving or
cabinets. Carousels save vertical space, not floor space.
which of the following elements of coding quality represent consistency of code
assignments among different coders?
A. reliability
B. validity
