2024/25 HIM QUESTIONS BANK
WITH VERIFIED ANSWERS
What is not a core competency of HIM Professionals (Biomedical science,
technology, management, access and privacy, health informa<on analysis)
Technology
Are non HIM members part of CHIMA board?
Yes
CCHIM is responsible for (select all that apply: A. Establishes the learning
outcomes for HIM programs, B iden<fies the standards of prac<ce for entry
level hims C. Creates and manages the na<onal cer<fica<on exam)
A, B and C
T or F: All entries in a health record whether paper or electronic need to be
authen<cated?
True
A newborn's record is filed with its mothers?
No
T or F: Abbrevia<ons are never allowed in a health record
False
T or F: Specificity means that data needs to meet needs for clinical care only
False
T or F: Prior to elec<ve surgery a pa<ent will sign a Consent for Release of
Informa<on
False
What are some typical elements of qualita<ve record analysis
,Diagnosis inconsistencies, inconsistencies in iden<fica<on (name of pa<ent,
DOB), <me or loca<on gaps, use of non approved abbrevia<ons
What occurs aSer qualita<ve and quan<ta<ve record analysis is complete?
Coding and abstrac<ng
What is the primary purpose of a health record?
To support the con<nuity of care
Secondary uses of the health record?
Facilitate clinical decision making, funding, educa<on, research, opera<onal
management, legisla<on, support quality of care
Qualita<ve analysis is an important tool to ensure data quality. It evaluates:
poten<al risk events, adverse drug reac<ons, quality of documenta<on, quality
of care through use of established criteria.
Quality of documenta<on
T or F: While doing a final check on a paper record an HIM no<ces a lab report
is missing, once printed and added to the record, it can then be filed.
False- further analysis may be needed as well as coding and abstrac<ng
Discharge summary documenta<on must include: A. Detailed history of
pa<ent, B discharge order, C. Significant findings during hospitaliza<on. D. A
and C, E. All of the above
C. Significant findings during hospitaliza<on
T or F: Redac<ng an entry in a record means dele<ng an error.
False
T or F: If a pa<ent presents their provincial health card at registra<on, there is
no need to search the MPI
False
Where would you expect to find this entry in a record: The pa<ent was
admiXed to the medical unit. He was started on Levaquin 500mg and then later
,reduced to 250mg daily. The pa<ent was hydrated with IV fluids. Cardiac
enzymes were done 2 days. The chest pain resolved; ECG was unchanged.
Pa<ent will be followed as an outpa<ent.
Discharge summary
T or F: The chart order in a paper record is determined by a Health Record
CommiXee
True
T or F: A delinquent record is the same as a deficient record.
False
What is the key principle of the ADT?
Collect once, use many
T or F: Verifying that a key document of a record is included and authen<cated
is a key step in qualita<ve analysis?
False. Quan<ta<ve analysis
T or F: The uninten<onal mis-iden<fica<on of an individual is iden<ty theS?
False
Someone registers at a desk and the clerk finds 2 entries in the MPI this is an
example of a:
Duplicate
Accurate client iden<fica<on requires: A Clearly defined data elements B.
Organiza<onal policies and procedures that are audited and enforced C.
Rigorous staff training D. Standards for data recording E. All of the above
E. All of the above.
Advantages of concurrent coding include. A. Iden<fica<ons of condi<ons that
might have been overlooked. B. More <mely coding C. Faster qualita<ve and
quan<ta<ve analysis. D. All of the above
D. All of the above.
, What is the framework that facilitates communica<on between providers?
Nomenclature and terminologies
Who manages SNOMED-CT
IHTSDO (Interna<onal Health Terminology Standards Development
Organiza<on)
Who manages ICD in Canada?
CIHI
T or F: DSM-IV and CCI share codes
False
T or F: DSM-IV and ICD share codes
True
What is the terminology of the EHR?
SNOMED-CT
Coding is based on whose documenta<on?
Physician's
Does the coder assign CMG or level of complexity?
No
How many levels of complexity can there be in each CMG
4
Case Mix Groups (CMG) are used for what type of data?
Inpa<ent
What are Major Clinical Categories related to?
Case mix groups- each major diagnosis has a major clinical category and then
within that are the cmg
What are three primary uses of case mix groups?
U<liza<on management, planning and budge<ng, funding
T or F: The RIW for a case can change from year to year?
WITH VERIFIED ANSWERS
What is not a core competency of HIM Professionals (Biomedical science,
technology, management, access and privacy, health informa<on analysis)
Technology
Are non HIM members part of CHIMA board?
Yes
CCHIM is responsible for (select all that apply: A. Establishes the learning
outcomes for HIM programs, B iden<fies the standards of prac<ce for entry
level hims C. Creates and manages the na<onal cer<fica<on exam)
A, B and C
T or F: All entries in a health record whether paper or electronic need to be
authen<cated?
True
A newborn's record is filed with its mothers?
No
T or F: Abbrevia<ons are never allowed in a health record
False
T or F: Specificity means that data needs to meet needs for clinical care only
False
T or F: Prior to elec<ve surgery a pa<ent will sign a Consent for Release of
Informa<on
False
What are some typical elements of qualita<ve record analysis
,Diagnosis inconsistencies, inconsistencies in iden<fica<on (name of pa<ent,
DOB), <me or loca<on gaps, use of non approved abbrevia<ons
What occurs aSer qualita<ve and quan<ta<ve record analysis is complete?
Coding and abstrac<ng
What is the primary purpose of a health record?
To support the con<nuity of care
Secondary uses of the health record?
Facilitate clinical decision making, funding, educa<on, research, opera<onal
management, legisla<on, support quality of care
Qualita<ve analysis is an important tool to ensure data quality. It evaluates:
poten<al risk events, adverse drug reac<ons, quality of documenta<on, quality
of care through use of established criteria.
Quality of documenta<on
T or F: While doing a final check on a paper record an HIM no<ces a lab report
is missing, once printed and added to the record, it can then be filed.
False- further analysis may be needed as well as coding and abstrac<ng
Discharge summary documenta<on must include: A. Detailed history of
pa<ent, B discharge order, C. Significant findings during hospitaliza<on. D. A
and C, E. All of the above
C. Significant findings during hospitaliza<on
T or F: Redac<ng an entry in a record means dele<ng an error.
False
T or F: If a pa<ent presents their provincial health card at registra<on, there is
no need to search the MPI
False
Where would you expect to find this entry in a record: The pa<ent was
admiXed to the medical unit. He was started on Levaquin 500mg and then later
,reduced to 250mg daily. The pa<ent was hydrated with IV fluids. Cardiac
enzymes were done 2 days. The chest pain resolved; ECG was unchanged.
Pa<ent will be followed as an outpa<ent.
Discharge summary
T or F: The chart order in a paper record is determined by a Health Record
CommiXee
True
T or F: A delinquent record is the same as a deficient record.
False
What is the key principle of the ADT?
Collect once, use many
T or F: Verifying that a key document of a record is included and authen<cated
is a key step in qualita<ve analysis?
False. Quan<ta<ve analysis
T or F: The uninten<onal mis-iden<fica<on of an individual is iden<ty theS?
False
Someone registers at a desk and the clerk finds 2 entries in the MPI this is an
example of a:
Duplicate
Accurate client iden<fica<on requires: A Clearly defined data elements B.
Organiza<onal policies and procedures that are audited and enforced C.
Rigorous staff training D. Standards for data recording E. All of the above
E. All of the above.
Advantages of concurrent coding include. A. Iden<fica<ons of condi<ons that
might have been overlooked. B. More <mely coding C. Faster qualita<ve and
quan<ta<ve analysis. D. All of the above
D. All of the above.
, What is the framework that facilitates communica<on between providers?
Nomenclature and terminologies
Who manages SNOMED-CT
IHTSDO (Interna<onal Health Terminology Standards Development
Organiza<on)
Who manages ICD in Canada?
CIHI
T or F: DSM-IV and CCI share codes
False
T or F: DSM-IV and ICD share codes
True
What is the terminology of the EHR?
SNOMED-CT
Coding is based on whose documenta<on?
Physician's
Does the coder assign CMG or level of complexity?
No
How many levels of complexity can there be in each CMG
4
Case Mix Groups (CMG) are used for what type of data?
Inpa<ent
What are Major Clinical Categories related to?
Case mix groups- each major diagnosis has a major clinical category and then
within that are the cmg
What are three primary uses of case mix groups?
U<liza<on management, planning and budge<ng, funding
T or F: The RIW for a case can change from year to year?
