RHIT Exam Practice Questions Domain 5
The evaluation of coders is recommended at least quarterly for the purpose of measurement and
assurance of:
a. speed
b. data quality and integrity
c. accuracy
d. effective relationships with physicians and facility personnel - ANSWER:b. data quality and integrity
Which of the following is a legal concern regarding the EHR?
a. ability to subpoena audit trails
b. template design
c. ANSI standards
d. data sets - ANSWER:a. ability to subpoena audit trails
Healthcare fraud is all except which of the following?
a. damage to another party that reasonably relied on misrepresentation
b. false representation of fact
c. failure to disclose a material fact
d. unnecessary costs to a program - ANSWER:d. unnecessary costs to a program
Corporate compliance programs became common after adoption of which of the following?
a. false claims act
b. federal sentencing guidelines
c. office of the inspector general for HHS
d. federal physician self-referral statute - ANSWER:b. federal sentencing guidelines
A group practice has hired an HIT as its chief compliance officer. The current compliance program
includes written of conduct and policies, and procedures that address specific areas of potential fraud. It
,also has audits in place to monitor compliance. Which of the following should the compliance officer
also ensure are in place?
a. a bonus program for coders who code charts with higher paying MS-DRGs
b. a hotline to receive complaints and adoption of procedures to protect whistleblowers from retaliation
c. procedures to adequately identify individuals who make complaints so that appropriate follow-up can
be conducted
d. a corporate compliance committee that reports directly to CFO - ANSWER:b. a hotline to receive
complaints and adoption of procedures to protect whistleblowers from retaliation
Examples of high-risk billing practices that create compliance risks for healthcare organizations include
all except which of the following?
a. altered claim forms
b. returned overpayments
c. duplicate billings
d. unbundled procedures - ANSWER:b. returned overpayments
Which of the following issues compliance program guidance?
a. AHIMA
b. CMS
c. federal register
d. HHS office of inspector general - ANSWER:d. HHS office of inspector general
In developing a coding compliance program, which of the following would not be ordinarily included as
participants in coding compliance education?
a. current coding personnel
b. medical staff
c. newly hired coding personnel
d. nursing staff - ANSWER:d. nursing staff
Which type of identity theft occurs when a patient uses another person's name and insurance
information to receive healthcare benefits?
, a. medical
b. financial
c. criminal
d. health - ANSWER:a. medical
The Medicare Integrity Program was established to battle fraud and abuse and is charged with which of
the following responsibilities?
a. audit of expense reports and notifying beneficiaries of their rights
b. payment determinations and audit of cost reports
c. publishing of new coding guidelines and code changes
d. monitoring of physician credentials and payment determinations - ANSWER:b. payment
determinations and audit of cost reports
Coding policies should include which of the following elements?
a. lunch or break schedule
b. how to access the computer system
c. AHIMA standards of ethical coding
d. nonofficial coding guidelines - ANSWER:c. AHIMA standards of ethical coding
Which of the following can be used to discover current risk or focused areas of compliance?
a. the OIG workplan
b. AHA newsletter
c. HIPAA privacy rule
d. local medical review policy - ANSWER:a. the OIG workplan
If an HIM department acts in deliberate ignorance or in disregard of official coding guidelines, it may be
committing:
a. abuse
The evaluation of coders is recommended at least quarterly for the purpose of measurement and
assurance of:
a. speed
b. data quality and integrity
c. accuracy
d. effective relationships with physicians and facility personnel - ANSWER:b. data quality and integrity
Which of the following is a legal concern regarding the EHR?
a. ability to subpoena audit trails
b. template design
c. ANSI standards
d. data sets - ANSWER:a. ability to subpoena audit trails
Healthcare fraud is all except which of the following?
a. damage to another party that reasonably relied on misrepresentation
b. false representation of fact
c. failure to disclose a material fact
d. unnecessary costs to a program - ANSWER:d. unnecessary costs to a program
Corporate compliance programs became common after adoption of which of the following?
a. false claims act
b. federal sentencing guidelines
c. office of the inspector general for HHS
d. federal physician self-referral statute - ANSWER:b. federal sentencing guidelines
A group practice has hired an HIT as its chief compliance officer. The current compliance program
includes written of conduct and policies, and procedures that address specific areas of potential fraud. It
,also has audits in place to monitor compliance. Which of the following should the compliance officer
also ensure are in place?
a. a bonus program for coders who code charts with higher paying MS-DRGs
b. a hotline to receive complaints and adoption of procedures to protect whistleblowers from retaliation
c. procedures to adequately identify individuals who make complaints so that appropriate follow-up can
be conducted
d. a corporate compliance committee that reports directly to CFO - ANSWER:b. a hotline to receive
complaints and adoption of procedures to protect whistleblowers from retaliation
Examples of high-risk billing practices that create compliance risks for healthcare organizations include
all except which of the following?
a. altered claim forms
b. returned overpayments
c. duplicate billings
d. unbundled procedures - ANSWER:b. returned overpayments
Which of the following issues compliance program guidance?
a. AHIMA
b. CMS
c. federal register
d. HHS office of inspector general - ANSWER:d. HHS office of inspector general
In developing a coding compliance program, which of the following would not be ordinarily included as
participants in coding compliance education?
a. current coding personnel
b. medical staff
c. newly hired coding personnel
d. nursing staff - ANSWER:d. nursing staff
Which type of identity theft occurs when a patient uses another person's name and insurance
information to receive healthcare benefits?
, a. medical
b. financial
c. criminal
d. health - ANSWER:a. medical
The Medicare Integrity Program was established to battle fraud and abuse and is charged with which of
the following responsibilities?
a. audit of expense reports and notifying beneficiaries of their rights
b. payment determinations and audit of cost reports
c. publishing of new coding guidelines and code changes
d. monitoring of physician credentials and payment determinations - ANSWER:b. payment
determinations and audit of cost reports
Coding policies should include which of the following elements?
a. lunch or break schedule
b. how to access the computer system
c. AHIMA standards of ethical coding
d. nonofficial coding guidelines - ANSWER:c. AHIMA standards of ethical coding
Which of the following can be used to discover current risk or focused areas of compliance?
a. the OIG workplan
b. AHA newsletter
c. HIPAA privacy rule
d. local medical review policy - ANSWER:a. the OIG workplan
If an HIM department acts in deliberate ignorance or in disregard of official coding guidelines, it may be
committing:
a. abuse
