RHIT Exam Review: Questions & Answers
A patient develops difficulty during surgery and the physician discontinues the procedure. Identify the
modifier that may be reported by the physician to indicate that the procedure was discontinued. -
ANSWER:-53
Which system is used primarily to report services and supplies for reimbursement purposes? -
ANSWER:HCPCS
Given the diagnosis "carcinoma of axillary lymph nodes and lungs, metastatic from breast," what is the
primary cancer site(s)? - ANSWER:Breast
This registry collects data on recipients of heart valves and pacemakers: - ANSWER:implant registry
You just completed a process through which you reviewed a patient record and entered the required
elements into a database. What is this process called? - ANSWER:abstracting
A secondary data source that houses and aggregates extensive data about patients with a certain
diagnosis is a(n) - ANSWER:admissions registry
A cancer program is surveyed for approval by the - ANSWER:Commission on Cancer of the American
College of Surgeons.
You are looking at statistics for your facility that include average length of stay (ALOS) and discharge data
by DRG. What type of data are you reviewing? - ANSWER:aggregate data
The attending physician requests a consultation from a cardiologist. The cardiologist takes a detailed
history, performs a detailed examination, and utilizes moderate medical decision making. The
cardiologist orders diagnostic tests and prescribes medication. He documents his findings in the patient's
medical record and communicates in writing with the attending physician. The following day the
consultant visits the patient to evaluate the patient's response to the medication, to review results from
the diagnostic tests, and to discuss treatment options. What codes should the consultant report for the
two visits? - ANSWER:an initial inpatient consult and subsequent hospital visit
According to CPT, in which of the following cases would an established E/M code be used? -
ANSWER:Tom is seen by Dr. X for a sore throat. Dr. X is on call for Tom's regular physician, Dr. Y. The last
time that Tom saw Dr. Y was a couple of years ago.
The most common type of registry located in hospitals of all sizes and in every region of the country is
the - ANSWER:cancer registry
The most widely discussed and debated unique patient identifier is the - ANSWER:patients SSN
When coding free skin grafts, which of the following is NOT an essential item of data needed for accurate
coding? - ANSWER:donor site
Which classification system is used to classify neoplasms according to site, morphology, and behavior? -
ANSWER:International Classification of Diseases for Oncology (ICD-O)
, The best place to ascertain the size of an excised lesion for accurate CPT coding is the -
ANSWER:operative report
A population-based cancer registry that is designed to determine rates and trends in a defined
population is a(n) - ANSWER:incidence only population based registry
In order to use the inpatient CPT consultation codes, the consulting physician must - ANSWER:document
his findings in the patients medical record
The primary goal of a hospital-based cancer registry is to - ANSWER:improve patient care
The information collected for your registry includes patient demographic information, diagnosis codes,
functional status, and histocompatibility information. This type of registry is a - ANSWER:transplant
registry
In regard to quality of coding, the degree to which the same results (same codes) are obtained by
different coders or on multiple attempts by the same coder refers to - ANSWER:reliability
A patient is admitted with pneumonia. Cultures are requested to determine the infecting organism.
Which of the following, if present, would alert the coder to ask the physician whether or not this should
be coded as Gram-negative pneumonia? - ANSWER:pseudomonas
CPT provides Level I modifiers to explain all of the following situations EXCEPT - ANSWER:when a patient
sees a surgeon for follow up care after a surgery
After reviewing the following excerpt from CPT, code 27646 would be interpreted as
27645Radical resection of tumor; tibia
27646Fibula
27647Talus or calcaneus - ANSWER:27646 radical resection of tumor, fibula
Which of the following is expected to enable hospitals to collect more specific information for use in
patient care, benchmarking, quality assessment, research, public health reporting, strategic planning,
and reimbursement? - ANSWER:ICD-10-CM
To gather statistics for surgical services provided on an outpatient basis, which of the following codes are
needed? - ANSWER:CPT codes
In ICD-10-PCS, if a "resection of tonsils" was performed, what approach would it be coded to? -
ANSWER:external
The method of calculating errors in a coding audit that allows for benchmarking with other hospitals,
and permits the reviewer to track errors by case type, is the - ANSWER:record-over-record method
In ICD-10-PCS when the objective of the procedure is to cut off the blood supply to the vessel the root
operation would be: - ANSWER:occlusion
A barrier to widespread use of automated code assignment is - ANSWER:poor quality of documentation
In ICD-10-PCS, to code "removal of a thumbnail," the root operation would be - ANSWER:extraction
A patient develops difficulty during surgery and the physician discontinues the procedure. Identify the
modifier that may be reported by the physician to indicate that the procedure was discontinued. -
ANSWER:-53
Which system is used primarily to report services and supplies for reimbursement purposes? -
ANSWER:HCPCS
Given the diagnosis "carcinoma of axillary lymph nodes and lungs, metastatic from breast," what is the
primary cancer site(s)? - ANSWER:Breast
This registry collects data on recipients of heart valves and pacemakers: - ANSWER:implant registry
You just completed a process through which you reviewed a patient record and entered the required
elements into a database. What is this process called? - ANSWER:abstracting
A secondary data source that houses and aggregates extensive data about patients with a certain
diagnosis is a(n) - ANSWER:admissions registry
A cancer program is surveyed for approval by the - ANSWER:Commission on Cancer of the American
College of Surgeons.
You are looking at statistics for your facility that include average length of stay (ALOS) and discharge data
by DRG. What type of data are you reviewing? - ANSWER:aggregate data
The attending physician requests a consultation from a cardiologist. The cardiologist takes a detailed
history, performs a detailed examination, and utilizes moderate medical decision making. The
cardiologist orders diagnostic tests and prescribes medication. He documents his findings in the patient's
medical record and communicates in writing with the attending physician. The following day the
consultant visits the patient to evaluate the patient's response to the medication, to review results from
the diagnostic tests, and to discuss treatment options. What codes should the consultant report for the
two visits? - ANSWER:an initial inpatient consult and subsequent hospital visit
According to CPT, in which of the following cases would an established E/M code be used? -
ANSWER:Tom is seen by Dr. X for a sore throat. Dr. X is on call for Tom's regular physician, Dr. Y. The last
time that Tom saw Dr. Y was a couple of years ago.
The most common type of registry located in hospitals of all sizes and in every region of the country is
the - ANSWER:cancer registry
The most widely discussed and debated unique patient identifier is the - ANSWER:patients SSN
When coding free skin grafts, which of the following is NOT an essential item of data needed for accurate
coding? - ANSWER:donor site
Which classification system is used to classify neoplasms according to site, morphology, and behavior? -
ANSWER:International Classification of Diseases for Oncology (ICD-O)
, The best place to ascertain the size of an excised lesion for accurate CPT coding is the -
ANSWER:operative report
A population-based cancer registry that is designed to determine rates and trends in a defined
population is a(n) - ANSWER:incidence only population based registry
In order to use the inpatient CPT consultation codes, the consulting physician must - ANSWER:document
his findings in the patients medical record
The primary goal of a hospital-based cancer registry is to - ANSWER:improve patient care
The information collected for your registry includes patient demographic information, diagnosis codes,
functional status, and histocompatibility information. This type of registry is a - ANSWER:transplant
registry
In regard to quality of coding, the degree to which the same results (same codes) are obtained by
different coders or on multiple attempts by the same coder refers to - ANSWER:reliability
A patient is admitted with pneumonia. Cultures are requested to determine the infecting organism.
Which of the following, if present, would alert the coder to ask the physician whether or not this should
be coded as Gram-negative pneumonia? - ANSWER:pseudomonas
CPT provides Level I modifiers to explain all of the following situations EXCEPT - ANSWER:when a patient
sees a surgeon for follow up care after a surgery
After reviewing the following excerpt from CPT, code 27646 would be interpreted as
27645Radical resection of tumor; tibia
27646Fibula
27647Talus or calcaneus - ANSWER:27646 radical resection of tumor, fibula
Which of the following is expected to enable hospitals to collect more specific information for use in
patient care, benchmarking, quality assessment, research, public health reporting, strategic planning,
and reimbursement? - ANSWER:ICD-10-CM
To gather statistics for surgical services provided on an outpatient basis, which of the following codes are
needed? - ANSWER:CPT codes
In ICD-10-PCS, if a "resection of tonsils" was performed, what approach would it be coded to? -
ANSWER:external
The method of calculating errors in a coding audit that allows for benchmarking with other hospitals,
and permits the reviewer to track errors by case type, is the - ANSWER:record-over-record method
In ICD-10-PCS when the objective of the procedure is to cut off the blood supply to the vessel the root
operation would be: - ANSWER:occlusion
A barrier to widespread use of automated code assignment is - ANSWER:poor quality of documentation
In ICD-10-PCS, to code "removal of a thumbnail," the root operation would be - ANSWER:extraction
