AHIMA RHIA Exam Prep (7th Edition)
Questions And Answers
17. A patient requests copies of her medical records in an electronic
format. The hospital maintains a portion of the designated record
set in a paper format and a portion of the designated record set in
an electronic format. How should the hospital respond?
a. Provide the records in paper format only
b. Scan the paper documents so that all records can be sent
electronically
c. Provide the patient with both paper and electronic copies of the
record
d. Inform the patient that PHI cannot be sent electronically - - -
correct answer ✅c. Provide the patient with both paper and
electronic copies of the record
The HIPAA Privacy Rule states that the covered entity must provide
individuals with their information in the form that is requested by
the individuals, if it is readily producible in the requested format.
The covered entity can certainly decide, along with the individual,
the easiest and least expensive way to provide the copies they
request. Per the request of an individual, a covered entity must
provide an electronic copy of any and all health information that
the covered entity maintains electronically in a designated record
set. If a covered entity does not maintain the entire designated
,AHIMA RHIA Exam Prep (7th Edition)
Questions And Answers
record set electronically, there is not a requirement that the
covered entity scan paper documents so the documents can be
delivered electronically (Thomason 2013, 102).
15. For an EHR to provide robust clinical decision support, what
critical element must be present?
a. Structured data
b. Internet connection
c. Physician portal
d. Standard vocabulary - - -
correct answer ✅If an EHR is to provide clinical decision support it
requires two things: structured data and a clinical data repository
(Sandefer 2016a, 364).
14. Which of the following is considered a two-factor
authentication system?
a. User ID and password
b. User ID and voice scan
c. Password and swipe card
,AHIMA RHIA Exam Prep (7th Edition)
Questions And Answers
d. Password and PIN - - -
correct answer ✅c. Password and swipe card
The three methods of two-factor authentication are something you
know, such as a password or PIN; something you have, such as an
ATM card, token, or swipe/smart card; and something you are, such
as a biometric fingerprint, voice scan, iris, or retinal scan (Sayles
and Trawick 2014, 219).
Under RBRVS, which elements are used to calculate a Medicare
payment?
a. Work value and extent of the physical exam
b. Malpractice expenses and detail of the patient history
c. Work value and practice expenses
d. Practice expenses and review of systems - - -
correct answer ✅Each Resource-Based Relative Value Scale
(RBRVS) comprises three elements: physician work, physician
practice expense, and malpractice, each of which is a national
average available in the Federal Register (Casto and Forrestal 2015,
150).
, AHIMA RHIA Exam Prep (7th Edition)
Questions And Answers
12. The predefined process icon is used in flowcharting to indicate:
a. A process in which actions are being performed by humans
b. A point in the process at which participants must evaluate the
status of the process
c. Formal procedures that participants are expected to carry out the
same way every time
d. A point in the process at which the participants must record data
in paper-based or computer- based formats - - -
correct answer ✅The rectangle with double lines on the side in a
flowchart is a predefined process icon. This symbol represents the
formal procedure that participants are expected to carry out the
same way every time (Shaw and Carter 2015, 198).
. A researcher mined the Medicare Provider Analysis Review
(MEDPAR) file. The analysis revealed trends in lengths of stay for
rural hospitals. What type of investigation was the researcher
conducting?
a. Content analysis
b. Effect size review
Questions And Answers
17. A patient requests copies of her medical records in an electronic
format. The hospital maintains a portion of the designated record
set in a paper format and a portion of the designated record set in
an electronic format. How should the hospital respond?
a. Provide the records in paper format only
b. Scan the paper documents so that all records can be sent
electronically
c. Provide the patient with both paper and electronic copies of the
record
d. Inform the patient that PHI cannot be sent electronically - - -
correct answer ✅c. Provide the patient with both paper and
electronic copies of the record
The HIPAA Privacy Rule states that the covered entity must provide
individuals with their information in the form that is requested by
the individuals, if it is readily producible in the requested format.
The covered entity can certainly decide, along with the individual,
the easiest and least expensive way to provide the copies they
request. Per the request of an individual, a covered entity must
provide an electronic copy of any and all health information that
the covered entity maintains electronically in a designated record
set. If a covered entity does not maintain the entire designated
,AHIMA RHIA Exam Prep (7th Edition)
Questions And Answers
record set electronically, there is not a requirement that the
covered entity scan paper documents so the documents can be
delivered electronically (Thomason 2013, 102).
15. For an EHR to provide robust clinical decision support, what
critical element must be present?
a. Structured data
b. Internet connection
c. Physician portal
d. Standard vocabulary - - -
correct answer ✅If an EHR is to provide clinical decision support it
requires two things: structured data and a clinical data repository
(Sandefer 2016a, 364).
14. Which of the following is considered a two-factor
authentication system?
a. User ID and password
b. User ID and voice scan
c. Password and swipe card
,AHIMA RHIA Exam Prep (7th Edition)
Questions And Answers
d. Password and PIN - - -
correct answer ✅c. Password and swipe card
The three methods of two-factor authentication are something you
know, such as a password or PIN; something you have, such as an
ATM card, token, or swipe/smart card; and something you are, such
as a biometric fingerprint, voice scan, iris, or retinal scan (Sayles
and Trawick 2014, 219).
Under RBRVS, which elements are used to calculate a Medicare
payment?
a. Work value and extent of the physical exam
b. Malpractice expenses and detail of the patient history
c. Work value and practice expenses
d. Practice expenses and review of systems - - -
correct answer ✅Each Resource-Based Relative Value Scale
(RBRVS) comprises three elements: physician work, physician
practice expense, and malpractice, each of which is a national
average available in the Federal Register (Casto and Forrestal 2015,
150).
, AHIMA RHIA Exam Prep (7th Edition)
Questions And Answers
12. The predefined process icon is used in flowcharting to indicate:
a. A process in which actions are being performed by humans
b. A point in the process at which participants must evaluate the
status of the process
c. Formal procedures that participants are expected to carry out the
same way every time
d. A point in the process at which the participants must record data
in paper-based or computer- based formats - - -
correct answer ✅The rectangle with double lines on the side in a
flowchart is a predefined process icon. This symbol represents the
formal procedure that participants are expected to carry out the
same way every time (Shaw and Carter 2015, 198).
. A researcher mined the Medicare Provider Analysis Review
(MEDPAR) file. The analysis revealed trends in lengths of stay for
rural hospitals. What type of investigation was the researcher
conducting?
a. Content analysis
b. Effect size review