RHIA MOCK EXAM with Questions and
Multiple Choices and Verified Answers
2025
Each ,month ,the ,staff ,of ,the ,clinic ,with ,the ,lowest ,overall ,waiting ,time ,is ,awarded ,a
,free ,dessert ,in ,the ,Gulfside ,healthcare ,center ,cafeteria. ,take ,a ,look ,at ,the ,information
,listed ,above. ,the ,winner ,will ,be ,selected ,based ,on
a. ,demonstrative ,clinical ,data
b. ,comparative ,aggregate ,data
c. ,objective ,individual ,data
d. ,duplicate ,thematic ,data ,- ,CORRECT ,ANSWER-b. ,comparative ,aggregate ,data
a ,union ,campaign ,is ,being ,conducted ,at ,your ,facility. ,as ,a ,department ,manager, ,it ,is
,appropriate ,for ,you ,to ,tell ,employees ,that
a. ,a ,strike ,is ,inevitable ,if ,the ,union ,wins
b. ,wages ,will ,increase ,if ,the ,union ,is ,defeated
c. ,you ,need ,the ,names ,of ,those ,involved ,in ,union ,activities
d. ,you ,are ,opposed ,to ,the ,union ,- ,CORRECT ,ANSWER-d. ,you ,are ,opposed ,to ,the
,union
As ,the ,coding ,supervisor, ,your ,job ,description ,includes ,working ,with ,agents ,who ,have
,been ,charged ,with ,detecting ,and ,correcting ,payments ,made ,to ,your ,hospital ,in ,the
,Medicare ,Fee ,for ,Service ,program. ,you ,will ,need ,to ,develop ,a ,professional
,relationship ,with
a. ,the ,OIG
b. ,MEDPAR ,representatives
c. ,QIO ,physicians
d. ,recovery ,audit ,contractors ,- ,CORRECT ,ANSWER-d. ,recovery ,audit ,contractors
employing ,the ,SOAP ,style ,of ,progress ,notes, ,choose ,the ,"assessment" ,statement
,from ,the ,following
a. ,patient ,states ,low ,back ,pain ,with ,sciatica ,is ,as ,severe ,as ,it ,was ,on ,admission
b. ,patient ,moving ,about ,very ,cautiously ,appears ,to ,be ,in ,pain
c. ,adjust ,pain ,medication; ,begin ,physical ,therapy ,tomorrow.
d. ,sciatica ,unimproved ,with ,hot ,pack ,therapy ,- ,CORRECT ,ANSWER-d. ,sciatica
,unimproved ,with ,hot ,pack ,therapy
,in ,preparation ,for ,an ,EHR, ,you ,are ,conducting ,a ,total ,facility ,inventory ,of ,all ,forms
,currently ,used. ,you ,must ,name ,each ,for ,for ,bar ,coding ,and ,indexing. ,the ,unnamed
,document ,in ,front ,of ,you ,includes ,a ,checklist ,for ,assessing ,an ,obstetric ,patient's
,lochia, ,fundus, ,and ,perineum. ,the ,document ,type ,you ,give ,to ,this ,form ,is.
a. ,prenatal ,record
b. ,labor ,record
c. ,delivery ,room ,record
d. ,postpartum ,record ,- ,CORRECT ,ANSWER-d. ,postpartum ,record.
based ,on ,the ,MS-DRG ,report ,above, ,what ,is ,the ,case-mix ,index ,for ,this ,facility?
a. ,0.204193
b. ,2.965807
c. ,11.639
d. ,57 ,- ,CORRECT ,ANSWER-b. ,2.965807
the ,special ,form ,or ,view ,that ,plays ,the ,central ,role ,in ,planning ,and ,providing ,care ,at
,skilled ,nursing, ,psychiatric, ,and ,rehabilitation ,facilities ,is ,the ,
a. ,interdisciplinary ,patient ,care ,plan
b. ,medical ,history ,and ,review ,of ,systems
c. ,interval ,summary
d. ,problem ,list ,- ,CORRECT ,ANSWER-a. ,interdisciplinary ,patient ,care ,plan
Four ,patients ,were ,discharged ,from ,crestview ,hospital ,yesterday. ,a ,final ,progress
,note ,is ,an ,appropriate ,discharge ,summary ,for ,
a. ,howard, ,who ,died ,within ,24 ,hours ,after ,his ,admission ,for ,a ,second ,heart ,attack ,in
,2 ,weeks.
b. ,jackson, ,who ,had ,no ,comorbidities ,or ,complications ,during ,this ,admission ,for
,replacement ,of ,a ,pacemaker ,battery
c. ,fieldstone, ,who ,was ,admitted ,just ,15 ,days ,following ,a ,heart ,attack ,for ,the ,acute
,onset ,of ,chest ,pain.
d. ,babson, ,who ,delivered ,a ,healthy ,8-pound ,boy ,without ,complications ,for ,either
,mother ,or ,child, ,and ,was ,discharged ,within ,36 ,hours ,of ,admission. ,- ,CORRECT
,ANSWER-d. ,babson, ,who ,delivered ,a ,healthy ,8-pound ,boy ,without ,complications ,for
,either ,mother ,or ,child, ,and ,was ,discharged ,within ,36 ,hours ,of ,admission.
Make ,Me ,Better ,Clinic ,(MMBC) ,provides ,well ,child ,visits ,and ,childhood ,immunizations
,for ,four ,insurance ,companies. ,data ,on ,the ,services ,they ,provided ,and ,the
,reimbursement ,they ,received ,from ,the ,four ,companies ,are ,listed ,in ,the ,two ,tables
,below.
MMBC ,receives ,the ,best ,reimbursement ,for ,well ,child ,visits ,from
a. ,lifecare
b. ,getwell
c. ,surehealth
d. ,behealthy ,- ,CORRECT ,ANSWER-b. ,getwell
,Make ,Me ,Better ,Clinic ,(MMBC) ,provides ,well ,child ,visits ,and ,childhood ,immunizations
,for ,four ,insurance ,companies. ,data ,on ,the ,services ,they ,provided ,and ,the
,reimbursement ,they ,received ,from ,the ,four ,companies ,are ,listed ,in ,the ,two ,tables
,below.
Most ,of ,the ,children ,who ,are ,seen ,at ,MMBC ,will ,have ,a ,well ,child ,visit ,and ,two
,immunizations. ,If ,you ,add ,the ,reimbursement ,for ,two ,immunizations ,to ,the
,reimbursement ,for ,each ,well ,child ,visit, ,which ,insurance ,company ,benefits ,MMBC
,most?
a. ,lifecare
b. ,getwell
c. ,surehealth
d. ,behealthy ,- ,CORRECT ,ANSWER-b. ,getwell
You ,are ,calculating ,the ,fee ,schedule ,payment ,amount ,for ,physician ,services ,covered
,under ,Medicare ,Part ,B. ,you ,already ,have ,the ,relative ,value ,unit ,figure. ,the ,only ,other
,information ,you ,need ,is ,
a. ,the ,facility's ,case-mix ,index
b. ,a ,national ,conversion ,factor
c. ,the ,facility's ,base ,rate
d. ,ms-drg ,relative ,weights ,- ,CORRECT ,ANSWER-b. ,a ,national ,conversion ,factor
Key ,west ,hospital ,collected ,the ,data ,displaye ,above ,concerning ,its ,four ,highest
,volume ,MS-DRGs. ,which ,MS-DRG ,generated ,the ,most ,revenue ,for ,the ,hospital?
a. ,MS-DRG ,A
b. ,MS-DRG ,B
c. ,MS-DRG ,C
d. ,MS-DRG ,D ,- ,CORRECT ,ANSWER-c. ,MS-DRG ,C
In ,reviewing ,a ,health ,record ,for ,coding ,purposes, ,the ,coder ,notes ,that ,the ,patient
,was ,put ,on ,Keflex ,post-surgery. ,there ,is ,no ,mention ,of ,a ,postoperative ,complication
,in ,the ,attending ,physician's ,discharge ,summary. ,before ,querying ,the ,doctor, ,the
,coder ,will ,seek ,to ,confirm ,the ,infection ,by ,reviewing ,the
a. ,lab ,report
b. ,nurses' ,notes
c. ,operative ,report
d. ,pathology ,report ,- ,CORRECT ,ANSWER-a. ,lab ,report
stan ,works ,in ,an ,acute ,care ,general ,hospital, ,fran ,works ,for ,a ,skilled ,nursing ,facility,
,ann ,is ,employed ,at ,an ,assisted ,living ,facility, ,and ,dan ,works ,for ,a ,home ,care
,provider. ,which ,people ,are ,employed ,in ,facilities ,that ,may ,seek ,Joint ,commission
,accreditation?
a. ,only ,stan ,and ,fran
b. ,only ,stan ,and ,dan
c. ,only ,fran ,and ,dan
d. ,dan, ,stan, ,and ,fran ,- ,CORRECT ,ANSWER-d. ,dan, ,stan, ,and ,fran
, sunset ,beach ,clinic ,allows ,patients ,to ,communicate ,by ,e-mail ,to ,ask ,questions
,regarding ,their ,treatment ,and ,request ,appointment ,changes. ,e-mails ,and ,text
,messages ,are
a. ,considered ,health ,care ,business ,records ,and ,are ,subject ,to ,the ,same ,regulations
,as ,records ,created ,in ,face-to-face ,patient ,encounters.
b. ,considered ,proof ,of ,patient ,contact ,and ,should ,be ,summarized ,in ,a ,progress ,note
,in ,the ,patient ,record
c. ,generally ,maintained ,in ,a ,facility's ,electronic ,mail ,system ,until ,the ,next ,face-to-face
,patient ,encounter
d. ,not ,typically ,maintained ,or ,documented ,as ,patient ,encounters. ,- ,CORRECT
,ANSWER-a. ,considered ,health ,care ,business ,records ,and ,are ,subject ,to ,the ,same
,regulations ,as ,records ,created ,in ,face-to-face ,patient ,encounters
the ,proposed ,national ,healthcare ,information ,network ,(NHIN) ,dimensions ,are
,graphically ,depicted ,in ,the ,diagram ,above. ,roman ,numeral ,are ,added ,to ,allow ,for ,the
,identification ,of ,specific ,areas. ,where ,would ,information ,concerning ,a ,patient's ,health
,insurance ,be ,located ,on ,this ,chart?
a. ,I
b. ,II
c. ,III
d. ,V ,- ,CORRECT ,ANSWER-b. ,II
The ,facility's ,policy ,for ,physician's ,verbal ,orders ,in ,accordance ,with ,state ,law ,and
,regulations ,needs ,updating. ,the ,first ,area ,of ,investigation ,is ,the ,qualifications ,of ,those
,individuals ,who ,have ,been ,authorized ,to ,record ,verbal ,orders. ,for ,this ,information ,you
,will ,consult ,the ,
a. ,policy ,and ,procedure ,manual
b. ,hospital's ,quality ,management ,plan.
c. ,data ,dictionary
d. ,hospital ,bylaws, ,rules, ,and ,regulations ,- ,CORRECT ,ANSWER-d. ,hospital ,bylaws,
,rule, ,and ,regulations.
Parker ,has ,type ,1 ,diabetes ,with ,hypertension ,taht ,is ,currently ,controlled ,with
,medication. ,parker ,was ,admitted ,through ,the ,ED ,for ,an ,emergency ,appendectomy.
,following ,surgery, ,the ,patient ,developed ,an ,infection ,at ,the ,wound ,site ,that ,was
,treated ,with ,antibiotics. ,when ,making ,decision ,about ,sequencing ,the ,codes ,for ,this
,case, ,the ,coder ,should ,rely ,on ,definitions ,found ,in ,the
a. ,UHDDS
b. ,coding ,clinic
c. ,CMS ,coding ,guidelines
d. ,federal ,register ,- ,CORRECT ,ANSWER-a. ,UHDDS
Parker ,has ,type ,1 ,diabetes ,with ,hypertension ,taht ,is ,currently ,controlled ,with
,medication. ,parker ,was ,admitted ,through ,the ,ED ,for ,an ,emergency ,appendectomy.
,following ,surgery, ,the ,patient ,developed ,an ,infection ,at ,the ,wound ,site ,that ,was
,treated ,with ,antibiotics. ,Parker's ,principal ,diagnosis ,is ,the
Multiple Choices and Verified Answers
2025
Each ,month ,the ,staff ,of ,the ,clinic ,with ,the ,lowest ,overall ,waiting ,time ,is ,awarded ,a
,free ,dessert ,in ,the ,Gulfside ,healthcare ,center ,cafeteria. ,take ,a ,look ,at ,the ,information
,listed ,above. ,the ,winner ,will ,be ,selected ,based ,on
a. ,demonstrative ,clinical ,data
b. ,comparative ,aggregate ,data
c. ,objective ,individual ,data
d. ,duplicate ,thematic ,data ,- ,CORRECT ,ANSWER-b. ,comparative ,aggregate ,data
a ,union ,campaign ,is ,being ,conducted ,at ,your ,facility. ,as ,a ,department ,manager, ,it ,is
,appropriate ,for ,you ,to ,tell ,employees ,that
a. ,a ,strike ,is ,inevitable ,if ,the ,union ,wins
b. ,wages ,will ,increase ,if ,the ,union ,is ,defeated
c. ,you ,need ,the ,names ,of ,those ,involved ,in ,union ,activities
d. ,you ,are ,opposed ,to ,the ,union ,- ,CORRECT ,ANSWER-d. ,you ,are ,opposed ,to ,the
,union
As ,the ,coding ,supervisor, ,your ,job ,description ,includes ,working ,with ,agents ,who ,have
,been ,charged ,with ,detecting ,and ,correcting ,payments ,made ,to ,your ,hospital ,in ,the
,Medicare ,Fee ,for ,Service ,program. ,you ,will ,need ,to ,develop ,a ,professional
,relationship ,with
a. ,the ,OIG
b. ,MEDPAR ,representatives
c. ,QIO ,physicians
d. ,recovery ,audit ,contractors ,- ,CORRECT ,ANSWER-d. ,recovery ,audit ,contractors
employing ,the ,SOAP ,style ,of ,progress ,notes, ,choose ,the ,"assessment" ,statement
,from ,the ,following
a. ,patient ,states ,low ,back ,pain ,with ,sciatica ,is ,as ,severe ,as ,it ,was ,on ,admission
b. ,patient ,moving ,about ,very ,cautiously ,appears ,to ,be ,in ,pain
c. ,adjust ,pain ,medication; ,begin ,physical ,therapy ,tomorrow.
d. ,sciatica ,unimproved ,with ,hot ,pack ,therapy ,- ,CORRECT ,ANSWER-d. ,sciatica
,unimproved ,with ,hot ,pack ,therapy
,in ,preparation ,for ,an ,EHR, ,you ,are ,conducting ,a ,total ,facility ,inventory ,of ,all ,forms
,currently ,used. ,you ,must ,name ,each ,for ,for ,bar ,coding ,and ,indexing. ,the ,unnamed
,document ,in ,front ,of ,you ,includes ,a ,checklist ,for ,assessing ,an ,obstetric ,patient's
,lochia, ,fundus, ,and ,perineum. ,the ,document ,type ,you ,give ,to ,this ,form ,is.
a. ,prenatal ,record
b. ,labor ,record
c. ,delivery ,room ,record
d. ,postpartum ,record ,- ,CORRECT ,ANSWER-d. ,postpartum ,record.
based ,on ,the ,MS-DRG ,report ,above, ,what ,is ,the ,case-mix ,index ,for ,this ,facility?
a. ,0.204193
b. ,2.965807
c. ,11.639
d. ,57 ,- ,CORRECT ,ANSWER-b. ,2.965807
the ,special ,form ,or ,view ,that ,plays ,the ,central ,role ,in ,planning ,and ,providing ,care ,at
,skilled ,nursing, ,psychiatric, ,and ,rehabilitation ,facilities ,is ,the ,
a. ,interdisciplinary ,patient ,care ,plan
b. ,medical ,history ,and ,review ,of ,systems
c. ,interval ,summary
d. ,problem ,list ,- ,CORRECT ,ANSWER-a. ,interdisciplinary ,patient ,care ,plan
Four ,patients ,were ,discharged ,from ,crestview ,hospital ,yesterday. ,a ,final ,progress
,note ,is ,an ,appropriate ,discharge ,summary ,for ,
a. ,howard, ,who ,died ,within ,24 ,hours ,after ,his ,admission ,for ,a ,second ,heart ,attack ,in
,2 ,weeks.
b. ,jackson, ,who ,had ,no ,comorbidities ,or ,complications ,during ,this ,admission ,for
,replacement ,of ,a ,pacemaker ,battery
c. ,fieldstone, ,who ,was ,admitted ,just ,15 ,days ,following ,a ,heart ,attack ,for ,the ,acute
,onset ,of ,chest ,pain.
d. ,babson, ,who ,delivered ,a ,healthy ,8-pound ,boy ,without ,complications ,for ,either
,mother ,or ,child, ,and ,was ,discharged ,within ,36 ,hours ,of ,admission. ,- ,CORRECT
,ANSWER-d. ,babson, ,who ,delivered ,a ,healthy ,8-pound ,boy ,without ,complications ,for
,either ,mother ,or ,child, ,and ,was ,discharged ,within ,36 ,hours ,of ,admission.
Make ,Me ,Better ,Clinic ,(MMBC) ,provides ,well ,child ,visits ,and ,childhood ,immunizations
,for ,four ,insurance ,companies. ,data ,on ,the ,services ,they ,provided ,and ,the
,reimbursement ,they ,received ,from ,the ,four ,companies ,are ,listed ,in ,the ,two ,tables
,below.
MMBC ,receives ,the ,best ,reimbursement ,for ,well ,child ,visits ,from
a. ,lifecare
b. ,getwell
c. ,surehealth
d. ,behealthy ,- ,CORRECT ,ANSWER-b. ,getwell
,Make ,Me ,Better ,Clinic ,(MMBC) ,provides ,well ,child ,visits ,and ,childhood ,immunizations
,for ,four ,insurance ,companies. ,data ,on ,the ,services ,they ,provided ,and ,the
,reimbursement ,they ,received ,from ,the ,four ,companies ,are ,listed ,in ,the ,two ,tables
,below.
Most ,of ,the ,children ,who ,are ,seen ,at ,MMBC ,will ,have ,a ,well ,child ,visit ,and ,two
,immunizations. ,If ,you ,add ,the ,reimbursement ,for ,two ,immunizations ,to ,the
,reimbursement ,for ,each ,well ,child ,visit, ,which ,insurance ,company ,benefits ,MMBC
,most?
a. ,lifecare
b. ,getwell
c. ,surehealth
d. ,behealthy ,- ,CORRECT ,ANSWER-b. ,getwell
You ,are ,calculating ,the ,fee ,schedule ,payment ,amount ,for ,physician ,services ,covered
,under ,Medicare ,Part ,B. ,you ,already ,have ,the ,relative ,value ,unit ,figure. ,the ,only ,other
,information ,you ,need ,is ,
a. ,the ,facility's ,case-mix ,index
b. ,a ,national ,conversion ,factor
c. ,the ,facility's ,base ,rate
d. ,ms-drg ,relative ,weights ,- ,CORRECT ,ANSWER-b. ,a ,national ,conversion ,factor
Key ,west ,hospital ,collected ,the ,data ,displaye ,above ,concerning ,its ,four ,highest
,volume ,MS-DRGs. ,which ,MS-DRG ,generated ,the ,most ,revenue ,for ,the ,hospital?
a. ,MS-DRG ,A
b. ,MS-DRG ,B
c. ,MS-DRG ,C
d. ,MS-DRG ,D ,- ,CORRECT ,ANSWER-c. ,MS-DRG ,C
In ,reviewing ,a ,health ,record ,for ,coding ,purposes, ,the ,coder ,notes ,that ,the ,patient
,was ,put ,on ,Keflex ,post-surgery. ,there ,is ,no ,mention ,of ,a ,postoperative ,complication
,in ,the ,attending ,physician's ,discharge ,summary. ,before ,querying ,the ,doctor, ,the
,coder ,will ,seek ,to ,confirm ,the ,infection ,by ,reviewing ,the
a. ,lab ,report
b. ,nurses' ,notes
c. ,operative ,report
d. ,pathology ,report ,- ,CORRECT ,ANSWER-a. ,lab ,report
stan ,works ,in ,an ,acute ,care ,general ,hospital, ,fran ,works ,for ,a ,skilled ,nursing ,facility,
,ann ,is ,employed ,at ,an ,assisted ,living ,facility, ,and ,dan ,works ,for ,a ,home ,care
,provider. ,which ,people ,are ,employed ,in ,facilities ,that ,may ,seek ,Joint ,commission
,accreditation?
a. ,only ,stan ,and ,fran
b. ,only ,stan ,and ,dan
c. ,only ,fran ,and ,dan
d. ,dan, ,stan, ,and ,fran ,- ,CORRECT ,ANSWER-d. ,dan, ,stan, ,and ,fran
, sunset ,beach ,clinic ,allows ,patients ,to ,communicate ,by ,e-mail ,to ,ask ,questions
,regarding ,their ,treatment ,and ,request ,appointment ,changes. ,e-mails ,and ,text
,messages ,are
a. ,considered ,health ,care ,business ,records ,and ,are ,subject ,to ,the ,same ,regulations
,as ,records ,created ,in ,face-to-face ,patient ,encounters.
b. ,considered ,proof ,of ,patient ,contact ,and ,should ,be ,summarized ,in ,a ,progress ,note
,in ,the ,patient ,record
c. ,generally ,maintained ,in ,a ,facility's ,electronic ,mail ,system ,until ,the ,next ,face-to-face
,patient ,encounter
d. ,not ,typically ,maintained ,or ,documented ,as ,patient ,encounters. ,- ,CORRECT
,ANSWER-a. ,considered ,health ,care ,business ,records ,and ,are ,subject ,to ,the ,same
,regulations ,as ,records ,created ,in ,face-to-face ,patient ,encounters
the ,proposed ,national ,healthcare ,information ,network ,(NHIN) ,dimensions ,are
,graphically ,depicted ,in ,the ,diagram ,above. ,roman ,numeral ,are ,added ,to ,allow ,for ,the
,identification ,of ,specific ,areas. ,where ,would ,information ,concerning ,a ,patient's ,health
,insurance ,be ,located ,on ,this ,chart?
a. ,I
b. ,II
c. ,III
d. ,V ,- ,CORRECT ,ANSWER-b. ,II
The ,facility's ,policy ,for ,physician's ,verbal ,orders ,in ,accordance ,with ,state ,law ,and
,regulations ,needs ,updating. ,the ,first ,area ,of ,investigation ,is ,the ,qualifications ,of ,those
,individuals ,who ,have ,been ,authorized ,to ,record ,verbal ,orders. ,for ,this ,information ,you
,will ,consult ,the ,
a. ,policy ,and ,procedure ,manual
b. ,hospital's ,quality ,management ,plan.
c. ,data ,dictionary
d. ,hospital ,bylaws, ,rules, ,and ,regulations ,- ,CORRECT ,ANSWER-d. ,hospital ,bylaws,
,rule, ,and ,regulations.
Parker ,has ,type ,1 ,diabetes ,with ,hypertension ,taht ,is ,currently ,controlled ,with
,medication. ,parker ,was ,admitted ,through ,the ,ED ,for ,an ,emergency ,appendectomy.
,following ,surgery, ,the ,patient ,developed ,an ,infection ,at ,the ,wound ,site ,that ,was
,treated ,with ,antibiotics. ,when ,making ,decision ,about ,sequencing ,the ,codes ,for ,this
,case, ,the ,coder ,should ,rely ,on ,definitions ,found ,in ,the
a. ,UHDDS
b. ,coding ,clinic
c. ,CMS ,coding ,guidelines
d. ,federal ,register ,- ,CORRECT ,ANSWER-a. ,UHDDS
Parker ,has ,type ,1 ,diabetes ,with ,hypertension ,taht ,is ,currently ,controlled ,with
,medication. ,parker ,was ,admitted ,through ,the ,ED ,for ,an ,emergency ,appendectomy.
,following ,surgery, ,the ,patient ,developed ,an ,infection ,at ,the ,wound ,site ,that ,was
,treated ,with ,antibiotics. ,Parker's ,principal ,diagnosis ,is ,the
