AHIMA RHIT Practice Exam-5 Questions
and Answers
Arbitration - ANS-A healthcare facility uses this *proceeding to avoid court action.*
Health care operations - ANS-When *in-house counsel* is conducting the defense of a
malpractice claim, an authorization is not required because review of the record would
be covered under:
*Privacy* - ANS-*The right of an individual to have freedom from observation or
intrusion into their private affairs and rights to maintain control over certain personal
health information.*
Confidentiality - ANS-The responsibility to *use,* *disclose,* or *release of information*
related to *private matters.*
*Center for Medicare and Medicaid Services 1500 (CMS) 1500* - ANS-The claim form
that Physicians use for Medicare Part B reimbursement.
*Resource-Based Relative Value Scale (RBRVS)* - ANS-Medicare uses the
methodology for physician reimbursement.
*Case Mix* - ANS-The complexity of a health care facility's* patient load*
*Medical Severity- Diagnosis Related Group (MS-DRG)* - ANS-The prospective
payment system that categorizes patients who are medically related to *respect of
diagnosis*,*severity* and *treatment*.
Outpatient - ANS-The patient service setting would use a CMS-1500 claim form when
submitting for services provided.
*Database* - ANS-A *collection of data organized for rapid search and retrieval* is
called:
Universal Resource Locator - ANS-In order for a patient's medical record to be
considered de-identified, which element would have to be removed?
Ethical problems of ROI - ANS-*Violation of the need-to-know principle*, misuse of
blanket authorizations, and violations of privacy that occur because of secondary
release of information are what type of issue?
and Answers
Arbitration - ANS-A healthcare facility uses this *proceeding to avoid court action.*
Health care operations - ANS-When *in-house counsel* is conducting the defense of a
malpractice claim, an authorization is not required because review of the record would
be covered under:
*Privacy* - ANS-*The right of an individual to have freedom from observation or
intrusion into their private affairs and rights to maintain control over certain personal
health information.*
Confidentiality - ANS-The responsibility to *use,* *disclose,* or *release of information*
related to *private matters.*
*Center for Medicare and Medicaid Services 1500 (CMS) 1500* - ANS-The claim form
that Physicians use for Medicare Part B reimbursement.
*Resource-Based Relative Value Scale (RBRVS)* - ANS-Medicare uses the
methodology for physician reimbursement.
*Case Mix* - ANS-The complexity of a health care facility's* patient load*
*Medical Severity- Diagnosis Related Group (MS-DRG)* - ANS-The prospective
payment system that categorizes patients who are medically related to *respect of
diagnosis*,*severity* and *treatment*.
Outpatient - ANS-The patient service setting would use a CMS-1500 claim form when
submitting for services provided.
*Database* - ANS-A *collection of data organized for rapid search and retrieval* is
called:
Universal Resource Locator - ANS-In order for a patient's medical record to be
considered de-identified, which element would have to be removed?
Ethical problems of ROI - ANS-*Violation of the need-to-know principle*, misuse of
blanket authorizations, and violations of privacy that occur because of secondary
release of information are what type of issue?
