RHIA Exam 1 Questions With All Correct Detailed
Answers A+ Pass
/. Sun City reported 12 cases of chronic heart disease in a population of 8,000 in 2017.
In 2018, Sun City reported there were still 12 cases of chronic heart disease, but its
population had decreased to 6,000. This represents an increase in the:
a. reliability of reporting chronic heart disease in Sun City.
b. prevalence of chronic heart disease in Sun City.
c. occurrence of chronic heart disease in Sun City.
d. incidence of chronic heart disease in Sun City. - Answer-B
/.A _________uses a private tunnel through the Internet as a transport medium
between locations for secure access and transmission.
a. VPN
b. firewall
c. hub
d. TCP/IP - Answer-A
/.The protocol that allows a browser to connect to a server and authenticate identities
for data transfer is known as a(n) ____________ connection.
a. secure socket layer
b. application gateway
c. packet filter
d. public key - Answer-A
/.A major drug company wants to promote a fundraiser targeting patients with
congestive heart failure. The drug company representative has requested a list of
patients treated at your facility. As privacy and security officer, you tell them that:
a. you will need to confer with the medical director.
b. a prior authorization is required before any PHI can be released.
c. if the fundraising was conducted by a business associate without authorization, and
the funds were to benefit your facility (the covered entity), that you could disclose the
information.
d. they just need to send a written request for the list. - Answer-B
/.Identification of threats and vulnerabilities, security measures, and implementation
priorities are part of a health care organization's:
a. security plan.
b. identity management plan.
c. intrusion detection plan.
d. risk management plan. - Answer-D
/.A 19-year-old former patient has completed an authorization requesting all of his
medical records be released to the army. The release of information clerk should:
,a. send the records as requested.
b. inform the young man that specific reports must be identified in his request.
c. send a letter informing him that faxed requests are not accepted.
d. deny the request. - Answer-A
/.The committee that is preparing your acute care hospital for an electronic health
record is planning for an imaging system for record archiving in the immediate future.
They are looking for a solution for data interfacing or integration of the imaging system
into other computer systems. You recommend:
a. data dictionary guidelines.
b. Joint Commission standards.
c. Health Level 7 standards.
d. Regional Health Information Organization guidelines. - Answer-C
/.As the director of a Health Information Technology Program, you are reviewing the
workforce development forecast for electronic health record specialists as outlined by
ARRA and HITECH. In order to keep abreast of changes in this program, you will need
to regularly access the website of which governmental agency?
a. ONC
b. OSHA
c. CDC
d. CMS - Answer-A
/.Which of the following employees would be considered exempt under the Fair Labor
Standards Act?
a. the head of the Department of Health Information Services who is involved in
decision-making and planning 90% of the time
b. the sole employee in the physician's workroom who has responsibility for maintaining
and tracking medical record deficiencies
c. the coding supervisor who has responsibility for three employees and performs
analysis and coding 80% of the time
d. the departmental secretary who is responsible for performing a variety of clerical and
administrative tasks - Answer-A
/.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. pathology report.
b. operative report.
c. nurses' notes.
d. lab report. - Answer-D
/.The Quality Payment Program consists of four categories for the measures and
activities that providers must report data for the year. Which of the following is not one
of the required categories?
,a. Quality measures
b. Cost measures
c. Promoting interoperability
d. Physician satisfaction - Answer-D
/.As a CTR, you know that staging:
a. is a system for documenting the extent or spread of cancer.
b. designates the degree of differentiation of cells.
c. is continued medical surveillance of a case.
d. refers to the monitoring of incidence and trends associated with a disease. - Answer-
A
/.Improving clinical outcomes and optimal continuity of care for patients are common
goals of clinical documentation improvement programs in acute care hospitals.
Additionally, CDI programs may work together with UM programs to:
a. report sentinel events to the Joint Commission.
b. reduce clinical denials for medical necessity.
c. increase patient engagement through patient portals.
d. decrease medication errors through CPOE systems. - Answer-B
/.Patient is admitted for elective cholecystectomy for treatment of chronic cholecystitis
with cholelithiasis. Prior to administration of general anesthesia, patient suffers cerebral
thrombosis. Surgery is subsequently canceled. Code and sequence the coding from the
following codes.
I66.9- Occlusion and stenosis of unspecified cerebral artery
K80.10- Chronic cholecystitis with chronic cholelithiasis without obstruction
Z53.09- Procedure and treatment not carried out because of other contraindication
I97.821- Postprocedural cerebrovascular infarction during other surgery
0FT40ZZ- Resection of gallbladder, open approach (cholecystectomy)
a. K80.10, I66.9, Z53.09
b. I97.821, I66.9, Z53.09
c. I97.821, K80.10, 0FT40ZZ
d. I66.9, Z53.09 - Answer-A
/.Incomplete Records- 604
Delinquent records- 304
Avg. Monthly Operative Procedures- 526
Delinquent Operative Reports- 14
Use the information provided in the table above to calculate the delinquent rate. The
delinquent rate
is 50%.
cannot be determined.
is 71%.
is 36%.
Number of Delinquent Records Over Monthly Discharges times 100 - Answer-D
, /.Incomplete abortion complicated by excessive hemorrhage; dilation and curettage
performed.
Code the diagnoses using ICD-10-CM and procedures using ICD-10-PCS:
D62- Acute posthemorrhagic anemia
O03.1- Delayed or excessive hemorrhage following incomplete spontaneous abortion
O03.6- Delayed or excessive hemorrhage following complete or unspecified
spontaneous abortion
O03.4- Incomplete spontaneous abortion without complication
10D17ZZ- Extraction, retained products of conception, via natural opening
0UDB7ZZ Extraction, endometrium, via natural opening
a. O03.4, 10D17ZZ
b. O03.1, 10D17ZZ
c. O03.1, D62, 0UDB7ZZ
d. O03.6, 0UDB7ZZ - Answer-b
/.A 4-year-old child had a repair of an incarcerated inguinal hernia. This is the first time
this child had been treated for this condition.
49496- Repair initial inguinal hernia full-term infant, under age 6 months, or preterm
infant over 50 weeks' post conception age and under 6 months at the time of surgery,
with or without hydrocelectomy; incarcerated or strangulated
49501- Repair initial inguinal hernia, age 6 months to under 5 years, with or without
hydrocelectomy; incarcerated or strangulated
49521- Repair recurrent inguinal hernia, any age; incarcerated or strangulated
49553- Repair initial femoral hernia, any age; incarcerated or strangulated
a. 49501
b. 49521
c. 49553
d. 49496 - Answer-A
/.In a research study that includes a patient questionnaire, five of the questions will be
answered using the following scale:
1- Strongly disagree
2- Disagree
3- No opinion
4- Agree
5- Strongly agree
The data collected using this scale are commonly referred to as
a. cardinal data.
b. ordinal data.
c. continuous data.
d. nominal data. - Answer-B
/.An established patient was seen by the physician in the office for DTaP vaccine and
Hib.
Answers A+ Pass
/. Sun City reported 12 cases of chronic heart disease in a population of 8,000 in 2017.
In 2018, Sun City reported there were still 12 cases of chronic heart disease, but its
population had decreased to 6,000. This represents an increase in the:
a. reliability of reporting chronic heart disease in Sun City.
b. prevalence of chronic heart disease in Sun City.
c. occurrence of chronic heart disease in Sun City.
d. incidence of chronic heart disease in Sun City. - Answer-B
/.A _________uses a private tunnel through the Internet as a transport medium
between locations for secure access and transmission.
a. VPN
b. firewall
c. hub
d. TCP/IP - Answer-A
/.The protocol that allows a browser to connect to a server and authenticate identities
for data transfer is known as a(n) ____________ connection.
a. secure socket layer
b. application gateway
c. packet filter
d. public key - Answer-A
/.A major drug company wants to promote a fundraiser targeting patients with
congestive heart failure. The drug company representative has requested a list of
patients treated at your facility. As privacy and security officer, you tell them that:
a. you will need to confer with the medical director.
b. a prior authorization is required before any PHI can be released.
c. if the fundraising was conducted by a business associate without authorization, and
the funds were to benefit your facility (the covered entity), that you could disclose the
information.
d. they just need to send a written request for the list. - Answer-B
/.Identification of threats and vulnerabilities, security measures, and implementation
priorities are part of a health care organization's:
a. security plan.
b. identity management plan.
c. intrusion detection plan.
d. risk management plan. - Answer-D
/.A 19-year-old former patient has completed an authorization requesting all of his
medical records be released to the army. The release of information clerk should:
,a. send the records as requested.
b. inform the young man that specific reports must be identified in his request.
c. send a letter informing him that faxed requests are not accepted.
d. deny the request. - Answer-A
/.The committee that is preparing your acute care hospital for an electronic health
record is planning for an imaging system for record archiving in the immediate future.
They are looking for a solution for data interfacing or integration of the imaging system
into other computer systems. You recommend:
a. data dictionary guidelines.
b. Joint Commission standards.
c. Health Level 7 standards.
d. Regional Health Information Organization guidelines. - Answer-C
/.As the director of a Health Information Technology Program, you are reviewing the
workforce development forecast for electronic health record specialists as outlined by
ARRA and HITECH. In order to keep abreast of changes in this program, you will need
to regularly access the website of which governmental agency?
a. ONC
b. OSHA
c. CDC
d. CMS - Answer-A
/.Which of the following employees would be considered exempt under the Fair Labor
Standards Act?
a. the head of the Department of Health Information Services who is involved in
decision-making and planning 90% of the time
b. the sole employee in the physician's workroom who has responsibility for maintaining
and tracking medical record deficiencies
c. the coding supervisor who has responsibility for three employees and performs
analysis and coding 80% of the time
d. the departmental secretary who is responsible for performing a variety of clerical and
administrative tasks - Answer-A
/.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. pathology report.
b. operative report.
c. nurses' notes.
d. lab report. - Answer-D
/.The Quality Payment Program consists of four categories for the measures and
activities that providers must report data for the year. Which of the following is not one
of the required categories?
,a. Quality measures
b. Cost measures
c. Promoting interoperability
d. Physician satisfaction - Answer-D
/.As a CTR, you know that staging:
a. is a system for documenting the extent or spread of cancer.
b. designates the degree of differentiation of cells.
c. is continued medical surveillance of a case.
d. refers to the monitoring of incidence and trends associated with a disease. - Answer-
A
/.Improving clinical outcomes and optimal continuity of care for patients are common
goals of clinical documentation improvement programs in acute care hospitals.
Additionally, CDI programs may work together with UM programs to:
a. report sentinel events to the Joint Commission.
b. reduce clinical denials for medical necessity.
c. increase patient engagement through patient portals.
d. decrease medication errors through CPOE systems. - Answer-B
/.Patient is admitted for elective cholecystectomy for treatment of chronic cholecystitis
with cholelithiasis. Prior to administration of general anesthesia, patient suffers cerebral
thrombosis. Surgery is subsequently canceled. Code and sequence the coding from the
following codes.
I66.9- Occlusion and stenosis of unspecified cerebral artery
K80.10- Chronic cholecystitis with chronic cholelithiasis without obstruction
Z53.09- Procedure and treatment not carried out because of other contraindication
I97.821- Postprocedural cerebrovascular infarction during other surgery
0FT40ZZ- Resection of gallbladder, open approach (cholecystectomy)
a. K80.10, I66.9, Z53.09
b. I97.821, I66.9, Z53.09
c. I97.821, K80.10, 0FT40ZZ
d. I66.9, Z53.09 - Answer-A
/.Incomplete Records- 604
Delinquent records- 304
Avg. Monthly Operative Procedures- 526
Delinquent Operative Reports- 14
Use the information provided in the table above to calculate the delinquent rate. The
delinquent rate
is 50%.
cannot be determined.
is 71%.
is 36%.
Number of Delinquent Records Over Monthly Discharges times 100 - Answer-D
, /.Incomplete abortion complicated by excessive hemorrhage; dilation and curettage
performed.
Code the diagnoses using ICD-10-CM and procedures using ICD-10-PCS:
D62- Acute posthemorrhagic anemia
O03.1- Delayed or excessive hemorrhage following incomplete spontaneous abortion
O03.6- Delayed or excessive hemorrhage following complete or unspecified
spontaneous abortion
O03.4- Incomplete spontaneous abortion without complication
10D17ZZ- Extraction, retained products of conception, via natural opening
0UDB7ZZ Extraction, endometrium, via natural opening
a. O03.4, 10D17ZZ
b. O03.1, 10D17ZZ
c. O03.1, D62, 0UDB7ZZ
d. O03.6, 0UDB7ZZ - Answer-b
/.A 4-year-old child had a repair of an incarcerated inguinal hernia. This is the first time
this child had been treated for this condition.
49496- Repair initial inguinal hernia full-term infant, under age 6 months, or preterm
infant over 50 weeks' post conception age and under 6 months at the time of surgery,
with or without hydrocelectomy; incarcerated or strangulated
49501- Repair initial inguinal hernia, age 6 months to under 5 years, with or without
hydrocelectomy; incarcerated or strangulated
49521- Repair recurrent inguinal hernia, any age; incarcerated or strangulated
49553- Repair initial femoral hernia, any age; incarcerated or strangulated
a. 49501
b. 49521
c. 49553
d. 49496 - Answer-A
/.In a research study that includes a patient questionnaire, five of the questions will be
answered using the following scale:
1- Strongly disagree
2- Disagree
3- No opinion
4- Agree
5- Strongly agree
The data collected using this scale are commonly referred to as
a. cardinal data.
b. ordinal data.
c. continuous data.
d. nominal data. - Answer-B
/.An established patient was seen by the physician in the office for DTaP vaccine and
Hib.
