RHIT Exam Questions, RHIT Exam
Terminology Questions and Answers
(Service days x 100) / (number of beds x service days) = percentage rate % -
ANSWER-Inpatient occupancy rate:
Outsourced transcription company; they would be business associates of a covered
entity - ANSWER-Under HIPAA, which of the following is not named as a covered
entity?
Benchmark - ANSWER-A standard of performance or best practice for a particular
process or outcome is called a(n)_____
Unsecured PHI only - ANSWER-The breach notification requirement applies to_____
Use redundant servers. - ANSWER-Which of the following would be the best course of
action to take to ensure continuous availability of electronic data?
server redundancy - ANSWER-_________means that as data is entered and processed
by one server, that data is also entered and processed simultaneously by a second
server. Should the primary server crash, the system should be designed to "fail over" to
the second server.
Data Granularity - ANSWER-An audit of a hospital's electronic health system shows that
diagnostic codes are not being reported at the correct level of detail. This indicates a
problem with ________
Design a plan - ANSWER-What is the first step an organization should take when
developing a data dictionary?
Not protected by the Privacy Rule because it is part of a personnel record - ANSWER-
Jeremy Lykins was required to undergo a physical exam prior to becoming employed by
San Fernando Hospital. Jeremy's medical information is___
Provide the records in paper format only - ANSWER-A patient requests copies of her
medical records in an electronic format. The hospital does not maintain all of the
designated records in an electronic format. How should the hospital respond?
31.5 - ANSWER-Given the numbers 47, 20, 11, 33, 30, 30, 35, and 50, what is the
median?
,Abstracted or indexed - ANSWER-To use a data element for aggregation and reporting,
that data element must be:
Identify unbundling of codes - ANSWER-Which of the following is a function of the
outpatient code editor?
Principal diagnosis - ANSWER-The first step in an inpatient record review is to verify
correct assignment of the:
Accusations of fraud and abuse - ANSWER-The goal of coding compliance programs is
to prevent____
Operative and other invasive procedures, medication management, and blood and
blood product use - ANSWER-The leaders of a healthcare organization are expected to
select an organization-wide performance improvement approach and to clearly define
how all levels of the organization will monitor and address improvement issues. The
Joint Commission requires ongoing data collection that might require improvement for
which of the following areas?
22.5 hours per day - ANSWER-The RHIT supervisor for the filing and retrieval section of
Community Clinic is developing a staffing schedule for the year. The clinic is open 260
days per year and has an average of 500 clinic visits per day. The standard for filing
records is 50 records per hour. The standard for retrieval of records is 40 records per
hour. Given these standards, how many filing hours will be required daily to retrieve and
file records for each clinic day?
Database management system - ANSWER-The HIM department is developing a
system to track coding productivity. The director wants the system to track the
productivity of each coder by productive hours worked per day, health record ID, type of
records coded, and to provide weekly productivity reports and analyses. Which of the
following tools would be best to use for this purpose?
Policy and procedure - ANSWER-Which of the following is the approved method for
implementing an organization's formal position?
Validity - ANSWER-Which of the following elements of coding quality represents the
degree to which codes accurately reflect the patient's diagnoses and procedure
Uniquely identifies each row in a table - ANSWER-Which of the following is true about a
primary key in a database table?
Establish a contingency plan - ANSWER-Covered entities must do which of the
following to comply with HIPAA security provisions?
Allowed when the information is directly relevant to Jennifer's involvement in her
mother's care or treatment - ANSWER-Jennifer's widowed mother is elderly and often
,confused. She has asked Jennifer to accompany her to the physician office visits
because she often forgets to tell the physician vital information. Under the Privacy Rule,
the release of her mother's PHI to Jennifer is:
Crutches - ANSWER-Which of the following procedures or services could not be
assigned a code with cpt?
A per diem rate for the two-day stay, and Big Medical Center will receive the full DRG
payment - ANSWER-Joe Patient was admitted to Community Hospital. Two days later,
he was transferred to Big Medical Center for further evaluation and treatment. He was
discharged to home after three days. Community Hospital will receive from Medicare:
Assumption coding - ANSWER-A Clinical Documentation Improvement (CDI) program
facilitates accurate coding and helps coders avoid:
Benchmarking with other facilities - ANSWER-Which of the following is an example of
how an internal user utilizes secondary data?
Unsecured PHI only - ANSWER-The breach notification requirement applies to____
Inpatient Medicare claims submitted by hospitals - ANSWER-The present on admission
indicator is a requirement for____
Utilization review - ANSWER-What is the term that means evaluating the
appropriateness of the setting for the healthcare service and the level of service?
Track and report on CC capture rates across the organization and by service -
ANSWER-Which of the following is one of the five best practices for management of
financial measures in the CDI program?
Complication or Comorbidity/ Major complication or Comorbidity - ANSWER-CC/MCC
Means
Coding completed by new coders - ANSWER-Which of the following could be a focus of
a coding quality review program?
General Rules - ANSWER-Which of the following provide the objective and scope for
the HIPAA Security Rule as a whole?
All query opportunities - ANSWER-A comprehensive retrospective review should be
conducted at least once a year of what aspect of the clinical documentation
improvement program?
automated reviews, semi-automated reviews, and complex reviews. - ANSWER-RACs
conduct three types of audits:
, Automated review - ANSWER-Using data mining, an RAC makes a claim determination
at the system-level without a human review of the health record. This type of review is
called:
Performance improvement relies on the collection and analysis of data to increase
knowledge. - ANSWER-Which of the following is a principle of contemporary
performance improvement?
Medication administration record and clinical laboratory reports - ANSWER-A health
data analyst has been asked to compile a report of the percentage of patients who had
a baseline partial thromboplastin time (PTT) test performed prior to receiving heparin.
What clinical reports in the health record would the health data analyst need to consult
in order to prepare this report?
Clinical professionals who provide direct patient care, Billers in the healthcare facility's
business office, Patient care managers; those who depend on the health record in order
to complete their job - ANSWER-Which of the following is an individual user of the
health record?
By the HIM department to look up patient demographics, dates of care, the patient's
health record number, and other information - ANSWER-The Master Patient Index is
used____
the number of available hospital inpatient beds, both occupied and vacant, on any given
day. - ANSWER-A bed count, also called an inpatient bed count, is ____Temporary
beds are not included in the bed count for percentage of occupancy
mapping two different coding systems to show equivalent codes allows for data initially
captured for one purpose to be translated and used for another purpose. - ANSWER-An
example of data mapping is____
Temporary beds - ANSWER-______ are not included in the bed count for percentage of
occupancy
Physician's examination of the patient and a review of his or her health record. -
ANSWER-The consultation report is based on the consulting______
Leading - ANSWER-A tornado touched down in the community and multiple patients
were brought to the hospital. The HIM director has asked all department personnel to
report to the emergency staging area to help with record management. The HIM director
is performing which function of management?
Patient-specific items for outpatient care. - ANSWER-The Uniform Ambulatory Care
Data Set (UACDS) data characteristics include:
Terminology Questions and Answers
(Service days x 100) / (number of beds x service days) = percentage rate % -
ANSWER-Inpatient occupancy rate:
Outsourced transcription company; they would be business associates of a covered
entity - ANSWER-Under HIPAA, which of the following is not named as a covered
entity?
Benchmark - ANSWER-A standard of performance or best practice for a particular
process or outcome is called a(n)_____
Unsecured PHI only - ANSWER-The breach notification requirement applies to_____
Use redundant servers. - ANSWER-Which of the following would be the best course of
action to take to ensure continuous availability of electronic data?
server redundancy - ANSWER-_________means that as data is entered and processed
by one server, that data is also entered and processed simultaneously by a second
server. Should the primary server crash, the system should be designed to "fail over" to
the second server.
Data Granularity - ANSWER-An audit of a hospital's electronic health system shows that
diagnostic codes are not being reported at the correct level of detail. This indicates a
problem with ________
Design a plan - ANSWER-What is the first step an organization should take when
developing a data dictionary?
Not protected by the Privacy Rule because it is part of a personnel record - ANSWER-
Jeremy Lykins was required to undergo a physical exam prior to becoming employed by
San Fernando Hospital. Jeremy's medical information is___
Provide the records in paper format only - ANSWER-A patient requests copies of her
medical records in an electronic format. The hospital does not maintain all of the
designated records in an electronic format. How should the hospital respond?
31.5 - ANSWER-Given the numbers 47, 20, 11, 33, 30, 30, 35, and 50, what is the
median?
,Abstracted or indexed - ANSWER-To use a data element for aggregation and reporting,
that data element must be:
Identify unbundling of codes - ANSWER-Which of the following is a function of the
outpatient code editor?
Principal diagnosis - ANSWER-The first step in an inpatient record review is to verify
correct assignment of the:
Accusations of fraud and abuse - ANSWER-The goal of coding compliance programs is
to prevent____
Operative and other invasive procedures, medication management, and blood and
blood product use - ANSWER-The leaders of a healthcare organization are expected to
select an organization-wide performance improvement approach and to clearly define
how all levels of the organization will monitor and address improvement issues. The
Joint Commission requires ongoing data collection that might require improvement for
which of the following areas?
22.5 hours per day - ANSWER-The RHIT supervisor for the filing and retrieval section of
Community Clinic is developing a staffing schedule for the year. The clinic is open 260
days per year and has an average of 500 clinic visits per day. The standard for filing
records is 50 records per hour. The standard for retrieval of records is 40 records per
hour. Given these standards, how many filing hours will be required daily to retrieve and
file records for each clinic day?
Database management system - ANSWER-The HIM department is developing a
system to track coding productivity. The director wants the system to track the
productivity of each coder by productive hours worked per day, health record ID, type of
records coded, and to provide weekly productivity reports and analyses. Which of the
following tools would be best to use for this purpose?
Policy and procedure - ANSWER-Which of the following is the approved method for
implementing an organization's formal position?
Validity - ANSWER-Which of the following elements of coding quality represents the
degree to which codes accurately reflect the patient's diagnoses and procedure
Uniquely identifies each row in a table - ANSWER-Which of the following is true about a
primary key in a database table?
Establish a contingency plan - ANSWER-Covered entities must do which of the
following to comply with HIPAA security provisions?
Allowed when the information is directly relevant to Jennifer's involvement in her
mother's care or treatment - ANSWER-Jennifer's widowed mother is elderly and often
,confused. She has asked Jennifer to accompany her to the physician office visits
because she often forgets to tell the physician vital information. Under the Privacy Rule,
the release of her mother's PHI to Jennifer is:
Crutches - ANSWER-Which of the following procedures or services could not be
assigned a code with cpt?
A per diem rate for the two-day stay, and Big Medical Center will receive the full DRG
payment - ANSWER-Joe Patient was admitted to Community Hospital. Two days later,
he was transferred to Big Medical Center for further evaluation and treatment. He was
discharged to home after three days. Community Hospital will receive from Medicare:
Assumption coding - ANSWER-A Clinical Documentation Improvement (CDI) program
facilitates accurate coding and helps coders avoid:
Benchmarking with other facilities - ANSWER-Which of the following is an example of
how an internal user utilizes secondary data?
Unsecured PHI only - ANSWER-The breach notification requirement applies to____
Inpatient Medicare claims submitted by hospitals - ANSWER-The present on admission
indicator is a requirement for____
Utilization review - ANSWER-What is the term that means evaluating the
appropriateness of the setting for the healthcare service and the level of service?
Track and report on CC capture rates across the organization and by service -
ANSWER-Which of the following is one of the five best practices for management of
financial measures in the CDI program?
Complication or Comorbidity/ Major complication or Comorbidity - ANSWER-CC/MCC
Means
Coding completed by new coders - ANSWER-Which of the following could be a focus of
a coding quality review program?
General Rules - ANSWER-Which of the following provide the objective and scope for
the HIPAA Security Rule as a whole?
All query opportunities - ANSWER-A comprehensive retrospective review should be
conducted at least once a year of what aspect of the clinical documentation
improvement program?
automated reviews, semi-automated reviews, and complex reviews. - ANSWER-RACs
conduct three types of audits:
, Automated review - ANSWER-Using data mining, an RAC makes a claim determination
at the system-level without a human review of the health record. This type of review is
called:
Performance improvement relies on the collection and analysis of data to increase
knowledge. - ANSWER-Which of the following is a principle of contemporary
performance improvement?
Medication administration record and clinical laboratory reports - ANSWER-A health
data analyst has been asked to compile a report of the percentage of patients who had
a baseline partial thromboplastin time (PTT) test performed prior to receiving heparin.
What clinical reports in the health record would the health data analyst need to consult
in order to prepare this report?
Clinical professionals who provide direct patient care, Billers in the healthcare facility's
business office, Patient care managers; those who depend on the health record in order
to complete their job - ANSWER-Which of the following is an individual user of the
health record?
By the HIM department to look up patient demographics, dates of care, the patient's
health record number, and other information - ANSWER-The Master Patient Index is
used____
the number of available hospital inpatient beds, both occupied and vacant, on any given
day. - ANSWER-A bed count, also called an inpatient bed count, is ____Temporary
beds are not included in the bed count for percentage of occupancy
mapping two different coding systems to show equivalent codes allows for data initially
captured for one purpose to be translated and used for another purpose. - ANSWER-An
example of data mapping is____
Temporary beds - ANSWER-______ are not included in the bed count for percentage of
occupancy
Physician's examination of the patient and a review of his or her health record. -
ANSWER-The consultation report is based on the consulting______
Leading - ANSWER-A tornado touched down in the community and multiple patients
were brought to the hospital. The HIM director has asked all department personnel to
report to the emergency staging area to help with record management. The HIM director
is performing which function of management?
Patient-specific items for outpatient care. - ANSWER-The Uniform Ambulatory Care
Data Set (UACDS) data characteristics include:
