RHIT DOMAIN 5 –ACTUAL EXAM REVIEW 2025 \LATEST
UPDATE WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS \NEWEST VERSION \ALREADY
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A Pareto Chart is also known d. bar graph
as?
a. dot chart
b. pie chart
c. scatter plot
d. bar graph
The overutilization or c. Waste
inappropriate utilization of
services and misuse of Waste is the overutilization or inappropriate utilization
resources, typically not a of services and misuse of resources, and typically is not
criminal or intentional act is a criminal or intentional act. Waste includes practice like
called which of the over prescribing and ordering tests inappropriately
following? (Foltz et al. 2016, 448).
a. Fraud
b. Abuse
c. Waste
d. Audit
The OIG (Office of False
Inspector General)
oversees Veterans Affairs
or the Social Security
Administration.
T/F
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Examples of high-risk billing b. Returned overpayments
practices that create
compliance risks for Fraudulent billing practices represent a major compliance risk for
healthcare
healthcare
organizations. High-risk billing practices include:
organizations include all
billing for noncovered services, altered claim forms,
except which of the
duplicate billing, misrepresentation of facts on a claim
following?
form, failing to return overpayments, unbundling,
billing for medically unnecessary
a. Altered claim forms
services, overcoding and upcoding, billing for items or
b. Returned overpayments
c. Duplicate billings
services not rendered, and false cost reports
d. Unbundled procedures (Bowman 2017, 440-441, 466).
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Organizations use of audits a. Internal monitoring
in data analysis in order to
ensure compliance with As part of an effective compliance plan organizations must
perform internal
policies and procedures is
monitoring. These organizations must be diligent to
a component of:
ensure compliance with policies and procedures, such as
through the use of audits and data analysis (Foltz et al.
a. Internalmonitoring
2016, 458).
b. Benchmarking
c. Corrective action
d. Educating staff
During a review of d. Develop policy and procedures related to cutting,
documentation copying, and pasting documentation in the EHR
practices, the HIM director
system
finds that nurses are
routinely using the copy The ability to copy previous entries and paste into a
and paste current entry leads to a record in which a clinician may,
functionality of the upon signing the documentation, unwittingly swear to
hospital's EHR system for the accuracy and comprehensiveness of substantial
documenting nursing notes. amounts of duplicated or
Which of inapplicable information as well as the incorporation of
misleading or erroneous
the following should the HIM
documentation. The HIM professional plays a critical
director do to ensure that
role in developing policies and procedures to ensure the
the nurses are following
integrity of patient information (Russo 2013b, 339-
acceptable documentation
practices? 340).
a. Inform the nurses that
copy and paste is not
acceptable and to stop
this practice
immediately
b. Determine how many
nurses are involved in
this practice
c. Institute an in-service
training session on
documentation practices
d. Develop policy and
procedures related to
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cutting, copying, and
pasting
documentation in the EHR
system
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