RHIA MOCK EXAM GRADED A+ (Verified)
(Number of C-sections performed/Number of women who delivered) x 100 - ANSWER-
How do you calculate C-section rate?
(Number of deaths of inpatients/Number of discharges + deaths) x 100 - ANSWER-How
do you calculate gross death rate?
(Number of infections for a given period/Number of discharges + deaths) x 100 -
ANSWER-How do you calculate hospital-acquired infection rate?
(Number of intermediate and late deaths/Number of live births + numerator) x 100 -
ANSWER-How do you calculate fetal death rate?
(Number of shelving inches x number of shelves) / inches of an individual medical
record - ANSWER-How do you calculate shelving units?
1. Collection of elements on a given subject
2. Raw facts and figures expressed in text, numbers, symbols, and images
3. Facts, ideas, or concepts that can be captured, communicated, and processed, either
manually or electronically - ANSWER-Data (3 definition points)
1. Data that have been processed into meaningful form, manually or by computer in
order to be valuable to user
2. Adds to a representation and tells recipient something that was not known before -
ANSWER-Information (2 definition points)
10 years past the age of majority - ANSWER-When does AHA recommend record
retention for a minor?
a ______ uses a private tunnel through the internet as a transport medium between
locations for secure access and transmission
a. TCPIP protocol
b. firewall
c. hub.
d. VPN - ANSWER-d. VPN
a 16-year-old maled was treated at your facility for a closed head injury. the patient's 18-
year-old wife accompanied him to the hospital and signed the consent for admission
and treatment because of the patient's incapacity at the time. the patient has requested
that copies of his medical records be sent to his attorney. who should sign the
authorization to release the records?
a. the patient
b. either of the patient's parents
c. the patient's parent or legal guardian
d. the patient's wife - ANSWER-a. the patient
,a 19-year-old former patient faxes a request to your facility requesting the release of his
medical records of all episodes of care 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. send the records as requested
a 335-bed hospital opened a new wing on June 1 of a nonleap year, increasing its bed
count to 350 beds. the total bed count days for the year at the hospital was
a. 122, 275
b. 125, 485
c. 127, 750
d. the answer cannot be calculated with the information provided - ANSWER-a. 125,
485
a 4-year-old 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
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. 49553
b. 49496
c. 49521
d. 49501 - ANSWER-d. 49501
A character such as a number, letter, or symbol - ANSWER-Byte
a clerical-level employee reports an incident in which the clerk felt the first-line
supervisor discriminated on the basis of the clerk's gender. the best action for you to
take at this time is to
a. thoroughly investigate the matter and document your findings
b. talk with the first-line supervisor to determine what happened.
c. ask the other clerical level staff if they have had similar experiences
d. ask the clerk to provide objective evidence of the discrimination - ANSWER-a.
thoroughly investigate the matter and document your findings
a clerk's work performance has diminished dramatically during the past 2 weeks. the
supervisor initiates a discussion with the clerk, during which the clerk reveals that he
recently accepted that he has an alcohol addiction. the clerk stats an intention to quit
drinking completely. the supervisor should.
a. terminate the clerk if it can be proved that alcohol was used on the job
,b. suspend the clerk if alcohol has diminished the clerk's job performance
c. give the clerk a leave of absence until these problems can be resolved
d. refer the clerk to the facility's employee assistance program - ANSWER-d. refer the
clerk to the facility's employee assistance program
a common goal of the office of the national coordinator for health information
technology, RHIOs, and a national infrastructure for information is
a. translating images into a digital format
b. sharing information among providers
c. transferring health information within a hospital system
d. promoting telemedicine - ANSWER-b. sharing information among providers
A computer network that connects separate institutions across a large geographical
area - ANSWER-Wide Area Network (WAN)
A crime is an offense against a person or the public at large. A tort is a civil wrong
against an individual - ANSWER-What is the difference between a CRIME and a TORT
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. they just need to send a written request for the list
b. a prior authorization is required before any PHI can be released
c. you will need to confer with the medical director
d. 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 - ANSWER-b. a prior authorization is required before any PHI can be
released
A new number is assigned to the patient for each new encounter at the facility -
ANSWER-Serial Numbering
A new number is assigned to the patient for each new encounter at the facility, but the
former records are brought forward and filed under the new number - ANSWER-Serial-
Unit Numbering
A number identifies the patient record - ANSWER-Numeric Identification
a number of key elements for your facility's computerized patient record are still input by
clerical staff from handwritten data entry sheets. you are concerned about the transfer
of data. if the vital signs stored in the database are not what were originally recorded,
the impact on patient care could be severe. you are concerned about the
a. stability of the data
b. validity of the data
c. legitimacy of the data
d. reliability of the data - ANSWER-b. validity of the data
, A number of new cases occurring in a given time period - ANSWER-Incidence rate
a P value of less than 0.05 is what researches commonly use to reject the null
hypothesis. a smaller P value may place interpretation of the results of the study at risk
fora
a. sampling error
b. stratification error
c. type 1 (a) error
d. type 2 (b) error - ANSWER-a. sampling error
A part of the System Development Life Cycle (SDLC) design phase - ANSWER-
Request for proposal (RFP)
a patient has written to request a copy of his own record. when the clerk checked the
record, it was noted that the patient was last admitted to the psychiatric unit of the
facility. you advise the clerk to
a. comply with the request immediately
b. contact the patient's attending physician before complying
c. ignore the request and advise you if it is repeated
d. aske the patient to send the required fee prior to the release - ANSWER-b. contact
the patient's attending physician before complying
a patient initially consulted with dr. vasseur at the request of dr. meche, the patient's
primary care physician. dr. vasseur examined the patient, prescribed medication, and
ordered tests. additional visits to dr. vasseur's office for continuing care would be
assigned from which e/m section?
a. office and other outpatient services, new patient
b. office and other outpatient services, established patient
c. office or other outpatient consultations, new or established patient
d. confirmatory consultations, new or established patients - ANSWER-b. office and
other outpatient services, established patient
a patient is admitted through the emergency department. three days after admission,
the physician documents uncontrolled diabetes mellitus. what is the "present on
admission" (POA) indicator for uncontrolled diabetes mellitus?
a. "Y"
b. "U"
c. "W"
d. "N" - ANSWER-D. "N"
a patient was treated for meningitis at age 3 (15 years ago). the patient is now 18. the
patient's attorney is requesting information on the admission. you tell the clerk the
information is
a. no longer available because your facility retains information for 10 years after the last
patient visit
(Number of C-sections performed/Number of women who delivered) x 100 - ANSWER-
How do you calculate C-section rate?
(Number of deaths of inpatients/Number of discharges + deaths) x 100 - ANSWER-How
do you calculate gross death rate?
(Number of infections for a given period/Number of discharges + deaths) x 100 -
ANSWER-How do you calculate hospital-acquired infection rate?
(Number of intermediate and late deaths/Number of live births + numerator) x 100 -
ANSWER-How do you calculate fetal death rate?
(Number of shelving inches x number of shelves) / inches of an individual medical
record - ANSWER-How do you calculate shelving units?
1. Collection of elements on a given subject
2. Raw facts and figures expressed in text, numbers, symbols, and images
3. Facts, ideas, or concepts that can be captured, communicated, and processed, either
manually or electronically - ANSWER-Data (3 definition points)
1. Data that have been processed into meaningful form, manually or by computer in
order to be valuable to user
2. Adds to a representation and tells recipient something that was not known before -
ANSWER-Information (2 definition points)
10 years past the age of majority - ANSWER-When does AHA recommend record
retention for a minor?
a ______ uses a private tunnel through the internet as a transport medium between
locations for secure access and transmission
a. TCPIP protocol
b. firewall
c. hub.
d. VPN - ANSWER-d. VPN
a 16-year-old maled was treated at your facility for a closed head injury. the patient's 18-
year-old wife accompanied him to the hospital and signed the consent for admission
and treatment because of the patient's incapacity at the time. the patient has requested
that copies of his medical records be sent to his attorney. who should sign the
authorization to release the records?
a. the patient
b. either of the patient's parents
c. the patient's parent or legal guardian
d. the patient's wife - ANSWER-a. the patient
,a 19-year-old former patient faxes a request to your facility requesting the release of his
medical records of all episodes of care 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. send the records as requested
a 335-bed hospital opened a new wing on June 1 of a nonleap year, increasing its bed
count to 350 beds. the total bed count days for the year at the hospital was
a. 122, 275
b. 125, 485
c. 127, 750
d. the answer cannot be calculated with the information provided - ANSWER-a. 125,
485
a 4-year-old 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
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. 49553
b. 49496
c. 49521
d. 49501 - ANSWER-d. 49501
A character such as a number, letter, or symbol - ANSWER-Byte
a clerical-level employee reports an incident in which the clerk felt the first-line
supervisor discriminated on the basis of the clerk's gender. the best action for you to
take at this time is to
a. thoroughly investigate the matter and document your findings
b. talk with the first-line supervisor to determine what happened.
c. ask the other clerical level staff if they have had similar experiences
d. ask the clerk to provide objective evidence of the discrimination - ANSWER-a.
thoroughly investigate the matter and document your findings
a clerk's work performance has diminished dramatically during the past 2 weeks. the
supervisor initiates a discussion with the clerk, during which the clerk reveals that he
recently accepted that he has an alcohol addiction. the clerk stats an intention to quit
drinking completely. the supervisor should.
a. terminate the clerk if it can be proved that alcohol was used on the job
,b. suspend the clerk if alcohol has diminished the clerk's job performance
c. give the clerk a leave of absence until these problems can be resolved
d. refer the clerk to the facility's employee assistance program - ANSWER-d. refer the
clerk to the facility's employee assistance program
a common goal of the office of the national coordinator for health information
technology, RHIOs, and a national infrastructure for information is
a. translating images into a digital format
b. sharing information among providers
c. transferring health information within a hospital system
d. promoting telemedicine - ANSWER-b. sharing information among providers
A computer network that connects separate institutions across a large geographical
area - ANSWER-Wide Area Network (WAN)
A crime is an offense against a person or the public at large. A tort is a civil wrong
against an individual - ANSWER-What is the difference between a CRIME and a TORT
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. they just need to send a written request for the list
b. a prior authorization is required before any PHI can be released
c. you will need to confer with the medical director
d. 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 - ANSWER-b. a prior authorization is required before any PHI can be
released
A new number is assigned to the patient for each new encounter at the facility -
ANSWER-Serial Numbering
A new number is assigned to the patient for each new encounter at the facility, but the
former records are brought forward and filed under the new number - ANSWER-Serial-
Unit Numbering
A number identifies the patient record - ANSWER-Numeric Identification
a number of key elements for your facility's computerized patient record are still input by
clerical staff from handwritten data entry sheets. you are concerned about the transfer
of data. if the vital signs stored in the database are not what were originally recorded,
the impact on patient care could be severe. you are concerned about the
a. stability of the data
b. validity of the data
c. legitimacy of the data
d. reliability of the data - ANSWER-b. validity of the data
, A number of new cases occurring in a given time period - ANSWER-Incidence rate
a P value of less than 0.05 is what researches commonly use to reject the null
hypothesis. a smaller P value may place interpretation of the results of the study at risk
fora
a. sampling error
b. stratification error
c. type 1 (a) error
d. type 2 (b) error - ANSWER-a. sampling error
A part of the System Development Life Cycle (SDLC) design phase - ANSWER-
Request for proposal (RFP)
a patient has written to request a copy of his own record. when the clerk checked the
record, it was noted that the patient was last admitted to the psychiatric unit of the
facility. you advise the clerk to
a. comply with the request immediately
b. contact the patient's attending physician before complying
c. ignore the request and advise you if it is repeated
d. aske the patient to send the required fee prior to the release - ANSWER-b. contact
the patient's attending physician before complying
a patient initially consulted with dr. vasseur at the request of dr. meche, the patient's
primary care physician. dr. vasseur examined the patient, prescribed medication, and
ordered tests. additional visits to dr. vasseur's office for continuing care would be
assigned from which e/m section?
a. office and other outpatient services, new patient
b. office and other outpatient services, established patient
c. office or other outpatient consultations, new or established patient
d. confirmatory consultations, new or established patients - ANSWER-b. office and
other outpatient services, established patient
a patient is admitted through the emergency department. three days after admission,
the physician documents uncontrolled diabetes mellitus. what is the "present on
admission" (POA) indicator for uncontrolled diabetes mellitus?
a. "Y"
b. "U"
c. "W"
d. "N" - ANSWER-D. "N"
a patient was treated for meningitis at age 3 (15 years ago). the patient is now 18. the
patient's attorney is requesting information on the admission. you tell the clerk the
information is
a. no longer available because your facility retains information for 10 years after the last
patient visit
