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RHIT Practice Questions and Answers
A critical early step in designing an EHR is to develop a _______ in
which the characteristics of each data element are defined.
a) Accreditation manual
b) Core content
c) Continuity of core record
d) Data dictionary Ans: d) Data Dictionary
Once hospital discharge abstract systems were developed and
their ability to provide comparative data to hospitals was
established, it became necessary to develop:
a) Data sets
b) Data elements
c) Electronic data interchange
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d) Bills of mortality Ans: Data sets
Which of the following is NOT a characteristic of the common
healthcare data sets such as UHDDS and UACDS?
a) They define minimum data elements to be collected?
b) They provide a complete and exhaustive list of data elements
that must be collected?
c) They provide a framework for data collection to which an
individual facility can add data items.
d) The federal government recommends, but does not mandate,
implementation of most of the data sets. Ans: b) They provide a
complete and exhaustive list of data elements that must be
collected.
In a paper-based system, the completion of the chart is monitored
in a special area of the HIM department called the _________ file.
a) Incomplete record
b) Permanent
c) Temporary
d) Remote storage Ans: b) Permanent
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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 600
clinic visits per day. The standard for filing records is 60 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?
a) 6 hours per day
b) 10 hours per day
c) 15 hours per day
d) 25 hours per day Ans: d) 25 hours per day
600/60 = 10; 600/40 = 15; 10 + 15 = 25 hours per day
In which of the following systems are all encounters or patient
visits filed or linked together?
a) Serial numbering system
b) Unit numbering system
c) Straight numerical filing system
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d) Middle-digit filing system Ans: b) Unit numbering system
In the unit numbering system, the patient receives a unique health
record number at the time of the first encounter. For all
subsequent encounters, the health record number that was
assigned for the first encounter is used again.
In analyzing the reason for changes in a hospital's Medicare case-
mix index over time, the analyst should start with which of the
following levels of detail?
a) Account level
b) MD-DRG level
c) MDC level
d) MS-DRG triples, pairs, and singles Ans: d)MS-DRG triples, pairs,
and singles
Some case-mix systems use the case -mix index (CMI) as a basis for
reimbursement. In that way, the CMI also is a measure of the
average revenue received per case. Many hospitals closely monitor
the movement of their CMI for inpatient populations for which
payment is based on DRGs and for outpatient populations for
which payment is based on APGs.
© 2025 All rights reserved
RHIT Practice Questions and Answers
A critical early step in designing an EHR is to develop a _______ in
which the characteristics of each data element are defined.
a) Accreditation manual
b) Core content
c) Continuity of core record
d) Data dictionary Ans: d) Data Dictionary
Once hospital discharge abstract systems were developed and
their ability to provide comparative data to hospitals was
established, it became necessary to develop:
a) Data sets
b) Data elements
c) Electronic data interchange
© 2025 All rights reserved
, 2 | Page
d) Bills of mortality Ans: Data sets
Which of the following is NOT a characteristic of the common
healthcare data sets such as UHDDS and UACDS?
a) They define minimum data elements to be collected?
b) They provide a complete and exhaustive list of data elements
that must be collected?
c) They provide a framework for data collection to which an
individual facility can add data items.
d) The federal government recommends, but does not mandate,
implementation of most of the data sets. Ans: b) They provide a
complete and exhaustive list of data elements that must be
collected.
In a paper-based system, the completion of the chart is monitored
in a special area of the HIM department called the _________ file.
a) Incomplete record
b) Permanent
c) Temporary
d) Remote storage Ans: b) Permanent
© 2025 All rights reserved
, 3 | Page
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 600
clinic visits per day. The standard for filing records is 60 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?
a) 6 hours per day
b) 10 hours per day
c) 15 hours per day
d) 25 hours per day Ans: d) 25 hours per day
600/60 = 10; 600/40 = 15; 10 + 15 = 25 hours per day
In which of the following systems are all encounters or patient
visits filed or linked together?
a) Serial numbering system
b) Unit numbering system
c) Straight numerical filing system
© 2025 All rights reserved
, 4 | Page
d) Middle-digit filing system Ans: b) Unit numbering system
In the unit numbering system, the patient receives a unique health
record number at the time of the first encounter. For all
subsequent encounters, the health record number that was
assigned for the first encounter is used again.
In analyzing the reason for changes in a hospital's Medicare case-
mix index over time, the analyst should start with which of the
following levels of detail?
a) Account level
b) MD-DRG level
c) MDC level
d) MS-DRG triples, pairs, and singles Ans: d)MS-DRG triples, pairs,
and singles
Some case-mix systems use the case -mix index (CMI) as a basis for
reimbursement. In that way, the CMI also is a measure of the
average revenue received per case. Many hospitals closely monitor
the movement of their CMI for inpatient populations for which
payment is based on DRGs and for outpatient populations for
which payment is based on APGs.
© 2025 All rights reserved
