RHIT EXAM Questions and Answers
Information collected in a cancer registry typically includes:
A. Type and stage of cancer, total charges, and claims
reconciliation
B. Stage of cancer, patient demographic information, and total
charges
C. Patient demographic information, claims reconciliation, and
type of cancer
D. Type and stage of cancer and patient demographic information
Ans: D. Type and stage of cancer and patient demographic
information
In performing quantitative analysis of an emergency room health
record, which of the following data elements would the health
information technician look for to be present in the record?
© 2025 All rights reserved
, 2 | Page
A. Advance directive, correspondence, anesthesia report
B. Patient identification, time and means of patient arrival,
pertinent history of illness
C. Consent for treatment, advance directive, consent to disclose
information
D. Results of tests, consent for treatment, anesthesia report Ans:
B. Patient identification, time and means of patient arrival,
pertinent history of illness
Reviewing a health record for missing signatures and medical
reports is called:
A. Assembly
B. Indexing
C. Analysis
D. Coding Ans: C. Analysis
This type of healthcare organization review is conducted at the
request of the healthcare facility seeking accreditation.
A. Voluntary review
© 2025 All rights reserved
, 3 | Page
B. Complimentary review
C. Vocational review
D. Compulsory review Ans: A. Voluntary review
Where in an acute care health record would the documentation â
Admit to 3C. Diet: NPO. Meds: Compazine 10mg IV Q 6 PRN.â be
found?
A. Laboratory report
B. Pathology report
C. History and Physical
D. Physician order Ans: D. Physician order
A patients registration forms, personal property list, RAI/MDS and
care plan and discharge or transfer documentation would be
found most frequently in which type of health record?
A. Rehabilitative care
B. Ambulatory care
C. Behavioral health
D. Long-term care Ans: D. Long-term care
© 2025 All rights reserved
, 4 | Page
Which database must a healthcare facility query as part of the
credentialing process when a physician initially applies for medical
staff privileges?
A. UHDDS
B. NPDB
C. MEDPAR
D. HEDIS Ans: B. NPDB National Practitioner Data Bank
The Medical Record Committee is assessing various strategies to
improve documentation in the health record. Concerns have been
raised that current documentation practices may be insufficient to
support diagnoses or reflect the progress and clinical findings in
patient care. Which of the following would be the best first step to
help improve physician documentation?
A. Contact CMS for assistance
B. Determine the type and volume of documentation problems
C. Change the medical staff bylaws to require improved
documentation practice
© 2025 All rights reserved