AHIMA RHIT CORE EXAMS SET 2025/2026 QUESTIONS
AND SOLUTION RATED A+
✔✔In healthcare, data sets serve two purposes. The first is to identify data elements to
be collected about each patient. The second is to:
a. Provide uniform data definitions
b. Guide efforts toward computerization
c. Determine statistical formulas
d. Provide a research database - ✔✔a. Provide uniform data definitions
✔✔Which of the following is the best definition of a data governance framework?
a. Lists successive steps of growth to measure a program's progression
b. Supports high level business imperatives
c. Describes a real or conceptual structure that organizes a system or concept
d. Targets an end point to achieve - ✔✔c. Describes a real or conceptual structure that
organizes a system or concept
✔✔A transition technology used by many hospitals to increase access to health record
content is:
a. Electronic health record
b. Electronic document management system
c. Electronic signature authentication
d. Electronic data interchange - ✔✔b. Electronic document management system
✔✔What is the status conferred by a national professional organization that is dedicated
to a specific area of healthcare practice?
a. Degree
b. Certificate
c. License
d. Credential - ✔✔d. Credential
✔✔What makes the indexing of scanned health record more efficient because it can
enter metadata automatically?
a. Barcodes
b. Interoperability
c. Scanning
d. Deficiency management - ✔✔a. Barcodes
✔✔A healthcare system wants to map ICD-10-CM to ICD-9-CM. Which of the following
would be true about this effort?
,a. ICD-10-CM would be considered the target system
b. This is an example of reverse mapping
c. This is an example of forward mapping
d. This is an example of bidirectional mapping - ✔✔b. This is an example of reverse
mapping
✔✔How do patient care managers use the data documented in the health record?
a. Evaluate the services provided by their employees
b. Communicate vital information among departments and across disciplines and
settings
c. Generate patient bills or third-party payer claims for reimbursement
d. Determine the extent and effects of occupational hazards - ✔✔a. Evaluate the
services provided by their employees
✔✔Which of the following would be a discriminating attribute used to disqualify two or
more similar records?
a. Phone number
b. Date of birth
c. E-mail address
d. Last name - ✔✔b. Date of birth
✔✔Which of the following is necessary to ensure that each term used in an EHR has a
common meaning to all users?
a. Controlled vocabulary
b. Data exchange standards
c. Encoded vocabulary
d. Proprietary standards - ✔✔a. Controlled vocabulary
✔✔The term used to describe controlling information is ________.
a. Information power
b. Information authority
c. Information governance
d. Information policy - ✔✔c. Information governance
✔✔Which of the following data sets would be most useful in developing a matrix for
identification of components of the legal health?
a. Document name, media type, source system, electronic storage start date, stop
printing start date
b. Document name, media type
,c. Document name, medical record number, source system
d. Document name, source system - ✔✔a. Document name, media type, source
system, electronic storage start date, stop printing start date
✔✔Which of the following is not true of good electronic forms design?
a. Minimizes keystrokes by using pop-up menus
b. Performs completeness check for all required data
c. Uses radio buttons to select multiple items from a set of options
d. Uses text boxes to enter text - ✔✔c. Uses radio buttons to select multiple items from
a set of options
✔✔When all required data elements are included in the health record, the quality
characteristic for data ________ is met.
a. Security
b. Accessibility
c. Flexibility
d. Comprehensiveness - ✔✔d. Comprehensiveness
✔✔What are the patient data such as name, age, and address called?
a. Demographic data
b. Secondary data
c. Aggregate data
d. Identification data - ✔✔a. Demographic data
✔✔Specific performance expectations, structures, and processes that provide detailed
information and the intent for each of the Joint Commission standards are called:
a. Elements of performance
b. Fact sheets
c. Ad hoc reports
d. Registers - ✔✔a. Elements of performance
✔✔Which of the following is considered a clinical documentation best practice?
a. Allowing clinicians to backdate physician orders
b. Restricting use of abbreviations to a list approved by hospital and medical staff
bylaws, rules, and regulations
c. Allowing clinicians to delete documentation errors in an electronic record
d. Prohibiting all verbal orders - ✔✔b. Restricting use of abbreviations to a list approved
by hospital and medical staff bylaws, rules, and regulations
✔✔How do accreditation organizations use the health record?
, a. To determine whether standards are being met
b. To determine whether the documentation supports the provider's claim for
reimbursement
c. To provide healthcare services
d. To serve as a source for case study information - ✔✔a. To determine whether
standards are being met
✔✔Which accrediting organization has instituted continuous improvement and sentinel
event monitoring and uses tracer methodology during survey visits?
a. Accreditation Association for Ambulatory Healthcare
b. Commission on Accreditation of Rehabilitation Facilities
c. American Osteopathic Association
d. The Joint Commission - ✔✔d. The Joint Commission
✔✔Which one of the following indexes contains a list maintained in procedure code
number order for patients who are discharged from a facility during a particular time
period?
a. Physician
b. Master patient
c. Disease
d. Operation - ✔✔d. Operation
✔✔Which of the following should be taken into consideration when designing a health
record form?
a. Including original and revised dates
b. Number of clicks to access data
c. Choosing the field type such as radio buttons
d. Difference between paper and screen - ✔✔a. Including original and revised dates
✔✔Which of the following elements of coding quality represent the degree to which
codes accurately reflect the patient's diagnoses and procedures?
a. Reliability
b. Validity
c. Completeness
d. Timeliness - ✔✔b. Validity
✔✔Which group focuses on accreditation of rehabilitation programs and services?
a. HFAP
b. Joint Commission
AND SOLUTION RATED A+
✔✔In healthcare, data sets serve two purposes. The first is to identify data elements to
be collected about each patient. The second is to:
a. Provide uniform data definitions
b. Guide efforts toward computerization
c. Determine statistical formulas
d. Provide a research database - ✔✔a. Provide uniform data definitions
✔✔Which of the following is the best definition of a data governance framework?
a. Lists successive steps of growth to measure a program's progression
b. Supports high level business imperatives
c. Describes a real or conceptual structure that organizes a system or concept
d. Targets an end point to achieve - ✔✔c. Describes a real or conceptual structure that
organizes a system or concept
✔✔A transition technology used by many hospitals to increase access to health record
content is:
a. Electronic health record
b. Electronic document management system
c. Electronic signature authentication
d. Electronic data interchange - ✔✔b. Electronic document management system
✔✔What is the status conferred by a national professional organization that is dedicated
to a specific area of healthcare practice?
a. Degree
b. Certificate
c. License
d. Credential - ✔✔d. Credential
✔✔What makes the indexing of scanned health record more efficient because it can
enter metadata automatically?
a. Barcodes
b. Interoperability
c. Scanning
d. Deficiency management - ✔✔a. Barcodes
✔✔A healthcare system wants to map ICD-10-CM to ICD-9-CM. Which of the following
would be true about this effort?
,a. ICD-10-CM would be considered the target system
b. This is an example of reverse mapping
c. This is an example of forward mapping
d. This is an example of bidirectional mapping - ✔✔b. This is an example of reverse
mapping
✔✔How do patient care managers use the data documented in the health record?
a. Evaluate the services provided by their employees
b. Communicate vital information among departments and across disciplines and
settings
c. Generate patient bills or third-party payer claims for reimbursement
d. Determine the extent and effects of occupational hazards - ✔✔a. Evaluate the
services provided by their employees
✔✔Which of the following would be a discriminating attribute used to disqualify two or
more similar records?
a. Phone number
b. Date of birth
c. E-mail address
d. Last name - ✔✔b. Date of birth
✔✔Which of the following is necessary to ensure that each term used in an EHR has a
common meaning to all users?
a. Controlled vocabulary
b. Data exchange standards
c. Encoded vocabulary
d. Proprietary standards - ✔✔a. Controlled vocabulary
✔✔The term used to describe controlling information is ________.
a. Information power
b. Information authority
c. Information governance
d. Information policy - ✔✔c. Information governance
✔✔Which of the following data sets would be most useful in developing a matrix for
identification of components of the legal health?
a. Document name, media type, source system, electronic storage start date, stop
printing start date
b. Document name, media type
,c. Document name, medical record number, source system
d. Document name, source system - ✔✔a. Document name, media type, source
system, electronic storage start date, stop printing start date
✔✔Which of the following is not true of good electronic forms design?
a. Minimizes keystrokes by using pop-up menus
b. Performs completeness check for all required data
c. Uses radio buttons to select multiple items from a set of options
d. Uses text boxes to enter text - ✔✔c. Uses radio buttons to select multiple items from
a set of options
✔✔When all required data elements are included in the health record, the quality
characteristic for data ________ is met.
a. Security
b. Accessibility
c. Flexibility
d. Comprehensiveness - ✔✔d. Comprehensiveness
✔✔What are the patient data such as name, age, and address called?
a. Demographic data
b. Secondary data
c. Aggregate data
d. Identification data - ✔✔a. Demographic data
✔✔Specific performance expectations, structures, and processes that provide detailed
information and the intent for each of the Joint Commission standards are called:
a. Elements of performance
b. Fact sheets
c. Ad hoc reports
d. Registers - ✔✔a. Elements of performance
✔✔Which of the following is considered a clinical documentation best practice?
a. Allowing clinicians to backdate physician orders
b. Restricting use of abbreviations to a list approved by hospital and medical staff
bylaws, rules, and regulations
c. Allowing clinicians to delete documentation errors in an electronic record
d. Prohibiting all verbal orders - ✔✔b. Restricting use of abbreviations to a list approved
by hospital and medical staff bylaws, rules, and regulations
✔✔How do accreditation organizations use the health record?
, a. To determine whether standards are being met
b. To determine whether the documentation supports the provider's claim for
reimbursement
c. To provide healthcare services
d. To serve as a source for case study information - ✔✔a. To determine whether
standards are being met
✔✔Which accrediting organization has instituted continuous improvement and sentinel
event monitoring and uses tracer methodology during survey visits?
a. Accreditation Association for Ambulatory Healthcare
b. Commission on Accreditation of Rehabilitation Facilities
c. American Osteopathic Association
d. The Joint Commission - ✔✔d. The Joint Commission
✔✔Which one of the following indexes contains a list maintained in procedure code
number order for patients who are discharged from a facility during a particular time
period?
a. Physician
b. Master patient
c. Disease
d. Operation - ✔✔d. Operation
✔✔Which of the following should be taken into consideration when designing a health
record form?
a. Including original and revised dates
b. Number of clicks to access data
c. Choosing the field type such as radio buttons
d. Difference between paper and screen - ✔✔a. Including original and revised dates
✔✔Which of the following elements of coding quality represent the degree to which
codes accurately reflect the patient's diagnoses and procedures?
a. Reliability
b. Validity
c. Completeness
d. Timeliness - ✔✔b. Validity
✔✔Which group focuses on accreditation of rehabilitation programs and services?
a. HFAP
b. Joint Commission
