AHIMA RHIT PRACTICE EXAM 2025/2026 QUESTIONS AND
SOLUTION RATED A+
✔✔Which of the following is a true statement about the content of the legal health
record? - ✔✔The legal health record may contain metadata. Metadata are data about
data and include information that track actions such as when and by whom a document
was accessed or changed
✔✔describe the concept of confidentiality - ✔✔Confidentiality refers to the expectation
that the personal information shared by an individual with a healthcare provider during
the course of care will be used only for its intended purpose
✔✔One way to provide real-time data and important information that can be monitored
at a glance is to use dashboard - ✔✔leadership uses the information displayed to guide
operations and determine improvement projects. Having real-time data in an easily
assessable format like allows leaders to keep track of high-impact, high-risk, or high-
value processes and make adjustments on a daily basis
✔✔For research purposes, an advantage of the Healthcare Cost and Utilization Project
(HCUP) is that it contains data on all payer types - ✔✔H-CUP consists of a set of
databases that are unique because they include data on inpatients whose care is paid
for by all types of payers, including Medicare, Medicaid, private insurance, self-paying,
and uninsured patients
✔✔Data elements collected on large populations of individuals and stored in databases
are referred to as Aggregate data - ✔✔Data about patients can be extracted from
individual health records and combined as aggregate data. Aggregate data are used to
develop information about groups of patients
✔✔the data set used to ensure the system collects all federally required discharge data
elements for Medicare and Medicaid inpatients in an acute-care hospital? - ✔✔The
Uniform Hospital Discharge Data Set data characteristics include patient-specific items
on every inpatient u h h d d s
✔✔When data has been lost in an EHR, which action is taken to remedy this problem -
✔✔Data recovery -the process of recouping lost data or reconciling conflicting data after
the system fails. These data may be from events that occurred while the system was
down or from backed-up data
✔✔The Joint Commission requires ongoing data collection that might require
improvement for - ✔✔medication management, blood and blood product use, restraint
and seclusion use, behavior management and treatment, operative and other invasive
procedures, and resuscitation and its outcomes
, ✔✔The risk manager's principal tool for capturing the facts about potentially
compensable events is the - ✔✔occurrence report --a structured data collection tool that
risk managers use to gather information about potentially compensable events.
✔✔a primary key in a database table - ✔✔ensures that each row in a table is unique,
must not change in value, a number that is a one-up counter or a randomly generated
number in large databases
✔✔An employee views a patient's electronic health record. It is a trigger event if The
employee and patient have the same last name - ✔✔With appropriate policies and
procedures in place, it is the responsibility of the organization and its managers,
directors, CSO, and employees with audit responsibilities to review access logs, audit
trails, failed logins, and other reports.
✔✔An inpatient, acute-care coder must follow official ICD-10-CM and ICD-10-PCS
coding guidelines established by the: - ✔✔Cooperating Parties
✔✔The quantitative analysis or record content review process can be handled in a
number of ways - ✔✔Some acute-care facilities conduct record review on a continuing
basis during a patient's hospital stay. This type of process is usually referred to as a
concurrent review because review occurs concurrently with the patient's stay in the
hospital
✔✔the record custodian can testify about the following when a party in a legal
proceeding is attempting to admit a health record as evidence - ✔✔Identification of the
record as the one subpoenaed. the custodian of records is required to authenticate
those records through testimony
✔✔Run chart - ✔✔A run chart displays data points over a period of time to provide
information about performance. The measured points of a process are plotted on a
graph at regular time intervals to see whether there are substantial changes in the
numbers over time
✔✔Copies of personal health records (PHRs) are considered part of the legal health
record when Used by the organization to provide treatment - ✔✔Organizational policy
should address how personal health information provided by the patient will or will not
be incorporated into the patient's health record.
✔✔The Medicare Provider Analysis and Review (MEDPAR) file is made up of acute
care hospital and skilled nursing facility (SNF) claims data for all Medicare claims. The
MEDPAR file is frequently used for research on topics such as charges for particular
types of care and DRGs. - ✔✔The limitation of the MEDPAR data for research purposes
is that the file contains only Medicare patients
SOLUTION RATED A+
✔✔Which of the following is a true statement about the content of the legal health
record? - ✔✔The legal health record may contain metadata. Metadata are data about
data and include information that track actions such as when and by whom a document
was accessed or changed
✔✔describe the concept of confidentiality - ✔✔Confidentiality refers to the expectation
that the personal information shared by an individual with a healthcare provider during
the course of care will be used only for its intended purpose
✔✔One way to provide real-time data and important information that can be monitored
at a glance is to use dashboard - ✔✔leadership uses the information displayed to guide
operations and determine improvement projects. Having real-time data in an easily
assessable format like allows leaders to keep track of high-impact, high-risk, or high-
value processes and make adjustments on a daily basis
✔✔For research purposes, an advantage of the Healthcare Cost and Utilization Project
(HCUP) is that it contains data on all payer types - ✔✔H-CUP consists of a set of
databases that are unique because they include data on inpatients whose care is paid
for by all types of payers, including Medicare, Medicaid, private insurance, self-paying,
and uninsured patients
✔✔Data elements collected on large populations of individuals and stored in databases
are referred to as Aggregate data - ✔✔Data about patients can be extracted from
individual health records and combined as aggregate data. Aggregate data are used to
develop information about groups of patients
✔✔the data set used to ensure the system collects all federally required discharge data
elements for Medicare and Medicaid inpatients in an acute-care hospital? - ✔✔The
Uniform Hospital Discharge Data Set data characteristics include patient-specific items
on every inpatient u h h d d s
✔✔When data has been lost in an EHR, which action is taken to remedy this problem -
✔✔Data recovery -the process of recouping lost data or reconciling conflicting data after
the system fails. These data may be from events that occurred while the system was
down or from backed-up data
✔✔The Joint Commission requires ongoing data collection that might require
improvement for - ✔✔medication management, blood and blood product use, restraint
and seclusion use, behavior management and treatment, operative and other invasive
procedures, and resuscitation and its outcomes
, ✔✔The risk manager's principal tool for capturing the facts about potentially
compensable events is the - ✔✔occurrence report --a structured data collection tool that
risk managers use to gather information about potentially compensable events.
✔✔a primary key in a database table - ✔✔ensures that each row in a table is unique,
must not change in value, a number that is a one-up counter or a randomly generated
number in large databases
✔✔An employee views a patient's electronic health record. It is a trigger event if The
employee and patient have the same last name - ✔✔With appropriate policies and
procedures in place, it is the responsibility of the organization and its managers,
directors, CSO, and employees with audit responsibilities to review access logs, audit
trails, failed logins, and other reports.
✔✔An inpatient, acute-care coder must follow official ICD-10-CM and ICD-10-PCS
coding guidelines established by the: - ✔✔Cooperating Parties
✔✔The quantitative analysis or record content review process can be handled in a
number of ways - ✔✔Some acute-care facilities conduct record review on a continuing
basis during a patient's hospital stay. This type of process is usually referred to as a
concurrent review because review occurs concurrently with the patient's stay in the
hospital
✔✔the record custodian can testify about the following when a party in a legal
proceeding is attempting to admit a health record as evidence - ✔✔Identification of the
record as the one subpoenaed. the custodian of records is required to authenticate
those records through testimony
✔✔Run chart - ✔✔A run chart displays data points over a period of time to provide
information about performance. The measured points of a process are plotted on a
graph at regular time intervals to see whether there are substantial changes in the
numbers over time
✔✔Copies of personal health records (PHRs) are considered part of the legal health
record when Used by the organization to provide treatment - ✔✔Organizational policy
should address how personal health information provided by the patient will or will not
be incorporated into the patient's health record.
✔✔The Medicare Provider Analysis and Review (MEDPAR) file is made up of acute
care hospital and skilled nursing facility (SNF) claims data for all Medicare claims. The
MEDPAR file is frequently used for research on topics such as charges for particular
types of care and DRGs. - ✔✔The limitation of the MEDPAR data for research purposes
is that the file contains only Medicare patients
