AHIMA RHIT STANDARD EXAM 2025/2026 QUESTIONS
AND SOLUTION RATED A+
✔✔data mining - ✔✔The process of extracting information from a database and then
quantifying and filtering discrete, structured data.
✔✔Benchmarking - ✔✔Analyzing and comparing data against other internal and/or
external data is called:
✔✔What is the question? What are the facts? What are the values? What are my
options? What should I do? What justifies my choice? What can I do to prevent this
ethical problem? - ✔✔What questions are the ethical decision-making matrix questions
in order?
✔✔What is the question? - ✔✔What question should a HIM Professional ask
themselves in the ethical decision-making process?
✔✔Walk through - ✔✔What is the final element of an EHR implementation that is used
for ongoing maintenance and consists of the user manual, practice guidelines, and
decision support rules?
✔✔no modifier needed - ✔✔If a patient presents to a physician owned physician office
and has x rays done and the xrays are also read by the same physician, what, if any,
modifier should be added?
✔✔providers receive payment for services rendered - ✔✔Fee-for-service is a healthcare
payment method in which:
✔✔protected health information - ✔✔individually identifiable health information that is
transmitted by electric media, maintained in any electronic medium, or in any form or
medium is defined as:
✔✔processing mortality statistics - ✔✔In addition to promoting international
comarability, International Classification of diseases was originally designated as a
means for:
✔✔data modeling - ✔✔The process of determining the users' information needs and
identifying relationships among the data
✔✔Agenda on Change - ✔✔The Joint Commission's research and development project
is known as:
- ORYX Initiative
- Agenda on Change
- Utilization Review
,✔✔The Agenda on Change was the introduction to ORYX initiative. - ✔✔What is the
difference between the Joint Commission's Agenda on Change and ORYX initiative?
✔✔45961 - ✔✔A patient has a recurrent, incarcerated incisional hernia that is repaired
laparoscopically with mesh. What is the appropriate CPT code?
- 45960 (repair initial incisional or ventral hernia; reducible
- 45961 (incarcerated or strangulated)
- +49568 (Implantation of mesh or other prosthesis for open incisional or ventral hernia
repair or mesh for closure of debridement for necrotizing soft tissue infection
✔✔The Joint Commission - ✔✔A private, not for profit organization that evaluates and
accredits hospitals and other healthcare organizations on the basis of predefined
performance standards is called:
✔✔Core measures - ✔✔What is the standardized performance measure used by ORYX
that allows for benchmarking based on process and outcomes of patient care?
✔✔Dashboard - ✔✔This type of chart/databank shows Reports of process measures
that help leaders know what is currently going on so that they may plan strategically
where they want to go next and help to align organizational effort to achieve higher
goals.
✔✔A dashboard - ✔✔A senior manager wants a visual tool that shows quality
improvement projects organization wide. Within the tool, she wants to see metrics for
infection rates, patient satisfaction, cost control, and risk management. What is the best
visual tool that will show her the criteria she is looking for?
- Pareto chart
- Scatter Diagram
- A dashboard
- Run chart
✔✔Null & Alternative - ✔✔What are 2 forms of hypothesis testing?
✔✔Actual Cost - ✔✔Prior to the implementation of Hospital Outpatient Prospective
Payment System, Medicare reimbursement was based on what?
✔✔Prospective payment system - ✔✔reimbursement methodology that establishes
predetermined rates based on patient category or type of facility, with annual increases
based on an inflation index and a geographic wage index.
✔✔wage index - ✔✔Under a prospective payment system, payment for healthcare is
predetermined by:
- Case Resource consumption
- Wage Index
, - Case Mix Index
- Global Payment Method
✔✔Healthcare Integrity and Protection Data bank - ✔✔A provision of HIPAA that was
created to combat fraud & abuse in health insurance and healthcare delivery. A purpose
of this is to inform federal and state agencies about potential quality problems with
clinicians, suppliers, and providers of healthcare services.
✔✔Standards for administrative safeguards - ✔✔Which of the following id addressed
through the HIPAA Security Rule?
- An accounting of disclosure
- Individuals' right to access PHI
- Designation of privacy official
- standards for administrative safeguards
✔✔case mix - ✔✔The complexity of a health care facility's patient load is called:
✔✔transaction- processing system - ✔✔A computer based information system that
keeps track of an organization's business transactions through inputs (admission,
discharges, and transfers) and outputs (census reports and bills)
✔✔Expert System - ✔✔A type of information system that supports the work of
professionals engaged in the development or evaluation of complex activities that
require high level knowledge in a well- defined and usually limited area.
✔✔bar coding - ✔✔What is located on a form that facilitates scanning a document to a
part of a medical record?
✔✔designated record set - ✔✔HIPAA Privacy Rule requires which of the following to
describe what is maintained as part of the medical record?
- Designated Record Set
- Business Associate Agreement
- Stare decisis
✔✔manifestation - ✔✔Poisoning is caused by the incorrect use of a drug. The code for
poisoning is sequenced first followed by a code for the:
✔✔arbitration - ✔✔What legal term would a healthcare facility use to avoid court
actions?
✔✔The manifestation (condition) is due to an underlying condition. - ✔✔In ICD-10-CMs
Tabular List, "code first underlying condition" note indicates:
✔✔Roll out - ✔✔What strategy is used when an organization is implementing an EHR
with a phase-in or "big bang" approach?
AND SOLUTION RATED A+
✔✔data mining - ✔✔The process of extracting information from a database and then
quantifying and filtering discrete, structured data.
✔✔Benchmarking - ✔✔Analyzing and comparing data against other internal and/or
external data is called:
✔✔What is the question? What are the facts? What are the values? What are my
options? What should I do? What justifies my choice? What can I do to prevent this
ethical problem? - ✔✔What questions are the ethical decision-making matrix questions
in order?
✔✔What is the question? - ✔✔What question should a HIM Professional ask
themselves in the ethical decision-making process?
✔✔Walk through - ✔✔What is the final element of an EHR implementation that is used
for ongoing maintenance and consists of the user manual, practice guidelines, and
decision support rules?
✔✔no modifier needed - ✔✔If a patient presents to a physician owned physician office
and has x rays done and the xrays are also read by the same physician, what, if any,
modifier should be added?
✔✔providers receive payment for services rendered - ✔✔Fee-for-service is a healthcare
payment method in which:
✔✔protected health information - ✔✔individually identifiable health information that is
transmitted by electric media, maintained in any electronic medium, or in any form or
medium is defined as:
✔✔processing mortality statistics - ✔✔In addition to promoting international
comarability, International Classification of diseases was originally designated as a
means for:
✔✔data modeling - ✔✔The process of determining the users' information needs and
identifying relationships among the data
✔✔Agenda on Change - ✔✔The Joint Commission's research and development project
is known as:
- ORYX Initiative
- Agenda on Change
- Utilization Review
,✔✔The Agenda on Change was the introduction to ORYX initiative. - ✔✔What is the
difference between the Joint Commission's Agenda on Change and ORYX initiative?
✔✔45961 - ✔✔A patient has a recurrent, incarcerated incisional hernia that is repaired
laparoscopically with mesh. What is the appropriate CPT code?
- 45960 (repair initial incisional or ventral hernia; reducible
- 45961 (incarcerated or strangulated)
- +49568 (Implantation of mesh or other prosthesis for open incisional or ventral hernia
repair or mesh for closure of debridement for necrotizing soft tissue infection
✔✔The Joint Commission - ✔✔A private, not for profit organization that evaluates and
accredits hospitals and other healthcare organizations on the basis of predefined
performance standards is called:
✔✔Core measures - ✔✔What is the standardized performance measure used by ORYX
that allows for benchmarking based on process and outcomes of patient care?
✔✔Dashboard - ✔✔This type of chart/databank shows Reports of process measures
that help leaders know what is currently going on so that they may plan strategically
where they want to go next and help to align organizational effort to achieve higher
goals.
✔✔A dashboard - ✔✔A senior manager wants a visual tool that shows quality
improvement projects organization wide. Within the tool, she wants to see metrics for
infection rates, patient satisfaction, cost control, and risk management. What is the best
visual tool that will show her the criteria she is looking for?
- Pareto chart
- Scatter Diagram
- A dashboard
- Run chart
✔✔Null & Alternative - ✔✔What are 2 forms of hypothesis testing?
✔✔Actual Cost - ✔✔Prior to the implementation of Hospital Outpatient Prospective
Payment System, Medicare reimbursement was based on what?
✔✔Prospective payment system - ✔✔reimbursement methodology that establishes
predetermined rates based on patient category or type of facility, with annual increases
based on an inflation index and a geographic wage index.
✔✔wage index - ✔✔Under a prospective payment system, payment for healthcare is
predetermined by:
- Case Resource consumption
- Wage Index
, - Case Mix Index
- Global Payment Method
✔✔Healthcare Integrity and Protection Data bank - ✔✔A provision of HIPAA that was
created to combat fraud & abuse in health insurance and healthcare delivery. A purpose
of this is to inform federal and state agencies about potential quality problems with
clinicians, suppliers, and providers of healthcare services.
✔✔Standards for administrative safeguards - ✔✔Which of the following id addressed
through the HIPAA Security Rule?
- An accounting of disclosure
- Individuals' right to access PHI
- Designation of privacy official
- standards for administrative safeguards
✔✔case mix - ✔✔The complexity of a health care facility's patient load is called:
✔✔transaction- processing system - ✔✔A computer based information system that
keeps track of an organization's business transactions through inputs (admission,
discharges, and transfers) and outputs (census reports and bills)
✔✔Expert System - ✔✔A type of information system that supports the work of
professionals engaged in the development or evaluation of complex activities that
require high level knowledge in a well- defined and usually limited area.
✔✔bar coding - ✔✔What is located on a form that facilitates scanning a document to a
part of a medical record?
✔✔designated record set - ✔✔HIPAA Privacy Rule requires which of the following to
describe what is maintained as part of the medical record?
- Designated Record Set
- Business Associate Agreement
- Stare decisis
✔✔manifestation - ✔✔Poisoning is caused by the incorrect use of a drug. The code for
poisoning is sequenced first followed by a code for the:
✔✔arbitration - ✔✔What legal term would a healthcare facility use to avoid court
actions?
✔✔The manifestation (condition) is due to an underlying condition. - ✔✔In ICD-10-CMs
Tabular List, "code first underlying condition" note indicates:
✔✔Roll out - ✔✔What strategy is used when an organization is implementing an EHR
with a phase-in or "big bang" approach?
