CAHIMS Review Exam Questions and
Verified Answers A+ 2025
Primary Care Organizations typically refer patients to what other types of organizations.
a. Secondary Care
b. Tertiary Care
c. Secondary and Tertiary Care
d. Neither Secondary or Tertiary Care -CORRECT ANSWER c
Secondary Care Organizations are also known as Specialty Organizations.
a. True
b. False -CORRECT ANSWER a
Federally Qualified Health Centers include the following:
a. County Health Clinics
b. Migrant Health Centers
c. Look Alikes
d. Tribal Operated Health Clinics -CORRECT ANSWER b
Inpatient Care is usually defined as admission for medical care longer than:
a. 8 hours
b. 12 hours
c. 24 hours
d. 48 hours -CORRECT ANSWER c
The type of Long Term Care organization that typically provides an apartment or room
and includes personal care, meals and housekeeping is:
a. Independent Living
,b. Assisted Living
c. Skilled Nursing Facility
d. Hospice -CORRECT ANSWER b
The type of Long Term Call organization that provides services to people living with and
dying from an eventually fatal condition is:
a. Independent Living
b. Assisted Living
c. Skilled Nursing Facility
d. Hospice -CORRECT ANSWER d
The largest Integrated Healthcare System in the US is:
a. Kaiser Permanente
b. Veterans Health Administration
c. TRICARE
d. Indian Health Services -CORRECT ANSWER b
Which of the following department would usually be a part of the Information division?
a. Nursing Education
b. Social Services
c. Medical Records
d. Security -CORRECT ANSWER c
Observational data like the history, results of the physical exam and a summary of a
surgery or procedure is recording using what type of data.
a. Narrative
b. Recorded Signals
c. Numerical Measurements
d. Images -CORRECT ANSWER a
What two divisions may be combined to form a single Diagnostic and Therapeutic
division?
a. Nursing and Clinical Support
b. Nursing and Ancillary Services
c. Clinical Support and Medical Staff
d. Clinical Support and Ancillary Services -CORRECT ANSWER d
What type of communication can allow data to easily be viewed throughout the
institution?
a. Digital
,b. Film
c. Verbal
d. Paper -CORRECT ANSWER a
The major difference between an academic and community hospital is the type of care
they provide.
a. True
b. False -CORRECT ANSWER b
Most people in the US get health insurance through:
a. An employer
b. Their county health department
c. Their state health department
d. The federal government -CORRECT ANSWER a
All of the following are privately funded EXCEPT:
a. BlueCross Blue Shield
b. Commercial insurers
c. Managed care organizations
d. The Children's Health Insurance Program -CORRECT ANSWER d
BlueCross BlueShield is:
a. A managed care organization
b. An association of private companies
c. Funded by the federal government
d. Funded by all 50 states -CORRECT ANSWER b
Managed care plans:
a. Are much less common today than they were 50 years ago
b. Combine health insurance and healthcare services
c. Pay doctors on a fee-for-service basis
d. All of the above -CORRECT ANSWER b
Of the following types of plans, costs for the patient are lowest, but choice of providers
is most restricted, in a:
a. Health maintenance organization
b. Indemnity plan
c. Preferred provider organization
d. Point-of-service plan -CORRECT ANSWER a
, What group determines whether someone is eligible for Medicare and processes their
premium payments?
a. The Centers for Medicare & Medicaid Services
b. The Federal Insurance Contributions Agency
c. The Social Security Administration
d. The US Department of Health & Human Services -CORRECT ANSWER c
Choose the best statement about Medicaid and Medicare coverage:
a. Medicaid covers older adults; Medicare covers people with low incomes.
b. Medicaid covers people with low incomes; Medicare covers children and pregnant
women in families that earn too much for Medicaid.
c. Medicare covers older adults; Medicaid covers people with low incomes.
d. Medicare covers all uninsured children and pregnant women; Medicaid covers older
adults. -CORRECT ANSWER c
Which of the following statements is/are TRUE?
a. Medicaid has different names in different states.
b. Medicaid is funded by federal income taxes;
c. Medicare is partially funded by individuals and their employers through payroll taxes;
d. Some people on Medicaid also qualify for Medicare.
e. All of the above -CORRECT ANSWER e
Samples of and electronic data interchange transaction include (choose all that apply):
a. a fax copy of the claim
b. CMS Form 1500
c. CMS Form 1450
d. 837 transaction for healthcare claims -CORRECT ANSWER d
Which of the following is currently used to code claims for healthcare services (choose
all that apply):
a. CPT
b. ICD-9-CM
c. NDC - National Drug Codes
d. ICD-10-PCS -CORRECT ANSWER a, b, c, d
Which of the following is used for diagnosis coding and reporting on claims regardless
of the provider?
a. ICD-9
b. CPT
c. HCPCS
Verified Answers A+ 2025
Primary Care Organizations typically refer patients to what other types of organizations.
a. Secondary Care
b. Tertiary Care
c. Secondary and Tertiary Care
d. Neither Secondary or Tertiary Care -CORRECT ANSWER c
Secondary Care Organizations are also known as Specialty Organizations.
a. True
b. False -CORRECT ANSWER a
Federally Qualified Health Centers include the following:
a. County Health Clinics
b. Migrant Health Centers
c. Look Alikes
d. Tribal Operated Health Clinics -CORRECT ANSWER b
Inpatient Care is usually defined as admission for medical care longer than:
a. 8 hours
b. 12 hours
c. 24 hours
d. 48 hours -CORRECT ANSWER c
The type of Long Term Care organization that typically provides an apartment or room
and includes personal care, meals and housekeeping is:
a. Independent Living
,b. Assisted Living
c. Skilled Nursing Facility
d. Hospice -CORRECT ANSWER b
The type of Long Term Call organization that provides services to people living with and
dying from an eventually fatal condition is:
a. Independent Living
b. Assisted Living
c. Skilled Nursing Facility
d. Hospice -CORRECT ANSWER d
The largest Integrated Healthcare System in the US is:
a. Kaiser Permanente
b. Veterans Health Administration
c. TRICARE
d. Indian Health Services -CORRECT ANSWER b
Which of the following department would usually be a part of the Information division?
a. Nursing Education
b. Social Services
c. Medical Records
d. Security -CORRECT ANSWER c
Observational data like the history, results of the physical exam and a summary of a
surgery or procedure is recording using what type of data.
a. Narrative
b. Recorded Signals
c. Numerical Measurements
d. Images -CORRECT ANSWER a
What two divisions may be combined to form a single Diagnostic and Therapeutic
division?
a. Nursing and Clinical Support
b. Nursing and Ancillary Services
c. Clinical Support and Medical Staff
d. Clinical Support and Ancillary Services -CORRECT ANSWER d
What type of communication can allow data to easily be viewed throughout the
institution?
a. Digital
,b. Film
c. Verbal
d. Paper -CORRECT ANSWER a
The major difference between an academic and community hospital is the type of care
they provide.
a. True
b. False -CORRECT ANSWER b
Most people in the US get health insurance through:
a. An employer
b. Their county health department
c. Their state health department
d. The federal government -CORRECT ANSWER a
All of the following are privately funded EXCEPT:
a. BlueCross Blue Shield
b. Commercial insurers
c. Managed care organizations
d. The Children's Health Insurance Program -CORRECT ANSWER d
BlueCross BlueShield is:
a. A managed care organization
b. An association of private companies
c. Funded by the federal government
d. Funded by all 50 states -CORRECT ANSWER b
Managed care plans:
a. Are much less common today than they were 50 years ago
b. Combine health insurance and healthcare services
c. Pay doctors on a fee-for-service basis
d. All of the above -CORRECT ANSWER b
Of the following types of plans, costs for the patient are lowest, but choice of providers
is most restricted, in a:
a. Health maintenance organization
b. Indemnity plan
c. Preferred provider organization
d. Point-of-service plan -CORRECT ANSWER a
, What group determines whether someone is eligible for Medicare and processes their
premium payments?
a. The Centers for Medicare & Medicaid Services
b. The Federal Insurance Contributions Agency
c. The Social Security Administration
d. The US Department of Health & Human Services -CORRECT ANSWER c
Choose the best statement about Medicaid and Medicare coverage:
a. Medicaid covers older adults; Medicare covers people with low incomes.
b. Medicaid covers people with low incomes; Medicare covers children and pregnant
women in families that earn too much for Medicaid.
c. Medicare covers older adults; Medicaid covers people with low incomes.
d. Medicare covers all uninsured children and pregnant women; Medicaid covers older
adults. -CORRECT ANSWER c
Which of the following statements is/are TRUE?
a. Medicaid has different names in different states.
b. Medicaid is funded by federal income taxes;
c. Medicare is partially funded by individuals and their employers through payroll taxes;
d. Some people on Medicaid also qualify for Medicare.
e. All of the above -CORRECT ANSWER e
Samples of and electronic data interchange transaction include (choose all that apply):
a. a fax copy of the claim
b. CMS Form 1500
c. CMS Form 1450
d. 837 transaction for healthcare claims -CORRECT ANSWER d
Which of the following is currently used to code claims for healthcare services (choose
all that apply):
a. CPT
b. ICD-9-CM
c. NDC - National Drug Codes
d. ICD-10-PCS -CORRECT ANSWER a, b, c, d
Which of the following is used for diagnosis coding and reporting on claims regardless
of the provider?
a. ICD-9
b. CPT
c. HCPCS
