RHIT Mock Exam Domain 1

RHIT Mock Exam Domain 1 Coding and Classification 1. Which volume of ICD-9-CM contains the tabular and alphabetical list of procedures? Answer: Volume 3. 2. What is the correct order in which problems are organized in a problem-oriented medical record? Answer: In numeric order. 3. Where would you find a notation for a hypertensive patient's blood pressure being adequately controlled? Answer: Assessment. 4. What is an example of a problem with data consistency? Answer: The diagnosis of a patient being recorded as an abscess in the procedure report, but listed as carcinoma on the discharge summary. 5. What promotes uniform reporting and statistical collection for medical procedures, supplies, products, and services? Answer: Healthcare Common Procedure Coding System. Medical Records and Documentation 6. According to CPT, what type of closure would a repair of a laceration with retention sutures be considered? Answer: Complex. 7. How often are fee schedules updated by third-party payers? Answer: Annually. 8. Which ICD-9-CM codes are always alphanumeric? Answer: V Codes. 9. What is the function of physician's orders in a medical record? Answer: Documenting the physician's instructions to other parties involved in providing care to a patient. 10. What best describes data accessibility? Answer: Data are easy to obtain. Healthcare Billing and Insurance 11. Where would documentation of aides who assist patients with activities of daily living be found? Answer: Home Health record. 12. What term is used for retrospective cash payments paid by patients for services rendered by providers? Answer: Fee-for-service. 13. How are diagnosis-related groups organized? Answer: Major diagnostic categories. 14. What is the purpose of the National Correct Coding Initiative (NCCI)? Answer: To control improper coding leading to inappropriate payment for Part B Medicare claims. 15. Under which type of payment would a hospital outpatient services department receive payment for outpatient radiology exams? Answer: OASIS. Data Quality and Standards 16. What is a core data set developed by ASTM to communicate a patient's past and current health information as they transition from one care setting to another? Answer: Continuity of care record. 17. How should the correct coding and sequencing be handled for a patient with both pancreatitis and noncalculus cholecystitis as possible diagnoses? Answer: Sequence either pancreatitis or noncalculus cholecystitis as the principal diagnosis. 18. Which quality element is missing from Mrs. Smith's health record if her birth date is recorded differently in different parts of her record? Answer: Data consistency. 19. What is not a characteristic of high-quality healthcare data? Answer: Data accountability.