RHIT EXAM PREP UPDATED EXAM
SCRIPT 2026 TEST PAPER
QUESTIONS AND SOLUTIONS
GRADED A+
◉ Which of the following is a legal concern regarding the EHR?
A. Ability to subpoena audit trails
B. Template design
C. ANSI standards
D. Data sets.
Answer: Ability to subpoena audit trails
There are a number of legal issues facing the electronic health record
(EHR). State laws vary as to what is and is not acceptable in a court of
law regarding EHRs. Healthcare providers frequently receive subpoenas
requesting the production of the health record. The subpoenas may
require the production of audit trails.
◉ Healthcare fraud is all except which of the following?
A. Damage to another party that reasonably relied on misrepresentation
B. False representation of fact
C. Failure to disclose a material fact
D. Unnecessary costs to a program.
,Answer: Unnecessary costs to a program
Healthcare fraud is the intentional deception or misrepresentation that an
individual knows (or should know) to be false, or does not believe to be
true, and makes, knowing the deception could result in some
unauthorized benefit to himself or some other person(s). Unnecessary
costs to a program, in and of itself, would not be healthcare fraud, there
would need to be some intentional deception for it to be considered
fraud.
◉ Corporate compliance programs became common after adoption of
which of the following?
A. False Claims Act.
B. Federal Sentencing Guidelines
C. Office of the Inspector General for HHS
D. Federal Physician Self-Referral Statute.
Answer: Federal Sentencing Guidelines
The U.S. Federal Sentencing Guidelines outline seven steps as the
hallmark of an effective program to prevent and detect violations of law.
These seven steps were the basis for the OIG's recommendations
regarding the fundamental elements of an effective compliance program.
◉ A group practice has hired an HIT as its chief compliance officer. The
current compliance program includes written standards of conduct and
policies, and procedures that address specific areas of potential fraud. It
,also has audits in place to monitor compliance. Which of the following
should the compliance officer also ensure are in place?
A. A bonus program for coders who code charts with higher paying MS-
DRGs
B. A hotline to receive complaints and adoption of procedures to protect
whistleblowers from retaliation
C. Procedures to adequately identify individuals who make complaints
so that appropriate follow-up can be conducted
D. A corporate compliance committee that reports directly to CFO.
Answer: A hotline to receive complaints and adoption of procedures to
protect whistleblowers from retaliation
The OIG has outlined seven elements as the minimum necessary for a
comprehensive compliance program. One of the seven elements is the
maintenance of a process, such as a hotline, to receive complaints and
the adoption of procedures to protect the anonymity of complaints and to
protect whistleblowers from retaliation.
◉ Examples of high-risk billing practices that create compliance risks
for healthcare organizations include all EXCEPT which of the
following?
A. Altered claim forms
B. Returned overpayments
C. Duplicate billings
, D. Unbundled procedures.
Answer: Returned overpayments
Fraudulent billing practices represent a major compliance risk for
healthcare organizations. High-risk billing practices include: billing for
noncovered services, altered claim forms, duplicate billing,
misrepresentation of facts on a claim form, failing to return
overpayments, unbundling, billing for medically unnecessary services,
overcoding and upcoding, billing for items or services not rendered, and
false cost reports.
◉ Which of the following issues compliance program guidance?
A. AHIMA
B. CMS
C. Federal Register
D. HHS Office of Inspector General.
Answer: HHS Office of Inspector General
From February 1998 until the present, the Office of Inspector General
(OIG) continues to issue compliance program guidance for various types
of healthcare organizations. The OIG website (www.oig.hhs.gov) posts
the documents that most healthcare organizations need to develop fraud
and abuse compliance plans.
SCRIPT 2026 TEST PAPER
QUESTIONS AND SOLUTIONS
GRADED A+
◉ Which of the following is a legal concern regarding the EHR?
A. Ability to subpoena audit trails
B. Template design
C. ANSI standards
D. Data sets.
Answer: Ability to subpoena audit trails
There are a number of legal issues facing the electronic health record
(EHR). State laws vary as to what is and is not acceptable in a court of
law regarding EHRs. Healthcare providers frequently receive subpoenas
requesting the production of the health record. The subpoenas may
require the production of audit trails.
◉ Healthcare fraud is all except which of the following?
A. Damage to another party that reasonably relied on misrepresentation
B. False representation of fact
C. Failure to disclose a material fact
D. Unnecessary costs to a program.
,Answer: Unnecessary costs to a program
Healthcare fraud is the intentional deception or misrepresentation that an
individual knows (or should know) to be false, or does not believe to be
true, and makes, knowing the deception could result in some
unauthorized benefit to himself or some other person(s). Unnecessary
costs to a program, in and of itself, would not be healthcare fraud, there
would need to be some intentional deception for it to be considered
fraud.
◉ Corporate compliance programs became common after adoption of
which of the following?
A. False Claims Act.
B. Federal Sentencing Guidelines
C. Office of the Inspector General for HHS
D. Federal Physician Self-Referral Statute.
Answer: Federal Sentencing Guidelines
The U.S. Federal Sentencing Guidelines outline seven steps as the
hallmark of an effective program to prevent and detect violations of law.
These seven steps were the basis for the OIG's recommendations
regarding the fundamental elements of an effective compliance program.
◉ A group practice has hired an HIT as its chief compliance officer. The
current compliance program includes written standards of conduct and
policies, and procedures that address specific areas of potential fraud. It
,also has audits in place to monitor compliance. Which of the following
should the compliance officer also ensure are in place?
A. A bonus program for coders who code charts with higher paying MS-
DRGs
B. A hotline to receive complaints and adoption of procedures to protect
whistleblowers from retaliation
C. Procedures to adequately identify individuals who make complaints
so that appropriate follow-up can be conducted
D. A corporate compliance committee that reports directly to CFO.
Answer: A hotline to receive complaints and adoption of procedures to
protect whistleblowers from retaliation
The OIG has outlined seven elements as the minimum necessary for a
comprehensive compliance program. One of the seven elements is the
maintenance of a process, such as a hotline, to receive complaints and
the adoption of procedures to protect the anonymity of complaints and to
protect whistleblowers from retaliation.
◉ Examples of high-risk billing practices that create compliance risks
for healthcare organizations include all EXCEPT which of the
following?
A. Altered claim forms
B. Returned overpayments
C. Duplicate billings
, D. Unbundled procedures.
Answer: Returned overpayments
Fraudulent billing practices represent a major compliance risk for
healthcare organizations. High-risk billing practices include: billing for
noncovered services, altered claim forms, duplicate billing,
misrepresentation of facts on a claim form, failing to return
overpayments, unbundling, billing for medically unnecessary services,
overcoding and upcoding, billing for items or services not rendered, and
false cost reports.
◉ Which of the following issues compliance program guidance?
A. AHIMA
B. CMS
C. Federal Register
D. HHS Office of Inspector General.
Answer: HHS Office of Inspector General
From February 1998 until the present, the Office of Inspector General
(OIG) continues to issue compliance program guidance for various types
of healthcare organizations. The OIG website (www.oig.hhs.gov) posts
the documents that most healthcare organizations need to develop fraud
and abuse compliance plans.
