HIT 125 EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE
2026
Which best describes the most important function of the health record? - Answers
Storing patient care documentation
Clinical professionals who provide direct patient care are __________ users of the
health record? - Answers primary
Which element is typically found in the paper health record? - Answers Patient
identification
The patient registration department assists the HIM department in what way? -
Answers Assigning the health record number
The master patient index contains ____________ - Answers basic demographic
information about the patient
Which filing system is being used if these numbers represent the health record
numbers:
36-45-99
37-45-99
38-45-99 - Answers Terminal digit
The release of information function requires the HIM professional to: - Answers
Disclose patient identifiable information to a third party
Which system is best suited for a small healthcare facility such as a one-physician
practice? - Answers Alphabetic filing system
In which system does an individual receive a unique numerical identifier at the time
of first encounter and maintain that identifier for all subsequent encounters? -
Answers Unit numbering system
Delinquent record - Answers A record not completed within the time frame specified
in the medical staff rules and regulations
Which index is key to locating a health record? - Answers Master patient index
Why should copy and paste function NOT be used in the electronic health record? -
Answers The content may contain outdated information
Which is a secondary purpose of the health record? - Answers Support for research
A health record with deficiencies that is not complete within the timeframe specified
in the medical staff rules and regulations is called a ________ record. - Answers
Delinquent
Term used for health record moved to an inactive file area because the patient has not
been at the healthcare facility for a predefined period of time - Answers Purged
What is an argument against the use of the copy and paste function in the EHR? -
Answers Inability to identify the author
What would be included in a list of institutional users of the health record? - Answers
Blue Cross and Blue Shield
Which HIM task is eliminated by the electronic health record system? - Answers
Assembly
Reviewing the health record for missing signatures, missing medical reports, and
ensuring that all the documents belong in the health record is an example of what type
of analysis? - Answers Quantitative
The coding of clinical diagnoses and healthcare procedures and services after the
patient is discharged is what type of review? - Answers Retrospective
When should an addendum to the health record be dated? - Answers The day the
addendum was created
, What is a quantitative review of the health record for missing reports and signatures
that occurs when the patient is in the hospital referred to as? - Answers Concurrent
In which department or unit does the health record typically begin? - Answers Patient
Registration
What can assist in locating misfiles in the paper-based filing system? - Answers
Color coding
The services provided by HIM departments in acute care hospitals usually don't
include: - Answers Medical billing
What is the general name for Medicare standards impacting healthcare orginizations?
- Answers Conditions of Participation
What is the primary accreditation organization for facilities that treat individuals who
have functional disabilities? - Answers Commission on Accreditation of
Rehabilitation Facilities (CARF)
When defining the legal health record, what must the healthcare provider do? -
Answers Assess the legal environment
What is the overall goal of documentation standards? - Answers Ensure what is
documented in the health record is complete and accurately reflects the treatment
provided to the patient
CMS does not require healthcare providers to inform their patients about general
patient rights afforded to them. - Answers False
The Joint Commission surveys healthcare provider organizations for clinical and
operational practice compliance. - Answers True
The form and content of the health record are determined in part by what? - Answers
The needs of individual healthcare organizations
AHIMA's record retention guidelines recommend that the master patient index be
maintained for what length of time? - Answers Permanently
Statute - Answers A piece of legislation written and approved by a state or federal
legislature and then signed into law by a state's governor or the president.
Deemed status - Answers When accrediting bodies (Joint Commission or AOA) can
survey facilities for compliance with the Medicare Conditions of Participation for
Hospitals instead of the government
Regulation - Answers A rule established by an administrative agency of the
government
Licensure - Answers A mandatory process whereby state governments grant
individual facilities permission to operate within a specific geopolitical area and
provide a specific range of healthcare services
Accerditation - Answers A systematic quality review process that evaluates the
healthcare facility's performance against pre-established written criteria or standards
What does the Joint Commission call unexpected occurrences that result in death or
serious physical or psychological injury or the risk of death or serious injury? -
Answers Sentinel events
The goal of the ____________ is to improve the quality of patient care while
simultaneously decreasing healthcare costs. - Answers HITECH Act
Who is responsible for establishing internal policies and procedures to ensure that
services and health record fulfill all of the applicable standards and regulations? -
Answers Hospital
Where should HIM professionals get the most current version of the Medicare
Conditions of Participation? - Answers The Federal Register
Joint Commission accreditation for hospitals is voluntary. - Answers True
2026
Which best describes the most important function of the health record? - Answers
Storing patient care documentation
Clinical professionals who provide direct patient care are __________ users of the
health record? - Answers primary
Which element is typically found in the paper health record? - Answers Patient
identification
The patient registration department assists the HIM department in what way? -
Answers Assigning the health record number
The master patient index contains ____________ - Answers basic demographic
information about the patient
Which filing system is being used if these numbers represent the health record
numbers:
36-45-99
37-45-99
38-45-99 - Answers Terminal digit
The release of information function requires the HIM professional to: - Answers
Disclose patient identifiable information to a third party
Which system is best suited for a small healthcare facility such as a one-physician
practice? - Answers Alphabetic filing system
In which system does an individual receive a unique numerical identifier at the time
of first encounter and maintain that identifier for all subsequent encounters? -
Answers Unit numbering system
Delinquent record - Answers A record not completed within the time frame specified
in the medical staff rules and regulations
Which index is key to locating a health record? - Answers Master patient index
Why should copy and paste function NOT be used in the electronic health record? -
Answers The content may contain outdated information
Which is a secondary purpose of the health record? - Answers Support for research
A health record with deficiencies that is not complete within the timeframe specified
in the medical staff rules and regulations is called a ________ record. - Answers
Delinquent
Term used for health record moved to an inactive file area because the patient has not
been at the healthcare facility for a predefined period of time - Answers Purged
What is an argument against the use of the copy and paste function in the EHR? -
Answers Inability to identify the author
What would be included in a list of institutional users of the health record? - Answers
Blue Cross and Blue Shield
Which HIM task is eliminated by the electronic health record system? - Answers
Assembly
Reviewing the health record for missing signatures, missing medical reports, and
ensuring that all the documents belong in the health record is an example of what type
of analysis? - Answers Quantitative
The coding of clinical diagnoses and healthcare procedures and services after the
patient is discharged is what type of review? - Answers Retrospective
When should an addendum to the health record be dated? - Answers The day the
addendum was created
, What is a quantitative review of the health record for missing reports and signatures
that occurs when the patient is in the hospital referred to as? - Answers Concurrent
In which department or unit does the health record typically begin? - Answers Patient
Registration
What can assist in locating misfiles in the paper-based filing system? - Answers
Color coding
The services provided by HIM departments in acute care hospitals usually don't
include: - Answers Medical billing
What is the general name for Medicare standards impacting healthcare orginizations?
- Answers Conditions of Participation
What is the primary accreditation organization for facilities that treat individuals who
have functional disabilities? - Answers Commission on Accreditation of
Rehabilitation Facilities (CARF)
When defining the legal health record, what must the healthcare provider do? -
Answers Assess the legal environment
What is the overall goal of documentation standards? - Answers Ensure what is
documented in the health record is complete and accurately reflects the treatment
provided to the patient
CMS does not require healthcare providers to inform their patients about general
patient rights afforded to them. - Answers False
The Joint Commission surveys healthcare provider organizations for clinical and
operational practice compliance. - Answers True
The form and content of the health record are determined in part by what? - Answers
The needs of individual healthcare organizations
AHIMA's record retention guidelines recommend that the master patient index be
maintained for what length of time? - Answers Permanently
Statute - Answers A piece of legislation written and approved by a state or federal
legislature and then signed into law by a state's governor or the president.
Deemed status - Answers When accrediting bodies (Joint Commission or AOA) can
survey facilities for compliance with the Medicare Conditions of Participation for
Hospitals instead of the government
Regulation - Answers A rule established by an administrative agency of the
government
Licensure - Answers A mandatory process whereby state governments grant
individual facilities permission to operate within a specific geopolitical area and
provide a specific range of healthcare services
Accerditation - Answers A systematic quality review process that evaluates the
healthcare facility's performance against pre-established written criteria or standards
What does the Joint Commission call unexpected occurrences that result in death or
serious physical or psychological injury or the risk of death or serious injury? -
Answers Sentinel events
The goal of the ____________ is to improve the quality of patient care while
simultaneously decreasing healthcare costs. - Answers HITECH Act
Who is responsible for establishing internal policies and procedures to ensure that
services and health record fulfill all of the applicable standards and regulations? -
Answers Hospital
Where should HIM professionals get the most current version of the Medicare
Conditions of Participation? - Answers The Federal Register
Joint Commission accreditation for hospitals is voluntary. - Answers True
