RHIT PRACTICE EXAM 2022/2023 with Complete Solution

Fee-for -service is a healthcare payment method in which A. Physicians payments is determined B. Skilled nursing facilities reimbursed is Determined C. Providers received payment for services rendered D. Claim denials are processed - ANSWER C. Providers received payment for services rendered One of the purposes of the hospital payment monitoring program is to A. Measure the outpatient payment error rate B. Reduce necessary hospital admissions rate C. Reduce the physician fee for service payment rate D. Monitor and inpatient payment error rate - ANSWER D. Monitor and inpatient payment error rate The UHDDS uses a minimum set of data elements based on: A. Principles of reimbursement management B. Hospital data collection C. Data collected for outpatient services D. Standard definitions used for consistent data - ANSWER B. Hospital data collection One of the purposes for physician query is to clarify A. Conflicting documentation B. Discharge instructions C. Case management plans D. Nursing care - ANSWER A. Conflicting documents One of the reasons the CMS developed the NCCI is to : A. Control improper coding practices B. Monitor medically unlike edits (MUE) C. Correct improper use of modifier 59 D. Circumvent coding guidelines - ANSWER A. Code improper coding practices The UHDDS defines "other diagnoses " as A. All conditions that developed after the time of admission B. Conditions that should be reported based on hospital C. Diagnosis that have no bearing on the present on the present ho D. All conditions that coexist at the time of admission - ANSWER C. Diagnosis that have no bearing on the present All general acute healthcare providers must report a Present on Admission (POA) indicator. The purpose of reporting POA is to indicate conditions: A. Reported as a chronic condition from a previous condition B. Ruled out during present admission C. Diagnosed three days into the present admission D. Ruled out from previous admission - ANSWER A. Reported as a chronic condition from a previous condition Which of the following best describes the database used in every industry to store large amounts of information. A. Data Systems B. Data banks C. Data mining D. Data Repositories - ANSWER D. Data Repositories What is the process of determining a users information needs and identifying relationships among the data? A. Data Repositories B. Data Modeling C. Data Mining D. Data Quality - ANSWER C. Data Mining Healthcare common procedures coding systems (HCPCS) is divided into two levels of code sets. The first level of HCPCS consist of - ANSWER Current procedural terminology codes CMS transfer policy generally results in: - ANSWER Cost share In addition to promoting internationally comparability. International Classifications of Diseases was originally designed as a means for : - ANSWER Processing mortality statistics According to CMS Hospital Conditions of Participation, a medical history and physicians examination must be completed for a patient no more than 30 days before or: - ANSWER 24 hours after admission When a medical record analyst identifies an unsigned order, their first step should be to : - ANSWER Flag the record for the physician The purpose of quantitative analysis is to - ANSWER Determine the completeness of patient health records Demographics is the study of statistical information and : - ANSWER Human Populations The UHDDS requires that all significant procedures be reported. A significant procedure is defined as - ANSWER Surgical in nature