RHIA EXAM PREP
The director of the health information department wanted to determine the level of physicians'
satisfaction with the department's services. The director surveyed the physicians who came to the
department. What type of sample is this? Non-probability or opportunity sample, sample drawn
without any underlying probability-based selection method. - answer Convenience
As part of the initiative to improve data integrity, the Data Quality Committee conducted an
inventory of all the hospital's databases. The review showed that more than 70 percent of the
identified databases did not have data dictionaries. Given this data, what should be the committee's
first action? - answer Establish a data dictionary policy with associated standards
Systems linked by ________ allow HIE participants to search for health records on each of the other
systems using patient indexing and identification software. - answer RLSs - Record Locator Service
Community Hospital is reviewing its job descriptions and notices that some job descriptions for
clinical positions include a reference to the potential risks of exposure to blood-borne pathogens
while others do not. The human resource manager insists that all job descriptions should include this
language. Why is this important to include? - answer Community Hospital needs to define the level
of risk for infection from blood-borne pathogens for its employees.
The patient is a 47-year-old. What is the correct code for an initial inguinal herniorrhaphy for
incarcerated hernia? - answer 49507, Repair initial inguinal hernia, age 5 years or older;
incarcerated or strangulated
A hospital is undergoing a major reconstruction project and a new director of nursing has been
hired. At the same time, the nursing documentation component of the EHR has been implemented.
The fact that nursing staff satisfaction scores have risen is: - answer Uncertain due to existence of
confounding variables
As part of his role at the local hospital, Jake is reviewing Joint Commission standards to ensure that
the organization is meeting the accreditation requirements. As part of the review, Jake is looking at a
specific set of standards that are primarily focused on documentation. Some of the standard
requirements include care provided, procedures that were done on the patient, and the progress of
the patient. Based on this scenario, which set of Joint Commission standards is Jake reviewing? -
answer Record of Care Standards
Following a motor vehicle accident, a patient presents to the emergency department (ED) with
obvious head trauma and lower abdominal pain. The patient also notes recent hematuria prior to
, the accident and has a slight fever. A CT brain scan reveals the presence of a skull fracture with a
hematoma, and the patient is admitted. During the hospital stay, the patient is treated for a urinary
tract infection. The coder assigns the skull fracture and hematoma as present on admission, and the
urinary tract infection as not present on admission. The coding manager reviews this case and
identifies the following error: - answer The urinary tract infection was present on admission
because fever and hematuria were documented in the ED, so the coder was incorrect by not
identifying it as present on admission.
If a patient has health insurance but pays in full for a healthcare service and asks that the
information be kept private, under HIPAA the covered entity must: - answer Comply with the
patient's request and keep the information private
Between which two health information system applications is there the least interoperability at the
present time? - answer EHR in a physician office and revenue cycle management
An employee forgot his user ID badge at home and uses another employee's badge to access the
computer system. What controls should have been in place to minimize this security breach? -
answer Workforce security awareness training
What type of organization works under contract with CMS to conduct Medicare and Medicaid
certification surveys for hospitals? - answer State licensure agencies
The process of conducting a thorough review of the internal and external conditions in which a
healthcare entity operates is called: - answer Environmental assessment
Which of the following would be used to determine what the users need in an information system? -
answer Questionnaire
For a contract to be valid, it must include three elements. Which of the following is one of those
elements? A valid offer, acceptance and ... - answer Consideration
The process of releasing health record documentation originally created by a different provider is
called: - answer Redisclosure
If a data breach caused by willful neglect is corrected within 30 days from the date of the covered
entity or business associate becoming aware of it, what level of violation of the HIPAA Omnibus Rule
is this breach? - answer Tier 3
The director of the health information department wanted to determine the level of physicians'
satisfaction with the department's services. The director surveyed the physicians who came to the
department. What type of sample is this? Non-probability or opportunity sample, sample drawn
without any underlying probability-based selection method. - answer Convenience
As part of the initiative to improve data integrity, the Data Quality Committee conducted an
inventory of all the hospital's databases. The review showed that more than 70 percent of the
identified databases did not have data dictionaries. Given this data, what should be the committee's
first action? - answer Establish a data dictionary policy with associated standards
Systems linked by ________ allow HIE participants to search for health records on each of the other
systems using patient indexing and identification software. - answer RLSs - Record Locator Service
Community Hospital is reviewing its job descriptions and notices that some job descriptions for
clinical positions include a reference to the potential risks of exposure to blood-borne pathogens
while others do not. The human resource manager insists that all job descriptions should include this
language. Why is this important to include? - answer Community Hospital needs to define the level
of risk for infection from blood-borne pathogens for its employees.
The patient is a 47-year-old. What is the correct code for an initial inguinal herniorrhaphy for
incarcerated hernia? - answer 49507, Repair initial inguinal hernia, age 5 years or older;
incarcerated or strangulated
A hospital is undergoing a major reconstruction project and a new director of nursing has been
hired. At the same time, the nursing documentation component of the EHR has been implemented.
The fact that nursing staff satisfaction scores have risen is: - answer Uncertain due to existence of
confounding variables
As part of his role at the local hospital, Jake is reviewing Joint Commission standards to ensure that
the organization is meeting the accreditation requirements. As part of the review, Jake is looking at a
specific set of standards that are primarily focused on documentation. Some of the standard
requirements include care provided, procedures that were done on the patient, and the progress of
the patient. Based on this scenario, which set of Joint Commission standards is Jake reviewing? -
answer Record of Care Standards
Following a motor vehicle accident, a patient presents to the emergency department (ED) with
obvious head trauma and lower abdominal pain. The patient also notes recent hematuria prior to
, the accident and has a slight fever. A CT brain scan reveals the presence of a skull fracture with a
hematoma, and the patient is admitted. During the hospital stay, the patient is treated for a urinary
tract infection. The coder assigns the skull fracture and hematoma as present on admission, and the
urinary tract infection as not present on admission. The coding manager reviews this case and
identifies the following error: - answer The urinary tract infection was present on admission
because fever and hematuria were documented in the ED, so the coder was incorrect by not
identifying it as present on admission.
If a patient has health insurance but pays in full for a healthcare service and asks that the
information be kept private, under HIPAA the covered entity must: - answer Comply with the
patient's request and keep the information private
Between which two health information system applications is there the least interoperability at the
present time? - answer EHR in a physician office and revenue cycle management
An employee forgot his user ID badge at home and uses another employee's badge to access the
computer system. What controls should have been in place to minimize this security breach? -
answer Workforce security awareness training
What type of organization works under contract with CMS to conduct Medicare and Medicaid
certification surveys for hospitals? - answer State licensure agencies
The process of conducting a thorough review of the internal and external conditions in which a
healthcare entity operates is called: - answer Environmental assessment
Which of the following would be used to determine what the users need in an information system? -
answer Questionnaire
For a contract to be valid, it must include three elements. Which of the following is one of those
elements? A valid offer, acceptance and ... - answer Consideration
The process of releasing health record documentation originally created by a different provider is
called: - answer Redisclosure
If a data breach caused by willful neglect is corrected within 30 days from the date of the covered
entity or business associate becoming aware of it, what level of violation of the HIPAA Omnibus Rule
is this breach? - answer Tier 3
