RHIT EXAM NEWEST 2024-2025 ACTUAL
EXAM QUESTIONS AND DETAILED
CORRECT ANSWERS 100 % CORRECT |
A+ GRADE
Community Hospital is discussing restricting the access
that physician have to electronic clinical records. The
medical record committee is divided on how to approach
this issue. Some committee members maintain that all
information should be available, whereas others maintain
that HIPAA restricts access. The HIM director is part of the
committee. Which of the following should the director
advise the committee? Correct Answer The "minimum
necessary" concept does not apply to disclosures made
for treatment purposes, but the organization must define
what physicians need as part of their treatment role
A physician takes the medical records of a group of HIV-
positive patients out of the hospital to complete research
tasks at home. The physician mistakenly leaves the
records in a restaurant, where they are read by a
newspaper reporter who publishes an article that identifies
the patients. The physician can be sued for: Correct
Answer Invasion of privacy
Mrs. Bolton is an angry patient who resents her physicians
"bossing her around." She refuses to take a portion of the
medications the nurses bring to her pursuant to physicians
,orders and is verbally abusive to the patient care
assistants. Of the following options, the most appropriate
way to document Mrs. Bolton's behavior in the patient
medical record is: Correct Answer Non-compliant and
hostile towads staff
As the corporate director of HIM Services and enterprise
privacy officer, you are asked to review a patient's health
record in preparation for a legal proceeding for a
malpractice case. The lawsuit was brought by the patient
72 days after the procedure. The physician in question has
a longstanding history of being lackadaisical with record
completion practices. Previous concerns regarding this
physician's record maintenance practices had been
reported to the facility's Credentialing Committee. Is this
information admissible in court? Correct Answer This
information could be rejected since the physician dictated
the procedure note after the malpractice suit was filed
While auditing health records for incomplete
documentation, the HIM specialist identifies written
progress notes by Dr. Doe that she cannot read. She
reports this to the hospital's risk manager. What is the best
method to determine the scope of the documentation
problem by Dr. Doe? Correct Answer An HIM professional
should conduct a more detailed audit of Dr. Doe's patients'
records.
A Medicate patient had two physician office visits,
underwent hospital radiology examinations, clinical
laboratory tests, and received take-home surgical
,dressings. Which of the following could be reimbursed
under the outpatient prospective payment system? Correct
Answer Radiology examination
In conducting a qualitative review, the clinical
documentation specialist sees that the nursing staff has
documented the patient's skin integrity on admission to
support the presence of a stage I pressure ulcer.
However, the physician's documentation is unclear as to
whether this condition was present on admission. How
should the clinical documentation specialist proceed?
Correct Answer Query the physician to determine if the
condition was present on admission
Given the following information, from which payer does the
hospital proportionately receive the least amount of
payment? Correct Answer Medicaid
Which of the following is the definition of revenue cycle
management? Correct Answer Coordination of all
administrative and clinical functions that contribue to the
capture, management, and collection of patient service
revenue
Most facilities begin counting days in accounts receivable
at which of the following times? Correct Answer The date
the bill drops
The amount of money owed a healthcare facility when
claims are pending is called: Correct Answer Dollars in
accounts receivable
, In a typical acute-care setting, the Explanation of Benefits,
Medicare Summary Notice, and Remittance Advice
documents (provided by the payer) are monitored in which
revenue cycle area? Correct Answer Claims
reconcilliation/collections
Most chief financial officers view the HIM department's
most essential role in the revenue cycle management to
be: Correct Answer Coding of the record
A secretary in the Nursing Office was recently hospitalized
with ketoacidosis. She comes to the health information
management department and requests to review her
health record. Of the options here, what is the best course
of action? Correct Answer Allow her to review her record
after obtaining authorization from her
St. Joseph's Hospital has a psychiatric service on the sixth
floor of the hospital. A 31-year old male has come to the
HIM department and requested to see a copy of his
medical record. He indicated he was a patient of Dr.
Schmidt, a psychiatrist, and that he was on the sixth floor
of St. Joseph's for the last two months. These records are
not psychotherapy notes. Of the options here, what is the
best course of action? Correct Answer Allow the patient to
access his record if, after contacting his physician, his
physician does not think it will be harmful to the patient
Minors are basically deemed legally incompetent to
access, use or disclose their health information. What
EXAM QUESTIONS AND DETAILED
CORRECT ANSWERS 100 % CORRECT |
A+ GRADE
Community Hospital is discussing restricting the access
that physician have to electronic clinical records. The
medical record committee is divided on how to approach
this issue. Some committee members maintain that all
information should be available, whereas others maintain
that HIPAA restricts access. The HIM director is part of the
committee. Which of the following should the director
advise the committee? Correct Answer The "minimum
necessary" concept does not apply to disclosures made
for treatment purposes, but the organization must define
what physicians need as part of their treatment role
A physician takes the medical records of a group of HIV-
positive patients out of the hospital to complete research
tasks at home. The physician mistakenly leaves the
records in a restaurant, where they are read by a
newspaper reporter who publishes an article that identifies
the patients. The physician can be sued for: Correct
Answer Invasion of privacy
Mrs. Bolton is an angry patient who resents her physicians
"bossing her around." She refuses to take a portion of the
medications the nurses bring to her pursuant to physicians
,orders and is verbally abusive to the patient care
assistants. Of the following options, the most appropriate
way to document Mrs. Bolton's behavior in the patient
medical record is: Correct Answer Non-compliant and
hostile towads staff
As the corporate director of HIM Services and enterprise
privacy officer, you are asked to review a patient's health
record in preparation for a legal proceeding for a
malpractice case. The lawsuit was brought by the patient
72 days after the procedure. The physician in question has
a longstanding history of being lackadaisical with record
completion practices. Previous concerns regarding this
physician's record maintenance practices had been
reported to the facility's Credentialing Committee. Is this
information admissible in court? Correct Answer This
information could be rejected since the physician dictated
the procedure note after the malpractice suit was filed
While auditing health records for incomplete
documentation, the HIM specialist identifies written
progress notes by Dr. Doe that she cannot read. She
reports this to the hospital's risk manager. What is the best
method to determine the scope of the documentation
problem by Dr. Doe? Correct Answer An HIM professional
should conduct a more detailed audit of Dr. Doe's patients'
records.
A Medicate patient had two physician office visits,
underwent hospital radiology examinations, clinical
laboratory tests, and received take-home surgical
,dressings. Which of the following could be reimbursed
under the outpatient prospective payment system? Correct
Answer Radiology examination
In conducting a qualitative review, the clinical
documentation specialist sees that the nursing staff has
documented the patient's skin integrity on admission to
support the presence of a stage I pressure ulcer.
However, the physician's documentation is unclear as to
whether this condition was present on admission. How
should the clinical documentation specialist proceed?
Correct Answer Query the physician to determine if the
condition was present on admission
Given the following information, from which payer does the
hospital proportionately receive the least amount of
payment? Correct Answer Medicaid
Which of the following is the definition of revenue cycle
management? Correct Answer Coordination of all
administrative and clinical functions that contribue to the
capture, management, and collection of patient service
revenue
Most facilities begin counting days in accounts receivable
at which of the following times? Correct Answer The date
the bill drops
The amount of money owed a healthcare facility when
claims are pending is called: Correct Answer Dollars in
accounts receivable
, In a typical acute-care setting, the Explanation of Benefits,
Medicare Summary Notice, and Remittance Advice
documents (provided by the payer) are monitored in which
revenue cycle area? Correct Answer Claims
reconcilliation/collections
Most chief financial officers view the HIM department's
most essential role in the revenue cycle management to
be: Correct Answer Coding of the record
A secretary in the Nursing Office was recently hospitalized
with ketoacidosis. She comes to the health information
management department and requests to review her
health record. Of the options here, what is the best course
of action? Correct Answer Allow her to review her record
after obtaining authorization from her
St. Joseph's Hospital has a psychiatric service on the sixth
floor of the hospital. A 31-year old male has come to the
HIM department and requested to see a copy of his
medical record. He indicated he was a patient of Dr.
Schmidt, a psychiatrist, and that he was on the sixth floor
of St. Joseph's for the last two months. These records are
not psychotherapy notes. Of the options here, what is the
best course of action? Correct Answer Allow the patient to
access his record if, after contacting his physician, his
physician does not think it will be harmful to the patient
Minors are basically deemed legally incompetent to
access, use or disclose their health information. What
