RHIT Exam Prep EXAM 2025 200 QUESTIONS AND CORRECT ANSWER
Who assists educating med staff mbrs on doc'n needed for accurate billing? -
answer>>>Physician champion
What data set is most helpful in developing hosp trauma data registry? - answer>>>Data
Elements for Emergency Department Systems (DEEDS)
Dr. Jones asks HIM director to pull all his records from prev year that show MI, so where would
director begin? - answer>>>Disease index
Activities of daily living (ADL) are components of: - answer>>>Outcomes and ASsessment
Information Set (OASIS)
Managing org's data and those who enter it is an ongoing challenge req'ing active adm and
oversight, so this can be managed through what? - answer>>>Data dictionary which is a
descriptive list of data elements to be collected in an information system or database who
purpose is to ensure consistency of terminology
Hosp's EHR defines expected values of gender as female, male, and unknown, so these values
are known as: - answer>>>Data precision since it is the extent to which data values are
expected to have
What needs to be a pt's health record prior to performing a surgical procedure? -
answer>>>Consent for operative procedure, history, and physical examination
HIM dept wants to move 5yrs of health records to offsite location into boxes and filed on open
shelves, so what should be done in order for record locations can be easily ID'd in the storage
area? - answer>>>Provide unique identifier for each box and prepare a log of the records that is
cross-indexed by box identifier
Cancer registries are est by hosps: - answer>>>Voluntarily or by state law
,In add'n to case mix, other factors that may influence episode-related data quality could be: -
answer>>>LOS-inpatient, health record documentation, and data abstract type
In add'n to case mix, other factors would not influence episode-related data quality would be: -
answer>>>Workflow issues
Pt name, zip, and health record number are typical: - answer>>>Data fields
Phys asks HIM director for total number of appendectomies he performed last year, so director
will provide phys with: - answer>>>Aggregate data because this definition is data extracted
from individual health records and combined to form deidentified information about groups of
pts that can be compared and analyzed
What can assist mgrs w/task of monitoring productivity and forecasting budgets? -
answer>>>Workload statistics
To display number of deaths from breast cancer 1998-2008, what is the best graphic technique
to use? - answer>>>Line graph
Hosp can monitor its perf under MS-DRG system by monitoring its: - answer>>>Case-mix index
(CMI) since this is average of the relative weights of all cases treated at a given hospital
AHIMA's retention standards recommend that MPI be maintained: - answer>>>Permanently
When designing a paper-based storage system, what is the best to use for floor space
conservation? - answer>>>Mobile filing units
Pt acct'g reports incr in national coverage decision (NCDs) and local coverage determinations
(LCDs) failed edits in observation accts, so what dept will be tasked to resolve this issue? -
answer>>>HIM handles failed edits as one of its many department duties
, What can be used to dev a focused inpt coding review? - answer>>>Controversial issues
identified in AHA Coding Clinic, recent data quality issues identified by external review agencies,
and analysis of comparative data
What cannot be used to dev a focused inpt coding review? - answer>>>Top 25 APC groups by
volume and charges
35yo male adm w/esophageal reflux, and esophagoscopy and closed esophageal biopsy were
performed, so what codes were assigned? - answer>>>K21.9, Gastro-esophageal reflux disease
without esophagitis
0DB58ZX, Med/surg, GI sys, Excision, Esophagus, Via Natural or artificial endoscopic, No device,
Diagnostic
According to CPT, endoscopy taken to the level of midtransverse colon would be coded as: -
answer>>>Colonoscopy since that includes examining transverse colon
According to CPT, proctosigmoidoscopy involves what part(s) of colon? - answer>>>rectum and
sigmoid colon
According to CPT, sigmoidoscopy involves what part(s) of colon? - answer>>>rectum, sigmoid
colon, and may include parts of desc colon
Pt adm to hosp w/SOB and CHF, and subseq dev's resp fail. Pt undergoes intubation
w/ventilator mgmt, so what is correct seq and coding of this case? - answer>>>CHF, respiratory
failure, ventilator management, intubation
Pt adm to hosp w/abdominal pain and PD is cholecystitis. Pt had hx of hypertension and DM, so
in DRG PPS, what would determine the MDC assignment for pt? - answer>>>PD (cholecystitis)
determines MDC assignment
Sum of hosp's relative DRG weights for year is 15,192 with 10,471 discharges in same year, so
what is hosp's CMI for that year? - answer>>>1.45 (total weights/total discharges)
Who assists educating med staff mbrs on doc'n needed for accurate billing? -
answer>>>Physician champion
What data set is most helpful in developing hosp trauma data registry? - answer>>>Data
Elements for Emergency Department Systems (DEEDS)
Dr. Jones asks HIM director to pull all his records from prev year that show MI, so where would
director begin? - answer>>>Disease index
Activities of daily living (ADL) are components of: - answer>>>Outcomes and ASsessment
Information Set (OASIS)
Managing org's data and those who enter it is an ongoing challenge req'ing active adm and
oversight, so this can be managed through what? - answer>>>Data dictionary which is a
descriptive list of data elements to be collected in an information system or database who
purpose is to ensure consistency of terminology
Hosp's EHR defines expected values of gender as female, male, and unknown, so these values
are known as: - answer>>>Data precision since it is the extent to which data values are
expected to have
What needs to be a pt's health record prior to performing a surgical procedure? -
answer>>>Consent for operative procedure, history, and physical examination
HIM dept wants to move 5yrs of health records to offsite location into boxes and filed on open
shelves, so what should be done in order for record locations can be easily ID'd in the storage
area? - answer>>>Provide unique identifier for each box and prepare a log of the records that is
cross-indexed by box identifier
Cancer registries are est by hosps: - answer>>>Voluntarily or by state law
,In add'n to case mix, other factors that may influence episode-related data quality could be: -
answer>>>LOS-inpatient, health record documentation, and data abstract type
In add'n to case mix, other factors would not influence episode-related data quality would be: -
answer>>>Workflow issues
Pt name, zip, and health record number are typical: - answer>>>Data fields
Phys asks HIM director for total number of appendectomies he performed last year, so director
will provide phys with: - answer>>>Aggregate data because this definition is data extracted
from individual health records and combined to form deidentified information about groups of
pts that can be compared and analyzed
What can assist mgrs w/task of monitoring productivity and forecasting budgets? -
answer>>>Workload statistics
To display number of deaths from breast cancer 1998-2008, what is the best graphic technique
to use? - answer>>>Line graph
Hosp can monitor its perf under MS-DRG system by monitoring its: - answer>>>Case-mix index
(CMI) since this is average of the relative weights of all cases treated at a given hospital
AHIMA's retention standards recommend that MPI be maintained: - answer>>>Permanently
When designing a paper-based storage system, what is the best to use for floor space
conservation? - answer>>>Mobile filing units
Pt acct'g reports incr in national coverage decision (NCDs) and local coverage determinations
(LCDs) failed edits in observation accts, so what dept will be tasked to resolve this issue? -
answer>>>HIM handles failed edits as one of its many department duties
, What can be used to dev a focused inpt coding review? - answer>>>Controversial issues
identified in AHA Coding Clinic, recent data quality issues identified by external review agencies,
and analysis of comparative data
What cannot be used to dev a focused inpt coding review? - answer>>>Top 25 APC groups by
volume and charges
35yo male adm w/esophageal reflux, and esophagoscopy and closed esophageal biopsy were
performed, so what codes were assigned? - answer>>>K21.9, Gastro-esophageal reflux disease
without esophagitis
0DB58ZX, Med/surg, GI sys, Excision, Esophagus, Via Natural or artificial endoscopic, No device,
Diagnostic
According to CPT, endoscopy taken to the level of midtransverse colon would be coded as: -
answer>>>Colonoscopy since that includes examining transverse colon
According to CPT, proctosigmoidoscopy involves what part(s) of colon? - answer>>>rectum and
sigmoid colon
According to CPT, sigmoidoscopy involves what part(s) of colon? - answer>>>rectum, sigmoid
colon, and may include parts of desc colon
Pt adm to hosp w/SOB and CHF, and subseq dev's resp fail. Pt undergoes intubation
w/ventilator mgmt, so what is correct seq and coding of this case? - answer>>>CHF, respiratory
failure, ventilator management, intubation
Pt adm to hosp w/abdominal pain and PD is cholecystitis. Pt had hx of hypertension and DM, so
in DRG PPS, what would determine the MDC assignment for pt? - answer>>>PD (cholecystitis)
determines MDC assignment
Sum of hosp's relative DRG weights for year is 15,192 with 10,471 discharges in same year, so
what is hosp's CMI for that year? - answer>>>1.45 (total weights/total discharges)