©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM.
RHIA 2025 Domain 1 Data and Information
Governance. Exam Questions And Answers
2025 Update.
1. The HIM manager tasked the coding manager to development of a dashboard that shows the
discharges pending final billing so that she can plan for staffing. Because this data changes
throughout the day, what analysis technique is needed?
a. Predictive modelling
b. Indirect standardization
c. Real-time analytics
d. Data mining - Answer✔C
2. A hospital employee destroyed a health record so that its contents—which would be
damaging to the employee—could not be used at trial. In legal terms, the employee's action
constitutes:
a. Mutilation
b. Destruction
c. Spoliation
d. Spoilage - Answer✔C
3. The following descriptors about the data element DISCHARGE_DATE are included in a data
dictionary: definition: date patient was discharged from the hospital; data type: date; field
length: 15; required field: yes; default value: none; template: none. For this data element, data
integrity would be better assured if:
a. The template was defined
b. The data type was numeric
c. The field was not required
d. The field length was longer - Answer✔A
1
,©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM.
4. The HIM director at Community Hospital has noticed that history and physicals and operative
reports are not being transcribed and returned by the transcription service within the
negotiated timeframes. What should be her primary concern related to this issue?
a. That the transcription service company will overcharge the hospital for reports that are
delayed
b. That physicians will stop dictating reports and just include comments in the progress notes
c. That the Joint Commission will find that history and physicals are not being uploaded to the
EHR system within the required 24-hour timeframe
d. That information is not being made available in the patient portal within the required
timeframe - Answer✔C
5. Which statistics should a health data analyst recommend to a manager who would like to
measure the relationship between length of stay and time to code a health record?
a. Slope of the linear regression time
b. T-test
c. Correlation
d. Intercept of the linear regression line - Answer✔C
6. Danny, an HIM analyst for Memorial Hospital, is conducting a qualitative analysis of a
discharged patient's chart. His goal in this process is:
a. Determining if the documentation includes all requirements set by CMS, the state, and
accrediting bodies
b. Identifying whether all lab orders have corresponding lab reports in the chart
c. Verifying that health professionals are providing appropriate care
d. Ensuring the hospital bill is correct - Answer✔A
7. Gladys was admitted to Sunshine Nursing Facility for rehabilitation following her hip fracture.
Upon admission, the nursing staff assessed Gladys in multiple areas, some of which are
cognitive loss, mood, vision function, pain, and the medications she is taking. This information
will be recorded in her health record for the:
a. Minimum data set to plan her care
b. Pay-for-performance initiatives to manage payment
c. Requirements of the CDC
d. Identification of patients for NPSGs - Answer✔A
2
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM.
8. In order to set the budget for next year, the hospital administrator tasked a business analyst
with determining the average charges and average length of stay for Medicaid patients. The
business analyst uses hospital claims data for this analysis and provides the results to the
administrator. What type of data are the claims data in this case?
a. Clinical data
b. Statistical data
c. Secondary data
d. Primary data - Answer✔C
9. The Western Hospital Corporation's HIM director wants to compare the time that each of the
hospitals in the corporation are spending on chart analysis and determine how they are
performing against the best practice standard. The HIM director generated the following data
for comparison. What is this comparison process called?
a. Process comparison
b. Outcome comparison
c. Comparing
d. Benchmarking - Answer✔D
10. At Memorial Hospital, HIM professionals are located in the nursing stations, where they are
responsible for all aspects of health record processing. While the patient is in the facility, the
HIM professional does a daily concurrent review of the record. How does this assist the
organization?
a. By helping to remind providers to complete documentation requirements and sign orders,
which is easier to do while the patient is still at the facility
b. By indicating to physicians what documentation must be completed once the patient goes
home
c. By giving the billing department a list of all the charges to date for the patient
d. By allowing the documentation to be uploaded to the patient portal for the patient to use
after discharge - Answer✔A
11. Hospitals often use master patient indexes to do which of the following?
a. Analyze population-based data
b. Determine survival rates
c. Evaluate physicians
3
RHIA 2025 Domain 1 Data and Information
Governance. Exam Questions And Answers
2025 Update.
1. The HIM manager tasked the coding manager to development of a dashboard that shows the
discharges pending final billing so that she can plan for staffing. Because this data changes
throughout the day, what analysis technique is needed?
a. Predictive modelling
b. Indirect standardization
c. Real-time analytics
d. Data mining - Answer✔C
2. A hospital employee destroyed a health record so that its contents—which would be
damaging to the employee—could not be used at trial. In legal terms, the employee's action
constitutes:
a. Mutilation
b. Destruction
c. Spoliation
d. Spoilage - Answer✔C
3. The following descriptors about the data element DISCHARGE_DATE are included in a data
dictionary: definition: date patient was discharged from the hospital; data type: date; field
length: 15; required field: yes; default value: none; template: none. For this data element, data
integrity would be better assured if:
a. The template was defined
b. The data type was numeric
c. The field was not required
d. The field length was longer - Answer✔A
1
,©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM.
4. The HIM director at Community Hospital has noticed that history and physicals and operative
reports are not being transcribed and returned by the transcription service within the
negotiated timeframes. What should be her primary concern related to this issue?
a. That the transcription service company will overcharge the hospital for reports that are
delayed
b. That physicians will stop dictating reports and just include comments in the progress notes
c. That the Joint Commission will find that history and physicals are not being uploaded to the
EHR system within the required 24-hour timeframe
d. That information is not being made available in the patient portal within the required
timeframe - Answer✔C
5. Which statistics should a health data analyst recommend to a manager who would like to
measure the relationship between length of stay and time to code a health record?
a. Slope of the linear regression time
b. T-test
c. Correlation
d. Intercept of the linear regression line - Answer✔C
6. Danny, an HIM analyst for Memorial Hospital, is conducting a qualitative analysis of a
discharged patient's chart. His goal in this process is:
a. Determining if the documentation includes all requirements set by CMS, the state, and
accrediting bodies
b. Identifying whether all lab orders have corresponding lab reports in the chart
c. Verifying that health professionals are providing appropriate care
d. Ensuring the hospital bill is correct - Answer✔A
7. Gladys was admitted to Sunshine Nursing Facility for rehabilitation following her hip fracture.
Upon admission, the nursing staff assessed Gladys in multiple areas, some of which are
cognitive loss, mood, vision function, pain, and the medications she is taking. This information
will be recorded in her health record for the:
a. Minimum data set to plan her care
b. Pay-for-performance initiatives to manage payment
c. Requirements of the CDC
d. Identification of patients for NPSGs - Answer✔A
2
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM.
8. In order to set the budget for next year, the hospital administrator tasked a business analyst
with determining the average charges and average length of stay for Medicaid patients. The
business analyst uses hospital claims data for this analysis and provides the results to the
administrator. What type of data are the claims data in this case?
a. Clinical data
b. Statistical data
c. Secondary data
d. Primary data - Answer✔C
9. The Western Hospital Corporation's HIM director wants to compare the time that each of the
hospitals in the corporation are spending on chart analysis and determine how they are
performing against the best practice standard. The HIM director generated the following data
for comparison. What is this comparison process called?
a. Process comparison
b. Outcome comparison
c. Comparing
d. Benchmarking - Answer✔D
10. At Memorial Hospital, HIM professionals are located in the nursing stations, where they are
responsible for all aspects of health record processing. While the patient is in the facility, the
HIM professional does a daily concurrent review of the record. How does this assist the
organization?
a. By helping to remind providers to complete documentation requirements and sign orders,
which is easier to do while the patient is still at the facility
b. By indicating to physicians what documentation must be completed once the patient goes
home
c. By giving the billing department a list of all the charges to date for the patient
d. By allowing the documentation to be uploaded to the patient portal for the patient to use
after discharge - Answer✔A
11. Hospitals often use master patient indexes to do which of the following?
a. Analyze population-based data
b. Determine survival rates
c. Evaluate physicians
3
