©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM.
Domain 5 RHIA Study Exam Questions And
Answers 2025 Update.
A director of health information services in a hospital wants to implement a computer-based
patient record system over the next 2 years. She gets support from the CIO, who advocates for
the project with the administrative team. The CIO has become the project's ________.
a. Stakeholder
b. Champion
c. Manager
d. Owner - Answer✔b. Champion
The project champion is an executive in the organization who believes in the benefits of the
project and advocates for the project. Depending on the overall impact the project has on the
healthcare organization, this individual may be the manager of the HIM department or the
director over the business unit where the HIM department resides, or it could be the chief
operations officer
External change agents have the advantage over internal agents regarding:
a. Benchmarking the healthcare entity against other entities
b. Being less objective
c. Understanding the history of the entity
d. Being less expensive to employ - Answer✔a. Benchmarking the healthcare entity against
other entities
The external change agent has the advantage of providing a fresh, outside view as well as
having the knowledge base to compare performance across organizations. Not having direct
connections to the organization, he or she usually feels more comfortable challenging norms
and culture, questioning unusual or unfair practices, and generally noting events that others
1
,©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM.
may be reluctant to comment on. Being from the outside, he or she may be seen as having new
skills and being more objective, or at least less biased, than an internal agent
The slightly higher wage paid to an employee who works a less desirable shift is called a:
a. Shift rotation
b. Performance incentive
c. Shift differential
d. Work distribution ladder - Answer✔c. Shift differential
Many employers pay a slightly higher hourly wage to employees who work less desirable shifts
(evening, night, weekend). This is referred to as shift differential
According to the records kept on filing unit performance over the past year, the filing unit has
filed an average of 1,000 records per day. You have three full-time equivalent (FTE) record filers
in the department who are productive 88 percent of each workday (that is, 12 percent
unproductive or 12 percent PFD). Based on this information, what is the average number of
records filed per productive hour in the file unit as a whole?
a. 42 records per hour
b. 48 records per hour
c. 110 records per hour
d. 143 records per hour - Answer✔d. 143 records per hour
First calculate the number of productive hours in a day: 88% × 8 hours = 7.04 hours/day. Then
divide the 1,000 records/7 hours = 142.9 or 143 charts/hour for the three filers
Reviewing the following PERT chart, what is the critical path for this project?
a. a → c → d → f → i
b. a → b → f → i
c. a → d → g → h → i
d. a → c → e → f → i - Answer✔c. a → d → g → h → i
The path with the greatest total duration time is called the critical path and represents the
longest amount of time required to compete the total project. The critical path in this project is
the sequence a → d → g → h → i, which will require 23 days
2
,©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM.
Employees covered by the provisions of the Fair Labor Standards Act (FLSA) are called ________
employees.
a. Waged
b. Salaried
c. Exempt
d. Nonexempt - Answer✔d. Nonexempt
Provisions of the FLSA, for example, cover minimum wage, overtime pay, child labor
restrictions, and equal pay for equal work regardless of sex. Covered groups are referred to as
nonexempt employees
A technique for measuring healthcare entity performance across the four perspectives of
customer, financial, internal processes, and learning and growth is called:
a. Strategy map
b. Process innovations
c. Balanced scorecard methodology
d. SWOT analysis - Answer✔c. Balanced scorecard methodology
Balanced scorecard methodology is a technique for measuring organization performance across
the four perspectives of customer, financial, internal processes, and learning and growth
The financial statement that presents a record of operations by showing revenue and expenses
over a period of time is called the:
a. Balance sheet
b. Statement of cash flows
c. Income statement
d. Statement of retained earnings - Answer✔c. Income statement
An income statement summarizes the organization's revenue and expense transactions during
the fiscal year. The income statement can be prepared at any point in time and reflects results
up to that point
The HIM department records copy fees as revenue. For the year the budgeted fees were
$25,000 and the actual fees received are $23,000. The director may be asked to explain a(n):
3
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM.
a. Favorable variance of $2,000
b. Unfavorable variance of $2,000
c. Favorable variance of $23,000
d. Unfavorable variance of $23,000 - Answer✔b. Unfavorable variance of $2,000
The difference between the budgeted fees and actual fees is an unfavorable variance of $2,000.
Unfavorable variances occur when the actual results are worse than what was budgeted
Joe Smith, RHIA, works for an outsourcing company as interim health information department
director in a large hospital. By the terms of the contract, the hospital pays the company for
Joe's services based on a 40-hour workweek with overtime for any hours exceeding 40. Joe
typically works 9 hours per day, Monday through Thursday, and 4 hours on Friday. He then flies
home for the weekend. After several months, he discovers the hospital is billed for 44 to 48
hours per week almost every week. Joe confronts the company billing department because this
practice conflicts with the tenet of the AHIMA Code of Ethics that states that health information
management professionals:
a. Respect the rights and dignity of all individuals
b. Adhere to the vision, mission, and values of the association
c. Promote and protect the confidentiality and security of health records and health
information
d. Refuse to participate in or conceal - Answer✔d. Refuse to participate in or conceal unethical
practices or procedures
American Health Information Management Association (AHIMA) professionals must abide to
the AHIMA Code of Ethics principle to refuse to participate in or conceal unethical practices or
procedures
Which of the following statements is most accurate regarding effective communication?
a. Use passive listening
b. Monitor others' nonverbal behaviors for cues that they are following or confused
c. Make sure all parties are distracted to better communicate your message
d. Message content is more important than how it is delivered - Answer✔b. Monitor others'
nonverbal behaviors for cues that they are following or confused
4
Domain 5 RHIA Study Exam Questions And
Answers 2025 Update.
A director of health information services in a hospital wants to implement a computer-based
patient record system over the next 2 years. She gets support from the CIO, who advocates for
the project with the administrative team. The CIO has become the project's ________.
a. Stakeholder
b. Champion
c. Manager
d. Owner - Answer✔b. Champion
The project champion is an executive in the organization who believes in the benefits of the
project and advocates for the project. Depending on the overall impact the project has on the
healthcare organization, this individual may be the manager of the HIM department or the
director over the business unit where the HIM department resides, or it could be the chief
operations officer
External change agents have the advantage over internal agents regarding:
a. Benchmarking the healthcare entity against other entities
b. Being less objective
c. Understanding the history of the entity
d. Being less expensive to employ - Answer✔a. Benchmarking the healthcare entity against
other entities
The external change agent has the advantage of providing a fresh, outside view as well as
having the knowledge base to compare performance across organizations. Not having direct
connections to the organization, he or she usually feels more comfortable challenging norms
and culture, questioning unusual or unfair practices, and generally noting events that others
1
,©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM.
may be reluctant to comment on. Being from the outside, he or she may be seen as having new
skills and being more objective, or at least less biased, than an internal agent
The slightly higher wage paid to an employee who works a less desirable shift is called a:
a. Shift rotation
b. Performance incentive
c. Shift differential
d. Work distribution ladder - Answer✔c. Shift differential
Many employers pay a slightly higher hourly wage to employees who work less desirable shifts
(evening, night, weekend). This is referred to as shift differential
According to the records kept on filing unit performance over the past year, the filing unit has
filed an average of 1,000 records per day. You have three full-time equivalent (FTE) record filers
in the department who are productive 88 percent of each workday (that is, 12 percent
unproductive or 12 percent PFD). Based on this information, what is the average number of
records filed per productive hour in the file unit as a whole?
a. 42 records per hour
b. 48 records per hour
c. 110 records per hour
d. 143 records per hour - Answer✔d. 143 records per hour
First calculate the number of productive hours in a day: 88% × 8 hours = 7.04 hours/day. Then
divide the 1,000 records/7 hours = 142.9 or 143 charts/hour for the three filers
Reviewing the following PERT chart, what is the critical path for this project?
a. a → c → d → f → i
b. a → b → f → i
c. a → d → g → h → i
d. a → c → e → f → i - Answer✔c. a → d → g → h → i
The path with the greatest total duration time is called the critical path and represents the
longest amount of time required to compete the total project. The critical path in this project is
the sequence a → d → g → h → i, which will require 23 days
2
,©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM.
Employees covered by the provisions of the Fair Labor Standards Act (FLSA) are called ________
employees.
a. Waged
b. Salaried
c. Exempt
d. Nonexempt - Answer✔d. Nonexempt
Provisions of the FLSA, for example, cover minimum wage, overtime pay, child labor
restrictions, and equal pay for equal work regardless of sex. Covered groups are referred to as
nonexempt employees
A technique for measuring healthcare entity performance across the four perspectives of
customer, financial, internal processes, and learning and growth is called:
a. Strategy map
b. Process innovations
c. Balanced scorecard methodology
d. SWOT analysis - Answer✔c. Balanced scorecard methodology
Balanced scorecard methodology is a technique for measuring organization performance across
the four perspectives of customer, financial, internal processes, and learning and growth
The financial statement that presents a record of operations by showing revenue and expenses
over a period of time is called the:
a. Balance sheet
b. Statement of cash flows
c. Income statement
d. Statement of retained earnings - Answer✔c. Income statement
An income statement summarizes the organization's revenue and expense transactions during
the fiscal year. The income statement can be prepared at any point in time and reflects results
up to that point
The HIM department records copy fees as revenue. For the year the budgeted fees were
$25,000 and the actual fees received are $23,000. The director may be asked to explain a(n):
3
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM.
a. Favorable variance of $2,000
b. Unfavorable variance of $2,000
c. Favorable variance of $23,000
d. Unfavorable variance of $23,000 - Answer✔b. Unfavorable variance of $2,000
The difference between the budgeted fees and actual fees is an unfavorable variance of $2,000.
Unfavorable variances occur when the actual results are worse than what was budgeted
Joe Smith, RHIA, works for an outsourcing company as interim health information department
director in a large hospital. By the terms of the contract, the hospital pays the company for
Joe's services based on a 40-hour workweek with overtime for any hours exceeding 40. Joe
typically works 9 hours per day, Monday through Thursday, and 4 hours on Friday. He then flies
home for the weekend. After several months, he discovers the hospital is billed for 44 to 48
hours per week almost every week. Joe confronts the company billing department because this
practice conflicts with the tenet of the AHIMA Code of Ethics that states that health information
management professionals:
a. Respect the rights and dignity of all individuals
b. Adhere to the vision, mission, and values of the association
c. Promote and protect the confidentiality and security of health records and health
information
d. Refuse to participate in or conceal - Answer✔d. Refuse to participate in or conceal unethical
practices or procedures
American Health Information Management Association (AHIMA) professionals must abide to
the AHIMA Code of Ethics principle to refuse to participate in or conceal unethical practices or
procedures
Which of the following statements is most accurate regarding effective communication?
a. Use passive listening
b. Monitor others' nonverbal behaviors for cues that they are following or confused
c. Make sure all parties are distracted to better communicate your message
d. Message content is more important than how it is delivered - Answer✔b. Monitor others'
nonverbal behaviors for cues that they are following or confused
4
