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RHIA DOMAIN 4 Exam Questions And
Answers 2025 Update.
__________ are implemented prior to an activity to stop an error from occurring. -
Answer✔Preventative controls
________are designed to find errors that have already been made. - Answer✔Detective
controls
_______- are designed to fix problems that have been discovered (LaTour, et al., 2013, 783). -
Answer✔Corrective controls
The Office of the Inspector General (OIG) is a division of the U.S. Department of _______ -
Answer✔Health & Human Services (HHS).
Which of the following is NOT one of the fundamental elements of an effective compliance
program from the Office of the Inspector General (OIG)? - Answer✔implementing a policy that
every patient must have an advanced directive
How often should a chargemaster be updated? - Answer✔That is the correct choice! It is critical
that the chargemaster is updated annually when new CPT/HCPCS codes are implemented to
ensure accurate code assignment for each item.
Use of uniform coding standards reduces administrative costs, enhances data quality and
integrity, and __________ - all of which leads to quality healthcare delivery and information. -
Answer✔improves decision-making
In November 2007, the AHIMA e-HIM Quality Work Group on Coding Performance Measures
and the Foundation of Research and Education (FORE) sponsored a survey to begin establishing
standards used in evaluating, benchmarking, and improving the quality of coding, entitled: -
Answer✔Survey on Coding Quality Measurement: Hospital Inpatient Acute Care
The physician query is employed when documentation in a health record is lacking in five areas:
_____________ It should not be used to question a physician's clinical judgment. -
Answer✔legibility,
completeness,
1
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM.
clarity,
consistency, and precision.
When composing a physician query, specific information should be included: - Answer✔Patient
name
Health record number
Date of service
Query date
Name and contact information of query creator
The actual query with clinical indicators
According to the AHIMA Standards of Ethical Coding, which of the following does not comply? -
Answer✔It is not appropriate to change a code based purely on a request of the business office.
When an "unconfirmed diagnosis" continues to be evaluated or treated, it is acceptable to code
it as confirmed in which health care setting? - Answer✔inpatient
According to the AHIMA Practice Brief on "Achieving a Compliant Query Practice" process, the
generation of a query should be considered when the health record documentation is:
conflicting, imprecise, illegible, ambiguous or inconsistent, or ________. - Answer✔incomplete
Government
Insurance companies
Managed-care programs
Self-insured programs
Are classified as what type of payers? - Answer✔indirect
What is classified as a patient to provider payment - Answer✔Self-pay
Out-of-pocket
Direct pay
Emphasis is on preventive medicine, servicing subscribers in a certain geographic location on a
comprehensive basis for a prepaid amount. is what type of insurance plan? - Answer✔HMO
Subscribers enroll voluntarily
Providers voluntarily agree to participate
Explicit contractual responsibility assumed by HMO
Capitation
2
RHIA DOMAIN 4 Exam Questions And
Answers 2025 Update.
__________ are implemented prior to an activity to stop an error from occurring. -
Answer✔Preventative controls
________are designed to find errors that have already been made. - Answer✔Detective
controls
_______- are designed to fix problems that have been discovered (LaTour, et al., 2013, 783). -
Answer✔Corrective controls
The Office of the Inspector General (OIG) is a division of the U.S. Department of _______ -
Answer✔Health & Human Services (HHS).
Which of the following is NOT one of the fundamental elements of an effective compliance
program from the Office of the Inspector General (OIG)? - Answer✔implementing a policy that
every patient must have an advanced directive
How often should a chargemaster be updated? - Answer✔That is the correct choice! It is critical
that the chargemaster is updated annually when new CPT/HCPCS codes are implemented to
ensure accurate code assignment for each item.
Use of uniform coding standards reduces administrative costs, enhances data quality and
integrity, and __________ - all of which leads to quality healthcare delivery and information. -
Answer✔improves decision-making
In November 2007, the AHIMA e-HIM Quality Work Group on Coding Performance Measures
and the Foundation of Research and Education (FORE) sponsored a survey to begin establishing
standards used in evaluating, benchmarking, and improving the quality of coding, entitled: -
Answer✔Survey on Coding Quality Measurement: Hospital Inpatient Acute Care
The physician query is employed when documentation in a health record is lacking in five areas:
_____________ It should not be used to question a physician's clinical judgment. -
Answer✔legibility,
completeness,
1
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM.
clarity,
consistency, and precision.
When composing a physician query, specific information should be included: - Answer✔Patient
name
Health record number
Date of service
Query date
Name and contact information of query creator
The actual query with clinical indicators
According to the AHIMA Standards of Ethical Coding, which of the following does not comply? -
Answer✔It is not appropriate to change a code based purely on a request of the business office.
When an "unconfirmed diagnosis" continues to be evaluated or treated, it is acceptable to code
it as confirmed in which health care setting? - Answer✔inpatient
According to the AHIMA Practice Brief on "Achieving a Compliant Query Practice" process, the
generation of a query should be considered when the health record documentation is:
conflicting, imprecise, illegible, ambiguous or inconsistent, or ________. - Answer✔incomplete
Government
Insurance companies
Managed-care programs
Self-insured programs
Are classified as what type of payers? - Answer✔indirect
What is classified as a patient to provider payment - Answer✔Self-pay
Out-of-pocket
Direct pay
Emphasis is on preventive medicine, servicing subscribers in a certain geographic location on a
comprehensive basis for a prepaid amount. is what type of insurance plan? - Answer✔HMO
Subscribers enroll voluntarily
Providers voluntarily agree to participate
Explicit contractual responsibility assumed by HMO
Capitation
2
