Rhia Exam 1 Questions With All Correct
Detailed Answers Verified 100% Solved
Correct A+ Pass
You are the coding supervisor and you are doing an audit of outpatient coding. Robert
Thompson was seen in the outpatient department with a chronic cough and the record
states, "rule out lung cancer." What should have been coded as the patient's diagnosis?
a. Chronic cough
b. Observation and evaluation without need for further medical care
c. Diagnosis of unknown etiology
d. Lung cancer - Answer - ✔ a. Chronic cough
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. Spoliation
An audit trail is a good tool for which one of the following?
a. Holding an individual patient accountable for actions
b. Reconstructing electronic events
c. Defending the corporation against an IRS audit
d. Stopping attacks from the intranet to the Internet - Answer - ✔ b. Reconstructing
electronic events
The following information was abstracted from Community Hospital's balance sheet.
Total assets $25,000,000
Current assets $4,000,000
Total liabilities $10,000,000
Current liabilities $5,000,000
A vendor selling a large dollar amount of goods to this hospital on credit would:
a. Not be concerned because total assets exceed total liabilities
b. Not be concerned because the debt ratio is less than one half
c. Be somewhat concerned because the current ratio is less than one
d. Not analyze the balance sheet because the vendor would care more about the
income statement - Answer - ✔ c. Be somewhat concerned because the current ratio is
less than one
The current ratio compares total current assets with total current liabilities:
4,000,000 = 4 = 0.8
5,000,000 5
,Total current assets
Total current liabilities
From this information, one can take the current assets (cash + accounts receivable +
inventory) divided by current liabilities (accounts payable) to arrive at current ratio. The
current ratio indicates that for every dollar of current liability, $0.80 of current assets
could be used to discharge the liability, which is not enough because it is not at least $1
(Revoir and Davis 2016, 852).
If an analyst is studying the wait times at a clinic and the only list of patients available is
on hard copy, which sampling technique is the easiest to use?
a. Survey sampling
b. Systematic sampling
c. Cluster sampling
d. Stratified sampling - Answer - ✔ b. Systematic sampling
A systematic random sample is a simple random sample that may be generated by
selecting every fifth or every tenth member of the sampling frame. In order to ensure
that a systematic random sample is truly random, the sample frame should not be
sorted in an order that might bias the sample (White 2016a, 140).
Documenting the full depth and breadth of data use in a healthcare entity requires:
a. Identifying all of the data consumers
b. Identifying the needs of data consumers
c. Understanding all of the functionality requirements
d. Performing a gap analysis - Answer - ✔ b. Identifying the needs of data consumers
When tasked with assessing or managing data quality, an HIM professional must first
understand who the data consumers are and what their needs are. This involves
making a list of all of the internal and external consumers. Assessing the needs of data
consumers is challenging; a good data manager would ask the data consumer how they
use the data rather than what their needs are. The data manager must take a controlled
and careful approach to collecting data for consumer needs. It will be impossible for the
data manager to meet all the needs of all of the data consumers (Biedermann and
Dolezel 2017, 167-168).
A ________ assists in educating medical staff members on documentation needed for
accurate billing.
a. Physician advisor
b. Compliance officer
c. Chargemaster coordinator
d. Data monitor - Answer - ✔ a. Physician advisor
The health information manager must continuously promote complete, accurate, and
timely documentation to ensure appropriate coding, billing, and reimbursement. This
requires a close working relationship with the medical staff, perhaps through the use of
a physician advisor. Physician advisors assist in educating medical staff members on
, documentation needed for accurate billing. The medical staff is more likely to listen to a
peer than to a facility employee, especially when the topic is documentation needed to
ensure appropriate reimbursement (Hunt 2016, 275).
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):
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 (Revoir and Davis 2016, 862).
How are Hospital Compare measures used by CMS?
a. Hospitals that score better than average receive bonus payments.
b. Hospitals that report all measures receive the full payment update.
c. Hospitals that perform poorly must pay a penalty.
d. Hospital payment is not impacted by hospital compare indicators. - Answer - ✔ b.
Hospitals that report all measures receive the full payment update.
Hospital Compare reports on 139 measures of hospital quality of care for heart attack,
heart failure, pneumonia, and the prevention of surgical infections. The data available at
Hospital Compare is reported by hospitals to meet the requirements of the Medicare
Value Based Purchasing program. Hospitals that report all measures receive full
payment updates from Medicare (White 2016a, 188).
A data element name is considered which of the following?
a. Master data
b. Metadata
c. Structured data
d. Unstructured data - Answer - ✔ b. Metadata
Metadata are often referred to as "data about data." Metadata are structured information
used to increase the effective use of data. One of the most familiar types of metadata is
used to describe data in databases. Data element name, data type, and field length are
examples of this kind of metadata (Johns 2016, 82-83).
Data that have been grouped into meaningful categories according to a classification
system are referred to as this type of data:
a. Research
b. Reference
c. Coded
d. Demographic - Answer - ✔ c. Coded
Detailed Answers Verified 100% Solved
Correct A+ Pass
You are the coding supervisor and you are doing an audit of outpatient coding. Robert
Thompson was seen in the outpatient department with a chronic cough and the record
states, "rule out lung cancer." What should have been coded as the patient's diagnosis?
a. Chronic cough
b. Observation and evaluation without need for further medical care
c. Diagnosis of unknown etiology
d. Lung cancer - Answer - ✔ a. Chronic cough
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. Spoliation
An audit trail is a good tool for which one of the following?
a. Holding an individual patient accountable for actions
b. Reconstructing electronic events
c. Defending the corporation against an IRS audit
d. Stopping attacks from the intranet to the Internet - Answer - ✔ b. Reconstructing
electronic events
The following information was abstracted from Community Hospital's balance sheet.
Total assets $25,000,000
Current assets $4,000,000
Total liabilities $10,000,000
Current liabilities $5,000,000
A vendor selling a large dollar amount of goods to this hospital on credit would:
a. Not be concerned because total assets exceed total liabilities
b. Not be concerned because the debt ratio is less than one half
c. Be somewhat concerned because the current ratio is less than one
d. Not analyze the balance sheet because the vendor would care more about the
income statement - Answer - ✔ c. Be somewhat concerned because the current ratio is
less than one
The current ratio compares total current assets with total current liabilities:
4,000,000 = 4 = 0.8
5,000,000 5
,Total current assets
Total current liabilities
From this information, one can take the current assets (cash + accounts receivable +
inventory) divided by current liabilities (accounts payable) to arrive at current ratio. The
current ratio indicates that for every dollar of current liability, $0.80 of current assets
could be used to discharge the liability, which is not enough because it is not at least $1
(Revoir and Davis 2016, 852).
If an analyst is studying the wait times at a clinic and the only list of patients available is
on hard copy, which sampling technique is the easiest to use?
a. Survey sampling
b. Systematic sampling
c. Cluster sampling
d. Stratified sampling - Answer - ✔ b. Systematic sampling
A systematic random sample is a simple random sample that may be generated by
selecting every fifth or every tenth member of the sampling frame. In order to ensure
that a systematic random sample is truly random, the sample frame should not be
sorted in an order that might bias the sample (White 2016a, 140).
Documenting the full depth and breadth of data use in a healthcare entity requires:
a. Identifying all of the data consumers
b. Identifying the needs of data consumers
c. Understanding all of the functionality requirements
d. Performing a gap analysis - Answer - ✔ b. Identifying the needs of data consumers
When tasked with assessing or managing data quality, an HIM professional must first
understand who the data consumers are and what their needs are. This involves
making a list of all of the internal and external consumers. Assessing the needs of data
consumers is challenging; a good data manager would ask the data consumer how they
use the data rather than what their needs are. The data manager must take a controlled
and careful approach to collecting data for consumer needs. It will be impossible for the
data manager to meet all the needs of all of the data consumers (Biedermann and
Dolezel 2017, 167-168).
A ________ assists in educating medical staff members on documentation needed for
accurate billing.
a. Physician advisor
b. Compliance officer
c. Chargemaster coordinator
d. Data monitor - Answer - ✔ a. Physician advisor
The health information manager must continuously promote complete, accurate, and
timely documentation to ensure appropriate coding, billing, and reimbursement. This
requires a close working relationship with the medical staff, perhaps through the use of
a physician advisor. Physician advisors assist in educating medical staff members on
, documentation needed for accurate billing. The medical staff is more likely to listen to a
peer than to a facility employee, especially when the topic is documentation needed to
ensure appropriate reimbursement (Hunt 2016, 275).
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):
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 (Revoir and Davis 2016, 862).
How are Hospital Compare measures used by CMS?
a. Hospitals that score better than average receive bonus payments.
b. Hospitals that report all measures receive the full payment update.
c. Hospitals that perform poorly must pay a penalty.
d. Hospital payment is not impacted by hospital compare indicators. - Answer - ✔ b.
Hospitals that report all measures receive the full payment update.
Hospital Compare reports on 139 measures of hospital quality of care for heart attack,
heart failure, pneumonia, and the prevention of surgical infections. The data available at
Hospital Compare is reported by hospitals to meet the requirements of the Medicare
Value Based Purchasing program. Hospitals that report all measures receive full
payment updates from Medicare (White 2016a, 188).
A data element name is considered which of the following?
a. Master data
b. Metadata
c. Structured data
d. Unstructured data - Answer - ✔ b. Metadata
Metadata are often referred to as "data about data." Metadata are structured information
used to increase the effective use of data. One of the most familiar types of metadata is
used to describe data in databases. Data element name, data type, and field length are
examples of this kind of metadata (Johns 2016, 82-83).
Data that have been grouped into meaningful categories according to a classification
system are referred to as this type of data:
a. Research
b. Reference
c. Coded
d. Demographic - Answer - ✔ c. Coded
