RHIA MOCK EXAM QUESTIONS WITH
NEW UPDATE SOLUTIONS
/. Each month the staff of the clinic with the lowest overall waiting time is awarded a free
dessert in the Gulfside healthcare center cafeteria. take a look at the information listed
above. the winner will be selected based on
a. demonstrative clinical data
b. comparative aggregate data
c. objective individual data
d. duplicate thematic data - Answer-b. comparative aggregate data
/.a union campaign is being conducted at your facility. as a department manager, it is
appropriate for you to tell employees that
a. a strike is inevitable if the union wins
b. wages will increase if the union is defeated
c. you need the names of those involved in union activities
d. you are opposed to the union - Answer-d. you are opposed to the union
/.as the coding supervisor, your job description includes working with agents who have
been charged with detecting and correcting over payments made to your hospital in the
Medicare Fee for Service program. you will need to develop a professional relationship
with
a. the OIG
b. MEDPAR representatives
c. QIO physicians
d. recovery audit contractors - Answer-d. recovery audit contractors
/.employing the SOAP style of progress notes, choose the "assessment" statement from
the following
a. patient states low back pain with sciatica is as severe as it was on admission
b. patient moving about very cautiously appears to be in pain
c. adjust pain medication; begin physical therapy tomorrow.
d. sciatica unimproved with hot pack therapy - Answer-d. sciatica unimproved with hot
pack therapy
/.in preparation for an EHR, you are conducting a total facility inventory of all forms
currently used. you must name each for for bar coding and indexing. the unnamed
document in front of you includes a checklist for assessing an obstetric patient's lochia,
fundus, and perineum. the document type you give to this form is.
a. prenatal record
b. labor record
c. delivery room record
d. postpartum record - Answer-d. postpartum record.
,/.based on the MS-DRG report above, what is the case-mix index for this facility?
a. 0.204193
b. 2.965807
c. 11.639
d. 57 - Answer-b. 2.965807
/.the special form or view that plays the central role in planning and providing care at
skilled nursing, psychiatric, and rehabilitation facilities is the
a. interdisciplinary patient care plan
b. medical history and review of systems
c. interval summary
d. problem list - Answer-a. interdisciplinary patient care plan
/.Four patients were discharged from crestview hospital yesterday. a final progress note
is an appropriate discharge summary for
a. howard, who died within 24 hours after his admission for a second heart attack in 2
weeks.
b. jackson, who had no comorbidities or complications during this admission for
replacement of a pacemaker battery
c. fieldstone, who was admitted just 15 days following a heart attack for the acute onset
of chest pain.
d. babson, who delivered a healthy 8-pound boy without complications for either mother
or child, and was discharged within 36 hours of admission. - Answer-d. babson, who
delivered a healthy 8-pound boy without complications for either mother or child, and
was discharged within 36 hours of admission.
/.Make Me Better Clinic (MMBC) provides well child visits and childhood immunizations
for four insurance companies. data on the services they provided and the
reimbursement they received from the four companies are listed in the two tables below.
MMBC receives the best reimbursement for well child visits from
a. lifecare
b. getwell
c. surehealth
d. behealthy - Answer-b. getwell
/.Make Me Better Clinic (MMBC) provides well child visits and childhood immunizations
for four insurance companies. data on the services they provided and the
reimbursement they received from the four companies are listed in the two tables below.
Most of the children who are seen at MMBC will have a well child visit and two
immunizations. If you add the reimbursement for two immunizations to the
reimbursement for each well child visit, which insurance company benefits MMBC
most?
a. lifecare
b. getwell
c. surehealth
,d. behealthy - Answer-b. getwell
/.You are calculating the fee schedule payment amount for physician services covered
under Medicare Part B. you already have the relative value unit figure. the only other
information you need is
a. the facility's case-mix index
b. a national conversion factor
c. the facility's base rate
d. ms-drg relative weights - Answer-b. a national conversion factor
/.Key west hospital collected the data displaye above concerning its four highest volume
MS-DRGs. which MS-DRG generated the most revenue for the hospital?
a. MS-DRG A
b. MS-DRG B
c. MS-DRG C
d. MS-DRG D - Answer-c. MS-DRG C
/.In reviewing a health record for coding purposes, the coder notes that the patient was
put on Keflex post-surgery. there is no mention of a postoperative complication in the
attending physician's discharge summary. before querying the doctor, the coder will
seek to confirm the infection by reviewing the
a. lab report
b. nurses' notes
c. operative report
d. pathology report - Answer-a. lab report
/.stan works in an acute care general hospital, fran works for a skilled nursing facility,
ann is employed at an assisted living facility, and dan works for a home care provider.
which people are employed in facilities that may seek Joint commission accreditation?
a. only stan and fran
b. only stan and dan
c. only fran and dan
d. dan, stan, and fran - Answer-d. dan, stan, and fran
/.sunset beach clinic allows patients to communicate by e-mail to ask questions
regarding their treatment and request appointment changes. e-mails and text messages
are
a. considered health care business records and are subject to the same regulations as
records created in face-to-face patient encounters.
b. considered proof of patient contact and should be summarized in a progress note in
the patient record
c. generally maintained in a facility's electronic mail system until the next face-to-face
patient encounter
d. not typically maintained or documented as patient encounters. - Answer-a.
considered health care business records and are subject to the same regulations as
records created in face-to-face patient encounters
, /.the proposed national healthcare information network (NHIN) dimensions are
graphically depicted in the diagram above. roman numeral are added to allow for the
identification of specific areas. where would information concerning a patient's health
insurance be located on this chart?
a. I
b. II
c. III
d. V - Answer-b. II
/.The facility's policy for physician's verbal orders in accordance with state law and
regulations needs updating. the first area of investigation is the qualifications of those
individuals who have been authorized to record verbal orders. for this information you
will consult the
a. policy and procedure manual
b. hospital's quality management plan.
c. data dictionary
d. hospital bylaws, rules, and regulations - Answer-d. hospital bylaws, rule, and
regulations.
/.Parker has type 1 diabetes with hypertension taht is currently controlled with
medication. parker was admitted through the ED for an emergency appendectomy.
following surgery, the patient developed an infection at the wound site that was treated
with antibiotics. when making decision about sequencing the codes for this case, the
coder should rely on definitions found in the
a. UHDDS
b. coding clinic
c. CMS coding guidelines
d. federal register - Answer-a. UHDDS
/.Parker has type 1 diabetes with hypertension taht is currently controlled with
medication. parker was admitted through the ED for an emergency appendectomy.
following surgery, the patient developed an infection at the wound site that was treated
with antibiotics. Parker's principal diagnosis is the
a. complications of hypertension
b. comorbidity of the wound infection
c. comorbidity of type 1 diabets
d. acute appendicitis - Answer-d. acute appendicitis
/.Dr. Reed tried to explain wound care to Mr. Baker prior to discharge, but Bake (who is
104 and moderately senile) just could not seem to understand or remember what the
doctor said. Mr. Baker's daughter was with him, so Dr. Reed explained Mr. Baker's
aftercare to his daughter. Dr. Reed should document discharge instructions
a. in the discharge summary
b. on a patient instructions form signed by Dr. Reed and Mr. Baker and filed in Mr.
Baker's medical record.
NEW UPDATE SOLUTIONS
/. Each month the staff of the clinic with the lowest overall waiting time is awarded a free
dessert in the Gulfside healthcare center cafeteria. take a look at the information listed
above. the winner will be selected based on
a. demonstrative clinical data
b. comparative aggregate data
c. objective individual data
d. duplicate thematic data - Answer-b. comparative aggregate data
/.a union campaign is being conducted at your facility. as a department manager, it is
appropriate for you to tell employees that
a. a strike is inevitable if the union wins
b. wages will increase if the union is defeated
c. you need the names of those involved in union activities
d. you are opposed to the union - Answer-d. you are opposed to the union
/.as the coding supervisor, your job description includes working with agents who have
been charged with detecting and correcting over payments made to your hospital in the
Medicare Fee for Service program. you will need to develop a professional relationship
with
a. the OIG
b. MEDPAR representatives
c. QIO physicians
d. recovery audit contractors - Answer-d. recovery audit contractors
/.employing the SOAP style of progress notes, choose the "assessment" statement from
the following
a. patient states low back pain with sciatica is as severe as it was on admission
b. patient moving about very cautiously appears to be in pain
c. adjust pain medication; begin physical therapy tomorrow.
d. sciatica unimproved with hot pack therapy - Answer-d. sciatica unimproved with hot
pack therapy
/.in preparation for an EHR, you are conducting a total facility inventory of all forms
currently used. you must name each for for bar coding and indexing. the unnamed
document in front of you includes a checklist for assessing an obstetric patient's lochia,
fundus, and perineum. the document type you give to this form is.
a. prenatal record
b. labor record
c. delivery room record
d. postpartum record - Answer-d. postpartum record.
,/.based on the MS-DRG report above, what is the case-mix index for this facility?
a. 0.204193
b. 2.965807
c. 11.639
d. 57 - Answer-b. 2.965807
/.the special form or view that plays the central role in planning and providing care at
skilled nursing, psychiatric, and rehabilitation facilities is the
a. interdisciplinary patient care plan
b. medical history and review of systems
c. interval summary
d. problem list - Answer-a. interdisciplinary patient care plan
/.Four patients were discharged from crestview hospital yesterday. a final progress note
is an appropriate discharge summary for
a. howard, who died within 24 hours after his admission for a second heart attack in 2
weeks.
b. jackson, who had no comorbidities or complications during this admission for
replacement of a pacemaker battery
c. fieldstone, who was admitted just 15 days following a heart attack for the acute onset
of chest pain.
d. babson, who delivered a healthy 8-pound boy without complications for either mother
or child, and was discharged within 36 hours of admission. - Answer-d. babson, who
delivered a healthy 8-pound boy without complications for either mother or child, and
was discharged within 36 hours of admission.
/.Make Me Better Clinic (MMBC) provides well child visits and childhood immunizations
for four insurance companies. data on the services they provided and the
reimbursement they received from the four companies are listed in the two tables below.
MMBC receives the best reimbursement for well child visits from
a. lifecare
b. getwell
c. surehealth
d. behealthy - Answer-b. getwell
/.Make Me Better Clinic (MMBC) provides well child visits and childhood immunizations
for four insurance companies. data on the services they provided and the
reimbursement they received from the four companies are listed in the two tables below.
Most of the children who are seen at MMBC will have a well child visit and two
immunizations. If you add the reimbursement for two immunizations to the
reimbursement for each well child visit, which insurance company benefits MMBC
most?
a. lifecare
b. getwell
c. surehealth
,d. behealthy - Answer-b. getwell
/.You are calculating the fee schedule payment amount for physician services covered
under Medicare Part B. you already have the relative value unit figure. the only other
information you need is
a. the facility's case-mix index
b. a national conversion factor
c. the facility's base rate
d. ms-drg relative weights - Answer-b. a national conversion factor
/.Key west hospital collected the data displaye above concerning its four highest volume
MS-DRGs. which MS-DRG generated the most revenue for the hospital?
a. MS-DRG A
b. MS-DRG B
c. MS-DRG C
d. MS-DRG D - Answer-c. MS-DRG C
/.In reviewing a health record for coding purposes, the coder notes that the patient was
put on Keflex post-surgery. there is no mention of a postoperative complication in the
attending physician's discharge summary. before querying the doctor, the coder will
seek to confirm the infection by reviewing the
a. lab report
b. nurses' notes
c. operative report
d. pathology report - Answer-a. lab report
/.stan works in an acute care general hospital, fran works for a skilled nursing facility,
ann is employed at an assisted living facility, and dan works for a home care provider.
which people are employed in facilities that may seek Joint commission accreditation?
a. only stan and fran
b. only stan and dan
c. only fran and dan
d. dan, stan, and fran - Answer-d. dan, stan, and fran
/.sunset beach clinic allows patients to communicate by e-mail to ask questions
regarding their treatment and request appointment changes. e-mails and text messages
are
a. considered health care business records and are subject to the same regulations as
records created in face-to-face patient encounters.
b. considered proof of patient contact and should be summarized in a progress note in
the patient record
c. generally maintained in a facility's electronic mail system until the next face-to-face
patient encounter
d. not typically maintained or documented as patient encounters. - Answer-a.
considered health care business records and are subject to the same regulations as
records created in face-to-face patient encounters
, /.the proposed national healthcare information network (NHIN) dimensions are
graphically depicted in the diagram above. roman numeral are added to allow for the
identification of specific areas. where would information concerning a patient's health
insurance be located on this chart?
a. I
b. II
c. III
d. V - Answer-b. II
/.The facility's policy for physician's verbal orders in accordance with state law and
regulations needs updating. the first area of investigation is the qualifications of those
individuals who have been authorized to record verbal orders. for this information you
will consult the
a. policy and procedure manual
b. hospital's quality management plan.
c. data dictionary
d. hospital bylaws, rules, and regulations - Answer-d. hospital bylaws, rule, and
regulations.
/.Parker has type 1 diabetes with hypertension taht is currently controlled with
medication. parker was admitted through the ED for an emergency appendectomy.
following surgery, the patient developed an infection at the wound site that was treated
with antibiotics. when making decision about sequencing the codes for this case, the
coder should rely on definitions found in the
a. UHDDS
b. coding clinic
c. CMS coding guidelines
d. federal register - Answer-a. UHDDS
/.Parker has type 1 diabetes with hypertension taht is currently controlled with
medication. parker was admitted through the ED for an emergency appendectomy.
following surgery, the patient developed an infection at the wound site that was treated
with antibiotics. Parker's principal diagnosis is the
a. complications of hypertension
b. comorbidity of the wound infection
c. comorbidity of type 1 diabets
d. acute appendicitis - Answer-d. acute appendicitis
/.Dr. Reed tried to explain wound care to Mr. Baker prior to discharge, but Bake (who is
104 and moderately senile) just could not seem to understand or remember what the
doctor said. Mr. Baker's daughter was with him, so Dr. Reed explained Mr. Baker's
aftercare to his daughter. Dr. Reed should document discharge instructions
a. in the discharge summary
b. on a patient instructions form signed by Dr. Reed and Mr. Baker and filed in Mr.
Baker's medical record.
