AHIMA RHIT MAIN EXAMINATION MANUAL 2025/2026
QUESTIONS AND SOLUTION RATED A+
✔✔Community Hospital UTI Rate Comparison - ✔✔All individuals in the MEDPAR
database except those admitted with a diagnosis of hypertension should be excluded
for the best comparison.
✔✔MEDPAR Database - ✔✔Includes claims data for all Medicare patients.
✔✔Median - ✔✔The median is 31.5, the midpoint of a frequency distribution where 50
percent of observations fall above and 50 percent fall below.
✔✔Median - ✔✔If there is an even number of observations, the median is the midpoint
between the two middle observations. In this example, the median is calculated as ([30
+ 33] / 2) = 31.5.
✔✔Formatting Problem in Table - ✔✔Column headings are missing
✔✔Inpatient Service Days Calculation - ✔✔What is the total number of inpatient service
days for May 2? Answer: 242 inpatient service days. The calculation is: [(250 + 30) - 40]
+ 2 = 242.
✔✔H&P Timeliness Rate - ✔✔What percentage represents the H&P timeliness rate?
Answer: 95.5%. The calculation is (191 timely H&Ps / 200 sampled) × 100 = 95.5%.
✔✔Data Element for Aggregation - ✔✔To use a data element for aggregation and
reporting, that data element must be: a. Abstracted or indexed.
✔✔Definition of Data - ✔✔Which statement best represents the definition of the term
data? Answer: 'Patient's laboratory value is 50.'
✔✔Purpose of Analyzing Data - ✔✔Why do patient care managers analyze the data
documented in health records? Answer: To evaluate patterns and trends of patient care.
✔✔Quality Goal Compliance Assessment - ✔✔The hospital's quality goal is that 98% of
heart attack patients receive aspirin within 24 hours of arrival. An audit showed 94%
compliance. What action should be taken? Answer: Determine whether there was a
medical or other reason why patients were not given aspirin.
✔✔Procedure Evaluation - ✔✔Given the performance data, which procedures should
be scrutinized for evaluation? Answer: Procedures 1, 4, 6, 7.
✔✔Coding Quality Audit Sample Size - ✔✔How many total records are needed for a 5%
random sample audit of work output for four coding professionals? Answer: 82 records.
, The calculation is (500 × 0.05) + (480 × 0.05) + (300 × 0.05) + (360 × 0.05) = 82
records.
✔✔Tool for Displaying Performance Data - ✔✔What tool is used to display performance
data over time? Answer: Run chart.
✔✔Aggregated Data from Health Records - ✔✔What is data called that consists of
factual details aggregated or summarized from health records without identifying
specific patients?
✔✔Derived data - ✔✔Derived data are aggregated or summarized details without
identifying specific patients, maintaining confidentiality.
✔✔Internal Use of Secondary Data - ✔✔Internal users, such as medical staff and
administrative staff, use secondary data for identifying patterns, planning, budgeting,
and benchmarking.
✔✔Next Step After Determining Types of Cases for a Cancer Registry - ✔✔Case
finding identifies patients seen or treated for the disease of interest, such as cancer.
✔✔Advantage of the Healthcare Cost and Utilization Project (HCUP) for Research -
✔✔HCUP databases include data on inpatients whose care is paid for by all types of
payers, including Medicare, Medicaid, private insurance, self-paying, and uninsured
patients.
✔✔Reporting of Communicable Diseases - ✔✔Each state has a health department with
a division required to track and record communicable diseases.
✔✔Average Coding Test Score for Beginner Coding Professional - ✔✔Since the mean
is the average and the value next to 'beginner' under coding professional status is
73.3333, rounding to a whole number gives 73.
✔✔Analyzing Impact and Documenting Variations in Diagnosis Codes - ✔✔Data
mapping allows connections between two systems, showing equivalent codes for data
initially captured for one purpose to be translated and used for another purpose.
✔✔First Step in Analyzing Data - ✔✔Clearly understanding the objectives or purpose of
the data analysis is crucial before proceeding with the analysis.
✔✔Skewed Distribution - ✔✔A positively skewed distribution occurs when the mean is
pulled in the direction of extreme values on the right side, creating a long tail.
QUESTIONS AND SOLUTION RATED A+
✔✔Community Hospital UTI Rate Comparison - ✔✔All individuals in the MEDPAR
database except those admitted with a diagnosis of hypertension should be excluded
for the best comparison.
✔✔MEDPAR Database - ✔✔Includes claims data for all Medicare patients.
✔✔Median - ✔✔The median is 31.5, the midpoint of a frequency distribution where 50
percent of observations fall above and 50 percent fall below.
✔✔Median - ✔✔If there is an even number of observations, the median is the midpoint
between the two middle observations. In this example, the median is calculated as ([30
+ 33] / 2) = 31.5.
✔✔Formatting Problem in Table - ✔✔Column headings are missing
✔✔Inpatient Service Days Calculation - ✔✔What is the total number of inpatient service
days for May 2? Answer: 242 inpatient service days. The calculation is: [(250 + 30) - 40]
+ 2 = 242.
✔✔H&P Timeliness Rate - ✔✔What percentage represents the H&P timeliness rate?
Answer: 95.5%. The calculation is (191 timely H&Ps / 200 sampled) × 100 = 95.5%.
✔✔Data Element for Aggregation - ✔✔To use a data element for aggregation and
reporting, that data element must be: a. Abstracted or indexed.
✔✔Definition of Data - ✔✔Which statement best represents the definition of the term
data? Answer: 'Patient's laboratory value is 50.'
✔✔Purpose of Analyzing Data - ✔✔Why do patient care managers analyze the data
documented in health records? Answer: To evaluate patterns and trends of patient care.
✔✔Quality Goal Compliance Assessment - ✔✔The hospital's quality goal is that 98% of
heart attack patients receive aspirin within 24 hours of arrival. An audit showed 94%
compliance. What action should be taken? Answer: Determine whether there was a
medical or other reason why patients were not given aspirin.
✔✔Procedure Evaluation - ✔✔Given the performance data, which procedures should
be scrutinized for evaluation? Answer: Procedures 1, 4, 6, 7.
✔✔Coding Quality Audit Sample Size - ✔✔How many total records are needed for a 5%
random sample audit of work output for four coding professionals? Answer: 82 records.
, The calculation is (500 × 0.05) + (480 × 0.05) + (300 × 0.05) + (360 × 0.05) = 82
records.
✔✔Tool for Displaying Performance Data - ✔✔What tool is used to display performance
data over time? Answer: Run chart.
✔✔Aggregated Data from Health Records - ✔✔What is data called that consists of
factual details aggregated or summarized from health records without identifying
specific patients?
✔✔Derived data - ✔✔Derived data are aggregated or summarized details without
identifying specific patients, maintaining confidentiality.
✔✔Internal Use of Secondary Data - ✔✔Internal users, such as medical staff and
administrative staff, use secondary data for identifying patterns, planning, budgeting,
and benchmarking.
✔✔Next Step After Determining Types of Cases for a Cancer Registry - ✔✔Case
finding identifies patients seen or treated for the disease of interest, such as cancer.
✔✔Advantage of the Healthcare Cost and Utilization Project (HCUP) for Research -
✔✔HCUP databases include data on inpatients whose care is paid for by all types of
payers, including Medicare, Medicaid, private insurance, self-paying, and uninsured
patients.
✔✔Reporting of Communicable Diseases - ✔✔Each state has a health department with
a division required to track and record communicable diseases.
✔✔Average Coding Test Score for Beginner Coding Professional - ✔✔Since the mean
is the average and the value next to 'beginner' under coding professional status is
73.3333, rounding to a whole number gives 73.
✔✔Analyzing Impact and Documenting Variations in Diagnosis Codes - ✔✔Data
mapping allows connections between two systems, showing equivalent codes for data
initially captured for one purpose to be translated and used for another purpose.
✔✔First Step in Analyzing Data - ✔✔Clearly understanding the objectives or purpose of
the data analysis is crucial before proceeding with the analysis.
✔✔Skewed Distribution - ✔✔A positively skewed distribution occurs when the mean is
pulled in the direction of extreme values on the right side, creating a long tail.
