AHIMA RHIA Exam Prep (7th Edition) Questions
and Correct Detailed Answers (Verified Answers)
||Already Graded A+||Newest Version
Quiz: 17. A patient requests copies of her medical records in an electronic format. The
hospital maintains a portion of the designated record set in a paper format and a portion of
the designated record set in an electronic format. How should the hospital respond?
a. Provide the records in paper format only
b. Scan the paper documents so that all records can be sent electronically
c. Provide the patient with both paper and electronic copies of the record
d. Inform the patient that PHI cannot be sent electronically
Ans: c. Provide the patient with both paper and electronic copies of the record
The HIPAA Privacy Rule states that the covered entity must provide individuals with their
information in the form that is requested by the individuals, if it is readily producible in
the requested format. The covered entity can certainly decide, along with the individual,
the easiest and least expensive way to provide the copies they request. Per the request of
an individual, a covered entity must provide an electronic copy of any and all health
information that the covered entity maintains electronically in a designated record set. If a
covered entity does not maintain the entire designated record set electronically, there is
not a requirement that the covered entity scan paper documents so the documents can be
delivered electronically (Thomason 2013, 102).
Quiz: 15. For an EHR to provide robust clinical decision support, what critical element
must be present?
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
, a. Structured data
b. Internet connection
c. Physician portal
d. Standard vocabulary
Ans: If an EHR is to provide clinical decision support it requires two things: structured data
and a clinical data repository (Sandefer 2016a, 364).
Quiz: 14. Which of the following is considered a two-factor authentication system?
a. User ID and password
b. User ID and voice scan
c. Password and swipe card
d. Password and PIN
Ans: c. Password and swipe card
The three methods of two-factor authentication are something you know, such as a
password or PIN; something you have, such as an ATM card, token, or swipe/smart card;
and something you are, such as a biometric fingerprint, voice scan, iris, or retinal scan
(Sayles and Trawick 2014, 219).
Quiz: Under RBRVS, which elements are used to calculate a Medicare payment?
a. Work value and extent of the physical exam
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
, b. Malpractice expenses and detail of the patient history
c. Work value and practice expenses
d. Practice expenses and review of systems
Ans: Each Resource-Based Relative Value Scale (RBRVS) comprises three elements:
physician work, physician practice expense, and malpractice, each of which is a national
average available in the Federal Register (Casto and Forrestal 2015, 150).
Quiz: 12. The predefined process icon is used in flowcharting to indicate:
a. A process in which actions are being performed by humans
b. A point in the process at which participants must evaluate the status of the process
c. Formal procedures that participants are expected to carry out the same way every time
d. A point in the process at which the participants must record data in paper-based or
computer- based formats
Ans: The rectangle with double lines on the side in a flowchart is a predefined process
icon. This symbol represents the formal procedure that participants are expected to carry
out the same way every time (Shaw and Carter 2015, 198).
Quiz: . A researcher mined the Medicare Provider Analysis Review (MEDPAR) file. The
analysis revealed trends in lengths of stay for rural hospitals. What type of investigation was
the researcher conducting?
a. Content analysis
b. Effect size review
c. Psychometric assay
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
, d. Secondary analysis
Ans: Secondary analysis is the analysis of the original work of others. In secondary
analysis, researchers reanalyze original data by combining data sets to answer new
questions or by using more sophisticated statistical techniques. The work of others created
the MEDPAR file (Forrestal 2016, 586).
Quiz: In reviewing a patient chart, the coder finds that the patient's chest x-ray is suggestive
of chronic obstructive pulmonary disease (COPD). The attending physician mentions the x-
ray finding in one progress note, but no medication, treatment, or further evaluation is
provided. Which of the following actions should the coder take in this case?
a. Query the attending physician and ask him to validate a diagnosis based on the chest x-ray
results
b. Code COPD because the documentation substantiates it
c. Query the radiologist to determine whether the patient has COPD
d. Assign a code from the abnormal findings to reflect the condition
Ans: A query is routine communication and education tool used to advocate for complete
and compliant documentation. The intent is to clarify what has been recorded, not to call
into question the provider's clinical judgment or medical expertise. This is an example of a
circumstance where the chronic condition must be verified. All secondary conditions must
match the definition in the UHDDS and whether the COPD does is not clear (Hunt 2016,
276-277).
Quiz: Per the HITECH breach notification requirements, which of the following is the
threshold in which the media and the Secretary of Health and Human Services should be
notified of the breach?
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
and Correct Detailed Answers (Verified Answers)
||Already Graded A+||Newest Version
Quiz: 17. A patient requests copies of her medical records in an electronic format. The
hospital maintains a portion of the designated record set in a paper format and a portion of
the designated record set in an electronic format. How should the hospital respond?
a. Provide the records in paper format only
b. Scan the paper documents so that all records can be sent electronically
c. Provide the patient with both paper and electronic copies of the record
d. Inform the patient that PHI cannot be sent electronically
Ans: c. Provide the patient with both paper and electronic copies of the record
The HIPAA Privacy Rule states that the covered entity must provide individuals with their
information in the form that is requested by the individuals, if it is readily producible in
the requested format. The covered entity can certainly decide, along with the individual,
the easiest and least expensive way to provide the copies they request. Per the request of
an individual, a covered entity must provide an electronic copy of any and all health
information that the covered entity maintains electronically in a designated record set. If a
covered entity does not maintain the entire designated record set electronically, there is
not a requirement that the covered entity scan paper documents so the documents can be
delivered electronically (Thomason 2013, 102).
Quiz: 15. For an EHR to provide robust clinical decision support, what critical element
must be present?
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
, a. Structured data
b. Internet connection
c. Physician portal
d. Standard vocabulary
Ans: If an EHR is to provide clinical decision support it requires two things: structured data
and a clinical data repository (Sandefer 2016a, 364).
Quiz: 14. Which of the following is considered a two-factor authentication system?
a. User ID and password
b. User ID and voice scan
c. Password and swipe card
d. Password and PIN
Ans: c. Password and swipe card
The three methods of two-factor authentication are something you know, such as a
password or PIN; something you have, such as an ATM card, token, or swipe/smart card;
and something you are, such as a biometric fingerprint, voice scan, iris, or retinal scan
(Sayles and Trawick 2014, 219).
Quiz: Under RBRVS, which elements are used to calculate a Medicare payment?
a. Work value and extent of the physical exam
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
, b. Malpractice expenses and detail of the patient history
c. Work value and practice expenses
d. Practice expenses and review of systems
Ans: Each Resource-Based Relative Value Scale (RBRVS) comprises three elements:
physician work, physician practice expense, and malpractice, each of which is a national
average available in the Federal Register (Casto and Forrestal 2015, 150).
Quiz: 12. The predefined process icon is used in flowcharting to indicate:
a. A process in which actions are being performed by humans
b. A point in the process at which participants must evaluate the status of the process
c. Formal procedures that participants are expected to carry out the same way every time
d. A point in the process at which the participants must record data in paper-based or
computer- based formats
Ans: The rectangle with double lines on the side in a flowchart is a predefined process
icon. This symbol represents the formal procedure that participants are expected to carry
out the same way every time (Shaw and Carter 2015, 198).
Quiz: . A researcher mined the Medicare Provider Analysis Review (MEDPAR) file. The
analysis revealed trends in lengths of stay for rural hospitals. What type of investigation was
the researcher conducting?
a. Content analysis
b. Effect size review
c. Psychometric assay
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
, d. Secondary analysis
Ans: Secondary analysis is the analysis of the original work of others. In secondary
analysis, researchers reanalyze original data by combining data sets to answer new
questions or by using more sophisticated statistical techniques. The work of others created
the MEDPAR file (Forrestal 2016, 586).
Quiz: In reviewing a patient chart, the coder finds that the patient's chest x-ray is suggestive
of chronic obstructive pulmonary disease (COPD). The attending physician mentions the x-
ray finding in one progress note, but no medication, treatment, or further evaluation is
provided. Which of the following actions should the coder take in this case?
a. Query the attending physician and ask him to validate a diagnosis based on the chest x-ray
results
b. Code COPD because the documentation substantiates it
c. Query the radiologist to determine whether the patient has COPD
d. Assign a code from the abnormal findings to reflect the condition
Ans: A query is routine communication and education tool used to advocate for complete
and compliant documentation. The intent is to clarify what has been recorded, not to call
into question the provider's clinical judgment or medical expertise. This is an example of a
circumstance where the chronic condition must be verified. All secondary conditions must
match the definition in the UHDDS and whether the COPD does is not clear (Hunt 2016,
276-277).
Quiz: Per the HITECH breach notification requirements, which of the following is the
threshold in which the media and the Secretary of Health and Human Services should be
notified of the breach?
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
