RHIA AHIMA Practice Test Questions
and Answers | Latest Version |
2025/2026 | Correct & Verified
What standard is used for ambulatory procedure and service coding?
✔✔CPT.
What organization publishes CPT codes?
✔✔AMA (American Medical Association).
What is data integrity?
✔✔Accuracy and consistency of data throughout its lifecycle.
What does ROI stand for in health information management?
✔✔Release of Information.
What is the purpose of a master patient index (MPI)?
✔✔To uniquely identify patients across an organization.
What term describes the elimination of duplicate patient records?
✔✔Patient record reconciliation.
What is clinical data abstraction?
1
,✔✔Extracting key information from health records for secondary use.
What is the primary goal of health data analytics?
✔✔Support decision‑making with data insights.
What is a privacy rule?
✔✔A standard that governs use and disclosure of PHI.
What is PHI?
✔✔Protected Health Information.
What is the role of a privacy officer?
✔✔Ensure compliance with privacy policies and regulations.
What is a security breach?
✔✔Unauthorized access to or disclosure of sensitive data.
What is the primary purpose of a health record?
✔✔To document patient care and support continuity of care.
What federal law protects patient health information privacy?
✔✔HIPAA.
2
,What does the abbreviation “EHR” stand for?
✔✔Electronic Health Record.
What is the function of a clinical documentation improvement (CDI) program?
✔✔Improve completeness and accuracy of clinical documentation.
What classification system is used for diagnoses in U.S. hospitals?
✔✔ICD‑10‑CM.
What classification system is used for inpatient procedure coding?
✔✔ICD‑10‑PCS.
What does audit trail refer to in an EHR?
✔✔Record of user activity within the system.
What is a data dictionary?
✔✔A repository that defines data elements and attributes.
What does interoperability mean in health IT?
✔✔Ability of systems to exchange and use information.
3
, What is a clinical decision support system (CDSS)?
✔✔A tool that provides clinicians with knowledge and patient‑specific information to enhance
care.
What is the purpose of a record retention schedule?
✔✔To define how long records must be kept.
What is the core focus of HIM ethics?
✔✔Protecting the integrity, privacy, and security of health information.
What is coding compliance?
✔✔Adherence to coding standards and regulations.
What is a compliance plan?
✔✔A formal strategy to ensure regulatory adherence.
What is quantitative analysis of health records?
✔✔Review of records for presence or absence of required documentation.
What is qualitative analysis in HIM?
✔✔Review of documentation quality and clinical accuracy.
4
and Answers | Latest Version |
2025/2026 | Correct & Verified
What standard is used for ambulatory procedure and service coding?
✔✔CPT.
What organization publishes CPT codes?
✔✔AMA (American Medical Association).
What is data integrity?
✔✔Accuracy and consistency of data throughout its lifecycle.
What does ROI stand for in health information management?
✔✔Release of Information.
What is the purpose of a master patient index (MPI)?
✔✔To uniquely identify patients across an organization.
What term describes the elimination of duplicate patient records?
✔✔Patient record reconciliation.
What is clinical data abstraction?
1
,✔✔Extracting key information from health records for secondary use.
What is the primary goal of health data analytics?
✔✔Support decision‑making with data insights.
What is a privacy rule?
✔✔A standard that governs use and disclosure of PHI.
What is PHI?
✔✔Protected Health Information.
What is the role of a privacy officer?
✔✔Ensure compliance with privacy policies and regulations.
What is a security breach?
✔✔Unauthorized access to or disclosure of sensitive data.
What is the primary purpose of a health record?
✔✔To document patient care and support continuity of care.
What federal law protects patient health information privacy?
✔✔HIPAA.
2
,What does the abbreviation “EHR” stand for?
✔✔Electronic Health Record.
What is the function of a clinical documentation improvement (CDI) program?
✔✔Improve completeness and accuracy of clinical documentation.
What classification system is used for diagnoses in U.S. hospitals?
✔✔ICD‑10‑CM.
What classification system is used for inpatient procedure coding?
✔✔ICD‑10‑PCS.
What does audit trail refer to in an EHR?
✔✔Record of user activity within the system.
What is a data dictionary?
✔✔A repository that defines data elements and attributes.
What does interoperability mean in health IT?
✔✔Ability of systems to exchange and use information.
3
, What is a clinical decision support system (CDSS)?
✔✔A tool that provides clinicians with knowledge and patient‑specific information to enhance
care.
What is the purpose of a record retention schedule?
✔✔To define how long records must be kept.
What is the core focus of HIM ethics?
✔✔Protecting the integrity, privacy, and security of health information.
What is coding compliance?
✔✔Adherence to coding standards and regulations.
What is a compliance plan?
✔✔A formal strategy to ensure regulatory adherence.
What is quantitative analysis of health records?
✔✔Review of records for presence or absence of required documentation.
What is qualitative analysis in HIM?
✔✔Review of documentation quality and clinical accuracy.
4
