RHIA ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ 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
QUESTIONS WITH ANSWERS GRADED A+
◍ 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
