Health Information Management Exam
2026/2027 | 90 HIPAA, ICD-10-CM, CPT,
HCPCS, Billing & Compliance Questions
with Answers & Explanations
Description:
Master HIM and medical coding for 2026/2027. Complete 90-question exam covering
HIPAA security, ICD-10-CM conventions, CPT modifiers, HCPCS Level II, Worker's
Comp, Medicare billing, and compliance plans. Each answer includes detailed
explanations for exam prep success.
Download the full 2026/2027 examination paper now and pass with confidence.
, HIM Exam 2026/2027 90 Q&A
Course Code: HIM-220
Total Questions: 90
Time Allowed: 180 minutes
Section 1: Health Information Confidentiality and Security (HIPAA Compliance)
Question 1
All filing cabinets in medical facilities must be _______ to comply with HIPAA regulations,
ensuring the protection of confidentiality for personal health information and medical
records.
A) Color-coded
B) Locked
C) Secured
D) Labeled
Answer: C) Secured
Explanation: HIPAA regulations require physical safeguards for protected health
information (PHI). Secured filing cabinets prevent unauthorized access, theft, or viewing of
patient records. While locking is a method of securing, "secured" encompasses broader
protective measures including locks, access controls, and placement in restricted areas.
Question 2
Numeric filing systems are typically used when _______ of a patient's information may
become a concern.
A) Accessibility
B) Confidentiality
C) Retrieval speed
D) Storage capacity
Answer: B) Confidentiality
Explanation: Numeric filing systems enhance confidentiality by using numbers rather than
patient names as identifiers. This makes it more difficult for unauthorized individuals to
,locate specific patient records, as the filing system does not immediately reveal which patient
corresponds to which file number.
Question 3
Security drills in medical office settings help keep staff _______ of potential security risks
and breaches.
A) Informed
B) Aware
C) Trained
D) Certified
Answer: B) Aware
Explanation: Regular security drills maintain staff vigilance and situational awareness
regarding potential threats to PHI. Awareness is the foundational step that enables staff to
recognize, respond, and report appropriately to security risks before they escalate into actual
breaches.
Section 2: Medical Filing Systems and Record Management
Question 4
Which type of filing system features pull-out drawers containing a metal bar designed to
accommodate both letter-sized and legal-sized documents?
A) Compactible files
B) Lateral files
C) Vertical file
D) Rotary files
Answer: C) Vertical file
Explanation: Vertical filing cabinets have drawers that extend outward, each containing a
metal compressor bar that holds documents upright. The adjustable bar accommodates
varying document sizes, including standard letter (8.5" × 11") and legal (8.5" × 14")
dimensions.
, Question 5
When distinguishing between active and inactive patient files, who is responsible for
establishing these classification principles?
A) Regulatory agencies
B) Individual practice
C) Insurance companies
D) State medical boards
Answer: B) Individual practice
Explanation: Each medical practice develops its own policies defining active versus inactive
records based on patient visit frequency, treatment duration, and practice-specific needs.
While legal retention requirements exist, the operational classification of files remains a
practice-level decision.
Question 6
Which type of filing system uses drawers or shelving units that slide along permanent tracks
installed in the floor?
A) Rotary files
B) Lateral files
C) Compactible files
D) Open shelf files
Answer: C) Compactible files
Explanation: Compactible (also called mobile or high-density) filing systems mount
movable carriages on floor tracks, allowing rows to slide together and eliminate multiple
aisles. This design maximizes storage capacity in limited floor space.
Question 7
When maintaining medical records in electronic format, it is essential to _______ files
regularly to prevent data loss.
A) Encrypt
B) Back up
2026/2027 | 90 HIPAA, ICD-10-CM, CPT,
HCPCS, Billing & Compliance Questions
with Answers & Explanations
Description:
Master HIM and medical coding for 2026/2027. Complete 90-question exam covering
HIPAA security, ICD-10-CM conventions, CPT modifiers, HCPCS Level II, Worker's
Comp, Medicare billing, and compliance plans. Each answer includes detailed
explanations for exam prep success.
Download the full 2026/2027 examination paper now and pass with confidence.
, HIM Exam 2026/2027 90 Q&A
Course Code: HIM-220
Total Questions: 90
Time Allowed: 180 minutes
Section 1: Health Information Confidentiality and Security (HIPAA Compliance)
Question 1
All filing cabinets in medical facilities must be _______ to comply with HIPAA regulations,
ensuring the protection of confidentiality for personal health information and medical
records.
A) Color-coded
B) Locked
C) Secured
D) Labeled
Answer: C) Secured
Explanation: HIPAA regulations require physical safeguards for protected health
information (PHI). Secured filing cabinets prevent unauthorized access, theft, or viewing of
patient records. While locking is a method of securing, "secured" encompasses broader
protective measures including locks, access controls, and placement in restricted areas.
Question 2
Numeric filing systems are typically used when _______ of a patient's information may
become a concern.
A) Accessibility
B) Confidentiality
C) Retrieval speed
D) Storage capacity
Answer: B) Confidentiality
Explanation: Numeric filing systems enhance confidentiality by using numbers rather than
patient names as identifiers. This makes it more difficult for unauthorized individuals to
,locate specific patient records, as the filing system does not immediately reveal which patient
corresponds to which file number.
Question 3
Security drills in medical office settings help keep staff _______ of potential security risks
and breaches.
A) Informed
B) Aware
C) Trained
D) Certified
Answer: B) Aware
Explanation: Regular security drills maintain staff vigilance and situational awareness
regarding potential threats to PHI. Awareness is the foundational step that enables staff to
recognize, respond, and report appropriately to security risks before they escalate into actual
breaches.
Section 2: Medical Filing Systems and Record Management
Question 4
Which type of filing system features pull-out drawers containing a metal bar designed to
accommodate both letter-sized and legal-sized documents?
A) Compactible files
B) Lateral files
C) Vertical file
D) Rotary files
Answer: C) Vertical file
Explanation: Vertical filing cabinets have drawers that extend outward, each containing a
metal compressor bar that holds documents upright. The adjustable bar accommodates
varying document sizes, including standard letter (8.5" × 11") and legal (8.5" × 14")
dimensions.
, Question 5
When distinguishing between active and inactive patient files, who is responsible for
establishing these classification principles?
A) Regulatory agencies
B) Individual practice
C) Insurance companies
D) State medical boards
Answer: B) Individual practice
Explanation: Each medical practice develops its own policies defining active versus inactive
records based on patient visit frequency, treatment duration, and practice-specific needs.
While legal retention requirements exist, the operational classification of files remains a
practice-level decision.
Question 6
Which type of filing system uses drawers or shelving units that slide along permanent tracks
installed in the floor?
A) Rotary files
B) Lateral files
C) Compactible files
D) Open shelf files
Answer: C) Compactible files
Explanation: Compactible (also called mobile or high-density) filing systems mount
movable carriages on floor tracks, allowing rows to slide together and eliminate multiple
aisles. This design maximizes storage capacity in limited floor space.
Question 7
When maintaining medical records in electronic format, it is essential to _______ files
regularly to prevent data loss.
A) Encrypt
B) Back up
