RHIT Practice Exam
Managing an organizations data and those who enter it is an ongoing challenge requiring active administration and
oversight. This can be accomplished by the organization through management of which of the following?
A. data dictionary
B. data warehouse
C. data mapping
D. data set -A. Data Dictionary
A consumer nonprofit organization wants to conduct studies on the quality of care provided to medicare patients in a
specific region. A HIT professional has been hired to manage this project. The nonprofit org asks the HIT professional
about the viability of using billing data as the basis for its analysis. Which of the following would NOT be as quality
consideration in using billing data?
A. accuracy of the data
B. consistency of the data
C. appropriateness of the data elements
D. cost to process the data -D. cost to process the data
Which of the following documentation must be included in a patients health record prior to performing a surgical
procedure?
A. consent for operative procedure, anesthesia report, surgical report
B. consent for operative procedure, history, physical exam
C. history, physical, exam, anesthesia report
D. problem list, history, physical exam -B. consent for operative procedure, history, physical exam
Cancer registries are established by hospitals
A. by federal law or state law
B. voluntarily or by state law
C. voluntarily or by federal law
D. by mandate from the american college of Surgeons -B. voluntarily or by state law
Him director is part of the revenue cycle management team. the discharged-not-final-billed days are increasing bc
discharges are increasing. the number of coding staff is 5. with the implementation of an EDSS, telecommuting has
been suggested as an alternative. studies report that coding productivity can increase ax much as 20% with
telecommuting. Given that discharges have increased from 100/day to 144, how many more FTEs would need to be
hired if the dept went toe telecommuting?
A. 0.5 FTE
B. 0.75 FTE
C. 1 FTE
D. 2 FTEs -C. 1 FTE
In addition to case mix, other factors that may influence episode-related data quality include all of the following
except:
A. length of inpatient stay
B. health record documentation
C. data abstract type
, D. workflow issues -D. workflow issues
In May, 270 women were admitted to the obstetrics service. of these, 263 women delivered; 33 deliveries were by C-
Sec. What is the denominator for calculating the C-sec rate?
A. 33
B. 263
C. 270
D. 296 -B. 263
Community hospital discharged 9 patients on 4/1. the LOS for each of the patients was as follows: Patient A-1 day;
patient B-5 days; patient C-3 days; patient D-3 days; patient E-8 days; patient F-8 days; patient G-8 days; patient H-9
days; patient I-9 days. what was the average LOS for these 9 patients?
A. 5 days
B. 6 days
C. 8 days
D. 9 days -B. 6 days
In designing a paper-based storage system, which of the following should be used if conservation of floor space is the
major concern?
A. carousel system
B. five-drawer filing cabinets
C. mobile filing units
D. open-shelf filing units -C. mobile filing units
which of the following elements of coding quality represent consistency of code assignments among different coders?
A. reliability
B. validity
C. completeness
D. timeliness -A. reliability
A patient has liver metasasis due to adenocarcinoma of the rectum, which was resected 2 years ago. the patient has
been receivign radiotherapy to the liver with some relief of pain. the patient is being admitted at this time for
management of severe anemia due to the malignancy. the principle dx listed on this admission is
A. liver metastasis
B. adenocarcinoma of the rectum
C. anemia
D. admission for radiotherapy -A. liver metastasis
secondary condition that arises during a patients hospitalization is known by which of the following terms?
A. comorbidity
B. secondary dx
C. complication
D. evaluation and management code -C. complication
which of the following is most likely to be used in performing an outpatient coding review?
A. OCE
B. MS-DRG
C. CMI
D. MDS -A. OCE
the following are reporting options to assign POA accept:
A. Y-present at time of inpatient admission
B. N-not present at time of inpatient admission
C. E-exempt from POA reporting
D. W-provider is unable to clinically determine whether condition was POA -C. E-exempt from POA reporting
The OIG states that insufficient or missing documentation and one of the following are responsible for 70% of bad
claims submitted to medicare.
A. local coverage decisions
B. unbundling of procedures
C. failure to document medical necessity
D. overcoding -C. failure to document medical necessity
Managing an organizations data and those who enter it is an ongoing challenge requiring active administration and
oversight. This can be accomplished by the organization through management of which of the following?
A. data dictionary
B. data warehouse
C. data mapping
D. data set -A. Data Dictionary
A consumer nonprofit organization wants to conduct studies on the quality of care provided to medicare patients in a
specific region. A HIT professional has been hired to manage this project. The nonprofit org asks the HIT professional
about the viability of using billing data as the basis for its analysis. Which of the following would NOT be as quality
consideration in using billing data?
A. accuracy of the data
B. consistency of the data
C. appropriateness of the data elements
D. cost to process the data -D. cost to process the data
Which of the following documentation must be included in a patients health record prior to performing a surgical
procedure?
A. consent for operative procedure, anesthesia report, surgical report
B. consent for operative procedure, history, physical exam
C. history, physical, exam, anesthesia report
D. problem list, history, physical exam -B. consent for operative procedure, history, physical exam
Cancer registries are established by hospitals
A. by federal law or state law
B. voluntarily or by state law
C. voluntarily or by federal law
D. by mandate from the american college of Surgeons -B. voluntarily or by state law
Him director is part of the revenue cycle management team. the discharged-not-final-billed days are increasing bc
discharges are increasing. the number of coding staff is 5. with the implementation of an EDSS, telecommuting has
been suggested as an alternative. studies report that coding productivity can increase ax much as 20% with
telecommuting. Given that discharges have increased from 100/day to 144, how many more FTEs would need to be
hired if the dept went toe telecommuting?
A. 0.5 FTE
B. 0.75 FTE
C. 1 FTE
D. 2 FTEs -C. 1 FTE
In addition to case mix, other factors that may influence episode-related data quality include all of the following
except:
A. length of inpatient stay
B. health record documentation
C. data abstract type
, D. workflow issues -D. workflow issues
In May, 270 women were admitted to the obstetrics service. of these, 263 women delivered; 33 deliveries were by C-
Sec. What is the denominator for calculating the C-sec rate?
A. 33
B. 263
C. 270
D. 296 -B. 263
Community hospital discharged 9 patients on 4/1. the LOS for each of the patients was as follows: Patient A-1 day;
patient B-5 days; patient C-3 days; patient D-3 days; patient E-8 days; patient F-8 days; patient G-8 days; patient H-9
days; patient I-9 days. what was the average LOS for these 9 patients?
A. 5 days
B. 6 days
C. 8 days
D. 9 days -B. 6 days
In designing a paper-based storage system, which of the following should be used if conservation of floor space is the
major concern?
A. carousel system
B. five-drawer filing cabinets
C. mobile filing units
D. open-shelf filing units -C. mobile filing units
which of the following elements of coding quality represent consistency of code assignments among different coders?
A. reliability
B. validity
C. completeness
D. timeliness -A. reliability
A patient has liver metasasis due to adenocarcinoma of the rectum, which was resected 2 years ago. the patient has
been receivign radiotherapy to the liver with some relief of pain. the patient is being admitted at this time for
management of severe anemia due to the malignancy. the principle dx listed on this admission is
A. liver metastasis
B. adenocarcinoma of the rectum
C. anemia
D. admission for radiotherapy -A. liver metastasis
secondary condition that arises during a patients hospitalization is known by which of the following terms?
A. comorbidity
B. secondary dx
C. complication
D. evaluation and management code -C. complication
which of the following is most likely to be used in performing an outpatient coding review?
A. OCE
B. MS-DRG
C. CMI
D. MDS -A. OCE
the following are reporting options to assign POA accept:
A. Y-present at time of inpatient admission
B. N-not present at time of inpatient admission
C. E-exempt from POA reporting
D. W-provider is unable to clinically determine whether condition was POA -C. E-exempt from POA reporting
The OIG states that insufficient or missing documentation and one of the following are responsible for 70% of bad
claims submitted to medicare.
A. local coverage decisions
B. unbundling of procedures
C. failure to document medical necessity
D. overcoding -C. failure to document medical necessity
