and Answers Updated 2026/2027 Version |
Verified Answers
1. A medical group practice has contracted with an HIM professional to help
define the practice's legal health record. Which of the following should the
HIM professional perform first to identify the components of the legal health
record? - ANSWER ✅ Develop a list of statutes, regulations, rules, and
guidelines that contain requirements affecting the release of health records
2. Which data set would be used to document an elective surgical procedure
that does not require an overnight hospital stay? - ANSWER ✅ Uniform
Ambulatory Care Data Set
3. The purpose of the data dictionary is to _________________ definitions and
ensure consistency of use. - ANSWER ✅ Standardize
4. Keith is the supervisor of the MPI and chart deficiency review staff in the
HIM department, which also includes being the liaison for the billing
department and the R-ADT staff. He frequently meets with Michael, the R-
ADT supervisor, to discuss methods to combat healthcare fraud and the
process of verifying that the patients are truly who they say they are and that
these patients have the appropriate documentation for verification. This
process is called ______. - ANSWER ✅ Identity matching
5. Records in disparate system that do not communicate or do not have a
logical relationship for record management are called - ANSWER ✅ hybrid
health records
, 6. The leadership and organizational structures, policies, procedures,
technology, and controls that ensure that patient and other enterprise data
and information sustain and extend the entity's mission and strategies,
deliver value, comply with laws and regulations, minimize risks to all
stakeholders, and advance the public good is called - ANSWER ✅
information governance
7. Mary Smtih, RHIA, has been charged with the responsibility of designing a
data collection form to be used on admission of patients to the acute-care
hospital in which she works. What is the first resource she should use? -
ANSWER ✅ UHDDS
8. In long-term care, the resident's comprehensive assessment is based on data
collected in the - ANSWER ✅ MDS
9. Which of the following are considered dimensions of data quality? -
ANSWER ✅ Relevancy, granularity, timeliness, currency, accuracy,
precision, and consistency
10.Which of the following is a retention concern with electronic health records?
- ANSWER ✅ hardware obsolescence
11.The practices or methods that defend against charges questioning the
integrity of the data and documents are called: - ANSWER ✅
Nonrepudiation
12.Which of the following indexes would be used to compare the number and
quality of treatments for patients who underwent the same operation with
different surgeons - ANSWER ✅ physician