HIM 101 FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
Which ccacts ccon ccreports ccand ccrecommendations ccfrom ccmedical ccstaff
cccommittees? cc- ccAnswerexecutive cccommittee
Which cccoding ccsystem ccis ccused ccin ccthe ccUnited ccStates ccto cccollect ccinformation
ccabout ccdiseases ccand ccinjuries ccand ccto ccclassify ccdiagnoses ccand ccprocedures? cc-
ccAnswerICD-9-CM
Since cc1951, ccthe ccorganization ccthat cchas ccdeveloped ccprofessionally-based
ccstandards ccto ccevaluate ccthe cccompliance ccof cchealth cccare ccorganizations ccis ccthe
cc- ccAnswerJCAHO.
Which ccjoint ccstate ccand ccfederal ccprogram(s) ccassist(s) ccwith ccmedical cccosts ccfor
ccthose ccwith cclow ccincomes ccand cclimited ccresources? cc- ccAnswerMedicaid
Dr. ccJones cchas ccexamined ccTom ccSmith's cceye ccand cchas ccdetermined ccthat ccTom
cchas cca ccsuspicious ccarea ccon ccthe cccornea. ccDr. ccJones ccrefers ccTom ccto ccan cceye
ccspecialist ccin ccthe ccfield ccof cc- ccAnswerophthalmology.
Pam ccPaper ccreviews ccinpatient ccadmissions ccto ccassess ccpatients ccwho ccmay
ccrequire ccposthospital ccservices ccon ccdischarge. ccShe ccworks ccfor ccthe cc-
ccAnswercase ccmanagement ccdepartment.
Which cccredentials ccdoes ccAHIMA ccsponsor? cc- ccAnswerRHIT, ccRHIA
A cchealth cccare ccprofessional ccwho ccoversees ccthe ccdevelopment, ccimplementation,
ccmaintenance ccof, ccand ccadherence ccto ccthe ccorganization's ccpolicies ccthat cccover
ccthe ccsafeguarding ccof ccpatient cchealth ccinformation ccis cccalled cca cc- ccAnswerprivacy
ccofficer.
Suzy ccStaff's ccjob ccresponsibilities ccinclude cccoordinating ccpatient cccare ccto ccensure
ccthat ccpatients ccreceive cctimely ccdischarge ccor cctransfer. ccHer ccjob cctitle ccis: cc-
ccAnswerutilization ccmanager.
, The ccCPC, ccCPC-H, ccCPC-A ccand ccCPC-H-A cccertifications ccare ccsponsored ccby: cc-
ccAnswerAAPC
Critical ccaccess cchospitals cc(CAHs) ccare cclocated ccat cca ccdistance ccof cc____ ccmiles
ccfrom ccany cchospital ccor ccanother ccCAH. cc- ccAnswer35
An ccinpatient ccrecord ccis cctypically ccbetween cc____ ccin cclength. cc- ccAnswer60 ccand
cc100 ccpages
Between cc1996 ccand cc2006, ccthe ccnumber ccof ccambulatory cccare ccvisits ccin ccthe
ccUnited ccStates cchas: cc- ccAnswerincreased.
A ccform ccof ccauthentication ccby ccan ccindividual ccin ccaddition ccto ccthe ccsignature ccby
ccthe ccoriginal ccauthor ccis ccknown ccas cca(n) cc- ccAnswercountersignature.
Initials ccof cccare ccproviders ccare cctypically ccused ccto ccauthenticate ccentries ccon cc-
ccAnswerflow ccsheets ccand ccmedication ccrecords.
An ccadmission ccclerk ccmust ccobtain ccthe ccreason ccfor ccthe ccadmission ccwhen
ccprocessing cca cchospital ccinpatient; ccthis ccis cccalled ccthe: cc- ccAnswerprovisional
ccdiagnosis.
Which ccfiling ccorder ccsaves cctime ccin ccprocessing ccdischarged ccrecords? cc-
ccAnsweruniversal ccchart ccorder
Sunny ccValley ccHospital ccuses ccthe ccSOAP ccstructure ccto ccdocument ccpatient
ccinformation. ccObservations ccabout ccthe ccpatient ccwould ccbe ccdocumented ccin ccthe
cc____ ccsection ccof ccthe ccprogress ccnote. cc- ccAnswerobjective
Which ccof ccthe ccfollowing ccrecord ccformats cclinks ccall ccdocumentation ccto cca ccspecific
ccproblem? cc- ccAnswerproblem-oriented
Dr. ccJohns ccis ccan ccunlicensed ccresident ccwho ccperformed cca cchistory ccand ccphysical
ccexamination ccon ccSusie ccSmart ccand ccalso ccdictated ccthe ccreport. ccDr. ccBlake ccis
ccSusie's ccattending ccphysician. ccWho ccmust ccsign ccthe cchistory ccand ccphysical? cc-
ccAnswerDr. ccJohns ccmust ccsign ccthe ccreport ccfirst ccand ccthen ccDr. ccBlake ccmust
cccountersign.
The ccprimary ccreason ccfor cccompleting ccmedical ccrecords ccin cca ccfashion ccconsistent
ccwith ccmedical ccstaff ccpolicies ccand ccprocedures ccis ccto cc- ccAnswerprovide
cccontinuity ccof cccare ccto ccpatients.
ABC ccInsurance cchas ccrequested cca cccopy ccof ccSally ccSmith's ccinpatient ccrecord ccto
ccreconcile ccthe ccdocumentation ccin ccthe ccrecord ccwith cca ccclaim ccsubmitted ccby
ccSunny ccView ccHospital ccfor cc$200.00 ccof cclaboratory ccservices ccand cc$325.00 ccof
ccradiology ccservices. ccUpon ccreview ccof ccthe ccrecord, ccABC ccInsurance cchas
COMPLETE SOLUTIONS
Which ccacts ccon ccreports ccand ccrecommendations ccfrom ccmedical ccstaff
cccommittees? cc- ccAnswerexecutive cccommittee
Which cccoding ccsystem ccis ccused ccin ccthe ccUnited ccStates ccto cccollect ccinformation
ccabout ccdiseases ccand ccinjuries ccand ccto ccclassify ccdiagnoses ccand ccprocedures? cc-
ccAnswerICD-9-CM
Since cc1951, ccthe ccorganization ccthat cchas ccdeveloped ccprofessionally-based
ccstandards ccto ccevaluate ccthe cccompliance ccof cchealth cccare ccorganizations ccis ccthe
cc- ccAnswerJCAHO.
Which ccjoint ccstate ccand ccfederal ccprogram(s) ccassist(s) ccwith ccmedical cccosts ccfor
ccthose ccwith cclow ccincomes ccand cclimited ccresources? cc- ccAnswerMedicaid
Dr. ccJones cchas ccexamined ccTom ccSmith's cceye ccand cchas ccdetermined ccthat ccTom
cchas cca ccsuspicious ccarea ccon ccthe cccornea. ccDr. ccJones ccrefers ccTom ccto ccan cceye
ccspecialist ccin ccthe ccfield ccof cc- ccAnswerophthalmology.
Pam ccPaper ccreviews ccinpatient ccadmissions ccto ccassess ccpatients ccwho ccmay
ccrequire ccposthospital ccservices ccon ccdischarge. ccShe ccworks ccfor ccthe cc-
ccAnswercase ccmanagement ccdepartment.
Which cccredentials ccdoes ccAHIMA ccsponsor? cc- ccAnswerRHIT, ccRHIA
A cchealth cccare ccprofessional ccwho ccoversees ccthe ccdevelopment, ccimplementation,
ccmaintenance ccof, ccand ccadherence ccto ccthe ccorganization's ccpolicies ccthat cccover
ccthe ccsafeguarding ccof ccpatient cchealth ccinformation ccis cccalled cca cc- ccAnswerprivacy
ccofficer.
Suzy ccStaff's ccjob ccresponsibilities ccinclude cccoordinating ccpatient cccare ccto ccensure
ccthat ccpatients ccreceive cctimely ccdischarge ccor cctransfer. ccHer ccjob cctitle ccis: cc-
ccAnswerutilization ccmanager.
, The ccCPC, ccCPC-H, ccCPC-A ccand ccCPC-H-A cccertifications ccare ccsponsored ccby: cc-
ccAnswerAAPC
Critical ccaccess cchospitals cc(CAHs) ccare cclocated ccat cca ccdistance ccof cc____ ccmiles
ccfrom ccany cchospital ccor ccanother ccCAH. cc- ccAnswer35
An ccinpatient ccrecord ccis cctypically ccbetween cc____ ccin cclength. cc- ccAnswer60 ccand
cc100 ccpages
Between cc1996 ccand cc2006, ccthe ccnumber ccof ccambulatory cccare ccvisits ccin ccthe
ccUnited ccStates cchas: cc- ccAnswerincreased.
A ccform ccof ccauthentication ccby ccan ccindividual ccin ccaddition ccto ccthe ccsignature ccby
ccthe ccoriginal ccauthor ccis ccknown ccas cca(n) cc- ccAnswercountersignature.
Initials ccof cccare ccproviders ccare cctypically ccused ccto ccauthenticate ccentries ccon cc-
ccAnswerflow ccsheets ccand ccmedication ccrecords.
An ccadmission ccclerk ccmust ccobtain ccthe ccreason ccfor ccthe ccadmission ccwhen
ccprocessing cca cchospital ccinpatient; ccthis ccis cccalled ccthe: cc- ccAnswerprovisional
ccdiagnosis.
Which ccfiling ccorder ccsaves cctime ccin ccprocessing ccdischarged ccrecords? cc-
ccAnsweruniversal ccchart ccorder
Sunny ccValley ccHospital ccuses ccthe ccSOAP ccstructure ccto ccdocument ccpatient
ccinformation. ccObservations ccabout ccthe ccpatient ccwould ccbe ccdocumented ccin ccthe
cc____ ccsection ccof ccthe ccprogress ccnote. cc- ccAnswerobjective
Which ccof ccthe ccfollowing ccrecord ccformats cclinks ccall ccdocumentation ccto cca ccspecific
ccproblem? cc- ccAnswerproblem-oriented
Dr. ccJohns ccis ccan ccunlicensed ccresident ccwho ccperformed cca cchistory ccand ccphysical
ccexamination ccon ccSusie ccSmart ccand ccalso ccdictated ccthe ccreport. ccDr. ccBlake ccis
ccSusie's ccattending ccphysician. ccWho ccmust ccsign ccthe cchistory ccand ccphysical? cc-
ccAnswerDr. ccJohns ccmust ccsign ccthe ccreport ccfirst ccand ccthen ccDr. ccBlake ccmust
cccountersign.
The ccprimary ccreason ccfor cccompleting ccmedical ccrecords ccin cca ccfashion ccconsistent
ccwith ccmedical ccstaff ccpolicies ccand ccprocedures ccis ccto cc- ccAnswerprovide
cccontinuity ccof cccare ccto ccpatients.
ABC ccInsurance cchas ccrequested cca cccopy ccof ccSally ccSmith's ccinpatient ccrecord ccto
ccreconcile ccthe ccdocumentation ccin ccthe ccrecord ccwith cca ccclaim ccsubmitted ccby
ccSunny ccView ccHospital ccfor cc$200.00 ccof cclaboratory ccservices ccand cc$325.00 ccof
ccradiology ccservices. ccUpon ccreview ccof ccthe ccrecord, ccABC ccInsurance cchas
