Page | 1
AHIMA RHIA Exam Prep (7th Edition)
Questions with Detailed Verified
Answers
Question: 17. A patient requests copies of her medical records in an electronic
format. The hospital maintains a portion of the designated record set in a
paper format and a portion of the designated record set in an electronic
format. How should the hospital respond?
a. Provide the records in paper format only
b. Scan the paper documents so that all records can be sent electronically
c. Provide the patient with both paper and electronic copies of the record
d. Inform the patient that PHI cannot be sent electronically
, Page | 2
Ans: c. Provide the patient with both paper and electronic copies of the record
The HIPAA Privacy Rule states that the covered entity must provide
individuals with their information in the form that is requested by the
individuals, if it is readily producible in the requested format. The covered
entity can certainly decide, along with the individual, the easiest and least
expensive way to provide the copies they request. Per the request of an
individual, a covered entity must provide an electronic copy of any and all
health information that the covered entity maintains electronically in a
designated record set. If a covered entity does not maintain the entire
designated record set electronically, there is not a requirement that the
covered entity scan paper documents so the documents can be delivered
electronically (Thomason 2013, 102).
Question: 15. For an EHR to provide robust clinical decision support, what
critical element must be present?
a. Structured data
b. Internet connection
c. Physician portal
d. Standard vocabulary
Ans: If an EHR is to provide clinical decision support it requires two things:
structured data and a clinical data repository (Sandefer 2016a, 364).
, Page | 3
Question: 14. Which of the following is considered a two-factor
authentication system?
a. User ID and password
b. User ID and voice scan
c. Password and swipe card
d. Password and PIN
Ans: c. Password and swipe card
The three methods of two-factor authentication are something you know,
such as a password or PIN; something you have, such as an ATM card, token,
or swipe/smart card; and something you are, such as a biometric fingerprint,
voice scan, iris, or retinal scan (Sayles and Trawick 2014, 219).
Question: Under RBRVS, which elements are used to calculate a Medicare
payment?
a. Work value and extent of the physical exam
b. Malpractice expenses and detail of the patient history
c. Work value and practice expenses
d. Practice expenses and review of systems
, Page | 4
Ans: Each Resource-Based Relative Value Scale (RBRVS) comprises three
elements: physician work, physician practice expense, and malpractice, each
of which is a national average available in the Federal Register (Casto and
Forrestal 2015, 150).
Question: 12. The predefined process icon is used in flowcharting to indicate:
a. A process in which actions are being performed by humans
b. A point in the process at which participants must evaluate the status of the
process
c. Formal procedures that participants are expected to carry out the same way
every time
d. A point in the process at which the participants must record data in paper-
based or computer- based formats
Ans: The rectangle with double lines on the side in a flowchart is a predefined
process icon. This symbol represents the formal procedure that participants
are expected to carry out the same way every time (Shaw and Carter 2015,
198).
Question: . A researcher mined the Medicare Provider Analysis Review
(MEDPAR) file. The analysis revealed trends in lengths of stay for rural
hospitals. What type of investigation was the researcher conducting?
a. Content analysis
b. Effect size review
c. Psychometric assay
AHIMA RHIA Exam Prep (7th Edition)
Questions with Detailed Verified
Answers
Question: 17. A patient requests copies of her medical records in an electronic
format. The hospital maintains a portion of the designated record set in a
paper format and a portion of the designated record set in an electronic
format. How should the hospital respond?
a. Provide the records in paper format only
b. Scan the paper documents so that all records can be sent electronically
c. Provide the patient with both paper and electronic copies of the record
d. Inform the patient that PHI cannot be sent electronically
, Page | 2
Ans: c. Provide the patient with both paper and electronic copies of the record
The HIPAA Privacy Rule states that the covered entity must provide
individuals with their information in the form that is requested by the
individuals, if it is readily producible in the requested format. The covered
entity can certainly decide, along with the individual, the easiest and least
expensive way to provide the copies they request. Per the request of an
individual, a covered entity must provide an electronic copy of any and all
health information that the covered entity maintains electronically in a
designated record set. If a covered entity does not maintain the entire
designated record set electronically, there is not a requirement that the
covered entity scan paper documents so the documents can be delivered
electronically (Thomason 2013, 102).
Question: 15. For an EHR to provide robust clinical decision support, what
critical element must be present?
a. Structured data
b. Internet connection
c. Physician portal
d. Standard vocabulary
Ans: If an EHR is to provide clinical decision support it requires two things:
structured data and a clinical data repository (Sandefer 2016a, 364).
, Page | 3
Question: 14. Which of the following is considered a two-factor
authentication system?
a. User ID and password
b. User ID and voice scan
c. Password and swipe card
d. Password and PIN
Ans: c. Password and swipe card
The three methods of two-factor authentication are something you know,
such as a password or PIN; something you have, such as an ATM card, token,
or swipe/smart card; and something you are, such as a biometric fingerprint,
voice scan, iris, or retinal scan (Sayles and Trawick 2014, 219).
Question: Under RBRVS, which elements are used to calculate a Medicare
payment?
a. Work value and extent of the physical exam
b. Malpractice expenses and detail of the patient history
c. Work value and practice expenses
d. Practice expenses and review of systems
, Page | 4
Ans: Each Resource-Based Relative Value Scale (RBRVS) comprises three
elements: physician work, physician practice expense, and malpractice, each
of which is a national average available in the Federal Register (Casto and
Forrestal 2015, 150).
Question: 12. The predefined process icon is used in flowcharting to indicate:
a. A process in which actions are being performed by humans
b. A point in the process at which participants must evaluate the status of the
process
c. Formal procedures that participants are expected to carry out the same way
every time
d. A point in the process at which the participants must record data in paper-
based or computer- based formats
Ans: The rectangle with double lines on the side in a flowchart is a predefined
process icon. This symbol represents the formal procedure that participants
are expected to carry out the same way every time (Shaw and Carter 2015,
198).
Question: . A researcher mined the Medicare Provider Analysis Review
(MEDPAR) file. The analysis revealed trends in lengths of stay for rural
hospitals. What type of investigation was the researcher conducting?
a. Content analysis
b. Effect size review
c. Psychometric assay
