RHIA Exam Prep Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
What is the primary purpose of a health information management system?
✔✔To collect, store, and manage patient health data efficiently and securely.
What is the role of an RHIA in clinical documentation improvement?
✔✔Ensures accurate, complete, and compliant documentation to support patient care and coding.
What type of record includes detailed notes from a patient’s hospital stay?
✔✔Inpatient medical record.
Which coding system is used to classify diseases and health conditions?
✔✔ICD (International Classification of Diseases).
What is the main purpose of a master patient index (MPI)?
✔✔To uniquely identify and track each patient across the healthcare organization.
What is a data dictionary in a health information system?
✔✔A standardized reference that defines all data elements, attributes, and formats used in the
system.
1
,What is the purpose of health information exchange (HIE)?
✔✔To electronically share patient health information securely between different healthcare
organizations.
Which document provides a legal record of care provided to a patient?
✔✔The medical record.
What is the function of a release of information (ROI) form?
✔✔To authorize the disclosure of patient health information to third parties.
What is the difference between qualitative and quantitative data in health information
management?
✔✔Qualitative data describes characteristics or quality, while quantitative data is numeric and
measurable.
What is the purpose of clinical coding?
✔✔To translate patient diagnoses, procedures, and services into standardized codes for billing
and statistics.
Which organization oversees coding guidelines for ICD-10-CM in the United States?
✔✔The Centers for Medicare & Medicaid Services (CMS).
What is the role of a health information administrator in compliance audits?
2
,✔✔To ensure healthcare facilities follow laws, regulations, and policies related to patient data.
What is the difference between confidentiality and privacy in healthcare?
✔✔Confidentiality is the protection of patient information within the organization, while privacy
is the patient’s right to control their own information.
What is the purpose of an electronic health record (EHR)?
✔✔To provide a comprehensive, digital record of a patient’s health information accessible by
authorized users.
What is a clinical decision support system (CDSS)?
✔✔A system that provides healthcare professionals with evidence-based guidance to improve
patient care decisions.
Which document outlines a patient’s treatment preferences if they become incapacitated?
✔✔Advance directive.
What is the function of a health information policy and procedure manual?
✔✔To provide standardized guidance for staff on handling health information accurately and
securely.
What is the difference between morbidity and mortality data?
3
, ✔✔Morbidity refers to the incidence of disease, while mortality refers to the incidence of death.
What is the purpose of data validation in health information management?
✔✔To ensure data is accurate, complete, and reliable for reporting and decision-making.
What is the primary goal of a clinical documentation improvement (CDI) program?
✔✔To enhance the quality and accuracy of patient records for coding, compliance, and patient
care.
What is the role of an RHIA in risk management?
✔✔To identify, analyze, and mitigate risks related to patient information and medical record
accuracy.
Which type of record is used for outpatient visits?
✔✔Ambulatory medical record.
What is the primary function of a coding compliance program?
✔✔To ensure coding practices meet federal and organizational regulations to prevent errors or
fraud.
What is a data warehouse in healthcare?
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
What is the primary purpose of a health information management system?
✔✔To collect, store, and manage patient health data efficiently and securely.
What is the role of an RHIA in clinical documentation improvement?
✔✔Ensures accurate, complete, and compliant documentation to support patient care and coding.
What type of record includes detailed notes from a patient’s hospital stay?
✔✔Inpatient medical record.
Which coding system is used to classify diseases and health conditions?
✔✔ICD (International Classification of Diseases).
What is the main purpose of a master patient index (MPI)?
✔✔To uniquely identify and track each patient across the healthcare organization.
What is a data dictionary in a health information system?
✔✔A standardized reference that defines all data elements, attributes, and formats used in the
system.
1
,What is the purpose of health information exchange (HIE)?
✔✔To electronically share patient health information securely between different healthcare
organizations.
Which document provides a legal record of care provided to a patient?
✔✔The medical record.
What is the function of a release of information (ROI) form?
✔✔To authorize the disclosure of patient health information to third parties.
What is the difference between qualitative and quantitative data in health information
management?
✔✔Qualitative data describes characteristics or quality, while quantitative data is numeric and
measurable.
What is the purpose of clinical coding?
✔✔To translate patient diagnoses, procedures, and services into standardized codes for billing
and statistics.
Which organization oversees coding guidelines for ICD-10-CM in the United States?
✔✔The Centers for Medicare & Medicaid Services (CMS).
What is the role of a health information administrator in compliance audits?
2
,✔✔To ensure healthcare facilities follow laws, regulations, and policies related to patient data.
What is the difference between confidentiality and privacy in healthcare?
✔✔Confidentiality is the protection of patient information within the organization, while privacy
is the patient’s right to control their own information.
What is the purpose of an electronic health record (EHR)?
✔✔To provide a comprehensive, digital record of a patient’s health information accessible by
authorized users.
What is a clinical decision support system (CDSS)?
✔✔A system that provides healthcare professionals with evidence-based guidance to improve
patient care decisions.
Which document outlines a patient’s treatment preferences if they become incapacitated?
✔✔Advance directive.
What is the function of a health information policy and procedure manual?
✔✔To provide standardized guidance for staff on handling health information accurately and
securely.
What is the difference between morbidity and mortality data?
3
, ✔✔Morbidity refers to the incidence of disease, while mortality refers to the incidence of death.
What is the purpose of data validation in health information management?
✔✔To ensure data is accurate, complete, and reliable for reporting and decision-making.
What is the primary goal of a clinical documentation improvement (CDI) program?
✔✔To enhance the quality and accuracy of patient records for coding, compliance, and patient
care.
What is the role of an RHIA in risk management?
✔✔To identify, analyze, and mitigate risks related to patient information and medical record
accuracy.
Which type of record is used for outpatient visits?
✔✔Ambulatory medical record.
What is the primary function of a coding compliance program?
✔✔To ensure coding practices meet federal and organizational regulations to prevent errors or
fraud.
What is a data warehouse in healthcare?
4
