RHIA Practice Exam 1 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

RHIA Practice Exam 1 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified Which standard is used for coding outpatient procedures? A) ICD‐10‐CM B) CPT C) SNOMED CT D) LOINC In the health record lifecycle, what is the first step? A) Release of information B) Patient registration C) Coding D) Quality improvement What type of index organizes patients by the attending physician? A) Disease index B) Doctor index C) Procedure index D) Master patient index Which regulation governs the security and privacy of protected health information? 2 A) HIPAA B) HITECH C) FERPA D) OSHA Which classification system is used to code diagnoses in the US? A) ICD‐10‐CM B) CPT C) DSM‐5 D) RXNorm A business associate agreement is required when: A) Two providers share the same EMR vendor B) A third‐party service accesses PHI C) A patient calls to request records D) A nurse transcribes notes What is the purpose of the Notice of Privacy Practices? A) To itemize charges B) To explain how PHI may be used or disclosed C) To obtain consent for treatment D) To document a patient complaint 3 Which of the following is a data integrity issue? A) Slow network speed B) Incomplete training records C) Duplicate patient records D) Expired software license Which index lists all surgical operations for coding? A) Doctor index B) Procedure index C) Disease index D) Master patient index What is the primary goal of clinical documentation improvement (CDI)? A) Increase revenue only B) Ensure accuracy and completeness of the health record C) Reduce staff turnover D) Improve patient satisfaction scores Which organization publishes CPT codes? A) American Medical Association B) WHO C) CMS D) AHA 4 What does LOINC identify? A) Insurance plans B) Medications C) Laboratory and clinical observations D) Patient demographics What is a core function of a health information exchange (HIE)? A) Process payroll B) Share patient data across systems C) Approve research grants D) Maintain facility security In risk management, a sentinel event is defined as: A) A billing error B) An unexpected occurrence involving serious harm C) A routine performance report D) A schedule change Which is an example of an administrative safeguard for PHI security? A) Firewall installation B) Workforce training C) Locked filing cabinets 5 D) Encryption Which of these best defines data governance? A) Marketing strategy B) Clinical care pathway C) Policies for data quality and use D) Payment processing What is the purpose of a retention schedule? A) To delete records immediately B) To specify how long records must be kept C) To list patient complaints D) To track staffing Which of the following identifies patient problems and outcomes? A) Problem list B) Consent form C) Advance directive D) Surgical report What type of audit tracks who accessed PHI and when? A) Financial audit B) Access audit 6 C) Performance audit D) Compliance audit Which term refers to combining two patient records into one? A) Duplication B) Merging