RHIA MOCK EXAM 391 Questions with Verified Answers,100% CORRECT

RHIA MOCK EXAM 391 Questions with Verified Answers Each month the staff of the clinic with the lowest overall waiting time is awarded a free dessert in the Gulfside healthcare center cafeteria. take a look at the information listed above. the winner will be selected based on a. demonstrative clinical data b. comparative aggregate data c. objective individual data d. duplicate thematic dataCORRECT ANSWER b. comparative aggregate data a union campaign is being conducted at your facility. as a department manager, it is appropriate for you to tell employees that a. a strike is inevitable if the union wins b. wages will increase if the union is defeated c. you need the names of those involved in union activities d. you are opposed to the unionCORRECT ANSWER d. you are opposed to the union as the coding supervisor, your job description includes working with agents who have been charged with detecting and correcting over payments made to your hospital in the Medicare Fee for Service program. you will need to develop a professional relationship with a. the OIG b. MEDPAR representatives c. QIO physicians d. recovery audit contractorsCORRECT ANSWER d. recovery audit contractors employing the SOAP style of progress notes, choose the "assessment" statement from the following a. patient states low back pain with sciatica is as severe as it was on admission b. patient moving about very cautiously appears to be in pain c. adjust pain medication; begin physical therapy tomorrow. d. sciatica unimproved with hot pack therapyCORRECT ANSWER d. sciatica unimproved with hot pack therapy in preparation for an EHR, you are conducting a total facility inventory of all forms currently used. you must name each for for bar coding and indexing. the unnamed document in front of you includes a checklist for assessing an obstetric patient's lochia, fundus, and perineum. the document type you give to this form is. a. prenatal record b. labor record c. delivery room record d. postpartum recordCORRECT ANSWER d. postpartum record. based on the MS-DRG report above, what is the case-mix index for this facility? a. 0.204193 b. 2.965807 c. 11.639 d. 57CORRECT ANSWER b. 2.965807 the special form or view that plays the central role in planning and providing care at skilled nursing, psychiatric, and rehabilitation facilities is the a. interdisciplinary patient care plan b. medical history and review of systems c. interval summary d. problem listCORRECT ANSWER a. interdisciplinary patient care plan Four patients were discharged from crestview hospital yesterday. a final progress note is an appropriate discharge summary for a. howard, who died within 24 hours after his admission for a second heart attack in 2 weeks. b. jackson, who had no comorbidities or complications during this admission for replacement of a pacemaker battery c. fieldstone, who was admitted just 15 days following a heart attack for the acute onset of chest pain. d. babson, who delivered a healthy 8-pound boy without complications for either mother or child, and was discharged within 36 hours of admission.CORRECT ANSWER d. babson, who delivered a healthy 8-pound boy without complications for either mother or child, and was discharged within 36 hours of admission. Make Me Better Clinic (MMBC) provides well child visits and childhood immunizations for four insurance companies. data on the services they provided and the reimbursement they received from the four companies are listed in the two tables below. MMBC receives the best reimbursement for well child visits from a. lifecare b. getwell c. surehealth d. behealthyCORRECT ANSWER b. getwell Make Me Better Clinic (MMBC) provides well child visits and childhood immunizations for four insurance companies. data on the services they provided and the reimbursement they received from the four companies are listed in the two tables below. Most of the children who are seen at MMBC will have a well child visit and two immunizations. If you add the reimbursement for two immunizations to the reimbursement for each well child visit, which insurance company benefits MMBC most? a. lifecare b. getwell c. surehealth d. behealthyCORRECT ANSWER b. getwell You are calculating the fee schedule payment amount for physician services covered under Medicare Part B. you already have the relative value unit figure. the only other information you need is a. the facility's case-mix index b. a national conversion factor c. the facility's base rate d. ms-drg relative weightsCORRECT ANSWER b. a national conversion factor Key west hospital collected the data displaye above concerning its four highest volume MS-DRGs. which MS-DRG generated the most revenue for the hospital? a. MS-DRG A b. MS-DRG B c. MS-DRG C d. MS-DRG DCORRECT ANSWER c. MS-DRG C In reviewing a health record for coding purposes, the coder notes that the patient was put on Keflex post-surgery. there is no mention of a postoperative complication in the attending physician's discharge summary. before querying the doctor, the coder will seek to confirm the infection by reviewing the a. lab report b. nurses' notes c. operative report d. pathology reportCORRECT ANSWER a. lab report stan works in an acute care general hospital, fran works for a skilled nursing facility, ann is employed at an assisted living facility, and dan works for a home care provider. which people are employed in facilities that may seek Joint commission accreditation? a. only stan and fran b. only stan and dan c. only fran and dan d. dan, stan, and franCORRECT ANSWER d. dan, stan, and fran sunset beach clinic allows patients to communicate by e-mail to ask questions regarding their treatment and request appointment changes. e-mails and text messages are a. considered health care business records and are subject to the same regulations as records created in face-to-face patient encounters. b. considered proof of patient contact and should be summarized in a progress note in the patient record c. generally maintained in a facility's electronic mail system until the next face-to-face patient encounter d. not typically maintained or documented as patient encounters.CORRECT ANSWER a. considered health care business records and are subject to the same regulations as records created in face-to-face patient encounters the proposed national healthcare information network (NHIN) dimensions are graphically depicted in the diagram above. roman numeral are added to allow for the identification of specific areas. where would information concerning a patient's health insurance be located on this chart? a. I b. II c. III d. VCORRECT ANSWER b. II The facility's policy for physician's verbal orders in accordance with state law and regulations needs updating. the first area of investigation is the qualifications of those individuals who have been authorized to record verbal orders. for this information you will consult the a. policy and procedure manual b. hospital's quality management plan. c. data dictionary d. hospital bylaws, rules, and regulationsCORRECT ANSWER d. hospital bylaws, rule, and regulations. Parker has type 1 diabetes with hypertension taht is currently controlled with medication. parker was admitted through the ED for an emergency appendectomy. following surgery, the patient developed an infection at the wound site that was treated with antibiotics. when making decision about sequencing the codes for this case, the coder should rely on definitions found in the a. UHDDS b. coding clinic c. CMS coding guidelines d. federal registerCORRECT ANSWER a. UHDDS Parker has type 1 diabetes with hypertension taht is currently controlled with medication. parker was admitted through the ED for an emergency appendectomy. following surgery, the patient developed an infection at the wound site that was treated with antibiotics. Parker's principal diagnosis is the a. complications of hypertension b. comorbidity of the wound infection c. comorbidity of type 1 diabets d. acute appendicitisCORRECT ANSWER d. acute appendicitis Dr. Reed tried to explain wound care to Mr. Baker prior to discharge, but Bake (who is 104 and moderately senile) just could not seem to understand or remember what the doctor said. Mr. Baker's daughter was with him, so Dr. Reed explained Mr. Baker's aftercare to his daughter. Dr. Reed should document discharge instructions a. in the discharge summary b. on a patient instructions form signed by Dr. Reed and Mr. Baker and filed in Mr. Baker's medical record. c. in the discharge summary and on a patient instructions form signed by Dr. Reed and Mr. Baker and filed in Baker's medical record. d. in the discharge summary and on a patient instructions form signed by Dr. Reed and Mr. Baker's daughter and filed in Mr. Baker's medical record.CORRECT ANSWER d. in the discharge summary and on a patient instructions form signed by Dr. Reed and Mr. Baker's daughter and filed in Mr. Baker's medical record The physician has documented the final diagnoses as acute myocardial infaraction, COPD, CHF, hypertension, atrial fibrillation, and status-post cholecystectomy. The following conditions should be reported: I10 Essential Hypertension, benign I10 Essential Hypertension, unspecified I11 Hypertension, heart disease, unspecified as to malignant or benign, with heart failure I21.3 Acute Myocardial infarction, unspecified site, initial episode of care I48.91 Atrial Fibrilation I50.9 Congestive Heart Failure, unspecified J44.9 Chronic Obstructive Pulmonary Disease Z90.89 Acquire absence of gallbladder a. I21.3, J44.9, I21.3, I48.91, Z90.89 b. I11, J44.9, I50.9, I10, I48.91 c. I11, J44.9, I50.9, I10, I48.91, Z90.89 d. I11, J44.9, I50.9, I10, I48.91CORRECT ANSWER B. I11, J44.9, I50.9, I10, I48.91 Mary is 6 weeks postmastectomy for carcinoma of the breast. she is admitted for chemotherapy. What is the correct sequencing of the codes C50.911 Malignant Neoplasm of the Breast Z85.3 Personal History of malignant neople of breast Z51.11 Encounter for antineoplastic chemotherapy Z08 Follow-up exam after surgery a. Z51.11, C50.911 b. Z51.11, Z85.3 c. Z08, Z51.11 d. Z85.3CORRECT ANSWER A. Z51.11, C50.911 Which of the following is coded as an adverse effect in ICD-9-CM? a. tinnitus due to allergic reaction after administration of ear drops b. mental retardation due to intracranial abscess c. rejection of transplanted kidney d. nonfunctioning pacemaker due to defective solderingCORRECT ANSWER a. tinnitus due to allergice reaction after administration of ear drops which of the following scenarios identifies a pathologic fracture? a. greenstick fracture secondary to fall from bed b. compression fracture of the skull after being hit with a baseball bat c. vertebral fracture with cord compression following a car accident d. compression fracture of the vertebrae as a result of bone metastasis.CORRECT ANSWER d. compression fracture of the vertebrae as a result of bone metastasis. If the same condition is described as both acute and chronic and separate sub entries exist in the ICD-10-CM alphabetic index at the same indentation level a. they should both be coded, acute sequence first. b. they should both be coded, chronic sequence first c. only the acute condition should be coded. d. only the chronic condition should be codedCORRECT ANSWER a. they should both be coded, acute sequence first. which of the following statements is true a. a surgical procedure may include one or more surgical operation b. the terms surgical operation and surgical procedure are synonymous c. a surgical operation may include one or more surgical procedures d. the term surgical procedure is an incorrect term and should not be used.CORRECT ANSWER c. a surgical operation may include one or more surgical procedures which of the following would be coded as a poisoning a. coumadin intoxication due to a cumulative effect b. idisoyncratic reaction to artane c. interaction between aldomet and a vasodilating agent d. reaction between coumadin and an over-the-counter medicationCORRECT ANSWER d. reaction between coumadin and an over-the-counter medication which of the following diagnoses or procedures would prevent the normal delivery code, O80, from being assigned? a. occiput presentation b. single liveborn c. episiotomy d. low forcepsCORRECT ANSWER d. low forceps which of the following are considered a (late effect) sequela regardless of time? a. congenital defect b. nonunion c. nonhealing fracture d. poisoningCORRECT ANSWER b. nonunion four people were seen in your emergency department yesterday. which one will be coded as a poisoning? - josh was diagnosed with digitalis intoxication -ben had an allergic reaction to a dye adminstered for a pyelogram - bryan developed syncope after taking Contac pills with a double scotch -matthew had an idiosyncratic reaction between two properly administered prescription drugs a. josh b. ben c. bryan d. matthewCORRECT ANSWER c. bryan Patient is admitted for elective cholecystectomy for treatment of chronic cholecystititis with cholelithiasis. prior to administration of general anesthesia, patient suffers cerebral thrombosis. surgery is subsequently canceled. code and sequence the coding from the following codes. I66.9 cerebral thrombosis without cerebral infarction K80.10 chronic cholecystitis with cholelithiasis Z53.09 Iatrogenic cerebrovascular infarction or hemorrhage OFT40ZZ Cholecystectomy, total a. I97.821, K80.10, OFT4OZZ b. K80.10, I66.9, Z53.09 C. I97.821, I66.9, Z53.09 d. I66.9, Z53.09CORRECT ANSWER b. K80.10, I66.9, Z53.09 The discharge diagnosis for this inpatient encounter is rule out myocardial infarction. the coder would assign. a. a code for myocardial infarction b. a code for the patient's symptoms c. a code for an impending myocardial infarction d. no code for this conditionCORRECT ANSWER a. a code for myocardial infarction. staging a. refers to the monitoring of incidence and trends associated with a disease b. is continued medical surveillance of a case c. is a system for documenting the extent or spread of cancer d. designated the degree of differentiation of cellsCORRECT ANSWER c. is a system for documenting the extent or spread of cancer which of these conditions are always considered "present on admission" (POA)? a. congenital conditions b. E codes c. acute conditions d. possible, probable, or suspected conditionsCORRECT ANSWER a. congenital conditions in your state, it is legal for minors to seek medical treatment for a sexually transmitted disease without parental consent. when this occurs, who would be expected to authorize the release of the medical information documented in this episode of care to the patient's insurers? a. the patient b. a court-appointed guardian on behalf of the patient c. the custodial parent of the patient d. the patient's doctor on behalf of the patientCORRECT ANSWER a. the patient a patient is admitted through the emergency department. three days after admission, the physician documents uncontrolled diabetes mellitus. what is the "present on admission" (POA) indicator for uncontrolled diabetes mellitus? a. "Y" b. "U" c. "W" d. "N"CORRECT ANSWER D. "N" The patient had a thrombectomy, without catheter, of the peroneal artery, by leg incision. 34203 embolectomy or thrombectomy, with or without catheter; popliteal-tibioperoneal 35226 repair blood vessel, direct; lower extremity 35302 thromboendarterectomy, including patch graft if performed; superficial femoral artery 37799 unlisted procedure, vascular surgery a. 34203 b. 37799 c. 35302 d. 35226CORRECT ANSWER a. 34203 Patient was seen for excision of two interdigital neuromas from the left foot 28080 excision, interdigital(morton) neuroma, single, each 64774 excision of neuroma; cutaneous nerve, surgically identifiable 64776 excision of neuroma; digital nerve, one or both, same digit a. 64774 b. 64776 c. 28080 d. 28080, 28080CORRECT ANSWER d. 28080, 28080 Patient was seen in the Emergency Department with lacerations on the left arm. Two lacerations, one 7 cm and one 9 cm, were closed with layered sutures 12002 simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities(including hands and feet); 2.6-7.5cm 12004 simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6-12.5 cm 12035 Layer closure of wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet) 12.6-20.0cm 12045 Layer closure of wounds of neck, hands, feet and/or external genitalia; 12-6-20.0 cm a. 12045 b. 12035 c. 12002, 12004 d. 12004CORRECT ANSWER b. 12035 Office visit for 43-year old male, new patient, with no complications. patient is applying for life insurance and requests a physical examination. a detailed health and family history was obtained and a basic physical was done. physician completed life insurance physical form at patient's request. blood and urine were collected 99381- initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/ anticipatory guidance/risk factor reduction interventions, and the ordering of appropriate immunizations, laboratory/diagnostic procedures, new patient; infant (age under 1 year) 99386-initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/ anticipatory guidance/risk factor reduction interventions, and the ordering of appropriate immunizations, laboratory/diagnostic procedures, new patient; 40-64 years 99396- periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/ anticipatory guidance/risk factor reduction interventions, and the ordering of appropriate immunizations, laboratory/diagnostic procedures, established patient; 40-64 years 99450- basic life and/or disability examination that includes completion of a medical history following a life insurance pro forms a. 99450 b. 99386 c. 99396 d. 99381CORRECT ANSWER a. 99450 Patient was seen today for regular hemodialysis. no problems reported, tolerated procedure well. 90935- hemodialysis procedure with single physician evaluation 90937- hemodialysis procedure required repeated evalution with or without substantial revision of dialysis prescription 90945- dialysis procedure other than hemodialysis (e.g., peritoneal dialysis, hemofiltration, or other continuous renal replacemtn therapies), with single physician evaluation 99354 prolonged physican service in the office or other outpatient setting requiring direct (face-to-face) contact beyond the usual service; first hour (list separately in addition to code for office or other outpatient evaluation and management service) a. 90937 b. 99354 c. 90945 d. 90935CORRECT ANSWER d. 90935 an established patient was seen by the physician in the office for DTaP vaccine and Hib 90471- immunization administration (includes percutaneous, intradermal, subcutaneous, intramuscular injections); one vaccine (single or combination vaccine/toxoid) 90700-diptheria, tetanus toxoids, and acellular pertussis vaccine DTaP, when admistered to indivduals younger than 7 years, for intramuscular use 90720-diptheria, tetanus toxoids, and whole cell pertussis vaccine and hemophilus influenza B vaccine (DTP-Hib), for intramuscular use. 90721- diptheria, tetanus toxoids, and acellular pertussis vaccine and hemophilus influenza B vaccine (DTaP-Hib), for intramuscular use 90748- Hepatitis B and Hemophilus influenza b vaccine (HepB-Hib), for intramuscular use 99211- office or other outpatient visit for the evaluation and management of an established patient, which may not require the presence of a physician. usually, the presenting problems are minimal. typically 5 minutes are spent performing or supervising procedure a. 90721 b. 90720, 90471 c. 90700, 90748, 99211 d. 90471, 90721CORRECT ANSWER d. 90471, 90721 a patient with lung cancer and bone metastasis is seen for complex treatment planning by a radiation oncologist 77236- therapeutic radiology treatment planning; complex 77290- therapeutic radiology simulation-aided field setting; complex 77315- teletherapy, isodose plan (whether hand or computer calculated); complex (mantle or inverted Y, tangential ports, the use of wedges, compensators, complex blocking, rotational beam, or special beam considerations) 77334- treatment devices, design and construction; complex(irregular blocks, special shields, compensators, wedges, molds or casts) a. 77315 b. 77263 c. 77290 d. 7734CORRECT ANSWER b. 77263 a 4-year-old had a repair of an incarcerated inguinal hernia. this is the first time this child had been treated for this condition 49496- repair initial inguinal hernia full-term infant, under age 6 months, or preterm infant over 50 weeks' post 49501- repair initial inguinal hernia, age 6 months to under 5 years, with or without hydrocelectomy; incarcerated or strangulated 49521- repair recurrent inguinal hernia, any age; incarcerated or strangulated 49553- repair initial femoral hernia, any age; incarcerated or strangulated a. 49553 b. 49496 c. 49521 d. 49501CORRECT ANSWER d. 49501 a quantitative drug assay was performed for a patient to determine digoxin level 80050- general health panel 80101- drug screen, qualtitative; single drug class method (e.g. immunoassay, enzyme assay), each drug class 80162- digoxin (therapeutic drug assay, quantitative examination) 80166- doxepin (therapeutic drug assay, quantitative examination) a. 80101 b. 80050 c. 80166 d. 80162CORRECT ANSWER d. 80162 provide the CPT code for anesthesia servcies for the transvenous insertion of a pacemaker 00530- anesthesia for permanent transvenous pacemaker insertion 00560- anesthesia for procedures on heart, pericardial sac, and great vessels of chest; without pump oxygenator 33202- insertion of epicardial electrodes; open incision 33206- insertion or replacement of permanent pacemaker with transvenous electrodes; atrial a. 00560 b. 33202, 00530 c. 00530 d. 33206, 00560CORRECT ANSWER c. 00530 the transiptionists have collected data on the number and types of problems with the dictation equipment. the best tool to display the data they collected is a a. flowchart b. pareto chart c. gantt chart d. pert chartCORRECT ANSWER b. pareto chart based on the information below, what was the net death rate at Seaside Hospital in January? Admission- 280 discharged to home-212 discharge transfers-28 death less than 48 hours- 8 death greater than 48 hours- 6 a. 2.4% b. 2.8% c. 3.8% d.5.8%CORRECT ANSWER a. 2.4% the formula used to calculate the percentage of ambulatory care visits made with same day appointments is a. number of patients seen with same day appointments for a period x 100 divided by the number of patients seen with addvance appointments for the same period b. number of patients seen with advance appointments for a period x 100 divided by the number of patients seen with the same day appointments for the same period c. number of patients seen with same day appointments for a period x 100 divided by the number of patients seen in the same period d. number of patients seen with advance apointments for a period x 100 divided by the number of patients seen in the same periodCORRECT ANSWER d. number of patients seen with same day appointments for a period x 100 divided by the number of patients seen in the same period an HIM department budget report for may shows a payroll budget of $25,000 and an actual payroll exepnse of $22, 345. the percentage of budget variance for the month is a. $2,655 b. 11% c. $265 d. 0.9%CORRECT ANSWER b. 11% diverticulitis large bowel with abscess; right hemicolectomy with colostomy performed K57.90 Diverticulosis of colon (without mention of hemorrhage) K57.92 Diverticulitis of colon (without mention of hemorrhage) K63.0 Abscess of intestine ODTK0ZZ Open and other right hemicolectomy OKTL0ZZ Open and other resection of transverse colon OD1K0Z4 Exteriorization of large intestine (loop colostomy) a. K57.90, ODTL0ZZ, OD1K0Z4 b. K57.92, ODTK0ZZ, OD1K0Z3 c. K57.92, K63.0, ODTK0ZZ d. K57.92, K63.0, ODTL0ZZCORRECT ANSWER c. K57.92, K63.0, ODTK0ZZ Your facility is engaged in a research project concerning patients newly diagnosed with type 2 diabetes. the researchers notice older patients have a longer length of stay than younger patients. they have seen a a. positive correlation between age and length of stay b. negative correlation between age and length of stay c. causal relationship between age and length of stay d. homologous relationship between age and length of stayCORRECT ANSWER a. positive correlation between age and length of stay Johnston city was set upon by a swarm of killer bees. all 5,000 residents are at risk of a bee attack. if 25 residents were attacked by the bees, the incidence of bee attack a. is 5 in 1,000 b. is 5 in 5,000 c. is 25 in 1,000 d. cannot be determined at this timeCORRECT ANSWER a. is 5 in 1,000 a 335-bed hospital opened a new wing on June 1 of a nonleap year, increasing its bed count to 350 beds. the total bed count days for the year at the hospital was a. 122, 275 b. 125, 485 c. 127, 750 d. the answer cannot be calculated with the information providedCORRECT ANSWER a. 125, 485 a patient who was admitted to the hospital on January 14 and discharged on March 2 in a nonleap year has a length of stay of a. 45 days b. 46 days c. 47 days d, 48 daysCORRECT ANSWER c. 47 days release of information has increased its used of part-time prn clerical support in order to respond to increased requests for release of information. the budget variance report will reflect a. the increase in the cost of part-time clerical support for ROI but not the increase in revenue from this area b. the increase in revenue from increased volume in ROI but not the increased costs of part-time clerical support c. both the increases in revenue and increased costs for clerical support in ROI d. neither the increased costs nor increased revenue, as temporary changes are rarely reflected on variance reportsCORRECT ANSWER a. the increase in the cost of part-time clerical support for ROI but not the increase in revenue from this area. you are heading a research study that includes a patient questionnaire. five of the questions will be answered using the following scale: a. stacked bar graph b. pie chart c. frequency table d. frequency polygonCORRECT ANSWER c. frequency table your HMO manager has requested a report on the number of patient visits per year for preschool children. which of the age groupings below will you use for your report. a. 0-1 year, 1-2 years, 2-3 years, 3-4 years, 4-5 years b. less than 12 months, 12-24 months, 25-37 months, 38-50 months, 51-63 months. c. greater than 12 months, 12-24 months, 25-37 months, 38-50 months, less than 51 months d. 0-2 years, 3-4 years, 5 yearsCORRECT ANSWER b. less than 12 months, 12-24 months, 25-37 months, 38-50 months, 51-63 months. Collins Family Hospital had a bed count of 150 for the first 6 months of the year. on june 1, it added 15 beds when it opened a new wing. if you are given the average length of stay for the year, can you calculate the annual bed turnover rate? how? a. yes, using the direct method b. yes, using the indirect method. c. yes, using the joint commision method. d. no, there is insufficient data to complete the calculationCORRECT ANSWER d. no, there is insufficient data to complete the calculation in a research study that includes a patient questionnaire, five of the questions will be answering using the following scale: 1-strongly agree 2-disagree 3-no opinion 4-agree 5-strongly agree the data collected using this scale are called a. cardinal data b. ordinal data c. nominal data d. continuous dataCORRECT ANSWER b. ordinal data gail smith has presented to the ER in a coma with injuries sustained in a motor vehicle accident. according to her sister, gail has had a recent medical history taken at the public health department. the physician on call is grateful that she can access this patient information using the area's a. EDMS system b. CPOE c. expert system d. RHIOCORRECT ANSWER d. RHIO the patients family asked the attending physician to keep the patient in the hospital for a few days more until they could make arrangements for the patient's home care. because the patient no longer meets criteria for continued stay, if the physician complies with the family's request, this would be considered a. the best utilization of the hospital's resources. b. an inappropriate use of hospital resources c. a compassionate use of the hospital's resources d. appropriate provided it is limited to a few daysCORRECT ANSWER b. an inappropriate use of hospital resources the state is considering the closure of the Arcadia Hospital. in reviewing the hospital statistics, which indicator will best help state officials determine whether closure is warranted? a. daily census b. percentage of occupancy c. inpatient service days d. average length of stayCORRECT ANSWER b. percentage of occupancy the census taken at midnight on August 1 showed 99 patients remaining in the hospital. on august 2, four patients were admitted, there was one fetal death, one DOA, and seven patients were discharged. one of these patients was admitted in the morning and remained only 8 hours. how many inpatient service days were rendered on August 2? a. 94 b. 95 c. 96 d. 97CORRECT ANSWER d. 97 you are implementing a quality improvement plan that utilizes the PDSA cycle. if you correctly implement the PDSA, which pase of the project will take the most of your time a. P b. D c. S d. ACORRECT ANSWER a. P a run or line chart would be most useful for collecting data on a. waiting time in the pediatrics clinic b. patient satisfaction with the food c. delays in scheduling elective surgical procedures d. medication errors and their causesCORRECT ANSWER a. waiting time in the pediatrics clinic the ER staff has collected the data on the number of visits and corresponding wait times in the ER. the data are displayed on the chart shown above. based on this information, what kind of correlation do you see between the number of visits (variable X) and the wait times (variable y)? a. a positive correlation between variable X and variable Y b. a negative correlation between variable x and variable y c. a conjunctive correlation between variable X and variable Y d. a causative correlation between variable x and variable yCORRECT ANSWER a. a positive correlation between variable X and variable Y Fred is recovering nicely, so he asks Dr. Jones if he can go home for the weekend. Dr Jones approves a two-night leave of absence (LOA). Chances are Fred is a patient in a. an acute care facility; his LOA will decrease the months average daily inpatient census b. a long-term care facility, his LOA will increase the month's percentage of occupancy c. an acute care facility; his LOA will increase the month's total discharge days d. a long term care facility; his LOA will decrease the month's total inpatient service days.CORRECT ANSWER d. a long term care facility; his LOA will decrease the month's total inpatient service days community hospital reported an average LOS in December of 3.7 days with a standard deviation of 23. this information indicates that a. there was a small variation in the LOS at the community hospital b. there was a large variation in the LOS at community hospital c. most of the patients at community hospital stay 3 to 4 days d. patients stay longer at community than at most hospitalsCORRECT ANSWER b. there was a large variation in the LOS at community hospital four HIT students are working on a LOS project at their clinical site. to describe the variability of the data, Smithson suggest using range because it is the most exact. Donaldson wants to use the mean because it is easy to calculate. franklin recommends variance because it is the most preferred and has better interpretive uses. who made the best suggestion a. smithson b. donaldson c. franklin d. howellCORRECT ANSWER d. howell sun city repoted 12 cases of chronic heart disease in a population of 8,000 in 2008. in 2011, sun city reported there were still 12 cases of chronic heart disease, but its population had decreased to 6,000. this represents an increase in the a. prevalence of chronic heart disease in sun city b. incidence of chronic heart disease in sun city c. reliability of reporting chronic heart disease in sun city d. occurence of chronic heart disease in sun city.CORRECT ANSWER a. prevalence of chronic heart disease in sun city community hospital administration decided to change the number of adult and children beds from 300 to 375 effective July 1. the total number of inpatient services days for adults and children for the year was 111, 963. what was the percentage of occupancy rate for adults and children for the entire year? a. 0.9% b. 45.4% c. 90.8% d. 91.0%CORRECT ANSWER c. 90.8% when checking the census data at south beach women's center, you see that just yesterday, there were four sets of triplets, five sets of twins, and eight single births. yesterday, south beach women's center had a. 17 deliveries b. 25 deliveries c. 30 deliveries d. 39 deliveriesCORRECT ANSWER a. 17 deliveries in preparing the retention schedule for health records, the most concrete guidance in determining when records may be destroyed will be a. the average readmission rate for the facility b. the available options for inactive records c. the statute of limitations in your state d. joint commission and AOA standards regarding minimum retention periods.CORRECT ANSWER c. the statute of limitations in your state the credentialing committee discovered the problems with dr. hernandez's hip replacements by a. sampling and reviewing dr. henandez's patient records b. reviewing dr. hernandez's physician profile c. querying the national physician data bank d. interviewing the chief of surgeryCORRECT ANSWER b. reviewing dr. hernandez's physician profile you are starting your new job as the sole HIM professional at a small psychiatric practice. the practice uses DSM for billing purposes. you find this "theoretically" reasonable because DSM a. is a widely used and accepted classification system b. codes are also valid ICD-10-CM codes c. codes are also valid CPT codees d. is the industry standard for physchiatric billing systemsCORRECT ANSWER b. codes are also valid ICD-10-CM codes as the information security office at your facility, you have been asked to provide examples of the physical safeguards used to manage data security measures throughout the organization. which of the following would you provided. a. audit controls b. entity authentication c. chain-of-trust partner agreements d. workstation use and locationCORRECT ANSWER d. workstation use and location the MS-DRG weight in a particular case is 2,0671 and the hospital's payment rate is $3,027. how much would the hospital receive as reimbursement in this case? a. $3,027.00 b. $5,094.10 c. $6, 257.11 d. $960.00CORRECT ANSWER c. $6,257.11 a patient's husband slipped and fell in your HIM reception are and now he is suing the facility. you have to prepare detailed written answers to a long list of questions and send them to your hospital attorney. you will spend the afternoon working on a. affidavits b. allocutions c. interrogatories d. depostionsCORRECT ANSWER c. interrogatories use the information on errors in indexing of scanned material that you have collected and presented in the table below to answer the question if you want to begin with the type of material that has the highest error rate, you will start by working on problems with a. consultation reports b. lab slips c. correspondence d. otherCORRECT ANSWER a. consultation reports use the information on errors in indexing of scanned material that you have collected and presented in the table below to answer the question referring again to the data collected on scanning errors, if you want to work on the type of material with the highest volume, you will work on problems with a. consultation reports b. lab slips c. correspondence d. otherCORRECT ANSWER b. lab slips you are providing an educational session to new hires at your hospital. you tell the new employees that hospital records may be used as evidence in court even though hearsay laws bar the use of most evidence that does not represent personal knowledge of the witness. that is because the hospital record a. is written rather than spoken b. was kept in the regular course of business c. has not been tampered with in any way d. is accurate and completeCORRECT ANSWER b. was kept in the regular course of business which of the following responsibilites would you expect to find on the job description of a facility's information security officer but NOT on the job description of chief privacy officer? a. cooperate with the office of civil rights in compliance investigations b. conduct audit trails to monitor inappropriate access to system information c. oversee the patient's right to inspect, amend, and restrict access to protected health information d. monitor the facility's business associate agreementsCORRECT ANSWER b. conduct audit trails to monitor inappropriate access to system information sally is a HIM professional with many years of experience. unlike some of her colleagues, sally loves the challenge of adapting to change. she is happy that HIPAA empowers the secretary of DHHS to adopt standards for electronically maintained health information. sally hopes that the standardization under HIPAA will make it easier to design safeguards for electronic data, to protect against unauthorized access, to a. make and use copies of the data, and to guard against unauthorized data integration b. protect electronic records from corruption, and to prosecute hackers under federal law. c. prevent the corruption of electronically stored data, and to protect the integrity of the information itself d. submit revisions of claims as they are denied, and to track third-party payersCORRECT ANSWER c. prevent the corruption of electronically stored data, and to protect the integrity of the information itself. an 11-year old female is brought to the emergency room with a compound, comminuted fracture of the right tibia and fibula. her mother was very seriously injured in the same accident and is unconscious. what should be done a. nothing, until consent can be obtained from the nearest relative b. the mother can be treated under implied consent but not the child c. the hospital should quickly seek a court-appointed guardian for the child. d. both patients can be treated under implied consent.CORRECT ANSWER d. both patients can be treated under implied consent. a pharmacist at your facility was caught running a drug ring. the pharmacist filed orders of valuable medications with cheap outdated ones purchased on the internet and then sold the good drugs for profit. patients have been injured and the lawsuits are starting. unfortunately, your facility is going to be held responsible for the pharmacist's negligent acts under the doctrine of a. adjudicus res b. res ipsa loquitur c. respondeat superior d. stare decisisCORRECT ANSWER c. respondeat superior a patient was treated for meningitis at age 3 (15 years ago). the patient is now 18. the patient's attorney is requesting information on the admission. you tell the clerk the information is a. no longer available because your facility retains information for 10 years after the last patient visit b. available, but the attorney will have to obtain a court order before you will release it. c. available, but the patient's parents will have to sign a consent for your to release it d. available, and the patient may sign consent to release the information in the recordCORRECT ANSWER d. available, and the patient may sign consent to release the information in the record a patient has written to request a copy of his own record. when the clerk checked the record, it was noted that the patient was last admitted to the psychiatric unit of the facility. you advise the clerk to a. comply with the request immediately b. contact the patient's attending physician before complying c. ignore the request and advise you if it is repeated d. aske the patient to send the required fee prior to the releaseCORRECT ANSWER b. contact the patient's attending physician before complying your HIS department receives and authorization for sara may's medical history to be sent to her attorney, but the expiration date noted on the authorization has passed. what action is appropriate according to hipaa privacy rules? a. do not honor because the authorization is invalid. b. contact the patient to get permission to respond c. contact the attending physician for permission to respond d. honor the authorization since the patient obviously approves of the releaseCORRECT ANSWER a. do not honor because the authorization is invalid the hospital's strategic plan calls for having the entire health record contact recorded in discrete form within the next 10 years. which system will the HIM director most likely recommend in the early stages of the project as a transition strategy? a. electronic document management system b. clinical data repository system c. CPOE system d. speech recognition systemCORRECT ANSWER a. electronic document management system as the information security office at your facility, you have been asked to provide examples of technical security safeguards as a result of HIPAA legislation. which of the following would you provide? a. audit controls b. evidence of security awareness training c. surge protectors d. workstation use and locationCORRECT ANSWER a. audit controls after your coders helped you rank the reasons for coding errors in the order of their importance, you then plotted the results on the chart above. the results of your work surprise you because a. you expected the coders to put more emphasis on time pressure b. you thought limited training was the primary reason for the errors c. the rankings show surprising disagreement on the issue d. the results appear to violate the Pareto PrincipleCORRECT ANSWER d. the results appear to violate the Pareto principle joanie howell presents to dr. franklin requesting rhinoplast. because howell is covered by medicare, dr. franklin must provide howell with a. a notice of exclusion, because rhinoplasty is not a medicare covered service b. an advance beneficiary notice, because rhinoplasty is not a medicare covered service c. a notice of exclusion, because howell's rhinoplasty may not be medically necessary. d. an advance beneficiary notice, because howell's rhinoplasty may not be medically necessaryCORRECT ANSWER d. an advance beneficiary notice because howell's rhinoplasty may not be medically necessary a 19-year-old former patient faxes a request to your facility requesting the release of his medical records of all episodes of care to the army. the release of information clerk should a. send the records as requested b. inform the young man that specific reports must be identified in his request c. send a letter informing him that faxed requests are not accepted d. deny the requestCORRECT ANSWER a. send the records as requested a 16-year-old maled was treated at your facility for a closed head injury. the patient's 18-year-old wife accompanied him to the hospital and signed the consent for admission and treatment because of the patient's incapacity at the time. the patient has requested that copies of his medical records be sent to his attorney. who should sign the authorization to release the records? a. the patient b. either of the patient's parents c. the patient's parent or legal guardian d. the patient's wifeCORRECT ANSWER a. the patient when a patient is admitted because of a primary neoplasm with metastasis and treatment is directed toward the secondary neoplasm only a. code only the primary neoplasm as the principal diagnosis b. the primary neoplasm is coded as the principal diagnosis, and the secondary neoplasm is coded as an additional diagnosis c. the secondary diagnosis is coded as the principal diagnosis, and the primary neoplasm is coded as an additional diagnoses. d. code only the secondary neoplasm as the principal diagnosisCORRECT ANSWER c. the secondary diagnosis is coded as the principal diagnosis, and the primary neoplasm is coded as an additional diagnosis a patient initially consulted with dr. vasseur at the request of dr. meche, the patient's primary care physician. dr. vasseur examined the patient, prescribed medication, and ordered tests. additional visits to dr. vasseur's office for continuing care would be assigned from which e/m section? a. office and other outpatient services, new patient b. office and other outpatient services, established patient c. office or other outpatient consultations, new or established patient d. confirmatory consultations, new or established patientsCORRECT ANSWER b. office and other outpatient services, established patient a transcription unit has been asked to tally the number of times they have to leave sections of a report blank for various reasons (poor dictation technique, background noise, etc.) the quality improvement tool most likely to help collect these data would be a. force field analysis b. decision matrix c. flowchart d. check sheetCORRECT ANSWER d. check sheet as the director of a health information technology program, your community college has been selected to participate in the workforce development of electronic health record specialists as outlined by ARRA and HITECH. in order to keep abreast of changes in this program, you will need to regularly access the web site of which governmental agency? a. ONC b. CMS C. OSHA d. CDCCORRECT ANSWER a. ONC the chief of staff, chief of medicine, president of the governing body, and most departmental managers have already completed CQI training. unfortunately, the hospital admistrator has not been to training, refuses to get involved with CQI, and refuses to let the administrative departmental staff get training. a. this level of involvement is enough to meet joint commission standards b. the joint commission only expects involvement from clinical staff c. this will not do because it violates joint commission standards and CQI philosophy d. if you can talk him into training his staff, you can let him skip the trainingCORRECT ANSWER c. this will not do because it violates joint commission standards and CQI philosophy use the information provided in the table above to calculate the delinquent rate. the delinquent rate a. cannot be determined b. is 36% c. is 50% d. is 71%CORRECT ANSWER b. is 36% the percentage of records delinquent due to the absence of an operative report a. is 1.7% b. is 2.7% c. is 4.6 % d. cannot be determined from the information givenCORRECT ANSWER d. is 4.6% the purpose of the correct coding initiative is to a. increase fines and penalties for bundling services into comprehensive CPT codes b. restrict medicare reimbursement to hospitals for ancillary services c. teach coders how to unbundle codes d. detect and prevent payment for improperly coded servicesCORRECT ANSWER d. detect and prevent payment for improperly coded services access to radiologic images has been imporved through the use of which of the following? a. LOINC b. PACS c. EDMS d. CPOECORRECT ANSWER b. PACS the difference between an institutional review board (IRB) and a hospital's ethics committee is that a. the IRB focuses on patient care only, and the ethics committee addresses both patient care and business practices b. the ethics committee reviews ethics complaints, and the IRB focuses on developing policies and procedures c. the IRB deals with the ethical treatment of human research subjects, and the ethics committee covers a wide range of issues d. the IRB is made up entirely of patient care providers, and the ethics committee is mulitdisciplinaryCORRECT ANSWER c. the IRB deals with the ethical treatment of human research subjects, and the ethics committee covers a wide range of issues a common goal of the office of the national coordinator for health information technology, RHIOs, and a national infrastructure for information is a. translating images into a digital format b. sharing information among providers c. transferring health information within a hospital system d. promoting telemedicineCORRECT ANSWER b. sharing information among providers according to CPT, a biopsy of the breast that involves removal of only a portion of the lesion for pathologic examination is a. percuatneous b. incisional c. excisional d. punchCORRECT ANSWER b. incisional your facility would like to improve physician documentation in order to allow improved coding. as coding supervisor, you have found it very effective to provide the physicians with a. a copy of the facility coding guidelines, along with written information on improved documentation b. the UHDDS and information on where each data element is collected and/or verified in your facility c. regular in-service presentations on documentation, including its importance and tips for improvement d. feedback on specific instances when improved documentation would improve codingCORRECT ANSWER d. feedback on specific instances when improved documentation would improve coding a piece of objective data collected upon initial assessment of the patient is a. review of systems b. history of present illness c. chief complaint d. vital signsCORRECT ANSWER d. vital signs you are the director of coding and billing at a large group practice. the practice manager stops by your office on his way to a planning meeting to ask about the timeline for complying with HITECH requirements to adopt meaningful use EHR technology. you reply that the incentives began in 2011 and end in 2014. you remind him that by 2015, sanctions for noncompliance will appear in the form of a. downward adjustments to medicare reimbursement b. withdrawal of permission to treat medicare and medicaid patients c. a mandatory action plan for implementing a meaningul use EHR d. monetary fines up to $100,000CORRECT ANSWER a. downward adjustments to medicare reimbursement a number of key elements for your facility's computerized patient record are still input by clerical staff from handwritten data entry sheets. you are concerned about the transfer of data. if the vital signs stored in the database are not what were originally recorded, the impact on patient care could be severe. you are concerned about the a. stability of the data b. validity of the data c. legitimacy of the data d. reliability of the dataCORRECT ANSWER b. validity of the data ORYX is a program that was developed by a. CMS to track Medicare costs b. joint commission to link patient outcomes to accreditation c. NIH to track communicable disease d. AMA to allow for rapid CPT updatesCORRECT ANSWER b. joint commission to link patient outcomes to accreditation in preparation for conversion to a computerized patient record, a committee at your facility is defining each of the data elements in a patient record to determine which elements should be required and to set parameters for each element. the committee is working on the data a. edits b. reasonableness c. dictionary d. feasibiltiyCORRECT ANSWER c. dictionary an effective means of protecting the security of computerized health information would be to a. require all facility employees to change their passwords at least once a month b. write detailed procedures for the entry of data into the computerized information system c. install a system that would require fingerprint scanning and recognition for data access. d. develop clear policies on data security that are supported by the top management of the facilityCORRECT ANSWER d. develop clear policies on data security that are supported by the top management of the facility in reviewing the policies on release of information in respect to the privacy rules, you not that it is still acceptable to allow release of protected health information without patient permission to a. the patient's spouse b. a health care provider interested in the case c. the quality assurance committee for review purposes d. a third-party payer with a direct interest in the caseCORRECT ANSWER c. the quality assurance committee for review purposes your facility has a team that has been working to develop a strong performance improvement model, and they have come up with the model show above. the team asks if you see anything missing from the model. you tell them they. a. are missing a step requiring regular employee input into the process. b. are missing a step requiring reporting to the board of directors c. are missing a step requiring ongoing monitoring and reassessment d. aren't missing any steps, the model is a good oneCORRECT ANSWER c. are missing a step requiring ongoing monitoring and reassessment part of your job description is to educate physicians regarding proper documentation policies and standards. you are the a. information security manager b. clinical data specialist c. health information manager d. risk managerCORRECT ANSWER c. health information manager your hospital has purchased a number of outpatient facilities. you have been assigned to chair an interdisciplinary committee that will write record retention policies for the new corporation. you begin by telling the committee their primary consideration when making retention decisions must be a. space considerations b. statutory requirements c. provider preferences d. professional standardsCORRECT ANSWER b. statutory requirements a major drug company wants to promote a fundraiser targeting patients with congestive heart failure. the drug company representative has requested a list of patients treated at your facility. as privacy and security officer, you tell them that a. they just need to send a written request for the list b. a prior authorization is required before any PHI can be released c. you will need to confer with the medical director d. if the fundraising was conducted by a business associate without authorization, and the funds were to benefit your facility (the covered entity), that you could disclose the informationCORRECT ANSWER b. a prior authorization is required before any PHI can be released your facility is storing scanned records for long-term storage on optical disk. the risk management committee's disaster task force has recommended that copies of the disks be stored at a facility across town. the administrator is concerned that records may be altered on the disks store off-site. you tell the administrator a. this is a legitimate concern; it should be addressed in the contract written with the storage facility b. this is not a concern because WORM technology makes it impossible to alter the documents c. this is a legitimate concern; perhaps the committee should consider storing duplicates in two locations in this facility d. this is not a concern; there is really no need to make and store duplicate disks as they are difficult to damage.CORRECT ANSWER b. this is not a concern because WORM technology makes it impossible to alter the documents. the pharmacy and therapeutic committee has asked you to find out more about a computerized order entry system that calculates drug dosages based on patient parameters (weight, age, etc.) and even suggests the best drug given the patient's diagnosis and current treatment. the committee is asking for information on a. application system b. clinical decision support system c. ordering system d. practice parameters systemCORRECT ANSWER b. clinical decision support system a portion of a deficiency slip is reproduced below. this patient was discharged yesterday. your greatest concern regarding deficiencies on this record would be the missing. a. signature on the physical exam b. signature on the discharge summary c. diagnosis and procedures d. operative reportCORRECT ANSWER d. operative report in the past, joint commission standards have focused on promoting the use of facility approved abbreviation list to be used by hospitals care providers. with the advent of the commission's national patient safety goals, the focus has shifted to the a. prohibited use of any abbreviations b. flagrant use of specialty-specific abbreviations c. use of prohibited or "dangerous" abbreviations d. use of abbreviations used in the final diagnosesCORRECT ANSWER c. use of prohibited or "dangerous" abbreviations annual costs for the only release of information clerk at jacksonville beach healthcare center (salary and benefits) are $36,429. the monthly cost for the copier used solely for ROI is $89 (supplies and repair). it costs the department $0.95 on average for ROI mailings (envelopes and postage). there were 687 requests filed for ROI last month. The cost per request for release of information last month was. a. $4.42 b. $4.55 c. $4.63 d. $5.50CORRECT ANSWER d. $5.50 the decision makers in the HIM department have decided to use the decision analysis matrix method to select coding software. use of this method will help ensure a. all alternatives/vendors are evaluated subjectively b. the personalities of individual vendors will not influence the decision c. consistent criteria are used to evaluate the alternatives/vendors d. the level of software support will be considered in the decisionCORRECT ANSWER c. consistent criteria are used to evaluate the alternatives/vendors many of the departments in your facility create and modify forms often. a major key to forms control in this setting is a. consistent formatting of each page of each form b. capturing every data item required by UHDDS c. giving each form or view an identifiable name, number, and revision date. d. providing instructions when necessary for appropriate data fieldsCORRECT ANSWER c. giving each form or view an identifiable name, number, and revision date. which means of data modeling is illustrated in the table shown above? a. entity-relationship model b. object-oriented model c. data management model d. relational data modelCORRECT ANSWER d. relational data model which of the following is the unique identifier in the database illustrated in the table for question 12 a. record number b. patient's last name c. date of birth d. date of serviceCORRECT ANSWER a. record number stage I of meaningful use focuses on data capture and sharing. which of the following is included in the menu set of objectives for eligible hospitals in this stage a. use CPOE for medication orders b. smoking cessation counseling for MI patients c. appropriate use of HL-7 standards d. establish critical pathways for complex, high-dollar casesCORRECT ANSWER c. appropriate use of HL-7 standards as supervisor of the cancer registry, you report the registry's annual caseload to administration. the most efficient way to retrieve this information would be to use a. patient abstracts b. patient index. c. accession register d. follow-up filesCORRECT ANSWER c. accession register a supervisor reviews a job to determine the required content, skills, knowledge, abilities, and responsibilities for the position. the tasks are grouped and lines of responsibility and authority are defined. the supervisor is writing a job. a. description b. analysis c. process d. detailCORRECT ANSWER a. description the emergency department staff has complained that the clerical staff in your department is delaying stat reports. you decided to meet with your staff and develop a cause and effect diagram to determine possible reasons for the delay. you have explained the issue to your staff and have set up a blank cause and effect diagram. the next step is to a. discuss the importance of prompt delivery of stat reports b. determine whether there are internal conflicts in the area c. brainstorm possible reasons for delays in delivering the reports d. design a new system that will support prompt report deliveryCORRECT ANSWER c. brainstorm possible reasons for delays in delivering the reports as your meeting with the clerical staff on the stat report continues, one clerk suggests a possible reason for the delays i a lack of training concerning the nature of stat reports. on the cause and effect diagram, this would most appropriately be listed under a. personnel b. equipment c. materials d. methodsCORRECT ANSWER a. personnel you stop by the office to meet a friend for lunch. looking on her desk, you see the grid above. your friend is trying to. a. plan a conversion b. design a system c. analyze a workflow d. make a decisionCORRECT ANSWER d. make a decision the performance standard for coders is 28-33 workload units per day. workload units are calculated as follows: inpatient record=1 workload unit outpatient surgical procedure records= 0.75 workload units outpatient observation/emergency records=0.50 workload units one week's productivity information is shown in in the table above. what percentage of the coders is meeting the productivity standards? a. 100% b. 75% c. 50% d. 25%CORRECT ANSWER a. 100% the coding supervisor tends to deal with issues as they come up, prioritizing only when problems are pressing or appear to be important to upper management. this crisis manager is particularly weak in which management function? a. planning b. organizing c. controlling d. budgetingCORRECT ANSWER a. planning as a new HIM manager, you recognize that employee development is a necessary investment for the long-term survival and growth of the organization. your goal is to design and implement a staff development program for your employees, so one of you first steps it to a. implement training programs that emphasize teamwork b. establish a budget for all hospital employee training c. survey the HIM employees to assess their need for new skills or knowledge d. establish HIPAA training programs hospital-wideCORRECT ANSWER c. survey the HIM employees to assess their need for new skills or knowledge now that the EHR has been full implemented, your are ready to move old records to basement storage. you are ordering shelving for those old paper files. you have 18,000 records. the files average is three files per filing inch. the shelf units you have selected have six shelves that will hold 34 inches per shelf. you will have to plan for a 20% expansion rate to accommodate miscellaneous paper records over the next 10 years. how many shelving units should you order? a. 30 b. 31 c. 35 d. 36CORRECT ANSWER d. 36 postage charges in the Health information department have increased during the last quarter. the department director has seen metered envelopes in the mail bin that do no appear to be those used for departmental business. the best course of action for the director would be to a. remove the postage meter from the department b. keep a watchful eye on the meter and who uses it c. issue employee warnings at the next departmental meeting d. assign responsibility for the postage meter to one employeeCORRECT ANSWER d. assign responsibility for the postage meter to one employee a clerk's work performance has diminished dramatically during the past 2 weeks. the supervisor initiates a discussion with the clerk, during which the clerk reveals that he recently accepted that he has an alcohol addiction. the clerk stats an intention to quit drinking completely. the supervisor should. a. terminate the clerk if it can be proved that alcohol was used on the job b. suspend the clerk if alcohol has diminished the clerk's job performance c. give the clerk a leave of absence until these problems can be resolved d. refer the clerk to the facility's employee assistance programCORRECT ANSWER d. refer the clerk to the facility's employee assistance program everyone in the health information department has been working overtime to complete a major record conversion. the supervisor will have to plan for overtime pay for all personnel who are not a. hourly employees b. salaried exempt employees c. salarie