RHIT Domain 3&4 EXAM PREP TEST BANK
RHIT DOMAIN 3&4 EXAM PREP TEST BANK LATEST 2025/2026
ACTUAL EXAM COMPLETE 400 QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
The hospital's Performance Improvement Council has compiled the following data
on the volume of procedures performed. Given this data, which procedures
should the council scrutinize in evaluating performance? (graph unable to be
added)
a. Procedures 1, 4
b. Procedures 2, 3, 5
c. Procedures 6, 7
d. Procedures 1, 4, 6, 7 - Correct Answer-d
Performance measurement in healthcare provides an indication of an
organization's performance in relation to a specified process or outcome.
Healthcare performance improvement philosophies most often focus on
measuring performance in the areas of systems, processes, and outcomes.
Outcomes should be scrutinized whether they are positive and appropriate or
negative and diminishing (Shaw and Carter 2015, 44-47).
The Medical Staff Executive Committee has requested a report that identifies all
medical staff members who have been suspended in the last six months due to
delinquent health records. This is an example of what type of report?
a. Ad hoc or demand
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, RHIT Domain 3&4 EXAM PREP TEST BANK
b. Annual report
c. Exception
d. Periodic scheduled - Correct Answer-a
As opposed to periodic and exception reports, demand reports, also known as ad
hoc reports, are produced as needed, whenever a manager demands or asks for it.
Usually, demand reports are produced through report generators or database
query languages and are customized by the manager (Johns 2015, 236).
Hospital A discharges 10,000 patients per year. Hospital B is located in the same
town and discharges 5,000 patients per year. At Hospital B's medical staff
committee meeting, a physician reports that he is concerned about the quality of
care at Hospital B because the hospital has double the number of deaths per year
than Hospital A. The HIM director is attending the meeting in a staff position.
Which of the following actions should the director take?
a. Make no comment since this is a medical staff meeting.
b. Agree with the physician that the data suggest a quality issue.
c. Suggest that the data be adjusted for possible differences in type and volume of
patients treated.
d. Suggest that an audit be done immediately to determine the cause of deaths
within the hospital. - Correct Answer-c
When doing external benchmarking, the other organizations need not be in the
same region of the country, but they should be comparable in terms of patient mix
and size. The data from the two hospitals are not comparable because Hospital A
discharges more patients than Hospital B. In addition, data on the comparability of
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, RHIT Domain 3&4 EXAM PREP TEST BANK
severity of illness between the two hospitals is lacking and an informed decision
cannot be made (Shaw and Carter 2015, 46).
An employee views a patient's electronic health record. It is a trigger event if:
a. The employee and patient have the same last name
b. The patient was admitted through the emergency room
c. The patient is over 89 years old
d. A dietitian views a patient's nutrition care plan - Correct Answer-a
With appropriate policies and procedures in place, it is the responsibility of the
organization and its managers, directors, CSO, and employees with audit
responsibilities to review access logs, audit trails, failed logins, and other reports.
One type of event that would be a trigger event would include employees viewing
records of patients with the same last name or address of the employee (Rinehart-
Thompson 2016c, 275).
Within the context of the inpatient prospective payment system, how is the case-
mix index calculated?
a. The sum of all relative weights divided by the total number of discharges
b. The total number of inpatient service days divided by the total number of
discharges
c. The sum of all MDCs divided by the total number of discharges
d. The total number of inpatient beds divided by the total number of discharges -
Correct Answer-a
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, RHIT Domain 3&4 EXAM PREP TEST BANK
To determine the case-mix index, take the sum of all relative weights and divide by
the total number of discharges. The formula for computing case-mix is: The sum of
the weights of MS-DRGs for patients discharged during a given period divided by
the total number of patients discharged (Horton 2016a, 204).
The HIM data analytics professional is reviewing a chart (shown here) on
nosocomial infections presented by the hospital's infection control committee.
The committee is reporting that the decrease in infection rate has accelerated
during the past 10 years. What comments should the data analytics professional
make?
a. Concur with the conclusion of the committee
b. State that the greatest decrease in infection rate in a year took place in 2005
c. State that the greatest decrease in infection rate occurred in 1960 and 1970
d. Request a new data chart be presented that accurately reflects the trend of
infection rate - Correct Answer-d
Both x and y axes are in unequal measures, so data are not accurately
represented. Line graphs are used to display time trends as opposed to a
histogram or bar chart (Watzlaf 2016, 351).
Recently, a state senator was admitted to your facility for a serious medical
condition. The facility privacy officer has been tasked with reviewing access logs
daily to determine which of the following?
a. Whether or not the patient is fit to continue public service
b. What information should be shared with the media
c. That the patient has received adequate care
4|Page
RHIT DOMAIN 3&4 EXAM PREP TEST BANK LATEST 2025/2026
ACTUAL EXAM COMPLETE 400 QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
The hospital's Performance Improvement Council has compiled the following data
on the volume of procedures performed. Given this data, which procedures
should the council scrutinize in evaluating performance? (graph unable to be
added)
a. Procedures 1, 4
b. Procedures 2, 3, 5
c. Procedures 6, 7
d. Procedures 1, 4, 6, 7 - Correct Answer-d
Performance measurement in healthcare provides an indication of an
organization's performance in relation to a specified process or outcome.
Healthcare performance improvement philosophies most often focus on
measuring performance in the areas of systems, processes, and outcomes.
Outcomes should be scrutinized whether they are positive and appropriate or
negative and diminishing (Shaw and Carter 2015, 44-47).
The Medical Staff Executive Committee has requested a report that identifies all
medical staff members who have been suspended in the last six months due to
delinquent health records. This is an example of what type of report?
a. Ad hoc or demand
1|Page
, RHIT Domain 3&4 EXAM PREP TEST BANK
b. Annual report
c. Exception
d. Periodic scheduled - Correct Answer-a
As opposed to periodic and exception reports, demand reports, also known as ad
hoc reports, are produced as needed, whenever a manager demands or asks for it.
Usually, demand reports are produced through report generators or database
query languages and are customized by the manager (Johns 2015, 236).
Hospital A discharges 10,000 patients per year. Hospital B is located in the same
town and discharges 5,000 patients per year. At Hospital B's medical staff
committee meeting, a physician reports that he is concerned about the quality of
care at Hospital B because the hospital has double the number of deaths per year
than Hospital A. The HIM director is attending the meeting in a staff position.
Which of the following actions should the director take?
a. Make no comment since this is a medical staff meeting.
b. Agree with the physician that the data suggest a quality issue.
c. Suggest that the data be adjusted for possible differences in type and volume of
patients treated.
d. Suggest that an audit be done immediately to determine the cause of deaths
within the hospital. - Correct Answer-c
When doing external benchmarking, the other organizations need not be in the
same region of the country, but they should be comparable in terms of patient mix
and size. The data from the two hospitals are not comparable because Hospital A
discharges more patients than Hospital B. In addition, data on the comparability of
2|Page
, RHIT Domain 3&4 EXAM PREP TEST BANK
severity of illness between the two hospitals is lacking and an informed decision
cannot be made (Shaw and Carter 2015, 46).
An employee views a patient's electronic health record. It is a trigger event if:
a. The employee and patient have the same last name
b. The patient was admitted through the emergency room
c. The patient is over 89 years old
d. A dietitian views a patient's nutrition care plan - Correct Answer-a
With appropriate policies and procedures in place, it is the responsibility of the
organization and its managers, directors, CSO, and employees with audit
responsibilities to review access logs, audit trails, failed logins, and other reports.
One type of event that would be a trigger event would include employees viewing
records of patients with the same last name or address of the employee (Rinehart-
Thompson 2016c, 275).
Within the context of the inpatient prospective payment system, how is the case-
mix index calculated?
a. The sum of all relative weights divided by the total number of discharges
b. The total number of inpatient service days divided by the total number of
discharges
c. The sum of all MDCs divided by the total number of discharges
d. The total number of inpatient beds divided by the total number of discharges -
Correct Answer-a
3|Page
, RHIT Domain 3&4 EXAM PREP TEST BANK
To determine the case-mix index, take the sum of all relative weights and divide by
the total number of discharges. The formula for computing case-mix is: The sum of
the weights of MS-DRGs for patients discharged during a given period divided by
the total number of patients discharged (Horton 2016a, 204).
The HIM data analytics professional is reviewing a chart (shown here) on
nosocomial infections presented by the hospital's infection control committee.
The committee is reporting that the decrease in infection rate has accelerated
during the past 10 years. What comments should the data analytics professional
make?
a. Concur with the conclusion of the committee
b. State that the greatest decrease in infection rate in a year took place in 2005
c. State that the greatest decrease in infection rate occurred in 1960 and 1970
d. Request a new data chart be presented that accurately reflects the trend of
infection rate - Correct Answer-d
Both x and y axes are in unequal measures, so data are not accurately
represented. Line graphs are used to display time trends as opposed to a
histogram or bar chart (Watzlaf 2016, 351).
Recently, a state senator was admitted to your facility for a serious medical
condition. The facility privacy officer has been tasked with reviewing access logs
daily to determine which of the following?
a. Whether or not the patient is fit to continue public service
b. What information should be shared with the media
c. That the patient has received adequate care
4|Page
