with 100% Correct Answers
DuringAanAauditAofAhealthArecords,AtheAHIMAdirectorAfindsAthatAtranscribedAreportsAareAbei
ngAchangedAbyAtheAauthorAupAtoAaAweekAafterAinitialAtranscription.ATheAdirectorAisAconcern
edAthatAchangesAoccurringAthisAlongAafterAtranscriptionAjeopardizeAtheAlegalAprincipleAthatA
documentationAmustAoccurAnearAtheAtimeAofAtheAevent.AToAremedyAthisAsituation,AtheAHIMA
directorAshouldArecommendAwhichAofAtheAfollowing?A-
AAnswer✓ADevelopAaAfacilityApolicyAthatAdefinesAtheAacceptableAperiodAofAtimeAallowedAf
orAaAtranscribedAdocumentAtoAremainAinAaAdraftAform.
WhatAisAtheAbasicAformulaAforAcalculatingAeachAMS-DRGAhospitalApayments?A-
AAnswer✓AHospitalApaymentA=ADRGArelativeAweightAxAhospitalAbaseArate
WhichAofAtheAfollowingAactivitiesAwouldAbeAinAviolationAofAAHIMA'sACodeAofAEthics?A-
AAnswer✓ACodingAanAintentionallyAinappropriateAlevelAofAservice
WhatAisAabstracting?A-
AAnswer✓ACompilingAtheApertinentAinformationAfromAtheAmedicalArecordAbasedAonApredet
erminedAdataAsets
ICD-9-
CMAdefinesAtheA"newbornAperiod"AasAbirthAthroughAtheA___________AdayAfollowingAbirth.
A-AAnswer✓A28th
WhatAhealthcareAorganizationAcollectsAUHDDSAdata?A-AAnswer✓AAllAnon-
outpatientAsettingsAincludingAacuteAcare,AshortAtermAcare,AlongAtermAcare,AanApsychiatricAh
ospitals,AhomeAhealthAagencies,ArehabilitationAfacilities,AandAnursingAhome.
AAcodingAanalystAconsistentlyAentersAtheAwrongAcodeAforApatientAgenderAinAtheAelectronicAb
illingAsystem.AWhatAsecurityAmeasuresAshouldAbeAinAplaceAtoAminimizeAthisAsecurityAbreach
?A-AAnswer✓AEditAchecks
MercyAHospitalApersonnelAneedAtoAreviewAtheAmedicalArecordsAforAKatieAGraceAforAutilizatio
nAreviewApurposesA(1).ATheyAwillAalsoAbeAsendingAherArecordsAtoAherAphysicianAforAcontinu
ityAofAcareA(2).AUnderAHIPAA,AtheseAtwoAfunctionsAare:A-AAnswer✓AUseAandAdisclosure
,WhoAisAresponsibleAforAwritingAandAsigningAdischargeAsummariesAandAdischargeAinstruction
s?A-AAnswer✓AAttendingAphysician
AlthoughAtheAHIPAAARuleAallowsApatientAaccessAtoApersonalAhealthAinformationAaboutAthem
selves,AwhichAofAtheAfollowingAcannotAbeAdisclosedAtoApatients?A-
AAnswer✓APsychotherapyAnotes
IdentifyAtheApunctuationAmarkAthatAisAusedAtoAsupplementAwordsAorAexplanatoryAinformatio
nAthatAmayAorAmayAnotAbeApresentAinAtheAstatementAofAdiagnosisAorAprocedureAinAICD-9-
CMAcoding.ATheApunctuationAdoesAnotAaffectAtheAcodeAnumberAassignedAtoAtheAcase.ATheAp
unctuationAisAconsideredAaAnonessentialAmodifier,AandAallAthreeAvolumesAofAICD-9-
CMAuseAthem.A-AAnswer✓AParenthesesA(A)
WhatAisAtheAnameAofAtheAorganizationAthatAdevelopsAtheAbillingAformAthatAhospitalsAareAr
equiredAtoAuse?A-AAnswer✓ANationalAUniformABillingACommitteeA(NUBC)
WhichAofAtheAfollowingAethicalAprinciplesAisAbeingAfollowedAwhenAanAHITAprofessionalAensu
resAthatApatientAinformationAisAonlyAreleasedAtoAthoseAwhoAhaveAaAlegalArightAtoAaccessAi
t?A-AAnswer✓ABeneficence
AAhospitalAcurrentlyAincludesAtheApatient'sAsocialAsecurityAnumberAonAtheAfaceAsheetAofAthe
ApaperAmedicalArecordAandAinAtheAelectronicAversionAofAtheArecord.ATheAhospitalAriskAmana
gerAhasAidentifiedAthisAasAaApotentialAidentityAfraudAriskAandAwantsAtheAinformationAremo
ved.ATheAriskAmanagerAisAnotAgettingAcooperationAfromAtheAphysiciansAandAothersAinAtheA
hospitalAwhoAsayAthatAtheyAneedAtheAinformationAforAidentificationAandAotherApurposes.AGi
venAthisAsituation,AwhatAshouldAtheAHIMAdirectorAsuggest?A-
AAnswer✓AAvoidAdisplayingAtheAnumberAonAanyAdocument,Ascreen,AorAdataAcollectionAfie
ld.
BothAHEDISAandAtheAJointACommission'sAORYXAprogramAareAdesignedAtoAcollectAdataAtoAbe
AusedAforA______________.A-AAnswer✓APerformanceAimprovementAprograms
WhichAofAtheAfollowingAwouldAbeAclassifiedAtoAanAICD-9-
CMAcategoryAforAbacterialAdiseases?A-AAnswer✓AStaphylococcusAaureous
AApatientAwithAknownACOPDAandAhypertensionAunderAtreatmentAwasAadmittedAtoAtheAhospi
talAwithAsymptomsAofAaAlowerAabdominalApain.AHeAundergoesAaAlaparoscopicAappendectom
yAandAdevelopsAaAfever.ATheApatientAwasAsubsequentlyAdischargedAfromAtheAhospitalAwithA
,aAprincipalAdiagnosisAofAacuteAappendicitisAandAsecondaryAdiagnosesAofApost-
operativeAinfection,ACOPD,AandAhypertension.AWhichAofAtheAfollowingAdiagnosesAshouldAnotA
beAtaggedAasAPOA?A-AAnswer✓APostoperativeAinfection
CPTAwasAdevelopedAandAisAmaintainedAby:A-AAnswer✓AAMA
WhichAorganizationAdevelopedAtheAfirstAhospitalAstandardizationAprogram?A-
AAnswer✓AAmericanACollegeAofASurgeon
OnAreviewAofAtheAauditAtrailAforAanAEHRAsystem,AtheAHIMAdirectorAdiscoversAthatAaAdepart
mentalAemployeeAwhoAhasAauthorizedAaccessAtoApatientArecordsAisAprintingAfarAmoreArecord
sAthanAtheAaverageAuser.AInAthisAcases,AwhatAshouldAtheAsupervisorAdo?A-
AAnswer✓ADetermineAwhatAinformationAwasAprintedAandAwhy
WhatAareApossibleA"add-
on"ApaymentsAthatAaAhospitalAcouldAreceiveAinAadditionAtoAtheAbasicAMedicareADRGApayme
nt?A-
AAnswer✓AAdditionalApaymentsAmayAbeAmadeAtoAdisproportionateAshareAhospitals,AforAi
ndirectAmedicalAeducation,AforAnewAtechnologies,AandAforAcostAoutlierAcases.
TheA___________AisAaAtypeAofAcodingAthatAisAaAnaturalAoutgrowthAofAtheAelectronicAheath
Arecord.A-AAnswer✓AComputer-assistedAcoding
Today,AJanetAKimAvisitedAherAnewAdentistAforAanAappointment.ASheAwasAnotApresentedAwit
hAaANoticeAofAPrivacyAPractices.AIsAthisAacceptable?A-
AAnswer✓ANo,AitAisAaAviolationAofAtheAHIPAAAPrivacyArule
WhichAofAtheAfollowingAwouldAbeAtheAbestAtechniqueAtoAensureAthatAregistrationAclerksAcon
sistentlyAuseAtheAcorrectAnotationAforAassigningAadmissionAdateAinAanAelectronicAhealthArec
ordA(EHR)?A-AAnswer✓AProvideAanAinputAmaskAforAenteringAdataAinAtheAfield
WhatAshouldAaAhospitalAdoAwhenAaAstateAlawArequiresAmoreAstringentAprivacyAprotectionAt
hanAtheAfederalAHIPAAAprivacyAstandard?A-
AAnswer✓AComplyAwithAbothAtheAstateAlawAandAtheAHIPAAAStandard
AnAemployeeAinAtheAphysicalAtherapyAdepartmentAarrivesAearlyAeveryAmorningAtoAsnoopAth
roughAtheAclinicalAinformationAsystemAforApotentialAinformationAaboutAneighborsAandAfriend
, s.AWhatAsecurityAmechanismsAshouldAbeAimplementedAtoApreventAthisAsecurityAbreach?A-
AAnswer✓AInformationAaccessAcontrols
AccordingAtoAICD-9-
C.M,AanAelderlyAprimigravidaAisAdefinedAasAaAwomanAwhoAgivesAbirthAtoAherAfirstAchildAa
tAtheAageAofA______AorAolder:A-AAnswer✓A35
WhichAofAtheAfollowingAreportsAincludeAnamesAofAtheAsurgeonAandAassistants,Adate,Aduratio
n,AandAdescriptionAofAtheAprocedureAandAanyAspecimensAremoved.A-
AAnswer✓AOperativeAreport
WhichAAnswer✓AbelowAisAnotAcorrectAforAassignmentAofAtheAMS-DRG?A-
AAnswer✓AAttendingAandAconsultingAphysicians
WhichAofAtheAfollowingAdocumentationAmustAbeAincludedAinAaApatient'sAmedicalArecordAprio
rAtoAperformingAaAsurgicalAprocedure?A-
AAnswer✓AConsentAforAoperativeAprocedure,Ahistory,AphysicalAexamination.
WhatAisAtheAmaximumAnumberAofAdiagnosisAcodesAthatAcanAappearAonAtheAUB-
04ApaperAclaimAformAlocatorA67AforAaAhospitalAinpatientAprincipleAandAsecondaryAdiagnose
s?A-AAnswer✓A25
DocumentationAinAtheAhistoryAofAuseAofAdrugs,Aalcohol,Aand/orAtobaccoAisAconsideredApartA
ofAthe:A-AAnswer✓ASocialAhistory
WhichAofAtheAfollowingAisAaAcoreAethicalAobligationAofAhealthAinformationAstaff?A-
AAnswer✓AProtectingApatientsAprivacyAandAconfidentialAcommunications
DocumentationAregardingAaApatient'sAmaritalAstatus,Adietary,Asleep,AandAexerciseApatterns,A
useAofAcoffee,Atabacco,Aalcohol,AandAotherAdrugsAmayAbeAfoundAinAtheA_____________.A-
AAnswer✓AHistoryArecord
WhichAofAtheAfollowingAprovidesAorganizationsAwithAtheAabilityAtoAaccessAdataAfromAmultipl
eAdatabasesAandAtoAcombineAtheAresultsAintoAaAsingleAquestions-and-reportingAinterface?A-
AAnswer✓ADataAwarehouse