RHIT Domain 5 from AHIMA Exam
Prep 9th Edition Questions & Answers
(Grade A+)
(Exam 1) 114. The leaders of a healthcare organization are expected
to select an organization-wide performance improvement approach
and to clearly define how all levels of the organization will monitor
and address improvement issues. The Joint Commission requires
ongoing data collection that might require improvement for which
of the following areas?
a. Operative and other invasive procedures, medication
management, and blood and blood product use
b. Blood and blood product use, medication management, and
appointment to the board of directors
c. Medication management, marketing strategy, and blood use
d. Operative and other invasive procedures, appointments to the
board of directors, and restraint and seclusion use -
correct answer ✅(a)
Appointments to the Board of Directors is important information,
but the Joint Commission requires detailed information on the
responsibilities and actions of the Board, not necessarily its
composition. The Joint Commission requires healthcare
organizations to collect data on each of these areas: medication
management, blood and blood product use, restraint and seclusion
use, behavior management and treatment, operative and other
invasive procedures, and resuscitation and its outcomes
,RHIT Domain 5 from AHIMA Exam
Prep 9th Edition Questions & Answers
(Grade A+)
115. In developing an internal audit review program, which of the
following would be risk areas that should be targeted for audit?
a. Admission diagnosis and complaints
b. Charge master description
c. Clinical laboratory results
d. Radiology orders -
correct answer ✅b
One of the elements of the auditing process is identification of risk
areas. Selecting the types of cases to review is also important.
Examples of various case selection possibilities include
chargemaster description for accuracy
116. Which of the following practices is an appropriate coding
compliance activity?
a. Reviewing all accurately paid claims
b. Developing procedures for identifying coding errors
c. Providing a financial incentive for coding claims improperly
d. Instructing coding professionals to code diagnoses and submit
the bill before all applicable information is documented in the
,RHIT Domain 5 from AHIMA Exam
Prep 9th Edition Questions & Answers
(Grade A+)
health record -
correct answer ✅b
Coding compliance activities would not include a financial incentive
for coding professionals to commit fraud, to code diagnoses and
procedures before documentation is complete, or to spend
resources reviewing accurately paid claims. Providing a financial
incentive to coding professionals for coding claims improperly
would be against any coding compliance plan and would also be a
violation of AHIMA's Standards of Ethical Coding. One of the basic
elements of a coding compliance program includes developing
policies and procedures for identifying coding errors
117. The goal of coding compliance programs is to prevent:
a. Accusations of fraud and abuse
b. Delays in claims processing
c. Billing errors
d. Inaccurate code assignments -
correct answer ✅a
The government and other third-party payers are concerned about
potential fraud and abuse in claims processing. Therefore, ensuring
that bills and claims are accurate and correctly presented is an
important focus of healthcare compliance
, RHIT Domain 5 from AHIMA Exam
Prep 9th Edition Questions & Answers
(Grade A+)
118. A coding professional's misrepresentation of the patient's
clinical picture through intentional incorrect coding or the omission
of diagnosis or procedure codes would be an example of:
a. Healthcare fraud
b. Payment optimization
c. Payment reduction
d. Healthcare creativity -
correct answer ✅a
Healthcare fraud is an intended and deliberate deception or
misrepresentation by a provider, or by representative of a provider,
that results in a false or fictitious claim. These false claims then
result in an inappropriate payment by Medicare or other insurers
119. When performing a coding audit, a health record technician
discovers that an inpatient coding professional is assigning
diagnosis and procedure codes specifically for the purpose of
obtaining a higher level of reimbursement. The coding professional
believes that this practice helps the hospital increase its revenue.
Which of the following should be done in this case?
Prep 9th Edition Questions & Answers
(Grade A+)
(Exam 1) 114. The leaders of a healthcare organization are expected
to select an organization-wide performance improvement approach
and to clearly define how all levels of the organization will monitor
and address improvement issues. The Joint Commission requires
ongoing data collection that might require improvement for which
of the following areas?
a. Operative and other invasive procedures, medication
management, and blood and blood product use
b. Blood and blood product use, medication management, and
appointment to the board of directors
c. Medication management, marketing strategy, and blood use
d. Operative and other invasive procedures, appointments to the
board of directors, and restraint and seclusion use -
correct answer ✅(a)
Appointments to the Board of Directors is important information,
but the Joint Commission requires detailed information on the
responsibilities and actions of the Board, not necessarily its
composition. The Joint Commission requires healthcare
organizations to collect data on each of these areas: medication
management, blood and blood product use, restraint and seclusion
use, behavior management and treatment, operative and other
invasive procedures, and resuscitation and its outcomes
,RHIT Domain 5 from AHIMA Exam
Prep 9th Edition Questions & Answers
(Grade A+)
115. In developing an internal audit review program, which of the
following would be risk areas that should be targeted for audit?
a. Admission diagnosis and complaints
b. Charge master description
c. Clinical laboratory results
d. Radiology orders -
correct answer ✅b
One of the elements of the auditing process is identification of risk
areas. Selecting the types of cases to review is also important.
Examples of various case selection possibilities include
chargemaster description for accuracy
116. Which of the following practices is an appropriate coding
compliance activity?
a. Reviewing all accurately paid claims
b. Developing procedures for identifying coding errors
c. Providing a financial incentive for coding claims improperly
d. Instructing coding professionals to code diagnoses and submit
the bill before all applicable information is documented in the
,RHIT Domain 5 from AHIMA Exam
Prep 9th Edition Questions & Answers
(Grade A+)
health record -
correct answer ✅b
Coding compliance activities would not include a financial incentive
for coding professionals to commit fraud, to code diagnoses and
procedures before documentation is complete, or to spend
resources reviewing accurately paid claims. Providing a financial
incentive to coding professionals for coding claims improperly
would be against any coding compliance plan and would also be a
violation of AHIMA's Standards of Ethical Coding. One of the basic
elements of a coding compliance program includes developing
policies and procedures for identifying coding errors
117. The goal of coding compliance programs is to prevent:
a. Accusations of fraud and abuse
b. Delays in claims processing
c. Billing errors
d. Inaccurate code assignments -
correct answer ✅a
The government and other third-party payers are concerned about
potential fraud and abuse in claims processing. Therefore, ensuring
that bills and claims are accurate and correctly presented is an
important focus of healthcare compliance
, RHIT Domain 5 from AHIMA Exam
Prep 9th Edition Questions & Answers
(Grade A+)
118. A coding professional's misrepresentation of the patient's
clinical picture through intentional incorrect coding or the omission
of diagnosis or procedure codes would be an example of:
a. Healthcare fraud
b. Payment optimization
c. Payment reduction
d. Healthcare creativity -
correct answer ✅a
Healthcare fraud is an intended and deliberate deception or
misrepresentation by a provider, or by representative of a provider,
that results in a false or fictitious claim. These false claims then
result in an inappropriate payment by Medicare or other insurers
119. When performing a coding audit, a health record technician
discovers that an inpatient coding professional is assigning
diagnosis and procedure codes specifically for the purpose of
obtaining a higher level of reimbursement. The coding professional
believes that this practice helps the hospital increase its revenue.
Which of the following should be done in this case?
