Book Questions and Answers
Updated 2026
AAhealthArecordAtechnicianAhasAbeenAaskedAtoAreviewAtheAdischargeApatientAabstractingAmo
duleAofAproposedAnewAEHR.AWhichAofAtheAfollowingAdataAsetsAwouldAtheAtechAconsultAtoAe
nsureAtheAsystemAcollectsAallAfederallyArequiredAdischargeAdataAelementsAforAMedicareAand
AMedicaidAinpatientsAinAaAacute-careAhospital?A-AAnswerAUHDDS-
AUniformAHospitalADischargeADataASet
StandardizingAmedicalAterminologyAtoAavoidAdifferencesAinAnamingAvariousAhealthAconditions
AandAproceduresAisAoneApurposeAof?A-AAnswerAVocabularyAStandards
PatientAcareAmanagersAuseAtheAdataAdocumentedAinAtheAhealthArecordAto?A-
AAnswerAEvaluateApatternsAandAtrendsAofApatientAcare
AtAadmission,AMrs.ASmith'sAdateAofAbirthAisArecordedAasA3/25/1948.AAAauditAofAtheAEHRA
discoversAthatAtheAnumbersAinAtheAdateAofAbirthAareAtransposedAinAreports.AThisAsituationA
reflectsAaAproblemAin?A-AAnswerADataAconsistency
AAhealthAdataAanalystAhasAbeenAaskedAtoAcompileAaAlistingAofAdailyAbloodApressureAreadi
ngsAforApatientsAwithAaAdxAofAhypertensionAwhoAwereAtreatedAonAtheAmedicalAunitAwithin
AaAtwo-
weekAperiod.AWhatAclinicalAreportAwouldAbeAtheAbestAsourceAtoAgatherAthisAinformation?A-
AAnswerAVitalAsignsArecord
WhichAofAtheAfollowingAisAaAkeyAcharacteristicAofAtheAproblem-orientedAhealthArecord?A-
AAnswerAUsesAanAitemizedAlistAofAtheApatient'sApastAandApresentAhealthAproblems
WhichAofAtheAfollowingAisAtrueAregardingAtheAreportingAofAcommunicableAdiseases?A-
AAnswerATheAdiseasesAtoAbeAreportedAareAestablishedAbyAstateAlaw
AAnewAhealthAinformationAmanagementAdirectorAhasAbeenAaskedAbyAtheAhospitalACIOAtoAen
sureAdataAcontentAstandardsAareAidentified,Aunderstood,Aimplemented,AandAmanagedAforAth
eAhospital'sAEHRAsystem.AWhichAofAtheAfollowingAshouldAbeAaAHIMAdirector'sAfirstAstepAinA
carryingAoutAthisAresponsibility?A-
AAnswerAIdentifyAdataAcontentArequirementsAforAallAareasAofAtheAorganization
,AAhealthAdataAanalystAhasAbeenAaskedAtoAcompleteAaAreportAofAtheApercentagesAofApatient
sAwhoAhadAaAbaselineApartialAthromboplastinAtimeAtestApreformedApriorAtoAreceivingAhepar
in.AWhatAclinicalAreportsAinAtheAhealthArecordAwouldAtheAhealthAdataAanalystAneedAtoAcons
ultAinAorderAtoAprepareAthisAreport?A-
AAnswerAMedicationAadministrationArecordAandAclinicalAlaboratoryAreports.
WhichAofAtheAfollowingAisAconsideredAtheAauthoritativeAresourceAinAlocatingAaAhealthArecord
?A-AAnswerAMPI-AMasterApatientAindex
TheAHIMAmanagerAisAconductingAaAstudyAinAwhichAsheAisAcomparingAtheAcurrentAyear'sAdx
AcodesAtoAtheAproposedAnewAcodesAforAtheAnextAfiscalAyearAandAdocumentingAvariationsAin
AorderAtoAassessAtheAimpactsAonAtheAorganization.ATheAprocessAcreatesAaA?A-
AAnswerADataAmap
AAfamilyApractitionerArequestsAtheAopinionAofAaAphysicianAspecialistAwhoAreviewsAtheApatie
nt'sAhealthArecordAandAexaminesAtheApatient.AInAwhatAtypeAofAreportAwouldAtheAphysicianA
specialistArecordAfindings,Aimpressions,AandArecommendations?A-AAnswerAConsultation
TheAmasterApatientAindexA(MPI)AmanagerAhasAidentifiedAaApatternAofAduplicateAhealthAreco
rdAnumbersAfromAtheAspecimenAprocessingAareaAofAtheAhospital.ATheAMPIAmanagerAmerged
AtheApatientAinformationAandAcorrectedAduplicatesAinAtheApatientAinformationAsystem.AAfter
AthisAmergingAprocess,AwhichAdepartmentAshouldAtheAMPIAmanagerAnotifyAtoAcorrectAtheAs
ourceAsystemAdata?A-AAnswerALaboratory
WhatAtypeAanalysisAcomparesAomittedAclinicalAinformationAreceivedAfromAtheAexternalAprovi
dersAwithAtheAneededAclinicalAinformationAtoAmakeAaAcorrectAdiagnosis?A-
AAnswerAGapAanalysis
ToAcomplyAwithAtheAJointACommissionAstandards,AtheAHIMAdirectorAwantsAtoAensureAtheAhis
toryAandAphysicalAexaminationsAareAdocumentedAinAtheApatient'sAhealthArecordAnoAlaterAth
anA24AhoursAafterAadmission.AWhichAofAtheAfollowingAwouldAbeAtheAbestAwayAtoAensureAt
heAcompletenessAofAtheAhealthArecord?A-
AAnswerAReviewAeachApatient'sAhealthArecordAconcurrentlyAtoAensureAtheAhistoryAandAphysic
alsAareApresent.
TheAHIMAdirectorAisAhavingAdifficultyAwithAemergencyAservicesAon-
callAphysiciansAcompletingAtheirAhealthArecords.ACurrentlyAthreeAdeficiencyAnoticesAareAsentA
toAtheAphysiciansAthroughAtheAEHRAsystemAincludingAanAinitialAnotice,AaAsecondAreminder,A
andAfinalAnotification.AWhichAofAtheAfollowingAwouldAbeAtheAbestAfirstAstepAinAtryingAtoAre
ctifyAtheAcurrentAsituation?A-
, AAnswerAConsultAwithAtheAmedicalAdirectorAwhoAhasAauthorityAoverAtheAonAcallAphysiciansA
forAsuggestionsAonAhowAtoAimproveAresponseAtoAcurrentAnotices.
ValleyAHighAaAskilledAnursingAfacility,AwantsAtoAbecomeAcertifiedAtoAtakeApartAinAaAfederal
AgovernmentAreimbursementAprogramsAsuchAasAMedicareAandAMedicaid.AWhatAstandardsAm
ustAtheAfacilityAmeetAtoAbecomeAcertifiedAforAtheseAprograms?A-
AAnswerAConditionsAofAParticipation
AAhealthArecordAwithAdeficienciesAthatAisAnotAcompletedAwithinAtheAtimeframeAspecifiedAinA
theAmedicalAstaffArulesAandAregulationsAisAcalled?A-AAnswerADelinquentArecord
HowAdoAaccreditationAorganizationsAsuchAasAJointACommissionAuseAtheAhealthArecord?A-
AAnswerAToAdetermineAwhetherAstandardsAofAcareAareAbeingAmet
WhichAofAtheAfollowingAspecializedApatientAassessmentAtoolsAmustAbeAusedAbyAMedicare-
certifiedAhomeAcareAproviders?A-AAnswerAOutcomesAandAAssessmentAInformationASet
BeforeAhealthcareAorganizationsAcanAprovideAservices,AtheyAusuallyAmustAobtainAthisAfromAg
overnmentAentitiesAsuchAasAtheAstateAorAcountryAinAwhichAtheyAareAlocated.A-
AAnswerALicensure
TheAfollowingAdescriptorsAaboutAdataAelementAADMISSION_DATEAareAincludedAinAaAdataAdic
tionary:Adefinition:AdateApatientAadmittedAtoAtheAhospital;AdataAtype;Adate;AfieldAlength;A1
5;ArequiredAfield;Ayes;AdefaultAvalue;Anone;Atemplate;Anone.AForAthisAdataAelement,AdataAi
ntegrityAwouldAbeAbetterAassuredAif?A-AAnswerATheAtemplateAwasAdefined
InAdesigningAanAinputAscreenAforAaAEHR,AwhichAofAtheAfollowingAwouldAbeAbestAtoAcapture
AstructuredAdata?A-AAnswerADrop-downAmenus
AAmedicalAgroupApracticeAhasAcontractedAwithAtheAHIMAprofessionalAtoAhelpAdefineAtheApra
cticesAlegalAhealthArecord.AWhichAofAtheAfollowingAshouldAbeAHIMAprofessionalAperformAfirs
tAtoAidentifyAtheAcomponentsAofAtheAlegalAhealthArecord?A-
AAnswerADevelopAaAlistAofAstatutes,Aregulations,Arules,AandAguidelinesAthatAcontainArequire
mentsAaffectingAtheAreleaseAofAhealthArecords
HospitalAdocumentationArelatedAtoAtheAdeliveryAofApatientAcareAsuchAasAhealthArecords,Ax-
rays,AlaboratoryAreports,AandAconsultationAreportsAareAowned?A-AAnswerAByAtheAhospital