RHIA MOCK EXAM | 391 Questions with 100% Correct 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 data Correct 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 union Correct 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 contractors Correct 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 therapy Correct 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 record Correct 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. 57 Correct 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 list Correct 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. behealthy Correct 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. behealthy Correct 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 weights Correct 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 D Correct 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 report Correct 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 fran Correct 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. V Correct 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 regulations Correct 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 register Correct 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 appendicitis Correct 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:
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 data Correct 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 union Correct 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 contractors Correct 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 therapy Correct 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 record Correct 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. 57 Correct 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 list Correct 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. behealthy Correct 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. behealthy Correct 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 weights Correct 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 D Correct 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 report Correct 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 fran Correct 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. V Correct 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 regulations Correct 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 register Correct 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 appendicitis Correct 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:
