RHIT EXAM
The release of information function requires the HIM professional to have knowledge of:correct
answerFederal and state confidentiality laws
What is data called that consists of factual details aggregated or summarized from a group of health
records the provides no means to identify specific patients?correct answerDerived
One release of information (ROI) specialist handles requests from insurance and managed care
companies. Another handles requests from attorneys and courts. Each completes all steps in the
business process from beginning to end. This is an example of which of the following?correct
answerParallel work division
The practice of undercoding can affect a hospital's MS-DRG case mix in which of the following ways?
correct answerMakes it lower than warranted by the actual service and resource intensity of the facility
An external security threat can be caused by which of the following?correct answerTornadoes
An audit of the document imaging process reveals that the HIM department staff is scanning 250 pages
per hour and indexing 114 pages per hour. If the department is meeting its productivity standard for
scanning, but is only meeting 60 percent of the indexing standard, how many more pages per hour must
be indexed to meet the indexing standard?correct answer76 pages
Erin is an HIM professional. She is teaching a class to clinicians about proper documentation in the
health record. Which of the following is an example of improper teaching?correct answerObliterating or
deleting errors
In CPT, if a patient has two lacerations of the arm that are repaired with simple closures, which of the
following would apply for correct coding?correct answerOne CPT code, adding the lengths of the
lacerations together
The right of an individual to keep personal health information from being disclosed to anyone is a
definition of:correct answerPrivacy
In designing input by clinicians for an EHR system, which of the following would be effective for a
clinician when the data are repetitive and the vocabulary used is fairly limited?correct answerSpeech
recognition
A health data analyst has been asked to compile a listing of daily blood pressure readings for patients
with a diagnosis of hypertension who were treated on the medical unit within a two-week period. What
clinical report would be the best source to gather this information?correct answerVital signs record
Coding accuracy is best determined by:correct answerA predefined audit process
Which of the following is a positive aspect of using employee self-appraisal as a source of data for
performance appraisal?correct answerThe supervisor is kept informed of the employee's
accomplishments
,Which of the following situations is considered a breach of PHI?correct answerA patient's attorney is
sent records not authorized by that patient
The national patient safety goals score organizations on areas that:correct answerCommonly lead to
patient injury
Which of the following is a function of the outpatient code editor?correct answerIdentify unbundling of
codes
Which of the following is the approved method for implementing an organization's formal position?
correct answerPolicy and procedure
The risk manager's principal tool for capturing the facts about potentially compensable events is
the:correct answerOccurrence report
To comply with the Joint Commission standards, the HIM director wants to ensure the history and
physical examinations are documented in the patient's health record no later than 24 hours after
admission. Which of the following would be the best way to ensure the completeness of the health
record?correct answerReview each patient's health record concurrently to ensure the history and
physicals are present
A hospital receives a valid request from a patient for copies of her health records. The HIM clerk who is
preparing the records removes copies of the patient's records from another hospital where the patient
was previously treated. According to HIPAA regulations, was this action correct?correct answerNo; the
records from the previous hospital are considered to be included in the designated record set and
should be given to the patient.
Continuing coding education is required for:correct answerCertified coders
Community Hospital's HIM department conducted a random sample of 200 inpatient health records to
determine the timeliness of the history and physicals completion. Nine records were found to be out of
compliance with the 24-hour requirement. Which of the following percentages represents the H&P
timeliness rate at Community Hospital?correct answer95.5%
Community Hospital had 250 patients in the hospital at midnight on May 1. The hospital admitted 30
patients on May 2. The hospital discharged 40 patients, including deaths, on May 2. Two patients were
both admitted and discharged on May 2. What was the total number of inpatient service days for May
2?correct answer242
The utilization manager's role is essential to:correct answerPrevent denials for inappropriate levels of
service
As part of your job responsibilities, you are responsible for reviewing audit trails of access to patient
information. The following are all types of activities that you would monitor except:correct
answerWhether the patient setup an account in the patient portal
Patient care managers use the data documented in the health record to:correct answerEvaluate
patterns and trends of patient care
, Valley High, a skilled nursing facility, wants to become certified to take part in federal government
reimbursement programs such as Medicare and Medicaid. What standards must the facility meet to
become certified for these programs?correct answerConditions of Participation
The organization that employs you just concluded an investigation of a laptop computer that was lost
and contained a file with the information of 765 patients on it, including names, addresses, telephone
numbers, and social security numbers. As the privacy officer, you are required to manage the
notification process for the data breach. All of the following would need to be notified of this data
breach within 60 days of the discovery except:correct answerAttending physicians of the patients
In designing an input screen for an EHR, which of the following would be best to capture structured
data?correct answerDrop-down menus
The Department of Health and Human Services has identified that Community Hospital is guilty of fraud.
It was determined that the facility tried to comply with standards, but their efforts failed. What category
of fraud and abuse prevention does this fall into?correct answerReasonable diligence
The deception or misrepresentation by a healthcare provider that may result in a false or fictitious claim
for inappropriate payment by Medicare or other insurers for items or services either not rendered or
rendered to a lesser extent than described in the claim is:correct answerHealthcare fraud
A medical group practice has contracted with an HIM professional to help define the practice's legal
health record. Which of the following should the HIM professional perform first to identify the
components of the legal health record?correct answerDevelop a list of statutes, regulations, rules, and
guidelines that contain requirements affecting the release of health records
Recently, a local professional athlete was admitted to your facility for a procedure. During this patient's
hospital stay, access logs may need to be checked daily in order to determine:correct answerWhether
access by employees is appropriate
A health information technician receives a subpoena ad testificandum. To respond to the subpoena,
which of the following should the technician do?correct answerReview the subpoena and appear at the
time and place supplied to give testimony
Which of the following is a key characteristic of the problem-oriented health record?correct answerUses
an itemized list of the patient's past and present health problems
Given the numbers 47, 20, 11, 33, 30, 30, 35, and 50, what is the median?correct answer31.5
Which of the following is a risk of copy and pasting documentation in the electronic health record?
correct answerCopying the note in the wrong patient's record
Which of the following is true regarding the development of health record destruction policies?correct
answerAll applicable laws must be considered
Ted and Mary are the adoptive parents of Susan, a minor. What is the best way for them to obtain a
copy of Susan's operative report?correct answerPresent an authorization that at least one of them (Ted
or Mary) has signed
The release of information function requires the HIM professional to have knowledge of:correct
answerFederal and state confidentiality laws
What is data called that consists of factual details aggregated or summarized from a group of health
records the provides no means to identify specific patients?correct answerDerived
One release of information (ROI) specialist handles requests from insurance and managed care
companies. Another handles requests from attorneys and courts. Each completes all steps in the
business process from beginning to end. This is an example of which of the following?correct
answerParallel work division
The practice of undercoding can affect a hospital's MS-DRG case mix in which of the following ways?
correct answerMakes it lower than warranted by the actual service and resource intensity of the facility
An external security threat can be caused by which of the following?correct answerTornadoes
An audit of the document imaging process reveals that the HIM department staff is scanning 250 pages
per hour and indexing 114 pages per hour. If the department is meeting its productivity standard for
scanning, but is only meeting 60 percent of the indexing standard, how many more pages per hour must
be indexed to meet the indexing standard?correct answer76 pages
Erin is an HIM professional. She is teaching a class to clinicians about proper documentation in the
health record. Which of the following is an example of improper teaching?correct answerObliterating or
deleting errors
In CPT, if a patient has two lacerations of the arm that are repaired with simple closures, which of the
following would apply for correct coding?correct answerOne CPT code, adding the lengths of the
lacerations together
The right of an individual to keep personal health information from being disclosed to anyone is a
definition of:correct answerPrivacy
In designing input by clinicians for an EHR system, which of the following would be effective for a
clinician when the data are repetitive and the vocabulary used is fairly limited?correct answerSpeech
recognition
A health data analyst has been asked to compile a listing of daily blood pressure readings for patients
with a diagnosis of hypertension who were treated on the medical unit within a two-week period. What
clinical report would be the best source to gather this information?correct answerVital signs record
Coding accuracy is best determined by:correct answerA predefined audit process
Which of the following is a positive aspect of using employee self-appraisal as a source of data for
performance appraisal?correct answerThe supervisor is kept informed of the employee's
accomplishments
,Which of the following situations is considered a breach of PHI?correct answerA patient's attorney is
sent records not authorized by that patient
The national patient safety goals score organizations on areas that:correct answerCommonly lead to
patient injury
Which of the following is a function of the outpatient code editor?correct answerIdentify unbundling of
codes
Which of the following is the approved method for implementing an organization's formal position?
correct answerPolicy and procedure
The risk manager's principal tool for capturing the facts about potentially compensable events is
the:correct answerOccurrence report
To comply with the Joint Commission standards, the HIM director wants to ensure the history and
physical examinations are documented in the patient's health record no later than 24 hours after
admission. Which of the following would be the best way to ensure the completeness of the health
record?correct answerReview each patient's health record concurrently to ensure the history and
physicals are present
A hospital receives a valid request from a patient for copies of her health records. The HIM clerk who is
preparing the records removes copies of the patient's records from another hospital where the patient
was previously treated. According to HIPAA regulations, was this action correct?correct answerNo; the
records from the previous hospital are considered to be included in the designated record set and
should be given to the patient.
Continuing coding education is required for:correct answerCertified coders
Community Hospital's HIM department conducted a random sample of 200 inpatient health records to
determine the timeliness of the history and physicals completion. Nine records were found to be out of
compliance with the 24-hour requirement. Which of the following percentages represents the H&P
timeliness rate at Community Hospital?correct answer95.5%
Community Hospital had 250 patients in the hospital at midnight on May 1. The hospital admitted 30
patients on May 2. The hospital discharged 40 patients, including deaths, on May 2. Two patients were
both admitted and discharged on May 2. What was the total number of inpatient service days for May
2?correct answer242
The utilization manager's role is essential to:correct answerPrevent denials for inappropriate levels of
service
As part of your job responsibilities, you are responsible for reviewing audit trails of access to patient
information. The following are all types of activities that you would monitor except:correct
answerWhether the patient setup an account in the patient portal
Patient care managers use the data documented in the health record to:correct answerEvaluate
patterns and trends of patient care
, Valley High, a skilled nursing facility, wants to become certified to take part in federal government
reimbursement programs such as Medicare and Medicaid. What standards must the facility meet to
become certified for these programs?correct answerConditions of Participation
The organization that employs you just concluded an investigation of a laptop computer that was lost
and contained a file with the information of 765 patients on it, including names, addresses, telephone
numbers, and social security numbers. As the privacy officer, you are required to manage the
notification process for the data breach. All of the following would need to be notified of this data
breach within 60 days of the discovery except:correct answerAttending physicians of the patients
In designing an input screen for an EHR, which of the following would be best to capture structured
data?correct answerDrop-down menus
The Department of Health and Human Services has identified that Community Hospital is guilty of fraud.
It was determined that the facility tried to comply with standards, but their efforts failed. What category
of fraud and abuse prevention does this fall into?correct answerReasonable diligence
The deception or misrepresentation by a healthcare provider that may result in a false or fictitious claim
for inappropriate payment by Medicare or other insurers for items or services either not rendered or
rendered to a lesser extent than described in the claim is:correct answerHealthcare fraud
A medical group practice has contracted with an HIM professional to help define the practice's legal
health record. Which of the following should the HIM professional perform first to identify the
components of the legal health record?correct answerDevelop a list of statutes, regulations, rules, and
guidelines that contain requirements affecting the release of health records
Recently, a local professional athlete was admitted to your facility for a procedure. During this patient's
hospital stay, access logs may need to be checked daily in order to determine:correct answerWhether
access by employees is appropriate
A health information technician receives a subpoena ad testificandum. To respond to the subpoena,
which of the following should the technician do?correct answerReview the subpoena and appear at the
time and place supplied to give testimony
Which of the following is a key characteristic of the problem-oriented health record?correct answerUses
an itemized list of the patient's past and present health problems
Given the numbers 47, 20, 11, 33, 30, 30, 35, and 50, what is the median?correct answer31.5
Which of the following is a risk of copy and pasting documentation in the electronic health record?
correct answerCopying the note in the wrong patient's record
Which of the following is true regarding the development of health record destruction policies?correct
answerAll applicable laws must be considered
Ted and Mary are the adoptive parents of Susan, a minor. What is the best way for them to obtain a
copy of Susan's operative report?correct answerPresent an authorization that at least one of them (Ted
or Mary) has signed
