RHIA ACTUAL EXAM QUESTIONS AND CORREC
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ 2024
Where can you find guidelines for the retention and destruction of healthcareinformation?
a. Institute of Medicine
b. Municipal regulations
c. HIPAA
d. Accreditation standards - ANS-d. Accreditation standards
This functionality can result in confusion from incessant repetition of irrelevant clinicaldata.
• Change
• Amendment
• Copy and paste
• Deletion - ANS-c. Copy and paste
Which of the following indexes would be used to compare the number and quality of
treatments for clientswho underwent the same operation with different surgeons?
• Physician
• Master patient
• c. Procedure
d. Disease and operation - ANS-a. Physician
A diagnosis described as "possible," "probable," "likely," or "rule out" is reported as ifpresent
for which type of patient records?
• Outpatient
• Emergency room
• c. Physician office
,d. Inpatient - ANS-d. Inpatient
Who is responsible for ensuring the quality of health record documentation?
a. Board of directors
b. Administrator
c. Provider
d. Health information management professional - ANS-c. Provider
Which of the following represents data flow for a hospital inpatient admission?
• Registration > diagnostic and procedure codes assigned > services performed >
charges recorded
• Registration > services performed > charges recorded > diagnostic and procedure
codes assigned
• Services performed > charges recorded > registration > diagnostic and procedure
codes assigned
• Diagnostic and procedure codes assigned > registration > services performed >
charges recorded - ANS-b. Registration > services performed > charges recorded >
diagnostic and procedure codes assigned
Which of the following is the goal of quantitative analysis performed by health
information management (HIM) professionals?
• Ensuring the record is legible
• Identifying deficiencies early so they can be corrected
• Verifying that health professionals are providing appropriate care
• Checking to ensure bills are correct - ANS-b. Identifying deficiencies early so theycan
be corrected
The process of providing proof of the authorship of health record documentation is
called:
• Identification
• Standardization of data capture
c. Standardization of abbreviations
d. Authentication - ANS-d. Authentication
Which of the following data sets would be most useful in developing a matrix foridentification
of components of the legal health record?
• Document name, media type, source system, electronic storage start date, stop
printing start date
, • Document name, media type
• Document name, medical record number, source system
• Document name, source system - ANS-a. Document name, media type, source
system, electronic storage start date, stop printing start date
According to the UHDDS definition, ethnicity should be recorded on a patient record as:
a. Race of
motherb. Race
of father
c. Hispanic, non-Hispanic
d. Free-text descriptor as reported by patient - ANS-c. Hispanic, non-Hispanic
Which of the following is a graphical display of the relationships between tables in a
database?
a. RDMS
b. SQL
c. ERD
d. SAS - ANS-c. ERD
The purpose of the data dictionary is to definitions and ensure consistency of
use.
• Identify
• Standardize
• c. Create
d. Organize - ANS-b. Standardize
It is important for a healthcare entity to have addressing how to deal
withcorrections made to erroneous entries in health records.
• Training sessions
• Policies and procedures
• Verbally communicated instructions
• A supervisory committee - ANS-b. Policies and procedures
Quality has several components, including appropriateness, technical excellence,
, and acceptability.
• Accuracy of diagnosis
• Continuous
improvement
• c. Connectivity
, d. Accessibility - ANS-d. Accessibility
Assign the correct CPT code for the following procedure: Patient is admitted to movethe
skin pocket for their pacemaker.
• 33223, Relocation of skin pocket for implantable defibrillator
• 33210, Insertion or replacement of temporary transvenous single chamber cardiac
electrode or pacemaker catheter (separate procedure)
• 33212, Insertion of pacemaker pulse generator only; with existing single lead
• 33222, Relocation of skin pocket for pacemaker - ANS-d. 33222, Relocation of skin
pocket for pacemaker
Bloodwork results from the laboratory information system, mammogram reports and films
from the radiology information system, and a listing of chemotherapy agents administered
to the patient from the pharmacy information system are all delivered intothe patient's
EHR. These different information systems that feed information into the EHR are known as:
• Interoperability
• Source systems
• Continuity of care records
• Clinical decision support systems - ANS-b. Source systems
Of the following, what is the most likely to happen to the health records of a physician's
patient when that physician leaves an office practice?
a. It will be sent to the state department of health.
b. It will be sent to outside storage.
c. It will be destroyed.
d. It will be retained by the practice. - ANS-d. It will be retained by the practice.
Reviewing a health record for missing signatures and medical reports is called:
a. Analysis
b. Coding
c. Assembly
d. Indexing - ANS-a. Analysis
A barrier to effective computer-assisted coding is the:
• Resistance of physicians
• Resistance of HIM professionals
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ 2024
Where can you find guidelines for the retention and destruction of healthcareinformation?
a. Institute of Medicine
b. Municipal regulations
c. HIPAA
d. Accreditation standards - ANS-d. Accreditation standards
This functionality can result in confusion from incessant repetition of irrelevant clinicaldata.
• Change
• Amendment
• Copy and paste
• Deletion - ANS-c. Copy and paste
Which of the following indexes would be used to compare the number and quality of
treatments for clientswho underwent the same operation with different surgeons?
• Physician
• Master patient
• c. Procedure
d. Disease and operation - ANS-a. Physician
A diagnosis described as "possible," "probable," "likely," or "rule out" is reported as ifpresent
for which type of patient records?
• Outpatient
• Emergency room
• c. Physician office
,d. Inpatient - ANS-d. Inpatient
Who is responsible for ensuring the quality of health record documentation?
a. Board of directors
b. Administrator
c. Provider
d. Health information management professional - ANS-c. Provider
Which of the following represents data flow for a hospital inpatient admission?
• Registration > diagnostic and procedure codes assigned > services performed >
charges recorded
• Registration > services performed > charges recorded > diagnostic and procedure
codes assigned
• Services performed > charges recorded > registration > diagnostic and procedure
codes assigned
• Diagnostic and procedure codes assigned > registration > services performed >
charges recorded - ANS-b. Registration > services performed > charges recorded >
diagnostic and procedure codes assigned
Which of the following is the goal of quantitative analysis performed by health
information management (HIM) professionals?
• Ensuring the record is legible
• Identifying deficiencies early so they can be corrected
• Verifying that health professionals are providing appropriate care
• Checking to ensure bills are correct - ANS-b. Identifying deficiencies early so theycan
be corrected
The process of providing proof of the authorship of health record documentation is
called:
• Identification
• Standardization of data capture
c. Standardization of abbreviations
d. Authentication - ANS-d. Authentication
Which of the following data sets would be most useful in developing a matrix foridentification
of components of the legal health record?
• Document name, media type, source system, electronic storage start date, stop
printing start date
, • Document name, media type
• Document name, medical record number, source system
• Document name, source system - ANS-a. Document name, media type, source
system, electronic storage start date, stop printing start date
According to the UHDDS definition, ethnicity should be recorded on a patient record as:
a. Race of
motherb. Race
of father
c. Hispanic, non-Hispanic
d. Free-text descriptor as reported by patient - ANS-c. Hispanic, non-Hispanic
Which of the following is a graphical display of the relationships between tables in a
database?
a. RDMS
b. SQL
c. ERD
d. SAS - ANS-c. ERD
The purpose of the data dictionary is to definitions and ensure consistency of
use.
• Identify
• Standardize
• c. Create
d. Organize - ANS-b. Standardize
It is important for a healthcare entity to have addressing how to deal
withcorrections made to erroneous entries in health records.
• Training sessions
• Policies and procedures
• Verbally communicated instructions
• A supervisory committee - ANS-b. Policies and procedures
Quality has several components, including appropriateness, technical excellence,
, and acceptability.
• Accuracy of diagnosis
• Continuous
improvement
• c. Connectivity
, d. Accessibility - ANS-d. Accessibility
Assign the correct CPT code for the following procedure: Patient is admitted to movethe
skin pocket for their pacemaker.
• 33223, Relocation of skin pocket for implantable defibrillator
• 33210, Insertion or replacement of temporary transvenous single chamber cardiac
electrode or pacemaker catheter (separate procedure)
• 33212, Insertion of pacemaker pulse generator only; with existing single lead
• 33222, Relocation of skin pocket for pacemaker - ANS-d. 33222, Relocation of skin
pocket for pacemaker
Bloodwork results from the laboratory information system, mammogram reports and films
from the radiology information system, and a listing of chemotherapy agents administered
to the patient from the pharmacy information system are all delivered intothe patient's
EHR. These different information systems that feed information into the EHR are known as:
• Interoperability
• Source systems
• Continuity of care records
• Clinical decision support systems - ANS-b. Source systems
Of the following, what is the most likely to happen to the health records of a physician's
patient when that physician leaves an office practice?
a. It will be sent to the state department of health.
b. It will be sent to outside storage.
c. It will be destroyed.
d. It will be retained by the practice. - ANS-d. It will be retained by the practice.
Reviewing a health record for missing signatures and medical reports is called:
a. Analysis
b. Coding
c. Assembly
d. Indexing - ANS-a. Analysis
A barrier to effective computer-assisted coding is the:
• Resistance of physicians
• Resistance of HIM professionals
