RHIT MOCK EXAMINATION WITH
QUESTIONS AND ANSWERS/RATED
A+
F
Dr. Reed tried to explain wound care to Mr. Baker prior to
discharge, but Baker (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
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.
in the discharge summary.
in the discharge summary and on a patient instructions form
signed by Dr. Reed and Mr. Baker and filed in Baker's medical
record.
on a patient instructions form signed by Dr. Reed and Mr. Baker
and filed in Mr. Baker's medical record. - ANSWER >>>>>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.
Johnston City was set upon by a swarm of killer bees. All 5,000
residents are at risk of a bee attack. If 25 residents were
attacked by the bees, the incidence of bee attacks
,is 5 in 5,000.
is 25 in 1,000.
cannot be determined at this time.
is 5 in 1,000. - ANSWER >>>>>is 5 in 1,000.
---
Incidence refers to the number of newly reported cases. An
incident rate is the number of newly reported cases of a disease
in a specified time period divided by the population at that
time.
The quotient is then multiplied by a constant such as 1000 or
100,000.
Calculation:
= 0.005
0.005 x 1000 = 5 per 1,000
RECORD COMPLETION INFORMATION FOR DECEMBER
INCOMPLETE RECORDS 604
-DELINQUENT RECORDS 304
-AVERAGE MONTHLY DISCHARGES
845
AVERAGE MONTHLY OPERATIVE PROCEDURES 526
DELINQUENT OPERATIVE REPORTS 14
Use the information provided in the table above to calculate
the delinquent rate. The delinquent rate
,is 50%.
is 71%.
is 36%.
cannot be determined. - ANSWER >>>>>is 36%
--
Number of Delinquent Records x 100/ Monthly Disharges
Calculation:
() = 0.35976 (x) 100 = 36%
A supervisor reviews a job to determine the required content,
skills, knowledge, abilities, and responsibilities for the position.
The tasks are grouped and lines of responsibility and authority
are defined. The supervisor is writing a job
process.
detail.
description.
analysis. - ANSWER >>>>>description
A piece of objective data collected upon initial assessment of
the patient is the
vital signs.
history of present illness.
chief complaint.
review of systems. - ANSWER >>>>>vital signs
---
vital signs are objective data that is collected during the initial
assessment
, Which of the following is considered a late effect regardless of
time?
congenital defect
poisoning
nonhealing fracture
nonunion - ANSWER >>>>>nonunion
---
See the ICD-10-CM Official Guidelines 2018, Section 1. a.
Sequela (Late Effects) A sequela is the residual effect (condition
produced) after the acute phase of an illness or injury has
terminated. There is no time limit on when a sequela code can
be used. The residual may be apparent early, such as in
cerebral infarction, or it may occur months or years later, such
as that due to a previous injury. Examples of sequela include:
scar formation resulting from a burn, deviated septum due to a
nasal fracture, and infertility due to tubal occlusion from old
tuberculosis. Coding of sequela generally requires two codes
sequenced in the following order: the condition or nature of
the sequela is sequenced first. The sequela code is sequenced
second.
An exception to the above guidelines are those instances where
the code for the sequela is followed by a manifestation code
identified in the Tabular List and title, or the sequela code has
been expanded (at the fourth, fifth, or sixth character levels) to
include the manifestation(s). The code for the acute phase of
an illness or injury that led to the sequela is never used with a
code for the late effect.
The purpose of CMS's National Correct Coding Initiative is to
teach coders how to unbundle codes.
QUESTIONS AND ANSWERS/RATED
A+
F
Dr. Reed tried to explain wound care to Mr. Baker prior to
discharge, but Baker (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
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.
in the discharge summary.
in the discharge summary and on a patient instructions form
signed by Dr. Reed and Mr. Baker and filed in Baker's medical
record.
on a patient instructions form signed by Dr. Reed and Mr. Baker
and filed in Mr. Baker's medical record. - ANSWER >>>>>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.
Johnston City was set upon by a swarm of killer bees. All 5,000
residents are at risk of a bee attack. If 25 residents were
attacked by the bees, the incidence of bee attacks
,is 5 in 5,000.
is 25 in 1,000.
cannot be determined at this time.
is 5 in 1,000. - ANSWER >>>>>is 5 in 1,000.
---
Incidence refers to the number of newly reported cases. An
incident rate is the number of newly reported cases of a disease
in a specified time period divided by the population at that
time.
The quotient is then multiplied by a constant such as 1000 or
100,000.
Calculation:
= 0.005
0.005 x 1000 = 5 per 1,000
RECORD COMPLETION INFORMATION FOR DECEMBER
INCOMPLETE RECORDS 604
-DELINQUENT RECORDS 304
-AVERAGE MONTHLY DISCHARGES
845
AVERAGE MONTHLY OPERATIVE PROCEDURES 526
DELINQUENT OPERATIVE REPORTS 14
Use the information provided in the table above to calculate
the delinquent rate. The delinquent rate
,is 50%.
is 71%.
is 36%.
cannot be determined. - ANSWER >>>>>is 36%
--
Number of Delinquent Records x 100/ Monthly Disharges
Calculation:
() = 0.35976 (x) 100 = 36%
A supervisor reviews a job to determine the required content,
skills, knowledge, abilities, and responsibilities for the position.
The tasks are grouped and lines of responsibility and authority
are defined. The supervisor is writing a job
process.
detail.
description.
analysis. - ANSWER >>>>>description
A piece of objective data collected upon initial assessment of
the patient is the
vital signs.
history of present illness.
chief complaint.
review of systems. - ANSWER >>>>>vital signs
---
vital signs are objective data that is collected during the initial
assessment
, Which of the following is considered a late effect regardless of
time?
congenital defect
poisoning
nonhealing fracture
nonunion - ANSWER >>>>>nonunion
---
See the ICD-10-CM Official Guidelines 2018, Section 1. a.
Sequela (Late Effects) A sequela is the residual effect (condition
produced) after the acute phase of an illness or injury has
terminated. There is no time limit on when a sequela code can
be used. The residual may be apparent early, such as in
cerebral infarction, or it may occur months or years later, such
as that due to a previous injury. Examples of sequela include:
scar formation resulting from a burn, deviated septum due to a
nasal fracture, and infertility due to tubal occlusion from old
tuberculosis. Coding of sequela generally requires two codes
sequenced in the following order: the condition or nature of
the sequela is sequenced first. The sequela code is sequenced
second.
An exception to the above guidelines are those instances where
the code for the sequela is followed by a manifestation code
identified in the Tabular List and title, or the sequela code has
been expanded (at the fourth, fifth, or sixth character levels) to
include the manifestation(s). The code for the acute phase of
an illness or injury that led to the sequela is never used with a
code for the late effect.
The purpose of CMS's National Correct Coding Initiative is to
teach coders how to unbundle codes.
