RHIA Exam with 100% Correct
Answers
A CDI program facilitates accurate coding and helps coders avoid: - ANS-Assumption
coding
A clinic that is expanding its service offerings and needs an individual to help design a
new database will be searching for a: - ANS-Data administrator
A coding manager wants to display the patient types that have the most coding errors in
relationship to coder years of service. The desire of the coding manager is to display
how coder years of service is responsible for coding errors. The type of graph or chart
best suited for this is a: - ANS-Pareto Chart
A coding service had 400 discharged accounts to code in March. The service coded
200 within 3 days, 100 within 5 days, 50 within 8 days, and 50 within 10 days. The
average turnaround time for coding in March was: - ANS-5 days.
The average turnaround time was calculated by dividing the total response days
attributed to the volume of routine requests that were responded to within the reporting
period by the volume of routine requests responded to. The calculation is: (200 × 3) +
(100 × 5) + (50 × 8) + (50 × 10)/400 = 5 days (Oachs 2020, 778).
A coding supervisor audits coded records to ensure the codes reflect the actual
documentation in the health record. This code auditing process addresses the data
quality element of: - ANS-Accuracy
A collection of data that is organized so its contents can be easily accessed, managed,
and updated is called a: - ANS-Database
A community hospital looking to cut cost out of a vendor's proposal for health IT should
consider: - ANS-Conducting process improvement in advance to improve return on
investment
A comprehensive retrospective review should be conducted at least once a year of what
aspect of the CDI program? - ANS-All query opportunities
A data model is used to: - ANS-Describe how data are used in creating information
,A financial counselor assumes responsibility for which of the following? - ANS-
Determines sources of payment for healthcare services rendered
A hospital is conducting an analysis of its existing health information systems and is
looking at potential areas that need attention. This step is typically referred to as: - ANS-
monitor results
A hospital is conducting an analysis of its existing health information systems and is
looking at potential areas that need attention. This step is typically referred to as: - ANS-
Monitor Results
A hospital releases information to an insurance company with proper authorization by
the patient. The insurance company forwards the information to a medical data
clearinghouse. This process is referred to as: - ANS-Redisclosure
A Joint Commission accredited organization must review their formulary annually to
ensure a medication's continued: - ANS-Efficacy and safety
A method of documenting nurses' progress notes by recording only abnormal or
unusual findings or deviations from the prescribed plan of care is called: - ANS-Charting
by exception
A number assigned to patients in a cancer registry in the order that the patients are
entered in the registry every year (for example, 03-0001) is a(n) ________ number. -
ANS-Accession
A nurse tried to enter a temperature of 134 degrees and the system would not accept it.
What is this an example of? - ANS-Edit check
A patient is admitted to the hospital with SOB and CHF. The patient undergoes
intubation with mechanical ventilation. The final diagnoses documented by the attending
physician are: Congestive heart failure, mechanical ventilation, and intubation. Which of
the following actions should the coder take in this case? - ANS-Query the attending
physician as to the reason for the intubation and mechanical ventilation to add a
secondary diagnosis
A patient saw a neurosurgeon for treatment of a nerve that was severed in an industrial
accident. The patient worked for Basic Manufacturing Company where the industrial
accident occurred. Basic Manufacturing carried workers' compensation insurance. The
workers' compensation insurance paid the neurosurgeon fees. Which entity is the "third
party"? - ANS-Workers' compensation insurance
A payer has advised your hospital that it is auditing records from last year due to a
suspected payment error. Your hospital's first action should be to: - ANS-Review the
contract to determine whether this is a violation of the look back period clause
, A physician is concerned that the data patients enter into an EHR is not as reliable as
data entered by another provider. What function serves to distinguish the source of data
in an EHR? - ANS-Data provenance
A physician query may not be appropriate in which of the following instances? - ANS-
Acute respiratory failure in a patient whose lab report findings appear to not support this
diagnosis
A physician query may not be appropriate in which of the following instances? - ANS-
Acute respiratory failure in a patient whose lab report findings appear to not support this
diagnosis
A possible justification for building an information system in house rather than
purchasing one from a vendor is that: - ANS-The facility has development teams they
do not want to give up
A quality coding review that is based on specific problems identified during an initial
baseline review in a hospital is called a: - ANS-Focused coding review
A report developed by a PI team on the occurrence of methicillin-resistant
Staphylococcus aureus infection in a neonatal intensive care unit was subsequently
used by the perinatal morbidity and mortality committee in a monthly review of infant
morbidity. Access to this report was possible because it was housed in the
organization's: - ANS-Information warehouse
A requirements specification that lists what is needed from the vendor to support
interoperability is necessary to: - ANS-Identify specific features and functions that must
be in an information system
A researcher mined the Medicare Provider Analysis Review (MEDPAR) file. The
analysis revealed trends in lengths of stay for rural hospitals. What type of investigation
was the researcher conducting? - ANS-Secondary analysis
A researcher's informed consent form stated that the patients' information would be
anonymous. Later in the application form for institutional review board( (IRB) approval,
the researcher described a coding system to trach respondents and nonrespondents.
The IRB returned the application to the researcher with the stipulation that the informed
consent must be changed. What raised the red flag? - ANS-The description of the use
of a coding system to track respondents and nonrespondents.
A strategy map can be a useful tool because it: - ANS-Provides a visual framework for
integrating strategies
A subpoena duces tecum compels the recipient to: - ANS-Bring records to a legal
proceeding
Answers
A CDI program facilitates accurate coding and helps coders avoid: - ANS-Assumption
coding
A clinic that is expanding its service offerings and needs an individual to help design a
new database will be searching for a: - ANS-Data administrator
A coding manager wants to display the patient types that have the most coding errors in
relationship to coder years of service. The desire of the coding manager is to display
how coder years of service is responsible for coding errors. The type of graph or chart
best suited for this is a: - ANS-Pareto Chart
A coding service had 400 discharged accounts to code in March. The service coded
200 within 3 days, 100 within 5 days, 50 within 8 days, and 50 within 10 days. The
average turnaround time for coding in March was: - ANS-5 days.
The average turnaround time was calculated by dividing the total response days
attributed to the volume of routine requests that were responded to within the reporting
period by the volume of routine requests responded to. The calculation is: (200 × 3) +
(100 × 5) + (50 × 8) + (50 × 10)/400 = 5 days (Oachs 2020, 778).
A coding supervisor audits coded records to ensure the codes reflect the actual
documentation in the health record. This code auditing process addresses the data
quality element of: - ANS-Accuracy
A collection of data that is organized so its contents can be easily accessed, managed,
and updated is called a: - ANS-Database
A community hospital looking to cut cost out of a vendor's proposal for health IT should
consider: - ANS-Conducting process improvement in advance to improve return on
investment
A comprehensive retrospective review should be conducted at least once a year of what
aspect of the CDI program? - ANS-All query opportunities
A data model is used to: - ANS-Describe how data are used in creating information
,A financial counselor assumes responsibility for which of the following? - ANS-
Determines sources of payment for healthcare services rendered
A hospital is conducting an analysis of its existing health information systems and is
looking at potential areas that need attention. This step is typically referred to as: - ANS-
monitor results
A hospital is conducting an analysis of its existing health information systems and is
looking at potential areas that need attention. This step is typically referred to as: - ANS-
Monitor Results
A hospital releases information to an insurance company with proper authorization by
the patient. The insurance company forwards the information to a medical data
clearinghouse. This process is referred to as: - ANS-Redisclosure
A Joint Commission accredited organization must review their formulary annually to
ensure a medication's continued: - ANS-Efficacy and safety
A method of documenting nurses' progress notes by recording only abnormal or
unusual findings or deviations from the prescribed plan of care is called: - ANS-Charting
by exception
A number assigned to patients in a cancer registry in the order that the patients are
entered in the registry every year (for example, 03-0001) is a(n) ________ number. -
ANS-Accession
A nurse tried to enter a temperature of 134 degrees and the system would not accept it.
What is this an example of? - ANS-Edit check
A patient is admitted to the hospital with SOB and CHF. The patient undergoes
intubation with mechanical ventilation. The final diagnoses documented by the attending
physician are: Congestive heart failure, mechanical ventilation, and intubation. Which of
the following actions should the coder take in this case? - ANS-Query the attending
physician as to the reason for the intubation and mechanical ventilation to add a
secondary diagnosis
A patient saw a neurosurgeon for treatment of a nerve that was severed in an industrial
accident. The patient worked for Basic Manufacturing Company where the industrial
accident occurred. Basic Manufacturing carried workers' compensation insurance. The
workers' compensation insurance paid the neurosurgeon fees. Which entity is the "third
party"? - ANS-Workers' compensation insurance
A payer has advised your hospital that it is auditing records from last year due to a
suspected payment error. Your hospital's first action should be to: - ANS-Review the
contract to determine whether this is a violation of the look back period clause
, A physician is concerned that the data patients enter into an EHR is not as reliable as
data entered by another provider. What function serves to distinguish the source of data
in an EHR? - ANS-Data provenance
A physician query may not be appropriate in which of the following instances? - ANS-
Acute respiratory failure in a patient whose lab report findings appear to not support this
diagnosis
A physician query may not be appropriate in which of the following instances? - ANS-
Acute respiratory failure in a patient whose lab report findings appear to not support this
diagnosis
A possible justification for building an information system in house rather than
purchasing one from a vendor is that: - ANS-The facility has development teams they
do not want to give up
A quality coding review that is based on specific problems identified during an initial
baseline review in a hospital is called a: - ANS-Focused coding review
A report developed by a PI team on the occurrence of methicillin-resistant
Staphylococcus aureus infection in a neonatal intensive care unit was subsequently
used by the perinatal morbidity and mortality committee in a monthly review of infant
morbidity. Access to this report was possible because it was housed in the
organization's: - ANS-Information warehouse
A requirements specification that lists what is needed from the vendor to support
interoperability is necessary to: - ANS-Identify specific features and functions that must
be in an information system
A researcher mined the Medicare Provider Analysis Review (MEDPAR) file. The
analysis revealed trends in lengths of stay for rural hospitals. What type of investigation
was the researcher conducting? - ANS-Secondary analysis
A researcher's informed consent form stated that the patients' information would be
anonymous. Later in the application form for institutional review board( (IRB) approval,
the researcher described a coding system to trach respondents and nonrespondents.
The IRB returned the application to the researcher with the stipulation that the informed
consent must be changed. What raised the red flag? - ANS-The description of the use
of a coding system to track respondents and nonrespondents.
A strategy map can be a useful tool because it: - ANS-Provides a visual framework for
integrating strategies
A subpoena duces tecum compels the recipient to: - ANS-Bring records to a legal
proceeding
