RHIT EXAM PREP (CODING) EXAM PREPARATION FOR 2025/2026
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A health record technician is preparing a bill for a patient who has two different
third-party payers. Verification of the payers has been performed. Before either of
the payers can be billed, the health record technician has to:
A. Contact the attending physician
B. Contact the patient
C. Determine which policy is primary and which is secondary
D. Determine who is the primary policy holder
C. Determine which policy is primary and which is secondary
An internal coding audit at Community Hospital shows that the cause of improper
coding is lack of proper physician documentation to support reimbursement at the
appropriate level. Coders have found that coding issues are a result of physician
documentation needing clarification. The HIM department staff has met
periodically with each clinical specialty to improve communication and provide
targeted education, but documentation problems still persist. Which of the
following actions would be the most reliable and consistent method to improve
communication and documentation?
A. Revise medical staff bylaws to include documentation requirements
B. Suspend medical staff privileges after a specified number of documentation
problems have occurred
C. Implement a standardized physician query form so that coders can request
clarification from physicians about documentation issues
D. Allow coders to make clinical judgments in absence of physician documentation
C. Implement a standardized physician query form so that coders can request
clarification from physicians about documentation issues
Which of the following is a documentation issue?
A. Copy and paste functionality
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B. Key indicator
C. Query
D. Case mix index
A. Copy and paste functionality
Which of the following is an example of abuse?
A. Billing for services not provided to the patient
B. Misrepresentation of procedures performed to obtain payment for non-covered
services
C. Falsifying a patients diagnosis to justify tests
D. A pattern of coding errors
D. A pattern of coding errors
A patient contacts the HIM manager at Wildcat Hospital with a privacy complaint
about another covered entity. What should the HIM manager recommend to the
patient?
A. The patient should first complain to the Office of Civil Rights
B. The patient should first complain to the CEO of Wildcat Hospital
C. The patient should first be encouraged to complain to the covered entity whose
actions generated the complaint.
D. The patient should first complain to their insurance company
C. The patient should first be encouraged to complain to the covered entity whose
actions generated the complaint.
The medical staff at University Medical Center is nationally renowned for its skill in
performing cardiac procedures. The nursing staff in the cardiac unit has noticed
that a significant number of health records do not have informed consents prior to
the performance of procedures. Obtaining informed consent is the responsibility
of the:
A. Nursing staff
B. Admissions department
C. Physician
D. Administration
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C. Physician
Sally Mitchell was treated for kidney stones at Graham Hospital last year. She now
wants to review her health record in person. She has requested to review them by
herself in a private room. Which of the following is true based on this scenario?
A. Failure to accommodate her wishes will be a violation under the HIPAA Privacy
Rule.
B. Sally owns the information in her record, so she must be granted her request.
C. Sallys request does not have to be granted because the hospital is responsible
for the integrity of the health record.
D. Patients should never be given access to their actual health records.
C. Sallys request does not have to be granted because the hospital is responsible
for the integrity of the health record.
A small counseling center received notification that a laptop that contained PHI
was stolen out of a workforce memberâ s car. Upon investigation, it was
determined that information on the workforce memberâ s laptop contained
information on approximately 980 individuals. The laptop that was stolen was
password protected; however, it did not contain any encryption software. While
no reports of identity theft have been reported, it is unknown what has been
done with the laptop or the information on the laptop. How long does this
counseling center have to notify these patients of this breach?
A. Immediately
B. Within 60 days of the discovery
C. Within 90 days of the discovery
D. No notification is needed
B. Within 60 days of the discovery
Shirley Denton has written to request an amendment to her PHI from Bon Voyage
Hospital, stating that incorrect information is present on the document in
question. The document is an incident report from Bon Voyage Hospital, which
was erroneously placed in Ms. Dentonâ s health record. The covered entity
declines to grant her request based on which privacy rule provision?
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A. It was not created by the covered entity.
B. It is not part of the designated record set.
C. It is her PHI and she can remove it from the record.
D. None. The covered entity must grant her request.
B. It is not part of the designated record set.
This law prohibits a physician from referring patients to a business in which he or
she or a member of the physicianâ s immediate family has financial interests
A. False Claims
B. Anti-Kickback
C. Stark Law
D. Health Insurance Portability and Accountability Act
C. Stark Law
Lisa is a coder at General Hospital. She has been told by her supervisor to assign
codes that are in violation of coding rules. Lisa has reported her concerns with this
request to the compliance officer at her facility. The compliance officer has
advised her to follow the directions from her supervisor. What is Lisaâ s next step?
A. Nothing as she could lose her job
B. Continue to assign the codes even though this violates coding rules
C. Attend continuing education courses
D. Report the fraud to OIG hotline
D. Report the fraud to OIG hotline
To stay current with new technologies and pioneering procedures, CPT is revised
each year, with changes going into effect the following:
A. January 1st
B. April 1st
C. July 1st
D. October 1st
A. January 1st
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