AHIMA AHIMA Certifications RHIA Questions & Answers

• Question 1001:

  A patient is admitted to your hospital 6 weeks post myocardial infarction with severe chest pains. Which is the correct code?

  A. 414.8 chronic MI

  B. 410.1x acute MI

  C. 412 old MI

  D. 413.0 angina

  Correct Answer: B

• Question 1002:

  Code 402, Hypertensive Heart Disease, would appropriately be used in which of the following situations?

  A. left heart failure with benign hypertension

  B. congestive heart failure; hypertension

  C. Hypertensive cardiovascular disease with congestive heart failure

  D. cardiomegaly with hypertension

  Correct Answer: C

• Question 1003:

  A 75-year-old female was admitted for repair of a hiatal hernia which was performed on the first day of admission. While recovering, the patient fell out of her bed and sustained a fractured femur which was surgically reduced. Further complications included severe angina for which a cardiac catheterization and PTCA were performed. The principal procedure is

  A. femur reduction.

  B. herniorrhaphy.

  C. catheterization.

  D. PTCA.

  Correct Answer: B

• Question 1004:

  Jane Moore was admitted to the ambulatory care unit of the hospital for a planned cholecystectomy for cholelithiasis. Shortly before surgery, Jane developed tachycardia, and the surgery was canceled. After a thorough workup for the tachycardia, Jane was discharged. This outpatient admission should be coded in the following sequence:

  A. V code for canceled surgery, tachycardia, cholelithiasis.

  B. tachycardia, V code for canceled surgery, cholelithiasis.

  C. cholelithiasis, V code for canceled surgery.

  D. cholelithiasis, V code for canceled surgery, tachycardia.

  Correct Answer: D

• Question 1005:

  The Unified Medical Language System (UMLS) is a project sponsored by the

  A. National Library of Medicine.

  B. CMS.

  C. World Health Organization.

  D. Officer of Inspector General.

  Correct Answer: A

• Question 1006:

  A patient is admitted with shortness of breath and hemoptysis. A chest x-ray revealed patchy infiltrates in the left lung and possible pneumonia. On the third day of hospitalization a bronchoscopy with biopsy was done which revealed a small cell carcinoma of the left upper lobe of the lung. A metastatic lesion in the brain was detected. The principal diagnosis is the

  A. metastatic brain carcinoma.

  B. small cell lung carcinoma.

  C. hemoptysis.

  D. pneumonia.

  Correct Answer: B

• Question 1007:

  A disadvantage of adopting SNOMED for diagnosis coding is that it

  A. is too difficult to use as a reimbursement system.

  B. is not compatible with computer technology.

  C. would hinder communication among diverse computer systems.

  D. is not possible to conduct outcomes research with SNOMED.

  Correct Answer: A

• Question 1008:

  The "cooperating party" responsible for maintaining the ICD-9-CM disease classification is the

  A. Centers for Medicare and Medicaid Services (CMS).

  B. National Center for Health Statistics (NCHS).

  C. American Hospital Association (AHA).

  D. American Health Information Management Association (AHIMA).

  Correct Answer: B

• Question 1009:

  An encoder that prompts the coder to answer a series of questions and choices based on the documentation in the medical record is called a(n)

  A. logic-based encoder.

  B. automated codebook.

  C. grouper.

  D. automatic code assignment.

  Correct Answer: A

• Question 1010:

  According to the UHDDS, a procedure that is surgical in nature, carries a procedural or anesthetic risk, or requires special training is defined as a

  A. principal procedure.

  B. significant procedure.

  C. operating room procedure.

  D. therapeutic procedure.

  Correct Answer: B