AHIMA AHIMA Certifications RHIA Questions & Answers

• Question 1021:

  DSMIV-TR is used most frequently in what type of healthcare setting?

  A. behavioral health centers.

  B. ambulatory surgery centers.

  C. home health agencies.

  D. nursing homes.

  Correct Answer: A

• Question 1022:

  In reviewing the medical record of a patient admitted for a left herniorrhaphy, the coder discovers an extremely low potassium level on the laboratory report. In examining the physician's orders, the coder notices that intravenous potassium was ordered. The physician has not listed any indication of an abnormal potassium level or any related condition on the discharge summary. The best course of action for the coder to take is to.

  A. confer with the physician and ask him or her to list the condition as a final diagnosis if he or she considers the abnormal potassium level to be clinically significant.

  B. code the record as is.

  C. code the condition as an abnormal blood chemistry.

  D. code the abnormal potassium level as a complication following surgery.

  Correct Answer: A

• Question 1023:

  One of the major functions of the cancer registry is to ensure that patients receive regular and continued observation and management. How long should patient follow- up be continued?

  A. until remission occurs.

  B. 10 years.

  C. for the life of the patient.

  D. 1 year.

  Correct Answer: C

• Question 1024:

  The Health Information Department receives research requests from various committees in the hospital.

  The Medicine Committee wishes to review all patients having a diagnosis of anterolateral myocardial

  infarction within the past 6 months.

  Which of the following would be the best source to identify the necessary charts?

  A. operation index.

  B. consultation index.

  C. disease index.

  D. physician's index.

  Correct Answer: C

• Question 1025:

  Which of the following is NOT included as a part of the minimum data maintained in the MPI?

  A. principal diagnosis.

  B. patient medical record number.

  C. full name (last, first, and middle).

  D. date of birth.

  Correct Answer: A

• Question 1026:

  A patient who is taking the drug Antivert may have a diagnosis of

  A. dizziness.

  B. urinary tract infection.

  C. arthritis.

  D. congestive heart failure.

  Correct Answer: A

• Question 1027:

  A system of preferred terminology for naming diseases processes is known as a

  A. set of categories.

  B. classification system.

  C. medical nomenclature.

  D. diagnosis listing.

  Correct Answer: C

• Question 1028:

  A physician performed an outpatient surgical procedure on the eye orbit of a Medicare patient. Upon searching the CPT codes and consulting with the physician, the coder is unable to find a code for the procedure. The coder should assign

  A. an unlisted Evaluation and Management code from the E/M section.

  B. An unlisted procedure code located in the ye and ocular adnexa section.

  C. A HCPCS Level Two (alphanumeric) code.

  D. An ophthalmologic treatment service code.

  Correct Answer: B

• Question 1029:

  Which of the following is a valid ICD-9-CM principal diagnosis code?

  A. V27.2 Outcome of delivery, twins, both live born

  B. V30.00 Single live born, born in hospital

  C. E867 Accidental poisoning by gas distributed by pipeline

  D. M9010/0 Fibroadenoma, NOS

  Correct Answer: B

• Question 1030:

  Robert Thompson was seen in the outpatient department with a chronic cough and the record states "rule out lung cancer." What should be coded as the patient's diagnosis?

  A. chronic cough

  B. observation and evaluation without need for further medical care

  C. diagnosis of unknown etiology

  D. lung cancer

  Correct Answer: A