AHIMA AHIMA Certifications RHIA Questions & Answers

• Question 1461:

  There are times when documentation is incomplete or insufficient to support the diagnoses found in the chart. The most common way of communicating with the physician for answers is by

  A. emailing physicians.

  B. using physician query forms.

  C. calling the physician's office.

  D. leaving notes in the chart.

  Correct Answer: B

• Question 1462:

  Under APCs, payment status indicator "X" means

  A. ancillary services.

  B. medical visits.

  C. multiple procedure reduction applies.

  D. multiple procedure reduction does not apply.

  Correct Answer: A

• Question 1463:

  A fiscal year is a yearly accounting period. It is the 12-month period on which a budget is planned. The federal fiscal year is

  A. October 1st through September 30th of the next year.

  B. January 1st through December 21st.

  C. July 1st through the June 30th of the next year.

  D. April 1st through March 31st of the next year.

  Correct Answer: A

• Question 1464:

  If this physician is a nonparticipating physician who does not accept assignment for this claim, the total amount of the patient's financial liability (out-of-pocket expense) is

  A. $66.50.

  B. $38.00.

  C. $190.00.

  D. $152.00.

  Correct Answer: A

• Question 1465:

  If this physician is a participating physician who accepts assignment for this claim, the total amount of the patient's financial liability (out-of-pocket expense) is

  A. $200.00.

  B. $40.00.

  C. $160.00.

  D. $30.00.

  Correct Answer: B

• Question 1466:

  If this physician is a nonparticipating physician who does NOT accept assignment for this claim, the total amount he will receive is

  A. $250.00.

  B. $200.00.

  C. $218.50.

  D. $190.00.

  Correct Answer: C

• Question 1467:

  If this physician is a participating physician who accepts assignment for this claim, the total amount he will receive is

  A. $200.00.

  B. $250.00.

  C. $218.50.

  D. $190.00.

  Correct Answer: A

• Question 1468:

  The limiting charge is a percentage limit on fees specified by legislation that the nonparticipating physician may bill Medicare beneficiaries above the nonPAR fee schedule amount. The limiting charge is

  A. 10%

  B. 15%

  C. 20%

  D. 50%

  Correct Answer: B

• Question 1469:

  The patient is financially liable for the coinsurance amount which is

  A. 80%.

  B. 100%.

  C. 20%.

  D. 15%.

  Correct Answer: C

• Question 1470:

  The DNFB report includes all patients who have been discharged from the facility but for whom, for one reason or another, the billing process is not complete.

  A. diagnosis not finally balanced

  B. days not fiscally balanced

  C. dollars not fully billed

  D. discharged not final billed

  Correct Answer: D