AHIMA AHIMA Certifications RHIA Questions & Answers

• Question 1641:

  In the Act phase of the PDSA method, what step can assist in implementing change in a department?

  A. incorporating changes into a policy statement or new standard

  B. distributing new policies and procedures to people affected by the changes and explaining the rationale for the changes

  C. informing all affected parties about the changes

  D. all of the above

  Correct Answer: D

• Question 1642:

  Needlesticks, patient or employee falls, medication errors, or any event not consistent with routine patient care activities would require risk reporting documentation in the form of an

  A. operative report.

  B. emergency room report.

  C. incident report.

  D. insurance claim.

  Correct Answer: C

• Question 1643:

  The responsibility for performing quality monitoring and evaluation activities in a departmentalized hospital is delegated to the

  A. director of utilization management.

  B. chairman of the board of trustees.

  C. clinical chairpersons of medical staff committees or ancillary department directors.

  D. chief executive officer.

  Correct Answer: C

• Question 1644:

  Major responsibilities of the Risk Manager generally include

  A. loss prevention and reduction.

  B. liability claims management.

  C. participating in safety and security programs.

  D. all of the above

  Correct Answer: D

• Question 1645:

  With the passage of Medicare (Title XVIII of the Social Security Act) in 1965, which of the following functions became mandatory?

  A. quality improvement

  B. risk management

  C. quality assessment

  D. utilization review

  Correct Answer: D

• Question 1646:

  An ophthalmologist has requested permission to perform specialized laser procedures within the hospital. His request is evaluated by the Credentials Committee through a process to determine the specific procedures and services this physician can perform. This is known as

  A. discharge planning.

  B. medical staff evaluation.

  C. delineation of privileges.

  D. reappointment.

  Correct Answer: C

• Question 1647:

  The process of comparing the outcomes of HIM abstracting functions at your facility with those of comparable departments of superior performance in other health care facilities to help improve accuracy and quality is referred to as

  A. focused review.

  B. benchmarking.

  C. peer review.

  D. occurrence screening.

  Correct Answer: B

• Question 1648:

  Most health care facilities use this type of screening criteria for utilization review purposes to determine the need for inpatient services and justification for continued stay.

  A. severity of illness/intensity of service criteria (SI/IS)

  B. critical pathways

  C. Joint Commission defined and developed criteria

  D. HEDIS measures

  Correct Answer: A

• Question 1649:

  What quality indicator would prove useful in tracking customer satisfaction in the correspondence/release of information function?

  A. the number of medical record personnel required to perform the function

  B. the amount of overtime necessary to stay current

  C. the number of charts pulled for correspondence requests

  D. the turnaround time from the date a request is received to the date the information is provided to the requester

  Correct Answer: D

• Question 1650:

  In compiling statistics to report the specific cause of death for all open-heart surgery cases, the quality coordinator assists in documenting

  A. patient care outcomes.

  B. utilization of hospital resources.,

  C. delineation of physician privileges.

  D. compliance with OSHA standards.

  Correct Answer: A