AHIMA AHIMA Certifications RHIA Questions & Answers

• Question 161:

  Parker is a type I diabetic with hypertension that is currently controlled with medication. Parker was admitted through the ED for an emergency appendectomy. Following surgery, the patient developed an infection at the wound site that was treated with antibiotics. Parker's principal diagnosis is the

  A. complications of hypertension

  B. co-morbidity of the wound infection

  C. co-morbidity of type 1 diabetes

  D. acute appendicitis

  Correct Answer: D

• Question 162:

  Dr. Reed tried to explain wound care to Baker prior to discharge, but Baker (who is 104 and moderately senile) just couldn't seem to understand or remember what the doctor said. So, Dr. Reed explained Baker's aftercare to his daughter. Dr. Reed should document discharge instructions

  A. in the discharge summary.

  B. on a patient instructions form signed by Dr. Reed and Baker and filed in Baker's medical record.

  C. in the discharge summary and on a patient instructions form signed by Dr. Reed and Baker and filed in Baker's medical record.

  D. in the discharge summary and on a patient instructions form signed by Dr. Reed and Baker's daughter and filed in Baker's medical record.

  Correct Answer: D

• Question 163:

  As a new HIM manager at an acute care facility, you have been asked to update the facility's policy for physician's verbal orders in accordance with state law and regulations. Your first area of investigation is the qualifications of those individuals in your facility who have been authorized to record verbal orders. For this information, you will consult the

  A. policy and procedure manual.

  B. hospital's Quality Management Plan.

  C. data dictionary.

  D. hospital bylaws, rules, and regulations.

  Correct Answer: D

• Question 164:

  Parker is a type I diabetic with hypertension that is currently controlled with medication. Parker was admitted through the ED for an emergency appendectomy. Following surgery, the patient developed an infection at the wound site that was treated with antibiotics. When making decisions about sequencing the codes for this case, the coder should rely on definitions found in the

  A. UHDDS

  B. Coding Clinic

  C. CMS Coding Guidelines.

  D. Federal Register.

  Correct Answer: A

• Question 165:

  The proposed National Health care Information Network (NHIN) dimensions are graphically depicted in the diagram below, with Roman numerals added to allow for the identification of specific areas. Where would information concerning a patient's health insurance be located on this chart?

  

  A. I

  B. ll

  C. III

  D. V

  Correct Answer: B

• Question 166:

  Happy Valley Clinic allows patients to communicate by e-mail to ask questions regarding treatment and request appointment changes. E-mails and text messages are

  A. considered health care business records and are subject to the same regulations as r created in faceto-face patient encounters.

  B. considered proof of patient contact and should be summarized in a progress note in patient record.

  C. generally maintained in a facility's electronic mail system until the next face-to-face pay encounter.

  D. not typically maintained or documented as patient encounters.

  Correct Answer: A

• Question 167:

  Stan works in an acute care general hospital, Fran works for a skilled nursing facility, employed at an assisted living facility, and Dan works for a home care provider. Which are employed in facilities that may seek Joint Commission accreditation?

  A. Stan, Fran, and Ann

  B. Fran, Ann, and Dan

  C. Ann, Dan, and Stan

  D. Dan, Stan, and Fran

  Correct Answer: D

• Question 168:

  In reviewing a health record for coding purposes, the coder notes that the patient was put Keflex postsurgery. There is no mention of a postoperative complication in the attene physician's discharge summary. Before querying the doctor, the coder will seek to confirm infection by reviewing the

  A. lab report.

  B. nurses' notes.

  C. operative report.

  D. pathology report.

  Correct Answer: A

• Question 169:

  You are calculating the fee schedule payment amount for physician services covered under Medicare Part

  B. You already have the relative value unit figure. The only other information you need is

  A. the facility's case-mix index.

  B. a national conversion factor.

  C. the facility's base rate.

  D. MS-DRG relative weights.

  Correct Answer: B

• Question 170:

  Valley View Hospital collected the data displayed above concerning their four highest volume MS-DRGs. Which MS-DRG generated the most revenue for the hospital?

  

  A. MS-DRG A

  B. MS-DRG B

  C. MS-DRG C

  D. MS-DRG D

  Correct Answer: C