AHIMA RHIA Online Practice Questions and Exam Preparation

AHIMA RHIA Online Questions & Answers

• Question 491:

  A patient was admitted to the hospital with hemiplegia and aphasia. The hemiplegia and aphasia were resolved before discharge and the patient was diagnosed with cerebral thrombosis. What is the correct coding and sequencing?

  A. hemiplegia; aphasia
  B. cerebral thrombosis
  C. cerebral thrombosis; hemiplegia; aphasia
  D. hemiplegia; cerebral thrombosis; aphasia
  B. cerebral thrombosis

• Question 492:

  A company that contracts with the Centers for Medicare and Medicaid Services (CMS) to pay Medicaid claims is called a

  A. carrier.
  B. fiscal intermediary.
  C. fiscal agent.
  D. preferred provider.
  C. fiscal agent.

• Question 493:

  LCDs and NCDs are review policies that describe the circumstances of coverage for various types of medical treatment. They advise physicians which services Medicare considers reasonable and necessary and may indicate the need for an advance beneficiary notice. They are developed by the Centers for Medicare and Medicaid Services (CMS), Medicare carriers, or fiscal intermediaries LCD and NCD are acronyms that stand for

  A. local covered determinations and non-covered determinations.
  B. local coverage determinations and national coverage determinations.
  C. list of covered decisions and non-covered decisions.
  D. local contractor's decisions and national contractor's decisions.
  B. local coverage determinations and national coverage determinations.

• Question 494:

  Under the inpatient prospective payment system (IPPS), there is a three-day payment window (formerly referred to as the 72-hour rule). This rule requires that outpatient preadmission services that are provided by a hospital up to three calendar days prior to a patient's inpatient admission be covered by the IPPS MS-DRG payment for

  A. diagnostic services.
  B. therapeutic (or non-diagnostic) services whereby the inpatient principal diagnosis code (ICD-9-CM) exactly matches the code used for pre-admission services.
  C. therapeutic (or non-diagnostic) services whereby the inpatient principal diagnosis code (ICD-9-CM) does not match the code used for pre-admission services.
  D. both A and B.
  D. both A and B.

• Question 495:

  A national HIM publication routinely requests that practitioners submit statistics from their facility regarding department functions. These are then summarized and published in graphic form, providing a tool for which of the following activities?

  A. benchmarking
  B. work standards
  C. job evaluation
  D. job redesign
  A. benchmarking

• Question 496:

  Lindsay has combined her HIM education with a master's degree in Human Resources, and is training a new supervisor to interview a candidate for a credentialed position for handling subpoenas in the release of information section. Which of the following is the LEAST appropriate question?

  A. Do you have transportation for attendance at depositions and court?
  B. Please share an experience where you had to determine applicable state law.
  C. Please provide a copy of your most recent CE certificate and AHIMA membership.
  D. Do you have family responsibilities that would keep you from remaining at a trial?
  D. Do you have family responsibilities that would keep you from remaining at a trial?

• Question 497:

  Patient was admitted to the hospital for removal of excessive tissue due to massive weight loss. Liposuction of the abdomen and bilateral thighs was performed.

  A. 15830
  B. 15830; 15833; 15833
  C. 15877; 15879-50
  D. 15839
  C. 15877; 15879-50

• Question 498:

  Ingrid Anderson presents with a skin infection that began as a raised itchy bump, resembling an insect bite Within 1 to 2 days it developed into a vesicle. Now it is a painless ulcer, about 2 cm in diameter, with a black necrotic area in the center. During the history, her doctor learns that she may has recently returned from an overseas vacation and becomes concerned that she may have become infected with anthrax. He will prescribe an

  A. antibiotic
  B. antineoplastic
  C. antiparasitic
  D. antiviral
  A. antibiotic

• Question 499:

  Which of the following set(s) is an appropriate use of the emergency access procedure?

  A. A patient is crashing. The attending physician is not in the hospital, so a physician who is available helps the patient.
  B. One of the nurses is at lunch. The nurse covering for her needs patient information.
  C. The coder who usually codes the emergency room charts is out sick and the charts are left on a desk in the ER admitting area.
  D. A and B
  D. A and B

• Question 500:

  The decision makers in the HIM department have decided to use the decision analysis matrix method to select coding software. Use of this method will help ensure

  A. all alternatives/vendors are evaluated subjectively.
  B. the personalities of individual vendors will not influence the decision.
  C. consistent criteria are used to evaluate the alternatives/vendors.
  D. the level of software support will be considered in the decision.
  C. consistent criteria are used to evaluate the alternatives/vendors.