AHIMA AHIMA Certifications RHIA Questions & Answers

• Question 71:

  The use of computer key signatures requires the same administrative controls as

  A. rubber stamp signatures.

  B. computer passwords.

  C. signatures made by interns and residents.

  D. use of faxed signatures.

  Correct Answer: A

• Question 72:

  A number of key elements for your facility's computerized patient record are still input by clerical staff from handwritten data entry sheets. You are concerned about the transfer of data. If the vital signs stored in the database are not what were originally recorded, the impact on patient care could be severe. You are concerned about the

  A. stability of the data.

  B. validity of the data.

  C. legitimacy of the data.

  D. reliability of the data.

  Correct Answer: B

• Question 73:

  Your facility would like to improve physician documentation in order to allow improved cod' As coding supervisor, you have found it very effective to provide the physicians with

  A. a copy of the facility coding guidelines, along with written information on improve documentation.

  B. the UHDDS and information on where each data element is collected and/or verified in y facility.

  C. regular in-service presentations on documentation, including its importance and tips improvement.

  D. feedback on specific instances when improved documentation would improve coding.

  Correct Answer: D

• Question 74:

  You are considering the classification of two patients discharged from your hospital yester Both patients had a length of stay that was increased due to co-morbidities and/or complicat described below: The best way to describe these two cases would be to say that:

  

  A. Both Fred and Ted have concomitant chronic co-morbidities; Fred also had a nosocom complication.

  B. Both Fred and Ted have concomitant chronic co-morbidities; Ted also had an iatrog complication.

  C. Fred had a concomitant chronic co-morbidity; Ted had a concomitant complication.

  D. Fred had a concomitant chronic complication; Ted had a concomitant co-morbidity.

  Correct Answer: B

• Question 75:

  In order to alter the facility's health record format to achieve a record that is strictly chronological, the committee would recommend a(n)

  A. integrated medical record.

  B. universal chart order.

  C. problem-oriented medical record.

  D. source-oriented medical record.

  Correct Answer: A

• Question 76:

  The difference between an Institutional Review Board (IRB) and a hospital's Ethics Committee is that

  A. the IRB focuses on patient care only, and the Ethics Committee addresses both patient care and business practices.

  B. the Ethics Committee reviews ethics complaints, and the IRB focuses on developing policies and procedures.

  C. the IRB deals with the ethical treatment of human research subjects, and the Ethics Committee covers a wide range of issues.

  D. the IRB is made up entirely of patient care providers, and the Ethics Committee is multidisciplinary.

  Correct Answer: C

• Question 77:

  Referring to the record completion data for December, you would be most concerned with the

  

  A. overall number of incomplete records.

  B. percentage of incomplete records.

  C. percentage of delinquent operative reports.

  D. percentage of delinquent records.

  Correct Answer: C

• Question 78:

  You and the statistician, Dr. Cline, are working to determine sample size. You are discussing which sampling method you will use. There are 1,200 possible records and you need 100 records for the study. Dr. Cline suggests you select every twelfth record until sample size is achieved. This makes sense to you. It takes less time and is less subject to error than other sampling methods. The two of you agree to use

  A. random sampling.

  B. simple sampling.

  C. systematic sampling.

  D. stratified random sampling.

  Correct Answer: C

• Question 79:

  The percentage of records delinquent due to the absence of an operative report

  

  A. is 1.7%.

  B. is 2.7%.

  C. is 4.6%.

  D. cannot be determined from the information given.

  Correct Answer: B

• Question 80:

  The delinquent rate

  

  A. cannot be determined.

  B. is 36%.

  C. is 50%.

  D. is 71%.

  Correct Answer: B