AHIMA AHIMA Certifications RHIA Questions & Answers

• Question 81:

  The Chief of Staff, Chief of Medicine, President of the Governing Body, and most departmental managers have already completed CQI training. Unfortunately, the hospital administrator has not been to training, refuses to get involved with CQI, and refuses to let the administrative departmental staff get training.

  A. This level of involvement is enough to meet Joint Commission standards.

  B. The Joint Commission only expects involvement from clinical staff.

  C. This will not do because it violates Joint Commission standards and CQI philosophy.

  D. If you can talk him into training his staff, you can let him skip the training.

  Correct Answer: C

• Question 82:

  Your facility is part of a community health information network and you belong to a committee charged with the responsibility of encouraging the uniform collection and reporting of data. Among your recommendations is the adoption of a common

  A. data set.

  B. forms design.

  C. record format.

  D. data quality monitoring system.

  Correct Answer: A

• Question 83:

  A transcription unit has been asked to tally the number of times they have to leave sections of a report blank for various reasons (poor dictation technique, background noise, etc.). The quality improvement tool most likely to help collect this data would be

  A. force field analysis.

  B. decision matrix.

  C. flowchart.

  D. check sheet.

  Correct Answer: D

• Question 84:

  Sally had three babies in 4 years and she considered that more than enough. During her hospitalization for her third delivery, Sally had a sterilization procedure performed. When the record is coded, the V-code for sterilization, V25.2 is

  A. not used.

  B. used and sequenced as the principal diagnosis.

  C. used and sequenced as a secondary diagnosis.

  D. the only code used.

  Correct Answer: C

• Question 85:

  A 75- year-old patient was admitted for repair of a hiatal hernia, which was performed on the first day of admission. While recovering, the patient fell out of bed and sustained a fractured femur which was surgically reduced. Further complications included severe angina for which a cardiac catheterization and PTCA were performed. The principal procedure is

  A. femur reduction.

  B. herniorrhaphy.

  C. catheterization.

  D. PTCA.

  Correct Answer: B

• Question 86:

  A 16-year-old male was treated at your facility for a closed head injury. The patient's 18- year-old wife accompanied him to the hospital and signed the consent for admission and treatment because of the patient's incapacity at the time. The patient has requested that copies of his medical records be sent to his attorney. Who should sign the authorization to release the records?

  A. the patient

  B. either of the patient's parents

  C. the patient's parent or legal guardian

  D. the patient's wife

  Correct Answer: A

• Question 87:

  A 19-year-old former patient faxes a request to your facility requesting the release of his medical records of all episodes of care to the Army. The release of information clerk should

  A. send the records as requested.

  B. inform the young man that specific reports must be identified in his request.

  C. send a letter informing him that faxed requests are not accepted.

  D. deny the request.

  Correct Answer: A

• Question 88:

  Joanie Howell presents to Dr. Franklin requesting rhinoplasty. Because Howell is covered by, Medicare, Dr. Franklin must provide Howell with

  A. a Notice of Exclusion, because rhinoplasty is not a Medicare covered service.

  B. an Advance Beneficiary Notice, because rhinoplasty is not a Medicare covered service.

  C. a Notice of Exclusion, because Howell's rhinoplasty may not be medically necessary.

  D. an Advance Beneficiary Notice, because Howell's rhinoplasty may not be medically necessary.

  Correct Answer: D

• Question 89:

  After your coders helped you rank the reasons for coding errors in the order of their importance, you then

  plotted the results on the chart above. The results of your work surprise you because

  

  A. you expected the coders to put more emphasis on time pressure.

  B. you thought limited training was the primary reason for the errors.

  C. the rankings show surprising disagreement on the issue.

  D. the results appear to violate the Pareto principle.

  Correct Answer: D

• Question 90:

  As the Information Security Officer at your facility, you have been asked to provide examples of technical security safeguards adopted as a result of HIPAA legislation. Which of the following would you provide?

  A. audit controls

  B. evidence of security awareness training

  C. surge protectors

  D. workstation use and location

  Correct Answer: A