Free RHIA Exam Dumps Preview

Under APCs, payment status indicator "V" means

A patient's history includes the following documentation: Small ulcers (chancres) appeared on the genitalia and disappeared after 4 to 6 weeks Elevated temperature, skin rash, and enlarged lymph nodes

Which of the following procedures will be used to initially diagnose the patient?

All of the following are sources for the rules and regulations that define the legal aspects of medical records EXCEPT

Which of the following statements is correct regarding HIPAA preemption analysis?

Services were provided to a patient in the emergency room after the patient twisted her ankle stepping down from a curb. The emergency room physician ordered x-rays of the ankle, which came back negative for a fracture. A problem-focused history and physical examination were performed and ankle strapping was applied. A prescription for pain was given to the patient. Code the emergency room visit only.

Which of the following are considered late effects regardless of time?

Huhner test and semen analysis

Which one of the following is NOT an advantage of a computerized master patient index?

Amelia Claire is a CNA and an RHIA who is a clinical documentation trainer for a large health system. The results of a quality improvement study indicated that an informed consent was not obtained for 25% of the surgical procedures performed. Brooke had discussed the problem with the director of the Health Information Department and they have decided to begin corrective action by providing an in-service. The most important participants that should attend this in-service are

Based on this patient volume, the MS-DRG which brings in the highest total profit to the hospital is

In preparing a capital budget request, the first priority will be to document

Melissa is an RHIA who has just been hired as systems analysts in Information Technology. At Orientation she receives her Employee Handbook. All of the following information about the Employee Handbook is true, EXCEPT:

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

As part of quality improvement study you have been asked to provide information on the menstrual history, number of pregnancies, and number of living children on each OB patient from a stack of old obstetrical records the best place in the record to locate this information is the

__________ is usually the first symptom of benign prostate hyperplasia.

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

Corneal transplant

Patient had a cholecystectomy 6 days ago and is now coming back with evidence of staphylococcal cellulitis at the site of operative incision.

You want to graph the number of patients admitted to three different medical staff services of each day of the last month. Because you have a large number of observations (one for each day of the month) and you want to be able to compare the observations for each of the three services on one data display, your best choice is a

Basic metabolic panel (calcium, total) and total bilirubin

Which of the following agencies is empowered to implement the law governing Medicare and Medicaid?

Frank has been diagnosed with sick sinus syndrome and is being admitted for dual chamber pacemaker and leads insertion. Frank also has type II diabetes on oral medication as well as insulin regimen. Surgery is carried out without complication.

Patient undergoes Iaparoscopic orchiopexy for intra-abdominal testes.

Excision of 2.5 cm bladder tumor with cystoscopy.

You are developing a list of functions needed by users of a release of information system. You also evaluating the current system to see what opportunities there are to improve the system.

Which stage of the system developmental life cycle stages are you in?

Pain in hip due to displaced hip prosthesis. Patient is admitted and undergoes revision of hip prosthesis.

Your administrator is concerned about the snuff study (see previous question #88). The administrator would like to consider using a case control study model rather than the prospective one you are planning.
One of the biggest reasons the administrator is promoting the case control model is because case control is

Contingency planning includes which of the following processes?

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

Aplastic anemia secondary to chemotherapy administered for multiple myeloma.

Laparoscopic takedown of the splenic flexure and a partial colectomy with anastomosis

Home health agencies are reimbursed on a prospective payment system (PPS) for Medicare patients. This
PPS is called

The best form/graph for demonstrating trends over time would be

The expense budget is also known as the

The state is considering the closure of the Arcadia Hospital.
In reviewing the hospital statistics, which indicator will best help state officials determine whether closure is warranted?

Prolonged pregnancy is a pregnancy that has advanced beyond _______ completed weeks of gestation.

The physician provided services to a new patient who was in a rest home for an ulcerative sore on the hip.
A problem-focused history and physical examination were performed and a straightforward medical decision was made.

Acute inferior wall myocardial infarction with unstable angina. Patient also has coronary artery disease and atrial fibrillation.

Vitamin B12

As a new RHIA and coding manager, how likely is it that you will participate on committee?

The researchers in the previous question wonder if there is any relationship between patient age and average fasting blood sugar. The best data display tool the researchers could use to look for a possible relationship would be a

Patient with Bell's palsy requiring a total facial nerve decompression

Strong lateral relationships within a facility are most likely when

A union campaign is being conducted at your facility. As a department manager, it is appropriate for you to tell employees

The same patient was admitted on three different occasions and assigned a new medical record number each time. In order to correct this situation in a unit numbering system, which medical record number should be used given the following information? Admitted 5/04/07 Patty Miller 23-33-56 Admitted 6/05/07
P.J. Miller 25-56-88 Admitted 9/27/07 Patricia Miller 27-12-12

Patient comes into his physician's office complaining of wrist pain. Physician sends the patient to the hospital for an arthrography. Code the complete procedure.

The surgeon comes out to speak to a patient's family. He tells them that the patient came through the surgery fine. The mass was benign and they could see the patient in an hour. He talks low so that the other people in the waiting room will not hear but someone walked by and heard. This is called a(n)

The data in the column on the far right were collected when the coders traded records for recoding. This is a common practice used to check The coding supervisor at Bayside Hospital regularly has her coders recode records from the previous week in an effort to improve and monitor coding consistency. The supervisor has collected the data displayed below on four coders.

Admission for colostomy takedown. Takedown performed.

Which of the following situations would require a business associate agreement?

The master patient index must, at a minimum include sufficient information to

Cindy, Tiffany, and LaShaundra are all nurses at Desert Sands Health Care. They all have access to the same functions in the information system. It is likely that this facility is using

As the Project Manager for the upcoming HER implementation, you ask one of your assistants to develop a work breakdown structure (WBS). Critical to implementations and project success, the WBS

As supervisor of the record completion function of the HIM department, you are asked for record

completion statistics for specific physicians who are being evaluated for reappointment to the medical staff.

Which of the following information elements would you report for each physician?

The reference date for a cancer registry is

You have decided that the current method of tracking release of confidential information is no longer appropriate for your facility's needs. You have decided that it is necessary to purchase a computerized tracking system. The administrator is supportive of the purchase but has asked for a formal justification of the system.

Which of the following is NOT a reason to purchase the system?

The enforcement of the HIPAA privacy rule has been delegated to the

Patient presents to the emergency room following an assault. Examination of the patient reveals blunt trauma to the face. Radiology reports that the patient suffers from a fracture to the frontal skull and a blow-out fracture of the orbital floor. Patient is admitted and taken to the operating room where a periorbital approach to the orbital fracture is employed and an implant is inserted.

Alisa has trouble remembering her password. She is trying to come up with a solution that will help her remember. She reads the policies on passwords. Based on the policy, she chooses which of the following options

Patient presents to the emergency room with chest pains. The patient is admitted as a 23-hour observation. The cardiologist orders cardiac workup and the patient undergoes left heart catheterization via the left femoral artery with visualization of the coronary arteries and left ventriculography. The physician interprets the report. Code the heart catheterization.

Patient presents to the hospital for debridement of a diabetic ulcer of the left ankle. The patient has a history of recurrent ulcers. Medication taken by the patient includes Diabeta and the patient was covered in the hospital with insulin sliding scales. The ulcer was debrided down to the bone.

Two-year-old patient returns to the hospital for cleft palate repair where a secondary lengthening procedure takes place.

Case finding methods for patients with diabetes includes a review of all but which one of the following?

Abscessed pilonidal cyst; excision of cyst

Which of the following tests how well new systems being implemented work with exis systems?

Gary's primary concern is job continuity and adequate health insurance for his large family.
level of Maslow's hierarchy of needs does Gary operate from?

The file section supervisor, is preparing the staffing budget for the coming fiscal year. Presently the staff is filing approximately 500 charts per day. By the time the fiscal year begins, this is expected to increase to 650 charts per day. Currently it takes 9 FTEs to file 500 charts. The supervisor should project a FTE increase for the coming year's budget of

Your new release of information system has part of the computing on the workstation and part on the file server.

What type of technology is being used?

Hepatitis C antibody.

The HIM department is asked to pull records for review by the Quality Improvement Organization (QIO).
The QIO reviewers analyze records to ensure that health care services are

This information is printed on the UB-04 claim form to represent the cost center (e.g, lab, radiology, cardiology, respiratory, etc.) for the department in which the item is provided. It is used for Medicare billing.

Emma Miller, RHIA, interviewed one applicant for the position of inpatient coder and subsequently hired the applicant. During the 20-minute interview, she told the applicant about the department and hospital and what the job entailed. Much to Emma's disappointment, this newly hired employee did not work out.

What went wrong?

Which of the following tests is NOT part of a liver panel?

Documentation found in acute care health records should include core measure quality indications required for compliance with Medicare's Health Care Quality Improvement Program (HCQIP). A typical indicator for pneumonia patients is

Which of the following is an example of health care operations?

The file clerks in your department's main file area report they are able to locate 400 out of 450 requested records during the past month. There are a total of 4,500 records in the main file.

What is the area's accuracy rate?

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

Hepatic coma with ascites due to Laennec's cirrhosis

A coder notes that a patient is taking prescription Pilocarpine.; The final diagnoses on the discharge
summary are congestive heart failure and diabetes mellitus. The coder should query the physician about adding a diagnosis of

Etiologies of dementia include

Intentional threats to security could include

The following coding system(s) is/are utilized in the Impatient Psychiatric Facilities (IPFs) prospective payment methodology for assignment and proper reimbursement.

The primary advantage of concurrent quality data collection is that

A culture and sensitivity report was returned to the inpatient unit of Brian Hospital. The sensitivity showed bacterial resistance to the current antibiotic the patient was receiving. The patient continued on the same antibiotic without improvement. A generic quality screen identified this case for review.
At a minimum, which committee should review this case?

Allen is addicted to Vicodin. He has stopped taking the drug and is now having withdrawal symptoms. Allen has chronic back pain for which he has been prescribed the medication. Allen is admitted for treatment of his withdrawal symptoms.

During the month of September, Superior Health Care Center had 1,382 inpatient discharge including 48 deaths. There were 38 deaths over 48 hours. Statistics also show 4 fetal deaths, DOAs, and 4 inpatient coroner's cases.

Which of the following calculations is correct to figure net death rate?

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

The Quality Improvement Organizations (QIO) are given hospital-specific data from the Hospital Payment Monitoring Program (HPMP). Hospital data is provided to the QIOs for fourteen target areas on a quarterly basis. This report is called the

Patient is at a fertility clinic and undergoes intrauterine embryo transplant.

Refer to the table Summary of Selected Blood Product Review.

Which blood component derivative had the most units reviewed?

As head of the Performance Improvement Department, you are asked to evaluate pati satisfaction and offer recommendations for action. The following performance tool is used graphically display the results.

What is the name of this chart?

The delinquent rate

Liveborn infant, born in hospital, cleft palate and lip

Vaginal hysterectomy

Patient presents to the hospital with a right index trigger finger. Release of the trigger finger was performed.

The most common rickettsial disease in the United Stats is

Patient undergoes x-ray of the foot with three views.

Ureterolithotomy completed laparoscopically

Liza has been diagnosed with anemia. She is being admitted for a bone marrow aspiration to determine the specific type of anemia. The pathology report indicates that she has iron-deficiency anemia.

The first cancer patient seen in your facility on January 1, 2008, was diagnosed with colon cancer, with no known history of previous malignancies. Th eaccession number assigned to this patient is