RHIT Exam Prep Questions
with Correct Answers New
update
Nonessential modifiers - Answer-1) Are in parentheses;
2) Follow main terms;
3) May follow sub-terms
What relational term appears after main term? - Answer-With
What to code if a condition is described as both acute & chronic? - Answer-1) Code
both acute & chronic;
2) Sequence acute before chronic because it's probably the reason for admission
What E-code is required (national, not in CA) - Answer-Therapeutic AE of Rx
Probable, Suspected, Questionable & Rule out Dxs are coded in what setting? -
Answer-IP
Medicare Modernization Act of 2003 replaces Fiscal Intermediaries with - Answer-A/B
MACs
What's CMN - Answer-Certificate of Medical Necessity
Who uses CMN - Answer-DME MACs (Durable Medical Equipment MA Contractors)
Clinically significant conditions - Answer-A condition is significant if it requires:
1) Clinical eval; or
2) Therapeutic Tx; or
3) Dx procedures; or
4) Extended LOS; or
5) Increase RN care or monitoring; or
5) Has implication for future health care needs
Capitalization ratios measure - Answer-Ability of organization to meet its obligations
What ratio is a performance measure? - Answer-Operating margin ration
,Step-down method - Answer-Allocating costs of indirect departments to direct
departments
What do I calculate to determine the net cash flow? - Answer-Net operating revenue
What's Profit? - Answer-$ I got minus $ I had to spend to provide my service. (Amount
of money received from a payer less the actual cost to provide the service)
Examples of Variable & Fixed costs - Answer-Variable - supplies;
Fixed - Salary
Calculate Payback period - Answer-Calculate cash inflow & outflow
Types of budgets (4) - Answer-1) Cash;
2) Capital;
3) Operating;
4) Master
Formula to calculate current ration (expressed as %) - Answer-Current assets/ Current
liabilities * 100
Formula for Operating margin ration (expressed as %) - Answer-Net revenue/ Expenses
Expression of productivity - Answer-Quantity + Quality / Staff hours
What do I see in decision matrix? - Answer-All relevant info can be displayed & viewed
at the same time
Goal of federal affirmative action programs - Answer-Address inequities R/T historical
discrimination of minority groups in workplace
Americans with Disabilities Act - Answer-Concepts of reasonable accommodation
Employee Retirement Income Security Act - Answer-Protects employees' pension rights
& other employee benefits
Abbreviations: A - E - Answer-AHRQ - Agency for Healthcare Research and Quality;
AAAHC - Accreditation Association for Ambulatory Health Care;
CAP - Commission on Lab Accreditation;
Abbreviations: F - K - Answer-FMEA - Failure Mode and Effects Analysis;
IHI - Institute for Healthcare Improvement;
ISMP - Institute for Safe Medication Practices;
Abbreviations: L - P - Answer-HFAP - Healthcare Facilities Accreditation Program of
American Osteopathic Association;
,NCCHC - National Commission on Correctional Health Care;
NCQA - National Committee on Quality Assurance;
NAHQ - National Association for Healthcare Quality;
NPSF - National Pt Safety Foundation;
Abbreviations: Q - Z - Answer-q
PDCA model for performance improvement - Answer-Plan-Do-Check-Act
Performance measure numerator & denominator - Answer-Numerator: Events as
evidence of performance
Denominator: Population under study
Ex: # of pt MRs C adequate MD documentation/ Total # of pt MR reviewed *100
(expressed as %)
Bar graph - Answer-Shows relative size of different categories of a variable. Each
category or value is represented by a bar
Box plot - Answer-Shows lowest value, highest value, median value
Control chart - Answer-Line graph C centerline (representing average value) and Upper
& Lower limits lines
Histogram - Answer-Shows center, dispersion & shape of distribution of a data set. Like
bar graph, but bars progress from tallest to shortest
Line graph - Answer-Shows changes in performance over several time periods.
Centerline drawn horizontally through the chart
Radar chart - Answer-Displays difference between actual and expected performance.
Show comparative rankings of several related measures.
Sigma - Answer-How much a process varies from perfection
Standard deviation - Answer-A measure of dispersion of collection of values
Flowchart - Answer-Graphic representation of a process
Gantt chart - Answer-Bar chart (short horizontal bars across the screen here & there).
Shows planned & finished work in relation to time
Example of Point-of-Service care & documentation - Answer-RN using a terminal to
record vital signs. There's a difference between computer application in health care and
clinical application of computers
, What do I find in Medical Staff Rules & Regulations? - Answer-Doc requirements for pts'
records, time frame for completion of MRs, penalties for failure to comply C these
requirements
Auto authentication. Why doesn't TJC approve it? - Answer-No guarantee that MD
actually reviewed the MR & did sign it electronically. Some facilities do use auto
athentication
In what setting Interdisciplinary plan of care is used? - Answer-LTC
TJC compliance rate for Delinquent records is - Answer-Under 50%
Who is responsible for accurateness & completeness of pts MRs? - Answer-MDs (not
HIM director, RNs or other administrative positions)
Dictated Operative report is due - Answer-Immediately after surgery. If transcription
service is down, the surgeon has to write a detailed OP note
One of Utilization Review functions - Answer-Compare severity of illness & Intensity of
service warrant acute care level
One of Clinical Care Eval processes - Answer-Quality of follow-up care
Tumor registry cases accession numbers - Answer-Each case in Tumor registry is
assigned a unique accession number. Ex: 10-001 (10- year the case was entered in a
database, 001 - case #1)
What is accession register? - Answer-Permanent log of all cases entered in a database
(used in Tumor registry)
What is R-ADT system? - Answer-Registration-Admission, DC & Transfer system. Best
to use for tracking pts who have been transferred to a specialty unit
Difference between ROS & H&P - Answer-1) Review of Systems - record of subjective
Sx that a pt may have forgotten to mention
2) H&P - record of Objective Sx MD is observing & other info (social Hx, Hx of present
illness)
Recommendation for improvement from TJC - Answer-# of delinquent records is >50%
AND Delinquent records missing H&P >2% of the Average monthly DCs
Integrated vs Separated Progress notes - Answer-Integrated - all providers from every
discipline record progress notes sequentially on the same form
vs
Separated - every discipline has its own designated form to record their Progress notes
with Correct Answers New
update
Nonessential modifiers - Answer-1) Are in parentheses;
2) Follow main terms;
3) May follow sub-terms
What relational term appears after main term? - Answer-With
What to code if a condition is described as both acute & chronic? - Answer-1) Code
both acute & chronic;
2) Sequence acute before chronic because it's probably the reason for admission
What E-code is required (national, not in CA) - Answer-Therapeutic AE of Rx
Probable, Suspected, Questionable & Rule out Dxs are coded in what setting? -
Answer-IP
Medicare Modernization Act of 2003 replaces Fiscal Intermediaries with - Answer-A/B
MACs
What's CMN - Answer-Certificate of Medical Necessity
Who uses CMN - Answer-DME MACs (Durable Medical Equipment MA Contractors)
Clinically significant conditions - Answer-A condition is significant if it requires:
1) Clinical eval; or
2) Therapeutic Tx; or
3) Dx procedures; or
4) Extended LOS; or
5) Increase RN care or monitoring; or
5) Has implication for future health care needs
Capitalization ratios measure - Answer-Ability of organization to meet its obligations
What ratio is a performance measure? - Answer-Operating margin ration
,Step-down method - Answer-Allocating costs of indirect departments to direct
departments
What do I calculate to determine the net cash flow? - Answer-Net operating revenue
What's Profit? - Answer-$ I got minus $ I had to spend to provide my service. (Amount
of money received from a payer less the actual cost to provide the service)
Examples of Variable & Fixed costs - Answer-Variable - supplies;
Fixed - Salary
Calculate Payback period - Answer-Calculate cash inflow & outflow
Types of budgets (4) - Answer-1) Cash;
2) Capital;
3) Operating;
4) Master
Formula to calculate current ration (expressed as %) - Answer-Current assets/ Current
liabilities * 100
Formula for Operating margin ration (expressed as %) - Answer-Net revenue/ Expenses
Expression of productivity - Answer-Quantity + Quality / Staff hours
What do I see in decision matrix? - Answer-All relevant info can be displayed & viewed
at the same time
Goal of federal affirmative action programs - Answer-Address inequities R/T historical
discrimination of minority groups in workplace
Americans with Disabilities Act - Answer-Concepts of reasonable accommodation
Employee Retirement Income Security Act - Answer-Protects employees' pension rights
& other employee benefits
Abbreviations: A - E - Answer-AHRQ - Agency for Healthcare Research and Quality;
AAAHC - Accreditation Association for Ambulatory Health Care;
CAP - Commission on Lab Accreditation;
Abbreviations: F - K - Answer-FMEA - Failure Mode and Effects Analysis;
IHI - Institute for Healthcare Improvement;
ISMP - Institute for Safe Medication Practices;
Abbreviations: L - P - Answer-HFAP - Healthcare Facilities Accreditation Program of
American Osteopathic Association;
,NCCHC - National Commission on Correctional Health Care;
NCQA - National Committee on Quality Assurance;
NAHQ - National Association for Healthcare Quality;
NPSF - National Pt Safety Foundation;
Abbreviations: Q - Z - Answer-q
PDCA model for performance improvement - Answer-Plan-Do-Check-Act
Performance measure numerator & denominator - Answer-Numerator: Events as
evidence of performance
Denominator: Population under study
Ex: # of pt MRs C adequate MD documentation/ Total # of pt MR reviewed *100
(expressed as %)
Bar graph - Answer-Shows relative size of different categories of a variable. Each
category or value is represented by a bar
Box plot - Answer-Shows lowest value, highest value, median value
Control chart - Answer-Line graph C centerline (representing average value) and Upper
& Lower limits lines
Histogram - Answer-Shows center, dispersion & shape of distribution of a data set. Like
bar graph, but bars progress from tallest to shortest
Line graph - Answer-Shows changes in performance over several time periods.
Centerline drawn horizontally through the chart
Radar chart - Answer-Displays difference between actual and expected performance.
Show comparative rankings of several related measures.
Sigma - Answer-How much a process varies from perfection
Standard deviation - Answer-A measure of dispersion of collection of values
Flowchart - Answer-Graphic representation of a process
Gantt chart - Answer-Bar chart (short horizontal bars across the screen here & there).
Shows planned & finished work in relation to time
Example of Point-of-Service care & documentation - Answer-RN using a terminal to
record vital signs. There's a difference between computer application in health care and
clinical application of computers
, What do I find in Medical Staff Rules & Regulations? - Answer-Doc requirements for pts'
records, time frame for completion of MRs, penalties for failure to comply C these
requirements
Auto authentication. Why doesn't TJC approve it? - Answer-No guarantee that MD
actually reviewed the MR & did sign it electronically. Some facilities do use auto
athentication
In what setting Interdisciplinary plan of care is used? - Answer-LTC
TJC compliance rate for Delinquent records is - Answer-Under 50%
Who is responsible for accurateness & completeness of pts MRs? - Answer-MDs (not
HIM director, RNs or other administrative positions)
Dictated Operative report is due - Answer-Immediately after surgery. If transcription
service is down, the surgeon has to write a detailed OP note
One of Utilization Review functions - Answer-Compare severity of illness & Intensity of
service warrant acute care level
One of Clinical Care Eval processes - Answer-Quality of follow-up care
Tumor registry cases accession numbers - Answer-Each case in Tumor registry is
assigned a unique accession number. Ex: 10-001 (10- year the case was entered in a
database, 001 - case #1)
What is accession register? - Answer-Permanent log of all cases entered in a database
(used in Tumor registry)
What is R-ADT system? - Answer-Registration-Admission, DC & Transfer system. Best
to use for tracking pts who have been transferred to a specialty unit
Difference between ROS & H&P - Answer-1) Review of Systems - record of subjective
Sx that a pt may have forgotten to mention
2) H&P - record of Objective Sx MD is observing & other info (social Hx, Hx of present
illness)
Recommendation for improvement from TJC - Answer-# of delinquent records is >50%
AND Delinquent records missing H&P >2% of the Average monthly DCs
Integrated vs Separated Progress notes - Answer-Integrated - all providers from every
discipline record progress notes sequentially on the same form
vs
Separated - every discipline has its own designated form to record their Progress notes
