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AHIMA RHIA EXAM QUESTIONS AND ANSWERS
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AHIMA RHIA EXAM QUESTIONS AND ANSWERS
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AHIMA RHIA EXAM QUESTIONS AND ANSWERSA possible justification for building an information system in-house rather than
purchasing one from a vendor is that: - Answers -The facility has development teams
they do not want to give up.
A clinic that is expanding its service offerings and needs an individual to help design a
new database will be searching for a: - Answers -a. Data administrator
A data administrator focuses on understanding interrelationships among data in order to
prepare a logical design for a database. A database administrator is an information
technology specialist in database implementation and maintenance. Data governance
managers are, typically, users of databases. Data technologist is not a commonly used
job title, but it may be one who manages metadata
In a relational database, which of the following is an example of a many-to-many
relationship?
a. Patients to hospital admissions
b. Patients to consulting physicians
c. Patients to hospital health records
d. Primary care physician to patients - Answers -Patients to consulting physicians
One of the most common issues that healthcare organizations fail to do well in the
strategic process is:
a. Develop a vision
b. Develop strategies
c. Execute the implementation plan
d. Communicate the plan - Answers -c. Execute the implementation plan
Which of the following is not a characteristic of strategy?
a. An action or set of actions
b. A description of how one intends to achieve the goals
c. A description of specific implementation plans
d. A plan to improve the organization's fit within the external environment - Answers -c.
A description of specific implementation plans
The data elements in a patient's automated laboratory result are examples of:
a. Unstructured data
b. Free-text data
c. Financial data
d. Structured data - Answers -d. Structured data
Pressed for time, Sara hired a new release of information clerk without doing a
reference check. When the new clerk committed a violation of patient confidentiality, it
came to light that she had committed similar violations at her previous place of
,employment. By not checking the clerk's references, Sara has opened the hospital to
charge of:
a. Discrimination
b. Harassment
c. Negligent hiring
d. Overcompensation - Answers -c. Negligent hiring
The HIM director hired an HIM data integrity analyst. This is a new position with a newly
created job description. The director needs to develop performance standards for this
job and will review a random selection of the job tasks performed in order to develop
baseline data for future job performance assessments. This method is called:
a. Benchmarking
b. Work sampling
c. Task interdependence
d. Job complexity - Answers -b. Work sampling
Work sampling is a statistical method that reviews a select portion of tasks performed
and provides baseline data for further job performance assessment
Burning, shredding, pulping, and pulverizing are all acceptable methods in which
process?
a. Deidentification of electronic documents
b. Destruction of paper-based health records
c. Deidentification of records stored on microfilm
d. Destruction of computer-based health records - Answers -b. Destruction of paper-
based health records
What is the payment reduction for facilities that fail to successfully meet the
requirements of Medicare's quality reporting programs?
a. 1 percent reduction
b. 2 percent reduction
c. 3 percent reduction
d. 4 percent reduction - Answers -b. 2 percent reduction
Facilities failing to meet the Medicare Quality Reporting Requirements will receive a 2%
reduction in their Medicare payments
The strategic goals and objectives need to be clearly outlined, with assignments for who
will be accountable, timelines, allocation of resources, and measurements that will be
used to ensure success of implementation. When a detailed implementation includes
the elements laid out clearly—with timeframes and regular updates provided within the
organization—the likelihood of strategic success increases significantly
When a healthcare entity destroys health records after the acceptable retention period
has been met, a certificate of destruction is created. How long must the healthcare
entity maintain the certificate of destruction?
,a. 2 years
b. 5 years
c. 10 years
d. Permanently - Answers -d. Permanently
Appropriate documentation of health record destruction must be maintained
permanently no matter how the process is carried out. This documentation usually takes
the form of a certificate of destruction
Dr. Hansen saw a patient in his office with measles. He directed his office staff to call
the local department of health to report this case of measles. The office manager called
right away and completed the report as instructed. Which of the following provides the
correct analysis of the actions taken by Dr. Hansen's office?
a. Dr. Hansen's office followed protocol and reported this case of measles correctly.
b. Dr. Hansen's office did not need to report this case to the local health department.
c. Dr. Hansen's office should have mailed a letter to the local health department to
report this case.
d. Dr. Hansen's office should have reported the case to the local hospital and not to the
health department. - Answers -a. Dr. Hansen's office followed protocol and reported this
case of measles correctly.
Which of the following would be used to determine what the users need in an
information system?
a. Questionnaire
b. Trouble ticket
c. Source code
d. Weighted system - Answers -a. Questionnaire
Questionnaires allow for a large number of users to provide input about the needs of the
system
Appropriate documentation of health record destruction must be maintained
permanently no matter how the process is carried out. This documentation usually takes
the form of a:
a. Policy of destruction
b. Retention schedule
c. Regulation schedule
d. Certificate of destruction - Answers -d. Certificate of destruction
A health data analyst has been asked to compile a report on the percentage of patients
who had a baseline partial thromboplastin time (PTT) test performed prior to receiving
heparin. What clinical reports in the health record would the health data analyst need to
consult in order to prepare this report?
a. Physician progress notes and medication record
b. Nursing and physician progress notes
c. Medication administration record and clinical laboratory reports
, d. Physician orders and clinical laboratory reports - Answers -c. Medication
administration record and clinical laboratory reports
A patient has a malunion of an intertrochanteric fracture of the right hip that is treated
with a proximal femoral osteotomy by incision. What is the correct ICD-10-PCS code for
this procedure? - Answers -b. 0Q860ZZ
The root operation performed was division—cutting into a body part without drawing
fluids or gases from the body part in order to separate or transect a body part. The
intent of the operation was to separate the femur, so 0Q860ZZ is the correct code. The
Section is Medical and Surgical—character 0; Body System is Lower Bones—character
Q; Root Operation is Division—character 8; Body Part is Upper Femur, Right—
character 6; Approach is Open—character 0; No Device—character Z; and No Qualifier
—character Z
A patient requests that disclosures made from her medical record be limited to specific
clinical notes and reports. Given HIPAA requirements, how must the hospital respond?
a. The hospital must accept the request but does not have to agree to it.
b. The hospital must honor the request.
c. The hospital must guarantee that the request will be followed.
d. The hospital must agree to the request, providing that state or federal law does not
prohibit it. - Answers -a. The hospital must accept the request but does not have to
agree to it.
Common practice for covered entities is to accept the request, but not to agree to the
restrictions because of the legal implications to the covered entity should the restriction
be violated. Instead, if there are valid reasons why the patient requests the restriction,
covered entities implement steps in an attempt to restrict the information as best as their
systems and processes allow. The covered entity responds to the patient by describing
measures it has taken but does not guarantee that the information is protected against
incidental or accidental
Employees in the hospital business office may have legitimate access to patient health
information without patient authorization based on what HIPAA standard or principle?
a. Minimum necessary
b. Compound authorization
c. Accounting of disclosures
d. Preemption - Answers -a. Minimum necessary
George is going to Arizona for the winter. What will offer him secure, online, 24-hour
access to his personal health information from University Hospital System in the
Midwest regardless of where he is, as long as he has an internet connection?
a. Personal health record
b. Telecommuting
c. Patient portal
d. Telehealth - Answers -c. Patient portal
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