RHIA EXAM 1 latest exam review
questions and answers
What is the implication regarding the confidentiality of incident reports in a legal
proceeding when a staff member documents in the health record that an incident
report was completed about a specific incident? - correct answer ✅c. The
incident report likely becomes discoverable because it is mentioned in a
discoverable document.
Kelly's husband is being transferred to a new position in another state. Kelly has to
resign her position as director of HIM at Memorial Hospital, a job she has enjoyed
for five years. This is an example of what type of employee turnover? - correct
answer ✅Voluntary
Joe Smith, RHIA, works for an outsourcing company as interim health information
department director in a large hospital. By the terms of the contract, the hospital
pays the company for Joe's services based on a 40-hour workweek with overtime
for any hours exceeding 40. Joe typically works 9 hours per day, Monday through
Thursday, and 4 hours on Friday. He then flies home for the weekend. After
several months, he discovers the hospital is billed for 44 to 48 hours per week
almost every week. Joe confronts the company billing department because this
practice conflicts with the tenet of the AHIMA Code of Ethics that states that
health information management professionals: - correct answer ✅Refuse to
participate in or conceal unethical practices or procedures
Sam is the new HIM supervisor. His first assignment is to evaluate the efficiency
and effectiveness of his work unit. He has met with the unit's customers to
determine their expectations and met with his staff to understand their roles. In
setting up systems to measure work performance, it is critical for Sam to establish:
- correct answer ✅b. Standards
,RHIA EXAM 1 latest exam review
questions and answers
Every year, a director of health information services sponsors a series of
presentations about the confidentiality of patient information. All facility
employees are required to attend a session. This method of educational delivery is
called: - correct answer ✅In-service education
The "custodian of health records" refers to the individual within a healthcare
entity who is responsible for which of the following actions? - correct answer
✅Testifying to the authenticity of records
Which of the following best differentiates the role of strategic management and
strategic thinking as compared to other management tools and approaches? -
correct answer ✅A component of each of the major functions of management
At Medical Center Hospital, the master patient index system is not meeting facility
needs. There are duplicate numbers and errors in patient identification
information. The IS director replaces the system with a newer system from a
different vendor. After several months, the new system is exhibiting many of the
same problems as the old system, and the facility staff is frustrated and angry.
What is the most likely cause of the problem? - correct answer ✅Underlying
human and process problems were not identified and corrected prior to making a
system change.
Documentation including the date of action, method of action, description of the
disposed record series of numbers or items, service dates, a statement that the
records were eliminated in the normal course of business, and the signatures of
the individuals supervising and witnessing the process must be included in this: -
correct answer ✅Certificate of destruction
,RHIA EXAM 1 latest exam review
questions and answers
Community Memorial Hospital discharged nine patients on April 1. The length of
stay for each patient is shown in the following table. The average length of stay for
these nine patients was: - correct answer ✅6 days
Sue is updating the data dictionary for her organization. In this data dictionary, the
data element name is considered which of the following? - correct answer ✅b.
Metadata
Metadata are often referred to as "data about data." Metadata are structured
information used to increase the effective use of data. One of the most familiar
types of metadata is used to describe data in databases. Data element name, data
type, and field length are examples of this kind of metadata (Johns 2020, 83).
You are the coding supervisor and you are doing an audit of outpatient coding.
Robert Thompson was seen in the outpatient department with a chronic cough,
and the record states "rule out lung cancer." What should have been coded as the
patient's diagnosis? - correct answer ✅Chronic cough
During an influenza outbreak, a nursing home reports 25 new cases of influenza in
a given month. These 25 cases represent 30 percent of the nursing home's
population. This rate represents the: - correct answer ✅Incidence
What type of healthcare organization review is conducted at the request of the
healthcare facility seeking accreditation? - correct answer ✅Voluntary review
The Privacy Rule generally requires documentation related to its requirements to
be retained: - correct answer ✅6 years
, RHIA EXAM 1 latest exam review
questions and answers
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?
- correct answer ✅Dr. Hansen's office followed protocol and reported this case of
measles correctly.
A community hospital looking to cut cost out of a vendor's proposal for health IT
should consider: - correct answer ✅Conducting process improvement in advance
to improve return on investment
Jack Mitchell, a patient in Ross Hospital, is being treated for gallstones. He has not
opted out of the facility directory. Callers who request information about him may
be given: - correct answer ✅General condition and acknowledgment of
admission
An individual designated as an inpatient coder may have access to an electronic
medical record in order to code the record. Under what access security
mechanism is the coder allowed access to the system? - correct answer ✅Role-
based
Which of the following healthcare entities' mission is to reduce Medicare
improper payments through detection and collection of overpayments,
identification of underpayments, and implementation of actions that will prevent
future improper payments? - correct answer ✅Recovery audit contractor
A professional basketball player from the local team was admitted to your facility
for a procedure. During this patient's hospital stay, access logs may need to be
questions and answers
What is the implication regarding the confidentiality of incident reports in a legal
proceeding when a staff member documents in the health record that an incident
report was completed about a specific incident? - correct answer ✅c. The
incident report likely becomes discoverable because it is mentioned in a
discoverable document.
Kelly's husband is being transferred to a new position in another state. Kelly has to
resign her position as director of HIM at Memorial Hospital, a job she has enjoyed
for five years. This is an example of what type of employee turnover? - correct
answer ✅Voluntary
Joe Smith, RHIA, works for an outsourcing company as interim health information
department director in a large hospital. By the terms of the contract, the hospital
pays the company for Joe's services based on a 40-hour workweek with overtime
for any hours exceeding 40. Joe typically works 9 hours per day, Monday through
Thursday, and 4 hours on Friday. He then flies home for the weekend. After
several months, he discovers the hospital is billed for 44 to 48 hours per week
almost every week. Joe confronts the company billing department because this
practice conflicts with the tenet of the AHIMA Code of Ethics that states that
health information management professionals: - correct answer ✅Refuse to
participate in or conceal unethical practices or procedures
Sam is the new HIM supervisor. His first assignment is to evaluate the efficiency
and effectiveness of his work unit. He has met with the unit's customers to
determine their expectations and met with his staff to understand their roles. In
setting up systems to measure work performance, it is critical for Sam to establish:
- correct answer ✅b. Standards
,RHIA EXAM 1 latest exam review
questions and answers
Every year, a director of health information services sponsors a series of
presentations about the confidentiality of patient information. All facility
employees are required to attend a session. This method of educational delivery is
called: - correct answer ✅In-service education
The "custodian of health records" refers to the individual within a healthcare
entity who is responsible for which of the following actions? - correct answer
✅Testifying to the authenticity of records
Which of the following best differentiates the role of strategic management and
strategic thinking as compared to other management tools and approaches? -
correct answer ✅A component of each of the major functions of management
At Medical Center Hospital, the master patient index system is not meeting facility
needs. There are duplicate numbers and errors in patient identification
information. The IS director replaces the system with a newer system from a
different vendor. After several months, the new system is exhibiting many of the
same problems as the old system, and the facility staff is frustrated and angry.
What is the most likely cause of the problem? - correct answer ✅Underlying
human and process problems were not identified and corrected prior to making a
system change.
Documentation including the date of action, method of action, description of the
disposed record series of numbers or items, service dates, a statement that the
records were eliminated in the normal course of business, and the signatures of
the individuals supervising and witnessing the process must be included in this: -
correct answer ✅Certificate of destruction
,RHIA EXAM 1 latest exam review
questions and answers
Community Memorial Hospital discharged nine patients on April 1. The length of
stay for each patient is shown in the following table. The average length of stay for
these nine patients was: - correct answer ✅6 days
Sue is updating the data dictionary for her organization. In this data dictionary, the
data element name is considered which of the following? - correct answer ✅b.
Metadata
Metadata are often referred to as "data about data." Metadata are structured
information used to increase the effective use of data. One of the most familiar
types of metadata is used to describe data in databases. Data element name, data
type, and field length are examples of this kind of metadata (Johns 2020, 83).
You are the coding supervisor and you are doing an audit of outpatient coding.
Robert Thompson was seen in the outpatient department with a chronic cough,
and the record states "rule out lung cancer." What should have been coded as the
patient's diagnosis? - correct answer ✅Chronic cough
During an influenza outbreak, a nursing home reports 25 new cases of influenza in
a given month. These 25 cases represent 30 percent of the nursing home's
population. This rate represents the: - correct answer ✅Incidence
What type of healthcare organization review is conducted at the request of the
healthcare facility seeking accreditation? - correct answer ✅Voluntary review
The Privacy Rule generally requires documentation related to its requirements to
be retained: - correct answer ✅6 years
, RHIA EXAM 1 latest exam review
questions and answers
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?
- correct answer ✅Dr. Hansen's office followed protocol and reported this case of
measles correctly.
A community hospital looking to cut cost out of a vendor's proposal for health IT
should consider: - correct answer ✅Conducting process improvement in advance
to improve return on investment
Jack Mitchell, a patient in Ross Hospital, is being treated for gallstones. He has not
opted out of the facility directory. Callers who request information about him may
be given: - correct answer ✅General condition and acknowledgment of
admission
An individual designated as an inpatient coder may have access to an electronic
medical record in order to code the record. Under what access security
mechanism is the coder allowed access to the system? - correct answer ✅Role-
based
Which of the following healthcare entities' mission is to reduce Medicare
improper payments through detection and collection of overpayments,
identification of underpayments, and implementation of actions that will prevent
future improper payments? - correct answer ✅Recovery audit contractor
A professional basketball player from the local team was admitted to your facility
for a procedure. During this patient's hospital stay, access logs may need to be
