RHIT EXAM PREP PRACTICE (Compliance) Questions and Solutions 2024
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Course
RHIT
Institution
RHIT
RHIT EXAM PREP PRACTICE
(Compliance) Questions and Solutions 2024
(214) OASIS data are used to assess the _____ of home health services
A) Outcome
B) Financial performance
C) Utilization
D) Core measure - Answer -A)Outcome
(215) A statement or guideline that directs decision making or behavi...
RHIT EXAM PREP PRACTICE (Compli ance ) Questions a nd S olutions 2024 (214) OASIS data are used to assess the _____ of home health services A) Outcome B) Financial performance C) Utilization D) Core measure - Answer -A)Outcome (215) A statement or guideline that directs decision making or behavior is called a: A) Directive B) Procedure C) Policy D) Process - Answer -C) Policy (216) Examples of high -risk billing practices that create compliance risks for healthcare organizations include all EXCEPT which of the following? A) Altered claim forms B) Returned overpayments C) Duplicate billings D) Unbundled procedures - Answer -B) Returned overpayments (217) Healthcare fraud is all EXCEPT which of the following? A) Unnecessary costs to a program B) False representation of fact C) Failure to disclose a material fact D) Damage to another party that reasonably relied on misrepresentation - Answer -A) Unnecessary costs to a program (218) Corporate compliance programs became common after adoption of which of the following? A) False Claims Act B) Federal Sentencing Guidelines C) Office of the Inspector General for HHS D) Federal Physician Self -Referral Statute - Answer -B) Federal Sentencing Guidelines (219) Which of the following is a legal concern regarding the EHR? A) Ability to subpoena audit trails B) Template design C) ANSI standards D) Data sets - Answer -A) Ability to subpoena audit trails (220) The act of granting approval to a healthcare organization based on whether the organization has met a set of voluntary standards is called: A) Accreditation B) Licensure C) Acceptance D) Approval - Answer -A) Accreditation (221) A group practice has hired an HIT as its chief compliance officer. The current compliance program includes written standards of conduct and policies and procedures that address specific areas of potential fraud. It also has audits in place to monitor compliance. Which of the following should the compliance officer also ensure are in place? A) Compliance program education and training programs for all employees in the organization B) A hotline to receive complaints and adoption of procedures to protect whistleblowers from retaliation C) Procedures to adequately identify individuals who make complaints so that appropriate follow -up can be conducted D) A corporate compliance committee that reports directly to the CFO - Answer -B) A hotline to receive complaints and adoption of procedures to protect whistleblowers from retaliation (222) In developing a coding compliance program, which of the following would NOT be ordinarily included as participants in coding compliance education? A) Current coding professional B) Medical Staff C) Newly hired coding personnel D) Nursing staff - Answer -D) Nursing Staff (223) Which of the following organizations within the federal government is responsible for looking at the issues related to the efficiency and effectiveness of the healthcare delivery system, disease protocols, and guidelines for improved disease outcomes? A) Agency for Healthcare Research and Quality B) Food and Drug Administration C) National Center for Health Statistics D) Centers for Medicare and Medicaid Services - Answer -A) Agency for Healthcare Research and Quality (224) Which of the following issues compliance program guidance? A) AHIMA B) CMS C) Federal Register D) HHS Office of Inspector General - Answer -D) HHS Office of Inspector General (225) Which of the following is an example of data security? A) Automatic logoff after inactivity B) Fire protection C) Contingency planning D) Card key for access to data center - Answer -A) Automatic logoff after inactivity (226) A patient has been discharged prior to an administrative utilization review being conducted . Which of the following should be performed? A) Continued stay utilization review B) Discharge plan C) Retrospective utilization review D) Case management - Answer -C) Retrospective utilization review (227) The function used to provide access controls, authentication, and audit logging in an HIE is: A) Patient Identification B) Record location service C) Identity management D) Consent management - Answer -C) Identity Management (228) Community Hospital wants to provide transcription services for office notes of the private patients of physicians. All of these physicians have medical staff privileges at the hospital. This will provide an essential service to the physicians as well as provide additional revenue for the hospital. In preparing to launch this service, the HIM director is asked whether a business associate agreement is necessary. Which of the following should the hospital HIM director advise in order to comply with HIPAA regulations? A) Each physician practice should obtain a business associate agreement with the hospital B) The hospital should obtain a business associate agreement with each physician practice C) Because the physicians all have medical staff privileges, no business associate agreement is necessary D) Because the physicians are part of an Organized Health Care Arrangement with the hospital, no business associate a - Answer -A) Each physician practice should obtain a business associate agreement with the hospital (229) Which accrediting organization has instituted continuous improvement and sentinel event monitoring and uses tracer methodology during survey visits? A) Accreditation Association for Ambulatory Healthcare B) Commission on Accreditation of Rehabilitation Facilities C) American Osteopathic Association D) The Joint Commission - Answer -D) The Joint Commission (230) Developing, implementing, and revising the organization's policies is the role of: A) Senior managers B) The board of directors C) Supervisory managers D) Middle managers - Answer -D) Middle managers (231) Position descriptions, policies and procedures, training checklists, and performance standards are all examples of:
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