RHIA Domain 5 Exam Questions and Correct
Answers
The purpose of hold harmless or indemnification clauses is to either transfer or assume
liability. For example, the indemnitor (party assuming liability) may agree to hold the
other party harmless against claims arising from the indemnitor's own actions or failures
to act. This means if actions (or inactions) result in harm to the other party, the
indemnitor will seek to make that party whole, often through some sort of
compensation (Klaver 2017b, 129-130).
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 - Answer C
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 (McClernon
2020, 934).
Based on the financial data listed, what was Triad's total net assets before posting net
income for the year?
Triad Healthcare Financial Data 12/31/201X
Cash $500,000
,A/R $250,000
Building $1,000,000
Land $700,000
A/P $350,000
Mortgage $600,000
Revenue $2,500,000
Expenses $2,250,000
a. $250,000
b. $400,000
c. $1,250,000
d. $1,500,000 - Answer D
The difference between assets and liabilities is referred to as net assets. These
relationships can be expressed in the following equation:
Assets - Liabilities = Net assets (equity)
In this example, add the assets (cash $500,000 + A/R $250,000 + building $1,000,000 +
land $700,000 = $2,450,000) and then subtract the liabilities (A/P $350,000 + mortgage
$600,000 = $950,000) or $2,450,000 - $950,000 = $1,500,000 (Revoir 2020, 814).
What is it called when accrediting bodies such as the Joint Commission, rather than the
government, can survey facilities for compliance with the Medicare Conditions of
Participation for hospitals?
a. Deemed status
b. Judicial decision
,c. Subpoena
d. Credentialing - Answer A
Deemed status means accrediting bodies such as the Joint Commission can survey
facilities for compliance with the Medicare Conditions of Participation for hospitals
instead of government (Rinehart-Thompson 2017f, 253).
Which tool is used to determine the most critical areas for training and education for a
group of employees?
a. Performance evaluation
b. Needs analysis
c. Orientation assessment
d. Job specification - Answer B
The needs analysis is critical to the design of the training plan. This approach typically
focuses on three levels: the organization, the specific job tasks, and the individual
employee (Patena 2020, 722).
Jan, the new release of information manager, is participating in management
orientation for the healthcare organization. One section of orientation thoroughly
reviews the tools and practices for setting sustainable performance goals for employees,
how to monitor employee progress toward job performance goals, and ways to provide
feedback to employees regarding job performance. This section of orientation is called:
a. Performance management
b. Situational strength
c. Critical incident method
d. Benchmarking - Answer A
, Performance management is a set of tools and practices for setting performance goals
and designing sustainable job improvement strategies with employees, monitoring
employee progress toward job performance goals with feedback. New managers should
always be trained on the organization's methods for evaluating employee performance
(Kelly and Greenstone 2020, 179).
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 - Answer C
Strategy is thinking of the big picture of the future and creating broad strategies that
move the unit or organization forward. While an implementation plan is critical to the
successful execution, it is not a characteristic of strategy (McClernon 2020, 917-918).
CMS and the Joint Commission both require that healthcare professionals assess the
work of colleagues in the same profession; this process is known as:
a. Peer review
b. Utilization review
c. Workflow process
d. Mediation - Answer A
In peer review, a member of a profession assesses the work of colleagues within that
same profession. Peer review has traditionally been at the center of quality assessment
and assurance efforts. The medical profession's peer review efforts have emphasized
the scientific aspects of quality. Appropriate use of pharmaceuticals, postoperative
infection rates, and accuracy of diagnosis are among the measures of quality that have
been used. Peer review is a requirement of both CMS and the Joint Commission (Fuller
2020, 27).
