RHIA Online Practice Questions and Answers

Jason collected data on the length of stay (LOS) for 10 patients and then determined the LOS as follows:

What is wrong with Jason's determination of the median?

A. There is nothing wrong with Jason's determination of the median.

B. Jason forgot to put the numbers in sequential order before determining the median.

C. It is not possible to determine the median on such a small number of data points.

D. It is not possible to determine the median on an even number of data points.

Case Study #5

Upon employment at your facility, all new employees read, demonstrate understanding, and sign Confidentiality Statements. Disclosure of confidential information is grounds for immediate dismissal. Each year, during the annual performance evaluation, every employee again reads, demonstrates understanding, and signs the Confidentiality Statement.

You are the Director of the Quality Department. Your Department has found that the femoral-popliteal bypass failure rate of one of your vascular surgeons, Dr. Z., is twice that of the national average. Members of the surgery department have reviewed that vascular surgeon's performance both by reading the medical records and by watching videos of her surgery. The Surgery Department and the Executive Committee have decided to deny reappointment for this surgeon.

Lucille X, the mother of one of your quality coordinators, has severe peripheral vascular disease. She was admitted to your facility and has an angiogram. The angiogram shows that she should have a femoralpopliteal bypass. She had told you that she would be in your facility and asked you to visit her. You are now fulfilling that promise and are also bringing her flowers. While pausing to knock on her door, you hear your employee, Mary

A. , vehemently state to her mother, "Mom, Dr. Z is z quack; half of her bypass surgeries fail. You must have Dr. DoGood!" Referring to Case Study #5, are the meeting minutes about the decisions regarding Dr. Z of Department of Surgery and of the Executive Committee admissible in court?

B. Yes, federal amendments to the Medicare Act require release of peer review.

C. Yes, state laws allow discovery of medical review committee records.

D. No, the federal Freedom of Information Act and state "sunshine laws" protect peer review.

E. No, under state laws, records of medical review committees are not subject to introduction into evidence.

The term used to describe a diagram depicting grouper logic in assigning MS-DRGs is

A. blended chart.

B. case-mix index.

C. decision tree.

D. grouper hierarchy.

This prospective payment system is for ______________ and utilizes a patient assessment instrument (PAI) to classify patients into case-mix groups (CMGs).

A. skilled nursing facilities

B. inpatient rehabilitation facilities

C. home health agencies

D. long-term acute care hospitals

The Quality Improvement Organizations (QIO) are given hospital-specific data from the Hospital Payment Monitoring Program (HPMP). Hospital data is provided to the QIOs for fourteen target areas on a quarterly basis. This report is called the

A. Program for Evaluation Payment Patterns Electronic Report (PEPPER).

B. Payment Error Prevention program (PEP).

C. Office of Inspector General (OIG) Workplan.

D. National Correct Coding Initiative (NCCI).

Patient presents to the outpatient department for a chest x-ray. Physician order lists the following reasons for the chest x-ray: fever and cough, rule out pneumonia. Radiologist reports the chest x-ray is positive for pneumonia.

A. 486

B. 486, 780.61, 786.2, V72.5

C. 780.61, 786.2

D. V72.5, 780.60, 786.2

Which set of records filed consecutively on a shelf displays terminal digit filing order?

A. 00-79-99, 00-79-01, 99-78-99

B. 57-78-00, 57-78-01, 56-78-99

C. 99-05-26, 01-06-26, 49-04-02

D. 55-55-55, 33-33-33, 44-44-44

In regards to quality of coding, the degree tow which the codes selected accurately reflect the diagnoses and procedures refers to

A. reliability.

B. validity.

C. completeness.

D. timeliness.

The correspondence section of your department receives an average of 50 requests per day for release of information. It takes an average of 30 minutes to fulfill each request. Using 6.5 productive hours per day as your standard, calculate the staffing needs for the correspondence section.

A. 3.8 FTE

B. 2.5 FTE

C. 3 FTE

D. 4 FTE

Carson surveyed members of AHIMA's student CoP regarding the relationship between clinical experiences and job opportunities. All respondents were seniors in HIA programs and each one expected to graduate and take the national exam within the next 6 months. Fifteen of the eighteen respondents indicated at least one clinical rotation had resulted in a job offer. Based on this information, Carson expects to be offered a job during senior clinical rotations. Carson is basing this expectation on

A. scientific inquiry.

B. empiricism.

C. inductive reasoning.

D. deductive reasoning.