RHIA Online Practice Questions and Answers

These are assigned to every HCPCS/CPT code under the Medicare hospital outpatient prospective payment system to identify how the service or procedure described by the code would be paid.

A. geographic practice cost indices

B. major diagnostic categories

C. minimum data set

D. payment status indicator

Changes in case mix index (CMI) may be attributed to all of the following factors EXCEPT

A. changes in medical staff composition

B. changes in coding rules

C. changes in services offered

D. changes in coding productivity

The DNFB report includes all patients who have been discharged from the facility but for whom, for one reason or another, the billing process is not complete.

A. diagnosis not finally balanced

B. days not fiscally balanced

C. dollars not fully billed

D. discharged not final billed

Mrs. Jones had an appendectomy on November 1. She was taken back to surgery on November 2 for evacuation of a hematoma of the wound site. Identify the modifier that may be reported for the November 2 visit.

A. -58

B. -76

C. -78

D. -79

According to the UHDDS guidelines, the principal procedure is performed for- rather than for

A. diagnostic or exploratory purposes; definitive treatment

B. exploratory purposes; complications

C. definitive treatment; diagnostic or exploratory purposes

D. complications; definitive treatment

Patient has a bone marrow aspiration of the iliac crest and of the tibia.

A. 38220, 38220-59

B. 38221

C. 38230

D. 38220

Administration has asked the clinical provider order-entry task force to select the method implementation that will reduce risk to the hospital. What method should they choose?

A. Implement all modules across the entire organization.

B. Implement one module in one unit while running the current system in parallel.

C. Implement all modules across the entire organization while running the current system parallel.

D. Implement one module in one unit while shutting down the existing system.

Case Study #1

Dr. Roberts, an orthopedic surgeon, and Nurse Parrish head nurse on the orthopedic surgery unit, have had an acrimonious working relationship for years. While making rounds on the unit, Dr. Roberts discovered that the physical therapy evaluation he has ordered for one of his patients had not been performed and became outraged. Even though he did not have proof, Dr. Roberts placed the blame for missed evaluation with Nurse Parresh. Dr. Roberts wrote in the patient's medical record that Nurse Parrish frilled to properly order the physical therapy evaluation because she was incompetent and could not be trusted to carry out even the simplest order. After heaving read Dr. Roberts note, Nurse Parrish countered by making a disparaging remark about Dr. Roberts to the medical personnel at the nurces' station. Nurse Parrish stated that Dr. Roberts was one who was incompetent and was responsible for the needless suffering of countless patients over the years.

Referring to Case Study #1, the written statement by Dr. Roberts about Nurse Parrish's professional competence in the patient's medical record can constitute

A. libel.

B. slander.

C. perjury

D. defamation.

Which of the following types of members is best for a committee?

A. individuals of equal rank and authority.

B. a diverse group with widely varied rank and authority.

C. a blend of managers and entry level staff

D. There is no clear benefit to one form or another.

Your HIS Department receives an authorization for Sara May's medical history to be sent to her attorney, but the expiration date noted on the authorization has passed. What action is appropriate according to HIPAA privacy rules?

A. Do not honor because the authorization is invalid.

B. Contact the patient to get permission to respond.

C. Contact the attending physician for permission to respond.

D. Honor the authorization since the patient obviously approves of the release.