AHIMA RHIT Exam Dumps

A clinician has inquired about the use of abbreviations or acronyms in medical documentation. What is the proper protocol for using abbreviations or acronyms in medical records? 

A: Abbreviation and acronym use is only allowed for specific medical specialties. 
B: To save time, using any abbreviations or acronyms in medical documentation is encouraged. 
C: Only use the organization's approved abbreviations and acronyms in medical documentation. 
D: Abbreviations and acronyms should never be used in medical documentation.

Answer: C

Four patients have presented to their respective doctor's office and are each diagnosed with a different medical condition. Which of the following must you report to the CDC in accordance with the National Notifiable Diseases Surveillance System? 

A: Asthma 
B: Diabetes mellitus 
C: Mumps 
D: Hypertension

Answer: C

All of the following are goals of the Centers for Medicare and Medicaid Services' meaningful use program EXCEPT: 

A: Improve patient care and enhance care coordination. 
B: Produce better clinical outcomes and improve population health. 
C: Engage and empower individuals. 
D: Detect and prevent fraudulent activities.

Answer: D

The _______ of data is the degree to which it has appropriate specificity. 

A: granularity 
B: relevancy 
C: accuracy
D: accessibility

Answer: A

Which of the following is NOT a core function of electronic health record systems? 

A: Statistical aggregation and abstraction 
B: Clinical decision and patient support 
C: Electronic communication and connectivity 
D: Reporting and population health management 

Answer: A

The purpose of the NCCI edits is to prevent which of the following? 

A: Assumption coding when the documentation is unclear
 B: Improper payments when erroneous code combinations are reported 
C: Hard coding directly from the charge description master 
D: Incorrect present-on-admission assignment of admitted patients

Answer: B

Which government body is primarily responsible for standardizing health information? 

A: National Committee on Vital and Health Statistics 
B: American Health Information Management Association 
C: National Center for Health Statistics 
D: Health and Human Services Data Council

Answer: A

If a test produces 200 true positives, 50 false negatives, 175 true negatives, and 40 false positives, what is the specificity of the test? Round your answer to the nearest percentage point. 

A: 27% 
B: 57% 
C: 81% 
D: 91%

Answer: C

Which of the following positions is most likely to be filled by several people in a large hospital? 

A: Chief operating officer 
B: Chief financial officer 
C: Chief executive officer 
D: Chief information officer

Answer: A

Following a 60-day hospitalization for complications related to diabetes and amputation of the right lower leg, the patient requested copies of the entire health record. Which of the following is NOT correct? 

A: The patient has a right to access the entire record. 
B: The hospital may charge a reasonable fee to cover costs. 
C: The hospital can withhold sensitive notes. 
D: The patient must provide the copies within 30 days. 

Answer: C

Which healthcare provider is NOT able to legally diagnose and write medical orders? 

A: Nurse Practitioner (NP) 
B: Physician Assistant CPA) 
C: Registered nurse (RN) 
D: Physician (MD)

Answer: C

All of the following are types of interoperability standards EXCEPT: 

A: RxNorm 
B: HL7 
C: VPN 
D: NPI 

Answer: C

Which of these scenarios illustrates ascertainment bias? 

A: Based on the answers given at the beginning of an interview, the interviewer tends to modify his or her style of questioning. 
B: A study is largely based on interviews, and the subjects tend to exaggerate the severity of their ailments. 
C: The subjects of a new research study have received a disproportionate amount of health treatment in the past 
D: Two pathologists offer conflicting diagnoses when presented with the same set of specimens. 

Answer: C

A quality improvement team wants to monitor their inpatient coding process to ensure that compliance standards are being met. Which of the following should be regularly audited to achieve this goal? 

A: CPT/HCPCS and CDT coding 
B: ICD-10-CM and HCPCS coding 
C: SNOMED LOINC coding 
D: ICD-10-CM and ICD-10-PCS coding

Answer: D

An HIM director is attempting to revise a form, but the file has been locked because another individual is currently making edits to the same form. This locking of documents is used to preserve which of the following? 

A: Audit trail 
B: Version control
 C: Trigger event 
D: Legal hold

Answer: B

Which of the following documents is used to notify a clinician when information, dictation, or signature(s) are missing from medical documentation? 

A: Deficiency slip 
B: Delinquent record 
C: Incident report 
D: Problem list

Answer: A

Which of the following graphical project management tools is used to illustrate the timeline and status of a project and also includes who is responsible for completing each task? 

A: Scrum boards 
B: Gantt chart 
C: PERT chart 
D: Work breakdown structure 

Answer: B

A study focuses on determining the proportion of patients with dental problems whose care plans adhere to the American Dental Association's guidelines. Which dimension of performance is addressed by this study?

 A: Efficacy 
B: Appropriateness 
C: Continuity 
D: Efficiency

Answer: A

Which MDS applies to acute care provision? 

A: Minimum Data Set for Long-Term Care 
B: Uniform Ambulatory Core Data Set 
C: Outcome and Assessment Information Set 
D: Uniform Hospital Discharge Data Set

Answer: D

Which federal data set was established to enable comparison of outpatient care? 

A: Uniform Hospital Discharge Data Set (UHDDS) 
B: Uniform Ambulatory Core Data Set CUACDS) 
C: Minimum Data Set for Long-Term Care (MDS)
D: Outcome and Assessment Information Set (OASIS)

Answer: B

Which word refers to a large outbreak of a contagious disease over a limited geographical region? 

A: Pandemic 
B: Epidemic 
C: Endemic 
D: Sporadic

Answer: B