Registered Health Information Administrator (RHIA) Exam Prep FREE Sample Exam

A newly appointed HIM director is updating organizational policy that touches on data stewardship roles at a faith-based health system operating in three states. Which statement best describes the administrator’s responsibility?

Name data stewards for major data domains to monitor quality, resolve definition disputes, and approve changes

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Capture metadata describing data origin, definition, and transformation so users can judge fitness for use

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Run recurring data quality profiling and report error rates by source system to the governance committee

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Document data lineage from source system through each transformation to the final report

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A newly appointed HIM director at a multi-hospital integrated health system is setting enterprise direction on health record documentation integrity. Which approach should the administrator recommend?

Measure whether recorded values correctly represent the real-world condition or event they are meant to capture

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Audit documentation against source data and query providers when entries conflict, so the record accurately reflects the care delivered

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Require amendments to be made as clearly identified addenda that preserve the original entry and identify the author and date of the change

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Verify that each entry is attributable to an identified author with credentials appropriate to the content documented

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A measure at a behavioral health system with inpatient and outpatient sites changes from 2870 in the baseline period to 2830 in the current period. Regarding percent change in healthcare statistics, what is the percent change? The figures come from the critical care service during the first quarter.

-1.4%

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-1.6%

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-1.2%

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-0.4%

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The director of clinical documentation and information governance at a children’s hospital and its affiliated clinics is setting enterprise direction on downtime procedures for EHR outages. Which approach should the administrator recommend?

Negotiate contract terms covering data ownership, export rights, uptime, security duties, and exit assistance before signing

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Maintain rehearsed downtime procedures with read-only access or downtime forms and a defined back-entry process

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Decommission only after data retention, archive access, and interface dependencies are resolved and documented

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Manage implementation with training, conversion, go-live support, and issue triage under a command structure

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A governance committee at a safety-net hospital serving a metropolitan county asks for guidance on descriptive statistics for HIM reporting. Which response is correct?

Interpret a rising case-mix index as documentation and coding capturing greater patient complexity and resource intensity

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Summarize a dataset with measures of center and spread before drawing conclusions from it

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Show confidence intervals or ranges with comparative statistics so leaders see the uncertainty in small numbers

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Exchange using recognized content and transport standards so receiving systems can incorporate data without manual entry

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A measure at a rehabilitation and long-term care system changes from 4770 in the baseline period to 4095 in the current period. Regarding percent change in healthcare statistics, what is the percent change? The figures come from the rehabilitation service during the first quarter.

-15.9%

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-12.5%

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-13.2%

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-14.2%

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At a safety-net hospital serving a metropolitan county, leaders are reviewing how the organization handles patient financial communications. Which practice best reflects sound, administrator-level health information management?

Maintain the chargemaster through a governed committee reviewing additions, deletions, and price and code changes

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Give patients clear pre-service estimates and a single point of contact for billing questions

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Categorize denials by root cause, assign prevention owners, and track overturn rates on appeal

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Resolve credit balances promptly by refunding overpayments to the correct party within required timeframes

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At a safety-net hospital serving a metropolitan county, leaders are reviewing how the organization handles charge capture reconciliation. Which practice best reflects sound, administrator-level health information management?

Reconcile charges to documented services so coded and billed activity matches the clinical record

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Assign procedure codes for the procedures actually performed and documented, following the classification's conventions and guidelines

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Manage coder performance with paired productivity and accuracy standards rather than volume alone

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Respond to external audit findings with record-level review, education, and corrective action rather than blanket acceptance

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A newly appointed HIM director at a rural health network preparing for system consolidation is setting enterprise direction on ethical decision-making in management. Which approach should the administrator recommend?

Maintain continuous survey readiness through tracer activity and standards ownership rather than preparing when a survey is announced

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Apply a structured ethical framework when management decisions pit financial pressure against patient or data obligations

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Write corrective action plans with root causes, owners, deadlines, and a measure that proves the fix held

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Review policies on a defined cycle, retiring or revising those overtaken by regulation or practice

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A work unit at a large community hospital network requires 22200 paid hours per year. One full-time equivalent (FTE) equals 2,080 paid hours per year. Regarding FTE calculation in workforce and financial management, how many FTEs are required? The figures come from the women’s services division during the first quarter.

11.95

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10.67

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9.39

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11.67

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A work unit at a rural health network preparing for system consolidation requires 9480 paid hours per year. One full-time equivalent (FTE) equals 2,080 paid hours per year. Regarding FTE calculation in workforce and financial management, how many FTEs are required? The figures come from the oncology service line during the first quarter.

5.11

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4.56

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4.01

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5.56

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A governance committee at a specialty surgical hospital group asks for guidance on change management leadership. Which response is correct?

Control scope through a formal change process that prices every addition in time, cost, and risk

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Write goals that are specific, measurable, achievable, relevant, and time-bound so progress can be judged

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Identify and develop successors for critical HIM roles so operations survive departures

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Lead change with a defined case for change, stakeholder engagement, communication, and reinforcement after go-live

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Registered Health Information Administrator (RHIA) Exam Prep FREE Sample Exam — Fixed Set

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