Registered Health Information Technician (RHIT) Exam Prep FREE Sample Exam

A patient treated last year under one number is registered this week under a second number after a surname change, splitting her history. What record problem has occurred?

A duplicate record occurs when one patient is assigned two or more medical record numbers, fragmenting the patient's history across records

Correct Incorrect Correct answer

Duplicates only matter for billing and never affect patient care

Correct Incorrect Correct answer

Duplicate records should be left alone so each visit keeps its own number

Correct Incorrect Correct answer

The fix for a duplicate is to delete the older record and its contents

Correct Incorrect Correct answer

Physicians are overriding 95 percent of pop-up warnings, including the few critical ones. Which decision-support problem must governance address?

Clinical decision support provides clinicians with patient-specific alerts, reminders, and reference information at the point of care — such as drug-interaction warnings and preventive-care reminders

Correct Incorrect Correct answer

Decision support is the process of deciding which patients to admit

Correct Incorrect Correct answer

Override rates are never reviewed once alerts are built

Correct Incorrect Correct answer

Decision support alerts should fire for every possible condition to be safe

Correct Incorrect Correct answer

Regarding discharge summary content, which statement is incorrect?

The discharge summary is a billing form that lists only the charges for the stay

Correct Incorrect Correct answer

Key discharge summary elements include the reason for admission, significant findings, procedures performed, and the discharge disposition

Correct Incorrect Correct answer

The discharge summary documents the patient's hospital course, diagnoses, procedures, condition at discharge, discharge medications, and follow-up instructions

Correct Incorrect Correct answer

The discharge summary supports continuity of care by giving the next provider a concise account of the hospitalization

Correct Incorrect Correct answer

Which statement best describes patients’ right of access in health information management practice?

Individuals have the right to inspect and obtain a copy of their PHI in the designated record set, in the form and format requested if readily producible — including an electronic copy of electronic records — and to direct a copy to a third party they designate

Correct Incorrect Correct answer

Patients may only access records created in the last year

Correct Incorrect Correct answer

The right of access applies to psychotherapy notes in the same way as the general record in all cases

Correct Incorrect Correct answer

Access can be denied because the clinician finds the request annoying, without review

Correct Incorrect Correct answer

Regarding accounting of disclosures, which statement is incorrect?

The accounting of disclosures includes every use of information by the care team during treatment

Correct Incorrect Correct answer

The accounting generally covers disclosures during the six years before the request, and the facility must act on the request within the timeframe HIPAA sets

Correct Incorrect Correct answer

Patients have the right to an accounting of certain disclosures of their protected health information — a listing of disclosures made for purposes other than treatment, payment, and healthcare operations and those not made under an authorization

Correct Incorrect Correct answer

Disclosures made under the patient's own authorization are tracked through the authorization itself and are not part of the accounting

Correct Incorrect Correct answer

Two units report infection counts of 6 and 9, but the second unit discharged three times as many patients. What must the analyst compute before comparing them?

A rate relates a numerator — the events being counted — to a defined denominator population over a period, multiplied by a standard factor such as 100, so units and time periods can be compared

Correct Incorrect Correct answer

The denominator can be any convenient number

Correct Incorrect Correct answer

Rates do not need a time period

Correct Incorrect Correct answer

Multiplying by 100 changes the meaning of a rate

Correct Incorrect Correct answer

In November, the telemetry unit accumulated 8,121 inpatient service days over 31 days. What was the average daily census for the telemetry unit in November? The figures are taken from the first-quarter service review packet.

393.0 patients

Correct Incorrect Correct answer

327.5 patients

Correct Incorrect Correct answer

262.0 patients

Correct Incorrect Correct answer

209.6 patients

Correct Incorrect Correct answer

Calculate the case-mix index from these DRG groups: 40 cases at relative weight 2.44, 150 cases at relative weight 2.69, 80 cases at relative weight 2.00. The figures are taken from the second-quarter medical executive committee packet.

2.45

Correct Incorrect Correct answer

3.68

Correct Incorrect Correct answer

1.96

Correct Incorrect Correct answer

3.06

Correct Incorrect Correct answer

Regarding present on admission indicators, which statement is incorrect?

POA assignment follows the provider's documentation of timing; unclear timing is resolved by query

Correct Incorrect Correct answer

Conditions diagnosed during the stay may still be POA if the documentation shows they were present at admission

Correct Incorrect Correct answer

Present on admission (POA) indicators report whether each diagnosis was present when the inpatient admission order was written, or developed during the stay — a distinction used in quality measurement and payment policy for hospital-acquired conditions

Correct Incorrect Correct answer

POA indicators describe whether the coder was present at admission

Correct Incorrect Correct answer

Which statement best describes coordination of benefits and payer order in health information management practice?

Duplicate payment from two primaries is acceptable if discovered late

Correct Incorrect Correct answer

The plan the patient prefers is always primary

Correct Incorrect Correct answer

Coordination of benefits determines which plan is primary and which is secondary when a patient has multiple coverages, following rules such as the birthday rule for dependent children of two working parents and active-versus-retiree status for working-aged patients

Correct Incorrect Correct answer

Coordination of benefits applies only to Medicare patients

Correct Incorrect Correct answer

Which statement best describes fraud, waste, and abuse distinctions in health information management practice?

The distinctions have no practical use

Correct Incorrect Correct answer

Only physicians can commit abuse

Correct Incorrect Correct answer

Fraud is intentional deception for unauthorized benefit; abuse is practice inconsistent with sound fiscal or medical practice that causes unnecessary cost; waste is overuse of resources without the intent of fraud — and compliance programs address all three

Correct Incorrect Correct answer

Overuse of resources is always fraud

Correct Incorrect Correct answer

A department tracks coding accuracy monthly against its 95 percent standard and reports the trend to the quality committee. Which function is this?

Assessment is performed once, at accreditation time

Correct Incorrect Correct answer

Quality assessment measures how well HIM functions meet defined standards — such as coding accuracy, chart completion, and ROI turnaround — using indicators, thresholds, and routine data collection

Correct Incorrect Correct answer

Thresholds are set after the data are seen, to match performance

Correct Incorrect Correct answer

Indicators are unnecessary if the department has experienced staff

Correct Incorrect Correct answer

Registered Health Information Technician (RHIT) Exam Prep FREE Sample Exam — Fixed Set

Quiz Summary

Information

Results

Results

Categories

1. Question

2. Question

3. Question

4. Question

5. Question

6. Question

7. Question

8. Question

9. Question

10. Question

11. Question

12. Question

Programs

Company

Legal

Account