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Why Get Certified?
Earning your AHIMA RHIT certification demonstrates your professional competence, validates your technical skills, and enhances your career opportunities. It’s a globally recognized credential that helps you stand out in the competitive IT industry.
AHIMA RHIT Sample Question Answers
Question # 1
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 Explanation:
Using commonly recognized acronyms and abbreviations is acceptable in medical record documentation,
but it should be done with caution. Some abbreviations can have different interpretations, which can
increase confusion in communication and threaten patient care. To combat these issues, The Joint
Commission has established a standard for the appropriate use of abbreviations and has published a list of
abbreviations, acronyms, and symbols that should not be used. When multiple abbreviations exist for the
same term, organizations should identify which one is appropriate to use.
Question # 2
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?
Answer: C Explanation:
The doctor's office must report the case of mumps to the National Notifiable Diseases Surveillance System
(NNDSS) because it is considered a reportable disease. Tracking communicable diseases is necessary to
prevent and control public health outbreaks. Although the list of notifiable diseases can vary over time and
from state to state, asthma, diabetes mellitus, and hypertension are not transmissible diseases and thus
would not need to be reported.
Question # 3
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 Explanation:
The Medicare EHR Incentive Program (commonly known as meaningful use [MI-I]) accelerated the
adoption of electronic health records (EHRs). Physicians who fail to participate in MU or use certified EHR
technology will receive Medicare reimbursement at a reduced rate. The primary goals of the M U program include enhancing the quality of care and its coordination, patient engagement, improved clinical outcomes,
and maintaining the privacy and security of PHI.
Question # 4
The _______ of data is the degree to which it has appropriate specificity.
Answer: A Explanation:
The granularity of data is the degree to which it has appropriate specificity. The relevancy of data is the
extent to which it applies to the process or function for which it was collected. The accuracy of data is its
correctness. The accessibility of data is the ease and legality with which it may be collected.
Question # 5
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 Explanation:
There are eight core functions of EHRs that include health information and data, results management,
order entry and management, clinical decision support, electronic communication and connectivity, patient support, reporting and population health management, and administrative processes. Separate statistical
tools would be applied to abstract and aggregate data stored in EHR or other health IT systems.
Question # 6
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 Explanation:
The National Correct Coding Initiative is a program that was developed by CMS to promote accurate
coding and prevent improper payments when incorrect code combinations are reported (e.g unbundling).
Automated edits of Medicare Part B and Medicaid claims for outpatient services are conducted to flag code
pairs that cannot be billed by a single provider on the same day for the same patient.
Question # 7
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 Explanation:
The National Committee on Vital and Health Statistics (NCVHS) is primarily responsible for
standardizing health information. The NCVHS is a component of the department of Health and
Human Services. It encourages public and private entities to collaborate on a uniform and efficient
health information system. The American Health Information Management Association (AHIMA) is
a professional development organization that offers training certification, and research
opportunities to those who are interested. The National Center for Health Statistics (NCHS) is a division of the Centers for Disease Control and Prevention (CDC). The NCHS is an aggregator and
disseminator of vital and health statistics. The Health and Human Services Data Council organizes
the data collection efforts in both medical and nonmedical areas.
Question # 8
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 Explanation:
If a test produces 200 true positives, 50 false negatives, 175 true negatives, and 40 false positives, the
specificity of the test is 81%. The specificity of a test is the percentage of all true noncases that are
identified. In other words, specificity is the success of the test at identifying those members of the
population that do not have the condition. Specificity is calculated by dividing the number of true negatives
by the total number of noncases (that is, the sum of true negatives and false positives). In this scenario,
specificity is calculated as 175/(175 + 40) = 175/215 = 81%.
Question # 9
Which of the following positions is most likely to be filled by several people in a large hospital?
Answer: A Explanation:
Of the given positions, chief operating officer is most likely to be filled by several people in a large hospital.
The chief operating officer or officers will report directly to the chief executive officer. Chief operating
officers are responsible for managing the performance of individual departments and ensuring that
employees always act in consonance with the organizational goals.
The chief financial officer, also known as the director of finance, is responsible for managing the fiscal
activities of the institution. The chief executive officer is appointed by the board of directors and is the
principal authority for the institution. The chief information officer is responsible for managing the
organization's information resources. This individual's purview includes the financial, clinical, and
administrative information operations.
Question # 10
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 Explanation:
Although there are some exceptions for mental health patients (such as not providing psychotherapy
notes), generally patients have the right to access all of their healthcare records; however, if the requests
are extensive, the hospital has the right to charge reasonable copying fees. According to HIPAA
requirements, the copies of the record must be provided within 30 days at most Patients have the right to
ask that errors in their records be corrected.