Question 1

Provide the CPT code for anesthesia services for the transvenous insertion of a pacemaker.

Accepted Answer

The answer of Provide the CPT code for anesthesia services...

Question 2

Release of information has increased its use of part-time prn clerical support in order to respond to increased requests for release of information. The budget variance report will reflect

Accepted Answer

The budget variance report will reflect the increase in the cost of part-time clerical support for ROI, but not the increase in revenue from this area, as variance reports typically focus on cost deviations from the budget.

Question 3

Your facility is engaged in a research project concerning patients newly diagnosed with type II diabetes. The researchers notice older patients have a longer length of stay than younger patients. They have seen a

Accepted Answer

The researchers have observed a positive correlation between age and length of stay, which means that as age increases, length of stay also increases.

Question 4

Collins Family Hospital had a bed count of 150 for the first 6 months of the year. On June 1, it added 15 beds when it opened a new wing. If you are given the average length of stay for the year, can you calculate the annual bed turnover rate? How?

Accepted Answer

There is insufficient data to calculate the annual bed turnover rate because the number of discharges or admissions is not provided. The average length of stay alone is not enough to determine the turnover rate.

Question 5

A quantitative drug assay was performed for a patient to determine digoxin level.

Accepted Answer

The answer of A quantitative drug assay was performed for...

Question 6

The formula used to calculate the percentage of ambulatory care visits made with same day appointments is

Accepted Answer

The correct formula calculates the percentage of same day appointments by dividing the number of same day appointments by the total number of patients seen in the same period, then multiplying by 100.

Question 7

You are heading a research study that includes a patient questionnaire. Five of the questions will be answered using the following scale:  You would like to display the study in your report. If you'd like to include responses to all five questions on one display, you should use a

Accepted Answer

The answer of You are heading a research study that...

Question 8

A HIM Department Budget Report for May shows a payroll budget of $25,000 and an actual payroll expense of $22,345. The percentage of budget variance for the month is

Accepted Answer

To find the percentage of budget variance, we need to calculate the difference between the actual payroll expense and the payroll budget, then divide by the payroll budget, and multiply by 100.

Budget variance = $25,000 - $22,345 = $2,655
Percentage of budget variance = ($2,655 / $25,000) x 100% = 10.62%, which rounds up to 11%.

Therefore, the best choice is B, which represents the percentage of budget variance for the month.

Question 9

Patient was seen today for regular hemodialysis. No problems reported, tolerated procedure well.

Accepted Answer

The answer of Patient was seen today for regular hemodialysis....

Question 10

Your HMO manager has requested a report on the number of patient visits per year for preschool children. Which of the age groupings below will you use for your report?

Accepted Answer

The age groupings in option B are more specific and allow for a more accurate calculation of patient visits per year for preschool children. Option A includes one-year age ranges, which could potentially skew the data. Option B breaks it down into smaller increments, which would provide better insight into the number of visits for each age range.

Question 11

Johnston City was set upon by a swarm of killer bees. All 5,000 residents are at risk of a bee attack. If 25 residents were attacked by the bees, the incidence of bee attacks

Accepted Answer

If 25 residents were attacked by the bees, the incidence of bee attacks would be 25/5,000, which simplifies to 1/200 or 5 in 1,000.

Question 12

Your large office practice has decided to try an e-health initiative. They have established a practice Web site and encourage patients to submit questions electronically instead of calling the advice nurse. After an initial surge in interest, very few patients use the service. The Web site is attractive and easy to navigate. Questions submitted via the site are answered by the nursing staff within 2 working days. You suspect few patients use the service because

Accepted Answer

The turnaround time of 2 working days may be too long for patients who are seeking timely advice, making them prefer the immediate response they get from calling the advice nurse.

Question 13

A patient with lung cancer and bone metastasis is seen for complex treatment planning by a radiation oncologist.

Accepted Answer

The patient has lung cancer and bone metastasis, indicating the need for both lung and bone radiation therapy. Code 77315 is for lung radiation therapy, but it does not address the bone metastases. Code 77290 is for complex radiation therapy planning, but does not actually provide any treatment. Code 77334 is for radiation treatment delivery for each separate lesion treated with stereotactic radiosurgery, which is not indicated in this case. Therefore, the best choice is code 77263, which is for radiation treatment delivery for multiple treatment areas (both the lungs and bones in this case) and includes complex treatment planning.

Question 14

A 4-year-old had a repair of an incarcerated inguinal hernia. This is the first time this child had been treated for this condition.

Accepted Answer

The answer of A 4-year-old had a repair of an...

Question 15

An established patient was seen by the physician in the office for DTaP vaccine and HiB.

Accepted Answer

The answer of An established patient was seen by the...

Question 16

The transcriptionists have collected data on the number and types of problems with the dictation equipment. The best tool to display the data they collected is a

Accepted Answer

A Pareto chart is the best tool to display the data collected on the number and types of problems with the dictation equipment as it provides a visual representation of the frequency and importance of each problem, allowing the transcriptionists to prioritize and address the issues that have the greatest impact. A flowchart, Gantt chart, and PERT chart are not appropriate for this type of data.

Question 17

Office visit for 43-year-old male, new patient, with no complaints. Patient is applying for life insurance and requests a physical examination. A detailed health and family history was obtained and a basic physical was done. Physician completed life insurance physical form at patient's request. Blood and urine were collected.

Accepted Answer

The answer of Office visit for 43-year-old male, new patient,...

Question 18

Based on the information below, what was the net death rate at Seaside Hospital in January?

Accepted Answer

The answer of Based on the information below, what was...

Question 19

A patient who was admitted to the hospital on January 14 and discharged on March 2 in a nonleap year has a length of stay of

Accepted Answer

The length of stay is calculated by counting the number of days from the admission date to the discharge date, excluding the discharge date. From January 14 to March 2, there are 47 days.

Question 20

A 335-bed hospital opened a new wing on June 1 of a nonleap year, increasing its bed count to 350 beds. The total bed count days for the year at the hospital was

Accepted Answer

The answer of A 335-bed hospital opened a new wing...

Exam 1: Registered Health Information Administrator