Question 1

MMBC receives the best reimbursement for well child visits from Make Me Better Clinic (MMBC) provides well child visits and childhood immunizations for four insurance companies. Data on the services they provided and the reimbursement they received from the four companies are listed in the two tables below:

Accepted Answer

The answer of MMBC receives the best reimbursement for well...

Question 2

The teaching method selected by an instructor influences the student's ability to understand the material. Instructor-led classrooms work best when

Accepted Answer

The answer of The teaching method selected by an instructor...

Question 3

Health care is known for rapid change. Cherelle understands the importance of change management and being a positive change agent. Which of the following approaches would be LEAST likely to support her approach?

Accepted Answer

Easing up on delegating is least likely to support Cherelle's approach as effective change management often involves delegation of tasks and responsibilities to empower staff to contribute to the change process.

Question 4

Tina, the Coding Supervisor at Upstate Hospital, has heard rumors that the Health Information Management Department at her facility is starting a coding training program. Rumor also has it that the Department Director, Rose, is trying to recruit the coding supervisor from a neighboring hospital to head up the training position. Tina makes the following statement to the assistant director: "I'm obviously not good enough for the training position. Perhaps I should resign." As the Assistant Director, how should you respond?

Accepted Answer

The best option is to assist Tina in developing her career goals. This will help her to identify areas for improvement and provide her with guidance on how to achieve her professional goals. It will also prevent her from making any hasty decisions about resigning. Ignoring her statement or guaranteeing her a position may not be the best course of action, as it may create false expectations. Referring her to an employee assistance program may not address the underlying issue of career development.

Question 5

Juan owns a record storage and destruction business in Texas. Under the Immigration Reform and Control Act, he knows all of the following apply EXCEPT:

Accepted Answer

The Immigration Reform and Control Act prohibits employers from hiring undocumented workers and requires them to have proper documentation (including a completed Form I-9) for all employees, regardless of their citizenship or national origin. Employers are also prohibited from discriminating against individuals based on their citizenship or national origin. However, the Act does not require employers to give preferences to U.S. citizens over non-citizens in hiring or other employment decisions.

Question 6

Virginia is the Record Processing Coordinator, which is a lead position. She has an excellent w record and is able to assist in most work areas of the department. She knows that she could e get another job within the hospital for the asking. Recently she has been arriving late and has uncooperative in dealing with others. As her immediate supervisor, what is the BEST first step dealing with this situation?

Accepted Answer

Counseling Virginia by encouraging self-analysis and problem-solving processes is the best first step in dealing with her recent behavior. It shows that her supervisor recognizes her past excellent work record and is willing to help her find a solution to her current behavior. It also opens up a dialogue between Virginia and her supervisor and allows them to discuss any underlying issues that may be causing her behavior. Instituting progressive discipline or suggesting a transfer to another department should only be considered if counseling does not improve Virginia's behavior. Ignoring the situation is not a productive approach and can lead to further negative behavior from Virginia.

Question 7

Michael is a new manager at Tri-County Health Systems. Human Resources has recently provided training for and implemented a new performance appraisal system which includes input from managers, peers, and staff. This approach is typically known as

Accepted Answer

According to the description provided, the new performance appraisal system includes input from managers, peers, and staff, which aligns with the characteristics of a 360-degree evaluation. A 360-degree evaluation is a performance appraisal approach that seeks feedback from multiple sources, including superiors, peers, subordinates, and sometimes even customers or clients. This type of evaluation is designed to provide a more comprehensive and well-rounded view of an employee's performance, offering insights from a range of perspectives.

Question 8

There is an opening for a coder in a 150-bed acute care hospital. The position requires someone who can code from a wide variety of medical records using both ICD and CPT. Of the following candidates interviewing for this position, which would be the most appropriate to hire?

Accepted Answer

Option C is the most appropriate candidate as they have graduated from a 2-year community college HIT program and have 1 year of outpatient coding experience. This candidate is also RHIT eligible which shows they have knowledge and skills in both ICD and CPT coding. Option B is overqualified for the role and looking for advancement within a short period while option A lacks the necessary qualifications. Option D may be experienced, but their desire for supervisory work and lack of recent coding experience may not make them the most suitable candidate for this position.

Question 9

Which of the following scenarios best describes job enrichment as a motivational technique?

Accepted Answer

The answer of Which of the following scenarios best describes...

Question 10

Based on the MS-DRG report above, what is the case-mix index for this facility?

Accepted Answer

The case-mix index is calculated by dividing the sum of the relative weights by the total number of discharges. In this case, the sum of the relative weights is 2965.807 and the total number of discharges is 1000. Therefore, the case-mix index is 2.965807.

Question 11

You work at All Paper Hospital, a small facility with no computerized health information capacity. There are ongoing problems because many departments collect the same data, creating space problems and issues with data discrepancies. You are exhausted with all this data

Accepted Answer

The ongoing problems of collecting the same data by many departments creates space problems and discrepancies in data, indicating the presence of redundancy. The term "overload" suggests an overwhelming quantity, "similarity" indicates the presence of similarities rather than duplicates, and "transparency" indicates the lack of hidden information, none of which describe the situation presented.

Question 12

Kimberly Wolf wants a Mercedes and the position of Vice President of Information Services. feels that achieving these goals will provide her with a sense of achievement, prestige, reputation in the eyes of others. What level of Maslow's hierarchy of needs is she operating at?

Accepted Answer

Kimberly Wolf's desire for a Mercedes and a high-level position indicates that she is operating at the esteem level of Maslow's hierarchy of needs. This level involves the desire to achieve feelings of status, recognition, and self-respect.

Question 13

Ty Ngynn is Assistant Director in Information Services. He has made an appointment with the Director of Human Resources to discuss his recent trip to the state HIM meeting with his Director, Wendy Richard. During the trip, Wendy repeatedly, asked Ty to her room, suggested it might not be worthwhile for him to attend future state meetings. The HR Director should

Accepted Answer

The HR Director should take the complaint seriously and begin a sexual harassment investigation, as Wendy's behavior could be considered sexual harassment. It is important to create a safe and respectful work environment for all employees and to address any behaviors that create discomfort or violation of company policies.

Question 14

As a new RHIA and coding manager, how likely is it that you will participate on committee?

Accepted Answer

The answer of As a new RHIA and coding manager,...

Question 15

Employing the SOAP style of progress notes, choose the "assessment" statement from the following:

Accepted Answer

The "assessment" in SOAP notes refers to the healthcare provider's evaluation or diagnosis of the patient's condition. "Sciatica unimproved with hot pack therapy" is an assessment of the patient's current condition and response to treatment.

Question 16

Elizabeth is the manager of the state cancer registry. In developing a training "to do list," she is reviewing the staff and what general training and specialized training topics would be necessary. What tool would be most helpful in organizing this information?

Accepted Answer

A spreadsheet with grids identifying who needs what type of training would be most helpful in organizing the information. It allows for easy tracking and updating of training needs for each staff member. A Gantt chart may be helpful in scheduling the training but does not provide the same level of detail as a spreadsheet. Train-the-trainers and documentation of previous training may be helpful in creating the training, but do not organize the information on who needs what type of training.

Question 17

Which of the following types of members is best for a committee?

Accepted Answer

Individuals of equal rank and authority are more likely to work together effectively and efficiently.

Question 18

Jon is a recent graduate who is considering accepting a position as Trauma Registrar at a large metropolitan medical center while he prepares to apply to graduate school. In making the decision, he considers the offer of $15 per hour for a 40-hour week, benefits of 27.5% of his salary, and tuition waivers of 6 credits per year at $145. He calculated that the total compensation would be

Accepted Answer

The total compensation is the sum of the salary, benefits, and tuition waivers. The salary is $15 per hour for a 40-hour week, which is $15 * 40 * 52 = $31,200. The benefits are 27.5% of the salary, which is $31,200 * 0.275 = $8,580. The tuition waivers are 6 credits per year at $145, which is $145 * 6 = $870. The total compensation is $31,200 + $8,580 + $870 = $40,650.

Question 19

Summer is the document imaging manager. She has had a meeting with the scanning clerks They are complaining that the pay rate for their position is too low in their facility. What would be the best way to deal with this complaint?

Accepted Answer

Working with the Human Resources Department on a job evaluation and current wage and salary survey will provide objective data on the competitiveness of the scanning clerks' pay rate. This will allow for a fair and informed decision regarding salary adjustments. It is important to address employee concerns and ensure that they feel their compensation is fair.

Question 20

One of the most common rater biases that affect an employee's evaluation is the halo effect halo effect suggests that the supervisor

Accepted Answer

The halo effect occurs when the supervisor rates an employee based on their overall impression of them, rather than their specific job performance during the evaluation period. This can result in an inflated or deflated rating depending on whether the supervisor likes or dislikes the employee.

Exam 1: Registered Health Information Administrator