Question 1

You supervise five clerical employees who will be moving when a new wing of your facility completed. When you meet with the architect to plan their space, you will ask for

Accepted Answer

According to industry standards, a reasonable amount of space for an office worker is around 100 to 150 square feet. Therefore, for a team of five employees, the total area required would be between 500 and 750 square feet. However, it's always best to err on the side of caution and plan for a bit more space to allow for movement, storage, and extra equipment. Choosing 300 square feet of space for your clerical staff would provide a comfortable working environment while also allowing for some extra room for storage and movement.

Question 2

The emergency department staff has complained that the clerical staff in your depart delaying stat reports. You decide to meet with your staff and develop a cause and effect DIAGRAM to determine possible reasons for the delay. You have explained the issue to your staff and set up a blank cause and effect diagram. The next step is to

Accepted Answer

The next step after setting up the cause and effect diagram is to brainstorm possible reasons for the delay. This will help identify the root causes of the problem and develop appropriate solutions. While it is important to discuss the importance of prompt delivery of stat reports, determine internal conflicts and design a new system, these actions come after the brainstorming process.

Question 3

A.J. is employed as a regional coding consultant by a corporate hospital chain. In the organization. chart, this position would be

Accepted Answer

A staff position is one that provides support and expertise to line positions, which are positions directly involved in the organization's primary activities. As a coding consultant, A.J. is providing support and expertise to the organization's line positions involved in healthcare services, so this position would be shown as a staff position in the organization chart.

Question 4

A clerk's work performance has diminished dramatically during the past 2 weeks. supervisor initiates a discussion with the clerk, during which the clerk reveals that he rece accepted that he has an alcohol addiction. The clerk states an intention to quit d completely. The supervisor should

Accepted Answer

The best choice is to refer the clerk to the facility's Employee Assistance Program (EAP). EAPs are designed to help employees deal with personal problems that may impact their job performance, including addiction to drugs or alcohol. Referring the clerk to the EAP shows concern for their well-being and provides them with access to resources that can help them overcome their addiction. Terminating or suspending the clerk without exploring other options first would not be a compassionate or effective approach. A leave of absence may also be an option, but referring the clerk to the EAP should be the first step.

Question 5

Which of the following employees is exempt under the Fair Labor Standards Act?

Accepted Answer

According to the Fair Labor Standards Act, employees who perform managerial or administrative duties and exercise independent judgment are exempt from overtime pay. In this scenario, the RHIT is involved in planning and decision-making activities, which are considered managerial duties, 90% of the time. Therefore, the RHIT is exempt under the Fair Labor Standards Act.

Question 6

Mercedes, supervisor of the HIM analysts, determined that the outpatient surgery center had record analysts who were doing comparable jobs. The outpatient analysts were ranked two job grades above the HIM analysts. What document could she revise to reflect the actual skills, knowledge, and responsibilities in order to have the HIM analysis position re- evaluated?

Accepted Answer

The document that Mercedes should revise is the job description/job specifications, as it will accurately reflect the skills, knowledge, and responsibilities of the HIM analysts and allow for a re-evaluation of the position's job grade. A needs assessment may be used to identify areas where additional training or resources are needed, a wage and salary survey may be used to gather information about comparable positions in the market, and department policy and procedures would not be relevant to this situation.

Question 7

During the work sampling of a file clerk's activity, it is noted that the employee is speaking on the telephone during 76 of 300 observations. How much of the employee's time is spent on the phone if the employee works 7 hours a day?

Accepted Answer

The proportion of time spent on the phone is 76/300. Multiply this by the total work hours (7) to find the time spent on the phone: (76/300) * 7 = 1.77 hours.

Question 8

If a time standard is determined from sample observations to be 2.50 minutes per record for coding emergency room records, what is the daily standard for the number of records coded when a 15% fatigue factor is allowed? The coder works 7.5 hours per day.

Accepted Answer

The daily working time is 7.5 hours, which is 450 minutes. With a 15% fatigue factor, the effective working time is 85% of 450 minutes, which is 382.5 minutes. Dividing 382.5 minutes by 2.50 minutes per record gives 153 records per day.

Question 9

You are conducting an educational session on benchmarking. You tell your audience that the to benchmarking is to use the comparison to

Accepted Answer

The primary goal of benchmarking is to improve your department's processes by learning from the best practices of others.

Question 10

You stop by an office to meet a friend for lunch. Looking on the desk, you see the grid below: Your friend is trying to

Accepted Answer

The answer of You stop by an office to meet...

Question 11

How long will it take to complete the project described below?

Accepted Answer

The answer of How long will it take to complete...

Question 12

Jordan is an RHIA who works at a large academic medical center. Her $37,540 salary is paid 60% from research grants as clinical trial coordinator, and 40% by HIM as a database manager. The hospital's fringe benefit rate is 23%. How much must the HIM director include in the budget (rounded to the nearest dollar) to cover Jordan's database management role?

Accepted Answer

Jordan's total salary is $37,540, and 60% of that is paid by research grants, leaving 40% to be paid by HIM.

40% of $37,540 = $15,016.

To calculate the total cost to HIM, we need to add in the fringe benefit rate.

$15,016 * 23% = $3,463.68

Adding this amount to Jordan's salary gives us:

$15,016 + $3,463.68 = $18,479.68

Rounded to the nearest dollar, the HIM director should budget $18,470 to cover Jordan's database management role. So, option B is correct.

Question 13

Christina is a pharmacy tech and has recently earned her RHIA. She is interviewing to become a. representative of an international pharmaceutical firm. She would work from home, login to the. corporate Web site several times a day, and make calls on various pharmacies in her territory. She would visit headquarters about once a quarter. This proposed work arrangement can best be. described as

Accepted Answer

This work arrangement where Christina would work from home and login to the corporate website several times a day, is best described as telecommuting.

Question 14

Postage charges in the Health Information Department have increased during the last qua The department director has seen metered envelopes in the mail bin that do not appear to those used for departmental business. The best course of action for the director would be to

Accepted Answer

Assigning responsibility for the postage meter to one employee ensures accountability and control over its use, reducing the likelihood of misuse.

Question 15

Juan is director at a medical center that includes a daycare center and has several employees w have young children. He knows that it's important to be familiar with the provisions of Family Medical Leave Act (FMLA), which includes all the following provisions EXCEPT:

Accepted Answer

All of the options listed are provisions of the FMLA except for ensuring the employee gets their old job back. Instead, the FMLA ensures that the employee will receive an equivalent job with equivalent pay, benefits, and working conditions.

Question 16

Everyone in the Health Information Department has been working overtime to complete a major record conversion. The supervisor will have to plan for overtime pay for all personnel who are not

Accepted Answer

Salaried exempt employees are not eligible for overtime pay as they are exempt from overtime regulations under the Fair Labor Standards Act (FLSA).

Question 17

As the HIM manager in charge of your department's budget, you are mandated to report on variances of more than 6% either positive or negative to your Chief Financial Officer and include the reasons for the variance and any action plans necessary. Based on the table below for the December variance report, what category would you be required to report on to the CFO?

Accepted Answer

The answer of As the HIM manager in charge of...

Question 18

A clerical-level employee reports an incident in which the clerk felt the first-line supervisor discriminated on the basis of the clerk's gender. The best action for you to take at this time is to

Accepted Answer

Thoroughly investigating the matter and documenting findings is the best action to take at this time to ensure fairness and impartiality in handling the incident. Asking for objective evidence or talking to the supervisor without investigating may not result in a fair and just resolution. Asking other clerical staff about their experiences may provide additional information but should not be the sole basis for a decision.

Question 19

As your meeting with the clerical staff on the stat report continues, one clerk suggests a reason for the delays is a lack of training concerning the nature of stat reports. On the cause effect diagram, this would most appropriately be listed under

Accepted Answer

The lack of training is related to the skills and knowledge of the personnel, so it should be listed under "personnel" in the cause-effect diagram.

Question 20

As a new HIM manager, you recognize that employee development is a necessary investment the long-term survival and growth of the organization. Your goal is to design and implement staff development program for your employees, so one of your first steps is to

Accepted Answer

Before implementing any training program, it is important to assess the needs of the employees in order to design and implement an effective program. Conducting a survey of the HIM employees will help identify the specific areas where training is needed and enable the organization to personalize training programs for each employee. This will ensure that the program is tailored specifically to fill the skill gaps needed to improve employee performance and contribute to the organization's success.

Exam 1: Registered Health Information Administrator