Question 1

A national HIM publication routinely requests that practitioners submit statistics from their facility regarding department functions. These are then summarized and published in graphic form, providing a tool for which of the following activities?

Accepted Answer

The publication of summarized statistics from various facilities provides data that can be used for benchmarking, allowing practitioners to compare their own department functions and performance to industry standards and identify areas for improvement.

Question 2

What would be the average cost for training an employee? The training staff in the Human Resources Department is proposing a computer-based training program for 200 employees and needs to prepare a budget for the time and cost of the training. The training program will be 30 minutes in length. The employees can take the training online at any time. There are 200 employees to be trained. The rate of pay for 50 of the employees is $15.50 per hour. The rate of pay for 50 employees is $12.00 per hour. The rate of pay for the other 100 employees is $18.00.

Accepted Answer

The average cost is calculated by finding the total cost of training all employees and dividing by the number of employees. The total cost is (50 employees * $15.50/hour * 0.5 hours) + (50 employees * $12.00/hour * 0.5 hours) + (100 employees * $18.00/hour * 0.5 hours) = $387.50 + $300 + $900 = $1587.50. The average cost per employee is $1587.50 / 200 employees = $7.94.

Question 3

The Credentials Committee of the medical staff reviews information about applicants for staff membership and makes recommendations for staff appointment and reappointment to the

Accepted Answer

The Credentials Committee is responsible for reviewing and recommending applicants for staff appointment/reappointment to the facility's governing body.

Question 4

The project definition justifies the need for the new project. What would you expect to see in the project justification?

Accepted Answer

The project justification should include the project scope, resources needed, and amount of time required. This information is necessary to justify the need for the new project and to ensure that the project is feasible.

Question 5

HEDIS gathers data in'the following area:

Accepted Answer

HEDIS gathers data in all three areas- access, quality, and financial performance. Therefore, the answer is all of the above.

Question 6

Beth Huber, Director of Health Information, has been selected to participate in a strategic planning retreat for her health system. In preparation, she refreshes her understanding of strategic planning. Which of the following will likely be included in the retreat?

Accepted Answer

Strategic planning involves focusing on the organization's fit with the external environment, such as changes in the healthcare industry, regulatory changes, and competition. While improving existing programs and services, reviewing internal structures and systems, and enhancing customer and patient satisfaction may be part of the overall strategic plan, they are not the primary focus of the planning retreat.

Question 7

In a filing system containing a total of 1,255 records, 48 records are identified as misfiles. What is the percentage of filing accuracy for this area?

Accepted Answer

Filing accuracy is calculated as follows: 
Number of accurate records / Total number of records * 100%
Number of accurate records = Total number of records - Number of misfiles 
Number of accurate records = 1,255 - 48 = 1,207 
Filing accuracy = 1,207 / 1,255 * 100% = 96% 
Therefore, the answer is D.

Question 8

A histogram is a valuable tool for representing

Accepted Answer

A histogram is a graphical representation of a frequency distribution with continuous-interval data. It helps to visualize the shape, center, and spread of the data. It is not used for representing solutions, priorities, or root causes of a problem.

Question 9

Anna Kathryn is attending budget training for new supervisors. The representative from Finale explains that costs ________ will vary in direct proportion to changes in the volume of care provided.

Accepted Answer

Costs that vary in direct proportion to changes in volume of care provided are called variable costs. Fixed costs remain constant regardless of volume, periodic costs occur at regular intervals, and semi-variable costs have both fixed and variable components.

Question 10

Roberta Little Eagle is the new HIM supervisor at a large South Dakota reservation clinic. In order to become familiar with the specific steps currently used in record processing, she uses which graphic tool?

Accepted Answer

A flowchart is the most appropriate graphic tool for documenting and understanding the specific steps in a process. It provides a visual representation of the workflow, making it easier to identify areas for improvement or inefficiencies.

Question 11

To comply with ORYX, a nursing home administrator would need to

Accepted Answer

ORYX is a performance measurement initiative by The Joint Commission, and nursing homes must collect performance measure data relevant to their residents to comply with it.

Question 12

As supervisor of the record completion function of the HIM department, you are asked for record completion statistics for specific physicians who are being evaluated for reappointment to the medical staff. Which of the following information elements would you report for each physician?

Accepted Answer

When asked for record completion statistics, the number of delinquent records for each physician would be the most relevant information element to report. The other options (physician education and training, state licensure expiration date, and prior physician malpractice claims history) are not directly related to record completion and are not as relevant for this particular request.

Question 13

North Ridge Hospital is preparing to open as a new 250-bed acute care hospital. This facility located in a growing area of the city and is projected to have 85% occupancy within 3 years. determine the number of employees needed in the HIM department, the director must first

Accepted Answer

In order to determine the number of employees needed in the HIM department, the director must first identify the departmental functions to be performed. This will help the director understand the workload and responsibilities of the department, allowing them to determine the appropriate number of staff needed to meet the demands of the facility. Collecting data from other hospitals, developing an organizational chart, and determining employee salary ranges are all important steps in the process, but identifying departmental functions is the crucial first step.

Question 14

After a work sampling study was completed, it was found that 20% of a coder's time was devoted to pulling records for physicians with missing diagnoses. How many minutes of a 7-hour day are taken up with this activity?

Accepted Answer

To find out how many minutes are taken up with this activity, we need to calculate 20% of a 7-hour day (in minutes).

First, let's convert 7 hours to minutes:

7 hours × 60 minutes/hour = 420 minutes

Now, we can calculate 20% of 420:

0.2 × 420 = 84

Therefore, the coder's time devoted to pulling records for physicians with missing diagnoses takes up 84 minutes of a 7-hour day.

The correct choice is B.

Question 15

The supervisor of retention and retrieval was receiving frequent complaints from the file clerks regarding the discharge clerk's job performance. The file clerks stated it was becoming difficult to maintain their productivity levels because the discharge clerk was not processing the requisition slips in a timely manner. In order to get a clearer understanding of the situation, the supervisor asked the file clerks and the discharge clerk to complete a task list for a 2-week period. The supervisor is constructing a

Accepted Answer

The task list completed by the file clerks and discharge clerk would help the supervisor create a work distribution chart, which would show how tasks are divided among employees and could highlight any imbalances or inefficiencies in the process. The other options - flow process chart, movement diagram, and procedure flowchart - are not as relevant to this particular situation.

Question 16

An ophthalmologist has requested permission to perform specialized laser procedures within the hospital. His request is evaluated by the Credentials Committee through a process to determine the specific procedures and services this physician can perform. This is known as

Accepted Answer

The process described is known as delineation of privileges, which the Credentials Committee performs to determine the specific procedures and services a physician can perform. Discharge planning, medical staff evaluation, and reappointment are different processes that do not involve determining a physician's specific privileges within a hospital.

Question 17

The average number of transcribed lines per month at Bent Tree Hospital is 142,500. The daily production standard is 950 lines per day. With 20 workdays in the month, calculate the minim number of FTEs needed for this volume.

Accepted Answer

The answer of The average number of transcribed lines per...

Question 18

Lucy Ann manages a claims review unit for an insurance company. Her staff keys a high volume of data daily. She scheduled a staff PT to do the annual ergonomics presentation to help prevent repetitive strain injuries. All of the following would be included EXCEPT

Accepted Answer

Wrists should be in a neutral position, not elevated, to prevent repetitive strain injuries.

Question 19

Coastal Hospital is a covered entity under HIPAA,. In order to comply with the requirements, the, must train their workforce on policies and procedures with respect to protected health information (PHI). Which of the following levels of the workforce would be exempt front training?

Accepted Answer

All levels of the workforce at Coastal Hospital must be trained on policies and procedures regarding PHI. While some staff may have received training in specific areas, it is important for all members of the workforce to have a comprehensive understanding of HIPAA regulations and how they apply to their job responsibilities.

Question 20

Emma Grace is a transcriptionist. Her productivity level, as determined by line count per day, has dropped significantly over the past 2 weeks. As a result, there is a backlog in transcription of history and physical reports and surgical reports. Several doctors and the operating room supervisor have complained. An appropriate initial course of action for the Supervisor of Transcription is to

Accepted Answer

Counseling the transcriptionist privately would be a good initial step to find out why her productivity has decreased and to identify any potential solutions to get her back on track. It allows for an open dialogue and an opportunity to address any potential issues that may be contributing to the decrease in productivity. It may be a personal issue, a work-related issue, or a combination of both. Firing her immediately or suspending her without pay would be extreme measures and can create a hostile work environment. Referring the matter to HR may be necessary if the productivity issue persists or if there are other performance-related concerns, but it shouldn't be the first course of action.

Exam 1: Registered Health Information Administrator