Question 1

Which of the following steps would NOT be taken when bringing all patient health information together in a complete record, regardless of media output from?

Accepted Answer

The past composition of records in the facility is not directly relevant to the process of compiling a complete current patient health record.

Question 2

When evaluating a microfilm service bureau, all but which of the following are important factors to rate?

Accepted Answer

Cache memory is not relevant when evaluating a microfilm service bureau. Factors such as cost, emergency returns, and storage after filming are important to consider.

Question 3

When health care facilities close or medical practices dissolve, procedures for disposition of patient records should take into consideration all of the following EXCEPT for

Accepted Answer

Communities of Practice requirements are not a factor in the disposition of patient records when health care facilities close or medical practices dissolve. State laws and licensing standards, the needs and wishes of patients, and Medicare requirements are all important considerations. However, while Communities of Practice may provide guidance or recommendations, they are not legally binding and cannot override state and federal regulations.

Question 4

When designing a computer view for information capture, all of the following should be considered except for which one?

Accepted Answer

While external standards and standardized vocabularies are important to consider when designing a computer view for information capture, the size of the document and forms committee membership are also important factors to consider. Therefore, the exception is choice D, which is not a consideration when designing a computer view for information capture.

Question 5

A file area has limited space, medium file activity, and two file clerks. The HIM department would benefit from choosing which type of storage equipment?

Accepted Answer

The answer of A file area has limited space, medium...

Question 6

Case finding methods for patients with diabetes includes a review of all but which one of the following?

Accepted Answer

The answer of Case finding methods for patients with diabetes...

Question 7

The HIM Department maintains 5000,000 records and responds to 5,000 requests for records in a given period of time. What is the record usage rate?

Accepted Answer

Record usage rate is calculated by dividing the number of record requests by the total number of records maintained and multiplying by 100 to get a percentage.

Record usage rate = (number of record requests / total number of records maintained) x 100

In this case, the record usage rate would be:

(5000 / 500000) x 100 = 1%

Therefore, the correct answer is B) 1%.

Question 8

If the file clerks are having trouble locating the terminal digit sections quickly, the filing supervisor could add more

Accepted Answer

Adding more file guides would help the clerks locate the terminal digit sections quickly as they act as signposts to show where each section begins and ends. Outguides are used when files are taken out of the filing system and are not relevant to this scenario. Requisitions are used to request materials or services and not relevant to filing. Hiring more file maintenance staff may not address the issue of difficulty in locating the terminal digit sections.

Question 9

Which of the following is NOT an alternative storage method for paper records?

Accepted Answer

An outguide is a placeholder used in filing systems to indicate where a file has been removed, not an alternative storage method.

Question 10

Which of the following is NOT a consideration in the file folder size and design?

Accepted Answer

The vendor location is not a consideration in file folder size and design. The other options (reinforced top and side panels, scoring on folder bottoms, and weight of folder) are all factors that are typically taken into consideration when designing and selecting file folders.

Question 11

The HIM Department receives a request for a certified copy of a birth certificate on a patient born in the hospital 30 years ago. The Department should

Accepted Answer

The HIM Department should direct the request to the state's office of vital records as they are the official custodian of birth certificates and have the authority to provide certified copies of vital records. The hospital may only provide copies of certain portions of the record, but not the birth certificate itself.

Question 12

The main advantage of phonetic filing is

Accepted Answer

The main advantage of phonetic filing is that names that sound alike are filed together, making it easier to locate and retrieve files.

Question 13

Which one of the following is NOT a data retrieval technology?

Accepted Answer

Point and click fields are a data entry technology, not a data retrieval technology.

Question 14

Where in the health record would the following statement be located: "Microscopic Diagnosis: Live (needle biopsy), metastatic adenocarinoma"?

Accepted Answer

This statement would be located in the pathology report, which contains the results of tissue and cell analysis.

Question 15

The HIM Department is located in a teaching hospital and provides record access 24 hours a day, 7 days a week. To secure the file area and continue to maintain accessibility, the department director should

Accepted Answer

Staffing the file area with file clerks on all three shifts would provide the necessary security and accessibility as the HIM Department is located in a teaching hospital and provides 24/7 record access. Having a director on call or instructing medical staff or nurse supervisors may not be as effective in ensuring file area security and accessibility.

Question 16

TO protect health information from catastrophes such as fire, flooding, bomb threats, and theft, Joint Commission-accredited facilities are required to maintain a _______ plan.

Accepted Answer

Accredited healthcare facilities are required to maintain a disaster plan to protect health information from catastrophes such as fire, flooding, bomb threats, and theft. This plan outlines the procedures to ensure the safety and availability of health information during emergencies. A budget plan, patient care plan, or case management plan does not specifically address protecting health information during catastrophes.

Question 17

A surgeon requests the name of a patient he admitted on January 4, 2009. Which of the following would be used to retrieve this information?

Accepted Answer

The admission register is a log of all patients admitted to a healthcare facility and typically includes the admission date. This would be the best choice for retrieving the name of a patient admitted on a specific date. The master patient index is a database of all patients seen at a healthcare facility and their demographic information. The number index and operation index are not relevant to this request.

Question 18

Technologies that can make data capture easier include all but which one of the following?

Accepted Answer

Direct data capture from a medical device attached to the HIM employee is not a typical method for making data capture easier, as it is not a standard practice or technology used in data capture processes.

Question 19

When merging or overwriting demographic information for duplicate and overlap master patient index entries, AHIMA recommends converting all but which one of the following minimum data elements?

Accepted Answer

AHIMA recommends retaining the attending physician information as it is crucial for patient care continuity and should not be converted or overwritten when merging or handling duplicate patient records.

Question 20

Which of the following issues would be of LEAST concern when storing health records in off-site storage?

Accepted Answer

Filing order of the records is of least concern when storing health records in off-site storage because the records are not accessed frequently and can be retrieved in any order.

Exam 1: Registered Health Information Administrator