AHIMA RHIT Registered Health Information Technician

Which organization is responsible for developing and maintaining ICD-10-CM and ICD-10-PCS coding systems in the United States?

• AAmerican Health Information Management Association (AHIMA)
• BCenters for Medicare and Medicaid Services (CMS)
• CNational Center for Health Statistics (NCHS) and CMS
• DWorld Health Organization (WHO)

What is the primary purpose of HIPAA's Privacy Rule?

• ATo establish national standards for electronic healthcare transactions
• BTo protect the privacy and security of protected health information (PHI)
• CTo prevent healthcare fraud and abuse
• DTo mandate the use of electronic health records

According to coding guidelines, when should the present on admission (POA) indicator be reported?

• AOnly for diagnoses present at the time of inpatient admission
• BFor every diagnosis on an inpatient claim, unless the code is on the POA-exempt list
• COnly for principal diagnoses
• DOnly for complications occurring during the hospital stay

Which coding system is used primarily for outpatient procedures and physician services?

• AICD-10-PCS
• BCPT (Current Procedural Terminology)
• CICD-10-CM
• DHCPCS Level II

Under the CMS Conditions of Participation for hospitals, when must a patient's medical history and physical examination (H&P) be completed and documented?

• AWithin 24 hours after the patient is discharged from the hospital
• BWithin 30 days after discharge, when the rest of the record is completed
• CWithin 7 days after admission, or before discharge if that is sooner
• DNo more than 30 days before or 24 hours after admission, and before surgery

Which of the following best defines the legal health record?

• AAll data stored in the electronic health record system
• BThe documentation of patient health information created by healthcare professionals
• CThe business record that is disclosed upon valid request
• DOnly the information required for billing and reimbursement

What is the primary purpose of the Master Patient Index (MPI)?

• ATo track patient billing information
• BTo maintain a unique identifier for each patient across the healthcare organization
• CTo store clinical documentation
• DTo manage physician credentials

Under HIPAA, which of the following is NOT considered a covered entity?

• AHealthcare providers who transmit electronic claims
• BHealth plans
• CHealthcare clearinghouses
• DPatients accessing their own medical records

What does the acronym UHDDS stand for?

• AUniform Hospital Discharge Data Set
• BUniversal Healthcare Documentation Data Standards
• CUnited Health Data Documentation System
• DUniform Healthcare Data Dictionary Standards

According to ICD-10-CM official coding guidelines, how many characters are required for an ICD-10-CM diagnosis code?

• AAlways 7 characters
• B3-7 characters depending on the code
• CAlways 5 characters
• DMinimum of 4 characters

What is Meaningful Use in the context of healthcare IT?

• AA program that required eligible providers to demonstrate use of certified EHR technology
• BA privacy standard for electronic health records
• CA coding system for electronic claims
• DA Joint Commission accreditation standard

Which organization accredits Health Information Management (HIM) education programs?

• AAHIMA
• BCAHIIM
• CJoint Commission
• DCCHIIM

What is the main purpose of document imaging in health information management?

• ATo reduce the number of employees in HIM departments
• BTo convert paper documents into electronic format for storage and retrieval
• CTo eliminate the need for medical records
• DTo create backup copies for legal purposes only

Which of the following data quality characteristics ensures that data is complete?

• APrecision
• BValidity
• CComprehensiveness
• DTimeliness

In healthcare data, what does the term "interoperability" mean?

• AThe ability of different information systems to exchange and use data
• BThe ability to code in multiple classification systems
• CThe process of scanning paper records into electronic format
• DThe standardization of medical terminology