RHIA Exam Prep 79 Questions with Verified Answers 2021
In order to prevent the accidental introduction of a virus into your facility's local area
... [Show More] network, your facility has a policy that strictly prohibits:
a. Doing personal work on the computer system, even during personal time
b. Sharing disks from one workstation to another within the facility
c. Sending or receiving e-mail from addresses that have not been authorized
d. Downloading executable files from electronic bulletin boardsCORRECT ANSWER d. Downloading executable files from electronic bulletin boards
Which of the following employees would be considered exempt under the Fair Labor Standards Act?CORRECT ANSWER The head of the HIM Department who is involved in decision making and planning 90% of the time
❁Exempt- are not entitled to overtime pay
❁Nonexempt- are entitled to overtime pay
(WRONG) Your HIM department is moving to a new location and in order to arrange your employees and functions for optimal workflow efficiency and to decide which employees need to be placed close to each other, the tool you decide to use is a:
a. PERT chart
b. Proximity chart or movement diagram
c. Process flowchart
d. Data flow diagram.CORRECT ANSWER c. Proximity chart OR movement diagram
❁PERT chart (Program Evaluation Review Technique)- provides a graphical representation of a project's timeline. And breaks down the individual tasks of a project for analysis. PROJECT PLANNING
❁Process flowchart- a diagram that shows the sequential steps of a process and the decisions needed to make the process work
❁Proximity chart- look at image!!!
(WRONG) A p value of less than 0.05 is what researchers commonly use to reject the null hypothesis. A smaller p value may place interpretation of the results of the study at risk for a:
A. sampling error
B. stratification error
C. type 1 error
D. type 2 errorCORRECT ANSWER A. sampling error
❁Sampling error- when a sample does not represent the whole population
❁Type 1 error- when an investigator rejects a null hypothesis that is actually true
❁Type 2 error- if the investigator FAILS TO REJECT a null hypothesis that is actually false
Inductive vs. Deductive reasoning
EmpiricismCORRECT ANSWER ❁Inductive reasoning- aims at developing a theory ❁Deductive reasoning- aims at testing an existing theory
❁Empiricism- the theory that all knowledge is derived from sense-experience
(WRONG) Evidence-based management and decision making is an emerging model now used to make more informed decisions. The premise of this model is:
A. using intuition based on previous experience
B. using a decision tree with branches that show the alternatives
C. using the best clinical and research practices available
D. using an alternative that meets minimum requirements.CORRECT ANSWER C. using the best clinical and research practices available
(WRONG) As the Project Manager for the upcoming EHR implementation, you ask your assistant to develop a work breakdown structure (WBS). Critical to implementations and project success, the WBS:
A. lists steps needed to complete the project.
B. determines dependencies among project tasks.
C. describes project responsibilities.
D. defines the project's critical path.CORRECT ANSWER A. lists steps needed to complete the project.
In your job as Chief Security Officer, you are evaluating software programs that will support your policy on sound terminal controls within your facility. One of the features you include in your request for information to vendors is:
A. time-out feature.
B. encryption.
C. voice recognition feature.
D. unique identifier for log-on.CORRECT ANSWER A. time-out feature.
(WRONG) You have been asked to reduce your department's operating budget by 20%. In order to do so, you will have to effect reductions in your largest budget line. You will have to make cuts in:
A. equipment.
B. personnel.
C. supplies.
D. contracts.CORRECT ANSWER B. personnel.
(WRONG) The researchers in the previous question wonder if there is any relationship between patient age and average fasting blood sugar. The best data display tool the researchers could use to look for a possible relationship would be a:
A. Pareto diagram
B. line graph
C. scatter diagram
D. cause and effect diagramCORRECT ANSWER C. scatter diagram
❁Pareto diagram- useful to find the defects to prioritize in order to observe the greatest overall improvement
❁Line graph- used to track changes over short and long periods of time
National Health Information Network (NHIN)CORRECT ANSWER National system under development that will permit electronic sharing of healthcare data among those involved in care provision across the U.S.
The committee that is preparing your acute care hospital for an electronic health record is planning for an imaging system for record archiving in the immediate future. They are looking for a solution for data interfacing or integration of the imaging system into other computer systems. You recommend:
A. data dictionary guidelines.
B. Health Level 7 standards.
C. Regional Health Information Organization guidelines.
D. Joint Commission standardsCORRECT ANSWER B. Health Level 7 standards
❁Data dictionary guidelines- a set of information describing the contents, format, and structure of a database and the relationship between its elements, used to control access to and manipulation of the database
❁Health Level 7 standards- set of standards, formats and definitions for exchanging and developing EHR
❁Regional Health Information Organization guidelines (RHIO)- a group of organizations within a specific area that share healthcare-related information electronically
The CFO of your facility asks you to prepare a budget for the fiscal year based on the past volume and expected capacity for the coming year. This process is an example of using the "________" budgeting method:
A. rolling budget
B. fixed budget
C. flexible or statistics budget
D. zero-based budgetCORRECT ANSWER B. fixed budget
❁Rolling budget- continuous budget that is updated regularly when the earlier budget period expires
❁Fixed budget- budget that does not change or flex for increases or decreases in volume
❁Flexible or statistics budget- changes as per the activity level or production of units
❁Zero-based budget- method of budgeting in which all expenses must be justified for each new period. Budgets are then built around what is needed for the upcoming period
(WRONG) There are 15 employees in your department. There were 21 working days last month. There were a total of 12 lost workdays last month due to absenteeism of all types. The absenteeism rate for your department last month was:
A. 21%.
B. 57%
C. 4%
D. 5%CORRECT ANSWER C. 4%
❁Calculation:
12 lost workdays
(15 employees x 21 working days) x 100 = 3.80 = 4%
The file clerks in your department's main file area report that they are able to locate 400 out of 450 requested records during the past month. There are a total of 4,500 records in the main file. What is the area's accuracy rate?
A. 1.1%
B. 8.9%
C. 10.0%
D. 88.9%CORRECT ANSWER D. 88.9%
❁Calculation:
(400 ÷ 450) x 100 = 88.9%
(WRONG) In conducting an educational session for your staff about implementing a benchmarking program, you tell your staff that when an organization uses benchmarking, it is important to compare your facility's outcomes to:
A. nationally known facilities
B. larger facilities
C. facilities within your corporation
D. facilities with superior performanceCORRECT ANSWER D. facilities with superior performance
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?
A. 1.77 hours
B. 3.28%
C. 3.94 hours
D. 9.2%CORRECT ANSWER A. 1.77 hours
❁Calculation:
76 ÷ 300 = 0.253
0.253 x 7 hours = 1.77 hr
The correspondence section of your department receives an average of 50 requests per day for release of information. It takes an average of 30 minutes to fulfill each request. Using 6.5 productive hours per day as your standard, calculate the staffing needs for the correspondence section.
A. 3.8 FTE
B. 2.5 FTE
C. 3 FTE
D. 4 FTECORRECT ANSWER A. 3.8 FTE
❁Calculation:
50 requests x 30 min/request= 1,500
1,500 ÷ 60 min/hr = 25
25 ÷ 6.5 standard hr = 3.8 FTE
If a time standard is determined from sample observation 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.
a. 153 records per day
b. 180 records per day
c. 192 records per day
d. 200 records per dayCORRECT ANSWER a. 153 records per day
❁Calculation:
7.5 hr/day x 60 min/hr= 450 mins
450 mins x 15%= 67.5mins
450 mins - 67.5 mins= 382.50 min
382.50 min ÷ 2.50 min/record= 153 records
Now that the EHR has been fully implemented, you are ready to move old records to basement storage. You are ordering shelving for those old paper files. You have 18,000 records. The files average is three files per filing inch. The shelf units you have selected have six shelves that will hold 34 inches per shelf. You will have to plan for a 20% expansion rate to accommodate miscellaneous paper records over the next 10 years. How many shelving units should you order?
A. 30
B. 31
C. 35
D. 36CORRECT ANSWER D. 36
❁Calculation: (You can only purchase whole shelf units)
34 in x 3 files/filing inch = 102 records per SHELF
102 records per SHELF x 6 shelves = 612 records per filing UNIT
18,000 records x 0.20% = 3,600 records for project expansion
18,000 records + 3,600 = 21,600 total records
21,600 ÷ 612 = 35.29 = 36 total filing units needed
The decision makers in the HIM department have decided to use the decision analysis matrix method to select coding software. Use of this method will help ensure:
A. all alternatives/vendors are evaluated subjectively
B. the personalities of individual vendors will not influence the decision
C. consistent criteria are used to evaluate the alternatives/vendors
D. the level of software support will be considered in the decisionCORRECT ANSWER C. consistent criteria are used to evaluate the alternatives/vendors
Annual costs for the only Release of Information Clerk at Jacksonville Beach Healthcare Center (salary and benefits) are $36,429. The monthly cost for the copier used solely for ROI is $89 (supplies and repairs). It costs the department $0.95 on average for ROI mailings (envelopes and postage). There were 687 requests filled for ROI last month. The cost per request for release of information last month was:
A. $4.42.
B. $4.55
C. $4.63
D. $5.50CORRECT ANSWER D. $5.50
❁Calculations:
$36,429 annual labor costs ÷ 12 months = $3,035.75 cost per month
$3,035.75 + $89 copier cost = $3,124.75 monthly costs $3,124.75 ÷ 687 ROI last month = 4.548 or $4.55 unit cost (not counting mailing)
$4.55 + 0.95 average mailing cost = $5.50 per ROI
(WRONG) One record documentation requirement shared by BOTH acute care and emergency department is:
A. patient's condition on discharge
B. time and means of arrival
C. advance directive
D. problem listCORRECT ANSWER A. patient's condition on discharge
Your facility is storing scanned records for long-term storage on optical disk. The Risk Management Committee's Disaster Task Force has recommended that copies of the disks be stored at a facility across town. The administrator is concerned that records may be altered on the disks stored off-site. You tell the administrator:
A. this is a legitimate concern; it should be addressed in the contract written with the storage facility.
B. this is not a concern because WORM technology makes it impossible to alter the documents.
C. this is a legitimate concern; perhaps the committee should consider storing duplicates in two locations in this facility.
D. this is not a concern; there is really no need to make and store duplicate disks as they are difficult to damage.CORRECT ANSWER B. this is not a concern because WORM technology makes it impossible to alter the documents.
❁Write once read many (WORM)- describes a data storage device in which information, once written, CANNOT BE MODIFIED
The Health Department is considering a big newspaper advertising campaign to promote their family planning services. You suggest they first conduct an external analysis to determine the type of advertising most of the people in your target group rely on when making healthcare choices. You are suggesting the Health Department first engage in a(n):
a. SWOT analysis
b. gap analysis
c. utilization analysis
d. allocation analysisCORRECT ANSWER a. SWOT analysis
❁SWOT (Strengths Weaknesses, Opportunities, and Threats) analysis- help organizations develop a full awareness of all the factors involved in making a business decision.
*** Done for long-term goals
❁Gap analysis- an internal evaluation to identify performance deficiencies
***Done to reach short term goals
Part of your job description is to educate physicians regarding proper documentation policies and standards. You are the:
A. Information Security Manager
B. Clinical Data Specialist
C. Health Information Manager
D. Risk ManagerCORRECT ANSWER C. Health Information Manager
(WRONG) An effective means of protecting the security of computerized health information would be to:
A. require all facility employees to change their passwords at least once a month
B. write detailed procedures for the entry of data into the computerized information system
C. install a system that would require fingerprint scanning and recognition for data access
D. develop clear policies on data security that are supported by the top management of the facilityCORRECT ANSWER D. develop clear policies on data security that are supported by the top management of the facility
ORYX is a program that was developed by:
A. CMS to track Medicare costs
B. Joint Commission to link patient outcomes to accreditation
C. NIH to track communicable diseases
D. AMA to allow for rapid CPT updatesCORRECT ANSWER B. Joint Commission to link patient outcomes to accreditation
❁ORYX- Joint Commission performance measurement and improvement initiative
A number of key elements for your facility's computerized patient record are still input by clerical staff from handwritten data entry sheets. You are concerned about the transfer of data. If the vital signs stored in the database are not what were originally recorded, the impact on patient care could be severe. You are concerned about the:
A. stability of the data
B. validity of the data
C. legitimacy of the data
D. reliability of the dataCORRECT ANSWER B. validity of the data
A piece of objective data collected upon initial assessment of the patient is the:
A. review of systems.
B. history of present illness.
C. chief complaint.
D. vital signs.CORRECT ANSWER D. vital signs.
(WRONG) Your facility would like to improve physician documentation in order to allow improved coding. As coding supervisor, you have found it very effective to provide the physicians with:
A. a copy of the facility coding guidelines, along with written information on improved documentation
B. the UHDDS and information on where each data element is collected and/or verified in your facility
C. regular in-service presentations on documentation, including its importance and tips for improvement
D. feedback on specific instances when improved documentation would improve codingCORRECT ANSWER D. feedback on specific instances when improved documentation would improve coding
(WRONG) In order to alter the facility's health record format to achieve a record which is strictly chronological, the medical record committee would recommend a/an:
a. Integrated medical record
b. Universal chart order
c. Problem-oriented medical record
d. Source-oriented medical recordCORRECT ANSWER a. Integrated medical record
❁Integrated medical record- arranged so that the documentation from various sources is intermingled and follows a strictly chronological or reverse chronological order.
❁Problem-oriented medical record- arranged according to a problem list.( Patient past and present social psychological and medical problems
❁Source-oriented medical record- documents are grouped together according to their point of origin
You and the statistician, Dr. Cline, are working to determine the sample size. You are discussing which sampling method you will use. There are 1,200 possible records and you need 100 records for the study. Dr. Cline suggests you select every twelfth record until sample size is achieved. This makes sense to you. It takes less time and is less subject to error than other sampling methods. The two of you agree to use:
a. random sampling
b. simple sampling
c. systematic sampling
d. stratified random samplingCORRECT ANSWER c. systematic sampling
❁Random sampling-
❁Simple sampling-
❁Systematic sampling-
❁Stratified random sampling-
Your facility is part of a community health information network and you belong to a committee charged with the responsibility of encouraging the uniform collection and reporting of data. Among your recommendations is the adoption of a common:
a. data set
b. forms designs
c. record format
d. data quality monitoring systemCORRECT ANSWER a. data set
(WRONG) Sally had 3 babies in 4 years and she considered that's more than enough. During her hospitalization for her third delivery, Sally had a sterilization procedure performed. When the record is coded, the V-code for sterilization, V25.2 is:
a. not used
b. used and sequenced as the principal diagnosis
c. used and sequences as the secondary diagnosis
d. the only code usedCORRECT ANSWER c. used and sequences as the secondary diagnosis
(WRONG) A 19-year-old former patient faxes a request to your facility requesting the release of his medical records of all episodes of care to the Army. The release of information clerk should:
A. send the records as requested
B. inform the young man that specific reports must be identified in his request
C. send a letter informing him that faxed requests are not accepted
D. deny the requestCORRECT ANSWER A. send the records as requested
Joanie Howell presents to Dr. Franklin requesting rhinoplasty. Because Howell is covered by Medicare, Dr. Franklin must provide Howell with:
A. a Notice of Exclusion, because rhinoplasty is not a Medicare covered service
B. an Advance Beneficiary Notice, because rhinoplasty is not a Medicare covered service
C. a Notice of Exclusion, because Howell's rhinoplasty may not be medically necessary
D. an Advance Beneficiary Notice, because Howell's rhinoplasty may not be medically necessaryCORRECT ANSWER D. an Advance Beneficiary Notice, because Howell's rhinoplasty may not be medically necessary
❁Advance Beneficiary Notice (ABN)- waiver of liability. A notice a provider should give you before you receive a service if, based on Medicare coverage rules, your provider has reason to believe Medicare will not pay for the service.
❁Notice of Exclusion- OIG exclude individuals from participating in Federal healthcare programs if convicted of certain criminal offenses
As the Information Security Officer at your facility, you have been asked to provide examples of the physical safeguards used to manage data security measures throughout the organization. Which of the following would you provide?
A. audit controls
B. entity authentication
C. chain-of-trust partner agreements
D. workstation use and locationCORRECT ANSWER D. workstation use and location
A patient's husband slipped and fell in your HIM reception area and now he is suing the facility. You have to prepare detailed written answers to a long list of questions and send them to your hospital attorney. You will spend the afternoon working on:
A. affidavits
B. allocutions
C. interrogatories
D. depositionsCORRECT ANSWER C. interrogatories
❁Affidavits- a written statement confirmed by oath OR affirmation, for use as evidence in court
*** to prove that a claim is true
The MS-DRG weight in a particular case is 2.0671 and the hospital's payment rate is $3,027. How much would the hospital receive as reimbursement in this case?
A. $3,027.00
B. $5,094.10
C. $6,257.11
D. $960.00CORRECT ANSWER C. $6,257.11
❁Calculation: $3,027 x 2.0671 = $6,257.11
When checking the census data at South Beach Women's Center, you see that just yesterday, there were four sets of triplets, five sets of twins, and eight single births. Yesterday, South Beach Women's Center had:
A. 17 deliveries
B. 25 deliveries
C. 30 deliveries
D. 39 deliveries.CORRECT ANSWER A. 17 deliveries
❁Multiple births are still considered one delivery for statistical purposes
Four HIT students are working on a LOS project at their clinical site. To describe the variability of the data, Smithson suggests using range because it is the most exact. Donaldson wants to use the mean because it is easy to calculate. Franklin recommends variance because it is the most popular measure of variability. Howell proposes the use of standard deviation because it is the most preferred and has better interpretive uses. Who made the best suggestion?
A. Smithson
B. Donaldson
C. Franklin
D. HowellCORRECT ANSWER D. Howell
❁When calculating LOS, it's best to use STANDARD DEVIATION
Community Hospital reported an average LOS in December of 3.7 days with a standard deviation of 23. This information indicates that:
A. there was a small variation in the LOS at Community Hospital
B. there was a large variation in the LOS at Community Hospital
C. most of the patients at Community Hospital stay 3 to 4 days
D. patients stay longer at Community than at most hospitalsCORRECT ANSWER B. there was a large variation in the LOS at Community Hospital.
You are implementing a quality improvement plan that utilizes the PDSA cycle. If you correctly implement PDSA, which phase of the project will take the most of your time?
A. P
B. D
C. S
D. ACORRECT ANSWER A. P
❁PDSA Cycle:
Plan-Do-Study- Act used for quality improvement
The Federal Age Discrimination in Employment Act of 1967 (DEA):CORRECT ANSWER protects certain applicants and employees 40 years of age and older from discrimination on the basis of age in hiring , promotion, discharge, compensation,etc.
Release of information has increased its use of part-time prn clerical support in order to respond to increased requests for release of information. The budget variance report will reflect:
A. the increase in the cost of part-time clerical support for ROI but not the increase in revenue from this area.
B. the increase in revenue from increased volume in ROI but not the increased costs of part-time clerical support
C. both the increases in revenue and increased costs for clerical support in ROI.
D. neither the increased costs nor increased revenue, as temporary changes are rarely reflected on variance reports.CORRECT ANSWER A. the increase in the cost of part-time clerical support for ROI but not the increase in revenue from this area.
❁Budget variance-the difference between the amount budgeted for and the actual amount spent
A patient who was admitted to the hospital on January 14 and discharged on March 2 in a nonleap year has a length of stay of:
A. 45 days.
B. 46 days.
C. 47 days.
D. 48 daysCORRECT ANSWER C. 47 days.
❁Calculation:
31- 14+ 28+ 2 = 47 days
❁Nonleap year= 28 days
A 335 bed hospital opened a new wing on June 1 of a nonleap year, increasing its bed count to 350 beds. The total bed count days for the year at the hospital was:
A. 125,485
B. 122,275
C. 127,750
D. The answer cannot be calculated with the information provided.CORRECT ANSWER A. 125,485
❁Calculation:
(335 x 151days) + (350 X 214days) =125,485
***jan31 + feb28+ Mar31 + Apri30 + May31= 151 days
***Jun30 + Jul31 + Aug31+ Sept 30 + Oct 31 + Nov 30 + dec31= 214 days
An HIM Department Budget Report for May shows a payroll budget of $25,000 and an actual payroll expense of $22,345. The percentage of budget variance for the month is:
A. $2,655.
B. 11%.
C. $265.
D. 0.9%.CORRECT ANSWER B. 11%.
❁Calculation:
***$25,000-$22,345 = $2,655
***($2,655 ÷ $25,000) x 100 = 10.6 = 11%
The transcriptionists have collected data on the number and types of problems with the dictation equipment. The best tool to display the data they collected is a:
A. flowchart
B. Pareto chart
C. Gantt chart
D. PERT chartCORRECT ANSWER C. Gantt chart
A coworker complained of the sudden onset of chest pain and was admitted. A myocardial infarction was ruled out. You would code:
a. the myocardial infarction as if it were an established condition
b. both the infarction and the chest pain and sequence the infarction first
c. as an impending myocardial infarction
d. only the chest painCORRECT ANSWER d. only the chest pain
(WRONG) Which of the following are considered late effects regardless of time?
A. congenital defect
B. nonunion
C. nonhealing fracture
D. poisoningCORRECT ANSWER B. nonunion
❁Nonunion- when a broken bone fails to heal
(WRONG) Which of the following would be coded as a poisoning?
A. Coumadin intoxication due to a cumulative effect
B. idiosyncratic reaction to Artane
C. interaction between Aldomet and a vasodilating agent
D. reaction between Coumadin and an over-the-counter medicationCORRECT ANSWER D. reaction between Coumadin and an over-the-counter medication
Parker has type 1 diabetes with hypertension that is currently controlled with medication. Parker was admitted through the ED for an emergency appendectomy. Following surgery, the patient developed an infection at the wound site that was treated with antibiotics. When making decisions about sequencing the codes for this case, the coder should rely on definitions found in the:
A. UHDDS
B. Coding Clinic
C. CMS Coding Guidelines
D. Federal RegisterCORRECT ANSWER A. UHDDS
❁UHDDS (Uniform Hospital Discharge Data Set)- used for reporting inpatient data in acute care, short term care, and long term care hospitals
Stan works in an acute care general hospital, Fran works for a skilled nursing facility, Ann is employed at an assisted living facility, and Dan works for a home care provider. Which people are employed in facilities that may seek Joint Commission accreditation?
A. only Stan and Fran
B. only Stan and Dan
C. only Fran and Dan
D. Dan, Stan, and FranCORRECT ANSWER D. Dan, Stan, and Fran
❁Skilled nursing facilities, assisted living facilities, and homecare provider may all seek JC accreditation
In reviewing a health record for coding purposes, the coder notes that the patient was put on Keflex post-surgery. There is no mention of a postoperative complication in the attending physician's discharge summary. Before querying the doctor, the coder will seek to confirm the infection by reviewing the:
A. lab report
B. nurses' notes
C. operative report
D. pathology report.CORRECT ANSWER A. lab report
You are calculating the fee schedule payment amount for physician services covered under Medicare Part B. You already have the relative value unit figure. The only other information you need is:
A. the facility's case-mix index
B. a national conversion factor
C. the facility's base rate
D. MS-DRG relative weightsCORRECT ANSWER B. a national conversion factor
The special form or view that plays the central role in planning and providing care at nursing, psychiatric, and rehabilitation facilities is the:
A. interdisciplinary patient care plan
B. medical history and review of systems
C. interval summary
D. problem listCORRECT ANSWER A. interdisciplinary patient care plan
❁Interdisciplinary care plan is the foundation around which patient care is organized
***It contains input from the unique perspective of each discipline involved
***It includes an assessment, statement of goals, identification of specific activities, or strategies to achieve those goals and periodic assessment of goal attainment.
Employing the SOAP style of progress notes, choose the "assessment" statement from the following:
A. Patient states low back pain with sciatica is as severe as it was on admission
B. Patient moving about very cautiously appears to be in pain.
C. Adjust pain medication; begin physical therapy tomorrow.
D. Sciatica unimproved with hot pack therapy.CORRECT ANSWER D. Sciatica unimproved with hot pack therapy.
❁S-subjective; records what the patient states is the problem
❁O-objective; records what the practitioner identifies through history, physical examination, and diagnostic tests
❁A-assessment; combines the subjective and objective into a conclusion
❁P-plan; what approach is going to be taken to resolve the problem
(WRONG) Tallahassee Health Center needs occasional help in coding to remain current. Rena, the coding manager, is seeking an individual who is available evenings and weekends and will be responsible for his or her own actions. At a regional HIM meeting, Rena announces that she is looking for a(n)
A. consultant.
B. statutory employee.
C. part-time employee.
D. independent contractor.CORRECT ANSWER D. independent contractor.
(WRONG) Which of the following types of members is best for a committee?
A. Individuals of equal rank and authority
B. A diverse group with widely varied rank and authority
C. A blend of managers and entry level staff
D. There is no clear benefit to one form or another.CORRECT ANSWER A. Individuals of equal rank and authority
Sarah 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 Sarah's database management role?
A. $15,016
B. $18,470
C. $22,524
D. $27.705CORRECT ANSWER B. $18,470
❁Calculations: $37,540 × 123% = $46,174.20.
HIM pays 40% or $46,174.20 × 0.40 = $18,469.68,
rounded to $18,470
Christina is a pharmacy tech who 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:
A. flex time.
B. outsourcing.
C. consulting
D. telecommutingCORRECT ANSWER D. telecommuting
The 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 the supervisor revise to reflect the actual skills, knowledge, and responsibilities in order to have the HIM analysis position reevaluated?
A. Needs assessment
B. Job description/job specifications
C. Wage and salary survey
D. Department policy and proceduresCORRECT ANSWER B. Job description/job specifications
Your organization's employees consist of a mixture of women and men. The women are of all ages, some are single mothers, others are married women with no children, and still others are women who care for older parents at home. The men also have varying personal lifestyles.Human Resources have designed a new benefit program that allows employees to choose from an array of benefits based on their own needs or lifestyle. The new benefit program is called a(n):
A. prepaid benefit plan.
B. cafeteria benefit plan.
C. flexible benefit plan.
D. employee-driven benefit plan.CORRECT ANSWER B. cafeteria benefit plan
❁Cafeteria benefit plan- allows employees to choose from an array of benefits based on their own needs or lifestyle
Jon is a recent graduate who has applied for a position as Trauma Registrar at a Tampa General Hospital 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:
A. $40, 650.00.
B. $39,563.25.
C. $38,599.00.
D. $31,030.00.CORRECT ANSWER A. $40, 650.00.
❁Calculation: $15.00 × 2,080 hours per year = $31,200 × 27.5% = $8,580
Tuition waiver- 6 credits at $145 = $870.
Therefore, $31,200, + $8,580 + $870 = $40,650
HIM professionals increasingly participate on project teams. Tuckman has developed a model describing predictable stages. Which of the following reflects the stage where teams may experience disequilibrium?
A. storming
B. performing
C. forming
D. normingCORRECT ANSWER A. storming
❁Tucker's 5 stages of group development
1. Forming- forming the group; setting ground rules; finding similarities
2. Storming- dealing with the issues of power and control; surfacing differences
3. Norming- managing group conflict; finding group norms; resurfacing similarities
4. Performing- functioning as an effective group
5. Adjourning- finding closure
The teaching method selected by an instructor influences the student's ability to understand the material. Instructor-led classrooms work best when:
a. In-depth training and interaction are desired
b. There are three shifts of employees to train
c. You want to minimize the cost for training
d. Employees from all departments must be trainedCORRECT ANSWER a. In-depth training and interaction are desired
Human Resources has recently provided training for and implemented a new performance appraisal system that includes input from managers, peers, and staff. This approach is typically known as:
A. multifactor evaluation.
B. holistic appraisal.
C. 360-degree evaluation.
D. group appraisalCORRECT ANSWER C. 360-degree evaluation.
Human Resource managers increasingly advise which of the following as the best approach for obtaining a legally sound and reliable reference?
a. A telephone reference from a personal friend of the applicant
b. A written reference from a former supervisor of the applicant
c. A telephone reference from a former supervisor of the applicant
d. A written reference from the Human Resources Department of the applicant's former employerCORRECT ANSWER c. A telephone reference from a former supervisor of the applicant
(WRONG) Mark Beck is a new graduate preparing for an interview. In school, he had the opportunity to role-play a technique that requires applicants to give specific examples of how they have performed a specific task or handled a specific problem in the past. This technique is becoming more popular and is known as:
a. Audition interview
b. Behavioral interview
c. Structured interview
d. Targeted interviewCORRECT ANSWER b. Behavioral interview
(WRONG) To ensure consistency of coverage among trainers, you may want to develop:
a. Training manuals
b. Meeting handouts and minutes
c. Signed confidentiality statements acknowledging receipt and understanding of any training attended
d. Ongoing training to keep the issues in front of the workforceCORRECT ANSWER a. Training manuals
The management assumption that work and the opportunity to utilize skills, knowledge, and talents are basic human needs was presented in McGregor's:
A. Theory X.
B. Theory Y.
C. Delphi Process.
D. Managerial Grid Model.CORRECT ANSWER B. Theory Y.
❁Theory X (authoritarian)- assumes that workers lack self-motivation
***workers should be continuously monitored and supervised
❁Theory Y (participative)- implies that workers are self-motivated and self-controlled
***workers do not need to be observed or supervised
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?
A. Gantt chart to show who gets trained when
B. Spreadsheet with grids identifying who needs what type of training
C. A "train-the-trainers" training manual to help in consistency in training
D. Documentation of previous orientation training to see what has already been coveredCORRECT ANSWER B. Spreadsheet with grids identifying who needs what type of training
Southwest Home Care utilizes a discipline system that provides for stronger penalties for successive repeat offense. You are most likely using:
a. Corrective discipline
b. Preventive discipline
c. Progressive discipline
d. Terminating disciplineCORRECT ANSWER c. Progressive discipline
❁Corrective discipline- the administration of increasingly severe measures when an employee fails to correct a problem after being given a reasonable opportunity to do so
❁Preventive discipline- action is taken to encourage employees to follow standards and rules so that indiscipline is prevented
❁Progressive discipline- uses graduated steps for dealing with problems related to an employee's performance that do not meet clearly defined standards and policies
**Verbal warning
**Written warning
**Suspension
**Termination
(WRONG) Fareeda's methods improvement objectives are to use an organized approach to determine how to accomplish a task with less effort in less time or at a lower cost while maintaining or improving the quality of the outcome. Frequently, methods improvement is referred to as:
A. benchmarking.
B. work simplification.
C. data quality improvement.
D. work distribution.CORRECT ANSWER B. work simplification.
Eva Pulaski supervises the electronic document management (EDM) section. She is preparing a report that includes a graphic that displays data over time and provides an excellent visualization of quality and quantity trends. This style of a report is called a(n)
A. Pareto chart
B. Correlation analysis
C. Run or line chart
D. Scatter diagramCORRECT ANSWER C. Run or line chart
The transcription area has an opening for a transcriptionist with demonstrated skill in medical and surgical reports. Which of the following types of tests should be administered?
A. Performance
B. Aptitude
C. Intelligence
D. StressCORRECT ANSWER A. Performance
Kristen combined her HIM and legal education and is now a Risk Manager. An employee has a complaint that may be considered a grievance. She should listen to the employee and then:
A. put the complaint aside to see if other employees complain about the same issue.
B. deal with the issue as if it were a bona fide grievance.
C. deal with the complaint only if the employee seldom complains.
D. ignore the complaint until it is in writing.CORRECT ANSWER B. deal with the issue as if it were a bona fide grievance.
❁Bona fide- real/ genuine [Show Less]