AHIMA RHIT Certification Exam Question and Answers for preparation

1. C E R T S GR A DE High Grade and Valuable Preparation Stuff High Grade and Valuable Preparation Stuff Medical Technology AHIMA-RHIT Registered Health Information Technician (RHIT) exam Questions And Answers PDF Format: For More Information – Visit link below: https://www.certsgrade.com/ Version = Version = Product Visit us athttps://www.certsgrade.com/pdf/ahima-rhit/

2. Latest Version: 6.0 Question: 1 The Medicare Outpatient Code Editor (OCE) conducts the following types of edits: coding, coverage, clinical, and A.claims. B.coverage. C.cancellation. D.cause. Answer: A Explanation: The Medicare Outpatient Code Editor (OCE) conducts the following types of edits: Coding: Ensures claim does not include inpatient only procedures and that codes are valid and there are no age or gender conflicts. Coverage: Ensures claims are for covered procedures. Clinical: Ensures demographic information is correct. Claims: Ensures dates, units of service and observations are appropriate. Question: 2 When calculating the fetal death rate for the hospital, which of the following should be included in the calculations? A.All fetal deaths, regardless of weeks of gestation or weight B.All fetal deaths occurring at or after 20 weeks' gestation or weight of at least 501 g C.All fetal deaths occurring at or after 10 weeks' gestation D.Only fetal deaths occurring at or after 28 weeks' gestation or weight of greater than 1000 g Answer: B Explanation: When calculating the fetal death rate for the hospital, all fetal deaths occurring at or after 20 weeks' gestation or weight of equal to or greater than 501 g should be included in the calculation. Early fetal deaths occurring prior to 20 weeks' gestation or with a weight of 500 g or less are not counted in the fetal death rate. Fetal deaths are classified by gestation and weight: Early: under 20 weeks and under 500 g. Intermediate: 20-28 weeks or more and weight of 501 to 1000 g. Late: 28 weeks or more and weight over 1000 g. To calculate fetal death rate: Total # intermediate and late fetal deaths [Total # live births]+[total # intermediate and late fetal deaths Visit us athttps://www.certsgrade.com/pdf/ahima-rhit/

3. Question: 3 If an insurer, such as Blue Cross/Blue Shield, denies a claim, within how many days of denial must an internal appeal be submitted? A.30 B.60 C.90 D.180 Answer: D Explanation: If an insurer, such as Blue Cross/Blue Shield, denies a claim, an internal appeal (carried out by the insurance company) must be submitted within 180 days of the denial. The insurance company must complete the appeals process and render a decision within 30 days for future services and 60 days for services already received. If the insurer continues to deny the claim, the claimant has 60 days after notification of the denial to request an external review carried out by a third party. Question: 4 Which of the following is an example of malware that copies itself and spreads throughout a system? A.Computer virus B.Trojan horse C.Computer worm D.Rootkit Answer: C Explanation: A computer worm is a program that is able to duplicate itself (rather than attaching to another program) and spreads throughout a system. A computer virus is a program that reproduces itself and then attaches to a program in order to corrupt data. A Trojan horse allows unauthorized access to a computer in order to gain information or to send emails. A rootkit is a program that gains access to a computer's operating system in order to modify it. Question: 5 A patient receives care from a physician who is a non-participating Medicare provider who does not accept assignment, and the actual charge for the visit is $300. However, the usual, customary, and reasonable (UCR) charge is $240.00, and the patient has no supplementary insurance. How much out- of-pocket cost will the patient incur? Visit us athttps://www.certsgrade.com/pdf/ahima-rhit/

4. A.$108.00 B.$117.60 C.$48.40 D.$60.00 Answer: B Explanation: The out-of-pocket cost the patient will incur is $117.60. Since Medicare pays only 80% of the UCR charge ($240×80), Medicare normally pays $192 for the visit. However, because the physician is non- participating, and has not accepted assignment the physician receives only 95% of the usual payment ($192×.95) or $182.40 ($300-$182.40 = $117.60). Question: 6 If a healthcare organization wants a classification system to quantify levels of functional ability and disability, which of the following is the best option? A.LOINC B.ICPC C.ICF D.ICD-O Answer: C Explanation: If a healthcare organization wants a classification system to quantify levels of functioning, disability, and health, the best option is ICF (International Classification of Functioning, Disability, and Health). There are 4 code components to the ICF in 2 parts: Part I: Functioning and Disability: Body Structure and Body Function. Part II: Contextual Factors: Activities and Participation and Environmental Factors. Impairment is quantified from 0 (none) to 4 (complete) with code 8 indicating "not specified" and 9 "not applicable." Question: 7 A patient is being treated specifically with antineoplastic immunotherapy (Z51.12) for multiple myeloma (C90.00), which has not yet achieved remission. The patient also has a history of supraventricular tachycardia (146.1), controlled by medication. How would these diagnoses be sequenced, first to last? A.Z51.12, C90.00, and 146.1 B.146.1, C90.00, and Z51.12 C.146.1, Z51.12, C90.00 D.d. C90.00, Z51.12, and 146.1 Visit us athttps://www.certsgrade.com/pdf/ahima-rhit/

5. Answer: A Explanation: If a patient is being treated specifically with immunotherapy (or chemotherapy or radiation therapy) for a malignancy, the therapy is listed as the principle diagnosis (Z51.2), followed by the condition to which the therapy applies, multiple myeloma (C90.00). Other chronic conditions are then listed, such as SVT (146.1). Codes sequence is: Z51.12, C90.00, and 146.1. Question: 8 When billing for dental claims, which coding system is utilized? A.CPT B.ICD-10-PCS C.NDC D.CDT Answer: D Explanation: When billing for dental claims, the CDT (Current Dental Terminology), coding system is utilized. CDT was developed by the American Dental Association (ADA). The code contains 12 categories of service, covering different types of dental services (such a preventive, orthodontics, and periodontics) with code series ranging from D0100-D9999. Coding is arranged according to procedure category, procedural subcategory, code number, and nomenclature. Question: 9 In HCPCS level II codes, which type of code would be used for drugs that are not administered orally, such as chemotherapy drugs and inhalational drugs? A.A codes B.D codes C.E codes D.J codes Answer: D Explanation: In HCPSC level II codes, J codes are used for drugs that are not administered orally, such as chemotherapy drugs and inhalational drugs. A codes are used for transportation services, such as ground and air ambulance. D codes are used for dental procedures and comprise a CDT code set copyrighted by the American Dental Association (ADA). E codes are used for durable medical equipment, such as bathtub wall rail and oxygen equipment and supplies. Visit us athttps://www.certsgrade.com/pdf/ahima-rhit/

6. Question: 10 Forms control is a process in which A.information is entered into the computer. B.records holding patient information are protected. C.specific forms are created for specific purposes. D.documents are imaged. Answer: C Explanation: Forms control is a process in which specific forms are created for specific purposes and then maintained by medical records departments. Usually committees meet to design forms, such as admission, history and physical, and nursing note, which will be used by a facility. While forms are not completely standardized, they must contain certain information, so forms from one facility to another are often similar. The documents are contained in charts (paper or electronic) and are examined for completeness before being filed or stored. Visit us athttps://www.certsgrade.com/pdf/ahima-rhit/

7. For More Information – Visit link below: http://www.certsgrade.com/ PRODUCT FEATURES 100% Money Back Guarantee 90 Days Free updates Special Discounts on Bulk Orders Guaranteed Success 50,000 Satisfied Customers 100% Secure Shopping Privacy Policy Refund Policy Discount Coupon Code: CERTSGRADE10 Visit us athttps://www.certsgrade.com/pdf/ahima-rhit/ Powered by TCPDF (www.tcpdf.org)