2. Are You Smarter Than a RHIA? Presentation By: Janelle Birdsong ● Erika Dato ● Donnie Jordan ● Amy Storozuk ● Renee Love

3. Chapter 1 Tips – RHIA Exam * Assess your strengths and weaknesses and make proper accommodations when studying. * Create a realistic study schedule. * Take the practice tests. * Read the candidate handbook and understand directions. * Weigh the importance of each subject. * Avoid cramming the night before. * Everyone has their own study style, choose what works for you and stick to it. * Assess your strengths and weaknesses and make proper accommodations when studying. * Create a realistic study schedule. * Take the practice tests. * Read the candidate handbook and understand directions. * Weigh the importance of each subject. * Avoid cramming the night before. * Everyone has their own study style, choose what works for you and stick to it.

4. Chapter 2 – Test Taking Tips - What does “Exam Wise” mean? *“Exam Wise” is acquiring skills through practice and instruction, being able to have knowledge of the subject matter being studied. - What does “Exam Wise” mean? *“Exam Wise” is acquiring skills through practice and instruction, being able to have knowledge of the subject matter being studied. - What does the certification exam measure? * The certification exam measures your skills as a test taker, and your ability to recall “correct answers”, especially in the major domains. TEN TRUTHS 1. Exam taking skills can be learned. 2. Exam taking skills make a difference. 3. Good preparation reduces anxiety. 4. Attitude does make a difference. 5. Always answer the easy questions first. 6. Failure to plan to pass the exam ensures planning to fail the exam. 7. Usually your first hunch is your best. 8. Educated guessing is better that guessing randomly. 9. The only thing that stands between you and passing the exam is: YOU. 10. No amount of “tips and tricks” replaces content knowledge. CHARACTERISTICS OF GOOD EXAM TAKER 1. Good time management. 2. Read questions carefully. 3. Take the question at face value. 4. Consider all options carefully. 5. Approach questions systematically. 7. Avoid applying preset solutions.

5. Are You Smarter Than a RHIA? 1,000,000 Chapter 5 Question 1 Chapter 5 Question 2 Chapter 5 Question 3 Chapter 5 Question 4 Chapter 4 Question 5 Chapter 4 Question 6 Chapter 4 Question 7 Chapter 3 Question 8 Chapter 3 Question 9 Chapter 3 Question 10 500,000 300,000 175,000 100,000 50,000 25,000 10,000 5,000 2,000 1,000

6. Chapter 5 Question 1 In reviewing the medical record of a patient admitted for a left herniorrhaphy, the coder discovers an extremely low potassium level on the laboratory report. In examining the physician’s orders, the coder notices that intravenous potassium level or any related condition on the discharge summary. The best course of action for the coder to take is to A: Confer with the physician and ask him or her to list the condition as a final diagnosis if he or she considers the abnormal potassium level to be clinically significant. B: Code the record as is. C: Code the condition as abnormal blood chemistry. D: Code the abnormal potassium level as a complication following surgery. In reviewing the medical record of a patient admitted for a left herniorrhaphy, the coder discovers an extremely low potassium level on the laboratory report. In examining the physician’s orders, the coder notices that intravenous potassium level or any related condition on the discharge summary. The best course of action for the coder to take is to A: Confer with the physician and ask him or her to list the condition as a final diagnosis if he or she considers the abnormal potassium level to be clinically significant. B: Code the record as is. C: Code the condition as abnormal blood chemistry. D: Code the abnormal potassium level as a complication following surgery.

7. Chapter 5 Answer 1 Answer: A: Confer with the physician and ask him or her to list the condition as a final diagnosis if he or she considers the abnormal potassium level to be clinically significant. Answer: A: Confer with the physician and ask him or her to list the condition as a final diagnosis if he or she considers the abnormal potassium level to be clinically significant. Return

8. Chapter 5 Question 2 Code 402, Hypertensive Heart Disease, would appropriately be used in which of the following situations? A: Left heart failure with benign hypertension B: Congestive heart failure; hypertension C: Hypertensive cardiovascular disease with congestive heart failure D: Cardiomegaly with hypertension Code 402, Hypertensive Heart Disease, would appropriately be used in which of the following situations? A: Left heart failure with benign hypertension B: Congestive heart failure; hypertension C: Hypertensive cardiovascular disease with congestive heart failure D: Cardiomegaly with hypertension

9. Chapter 5 Answer 2 Answer: C: Hypertensive cardiovascular disease with congestive heart failure Answer: C: Hypertensive cardiovascular disease with congestive heart failure Return

10. Chapter 5 Question 3 Which of the following is coded as an adverse effect in ICD-9-CM? A: Mental retardation due to intracranial abscess B: Rejection of transplanted kidney C: Tinnitus due to allergic reaction after administration of eardrops D: Nonfunctioning pacemaker due to defective soldering Which of the following is coded as an adverse effect in ICD-9-CM? A: Mental retardation due to intracranial abscess B: Rejection of transplanted kidney C: Tinnitus due to allergic reaction after administration of eardrops D: Nonfunctioning pacemaker due to defective soldering

11. Chapter 5 Answer 3 Answer: C: Tinnitus due to allergic reaction after administration of eardrops Answer: C: Tinnitus due to allergic reaction after administration of eardrops Return

12. Chapter 5 Question 4 A nomenclature of codes and medical terms that provides standard terminology for reporting physicians’ services for third-party reimbursement is A: Current Medical Information and Terminology (CMIT) B: Current Procedural Terminology (CPT) C: Systematized Nomenclature of Pathology (SNOP) D: Diagnostic and Statistical Manual of Mental Disorders (DSM) A nomenclature of codes and medical terms that provides standard terminology for reporting physicians’ services for third-party reimbursement is A: Current Medical Information and Terminology (CMIT) B: Current Procedural Terminology (CPT) C: Systematized Nomenclature of Pathology (SNOP) D: Diagnostic and Statistical Manual of Mental Disorders (DSM)

13. Chapter 5 Answer 4 Answer: B: Current Procedural Terminology (CPT) Answer: B: Current Procedural Terminology (CPT) Return

14. Chapter 4 Question 5 The HIM department at General Hospital has been experiencing an average 30 minute delay in the retrieval of records requested by the Emergency Department. Which one of the following would be most effective in reducing the delay in retrieval of requested records ? A: Offer a prize to the employee who locates the requested records first B: Review and possibly re-engineer the retrieval process to decrease retrieval time C: Allow the requesters to retrieve the records themselves D: Increase file area staff to include one additional file clerk devoted to pulling records for the emergency room The HIM department at General Hospital has been experiencing an average 30 minute delay in the retrieval of records requested by the Emergency Department. Which one of the following would be most effective in reducing the delay in retrieval of requested records ? A: Offer a prize to the employee who locates the requested records first B: Review and possibly re-engineer the retrieval process to decrease retrieval time C: Allow the requesters to retrieve the records themselves D: Increase file area staff to include one additional file clerk devoted to pulling records for the emergency room

15. Chapter 4 Answer 5 Answer: B: Review and possibly re-engineer the retrieval process to decrease retrieval time Answer: B: Review and possibly re-engineer the retrieval process to decrease retrieval time Return

16. Chapter 4 Question 6 Under the Patient Self-Determination Act of 1990, advance directives A: are required to be included in the patient chart. B: are not required to be included in the patient chart. C: require a doctor's approval. D: must be prepared by an attorney. Under the Patient Self-Determination Act of 1990, advance directives A: are required to be included in the patient chart. B: are not required to be included in the patient chart. C: require a doctor's approval. D: must be prepared by an attorney.

17. Chapter 4 Answer 6 B: are not required to be included in the patient chart

18. Chapter 4 Question 7 Microfilmed records are considered A: inadmissible evidence. B: never admissible as hearsay evidence. C: acceptable as courtroom evidence. D: not admissible as secondary evidence. Microfilmed records are considered A: inadmissible evidence. B: never admissible as hearsay evidence. C: acceptable as courtroom evidence. D: not admissible as secondary evidence.

19. Chapter 4 Answer 7 Answer: C: acceptable as courtroom evidence. Answer: C: acceptable as courtroom evidence. Return

20. Chapter 3 Question 8 Patient data collection requirements vary according to health care setting. A data element you would expect to be collected in the MDS, but NOT in the UHDDS would be: A: Personal identification B: Cognitive patterns C: Procedures and dates D: Principal diagnosis Patient data collection requirements vary according to health care setting. A data element you would expect to be collected in the MDS, but NOT in the UHDDS would be: A: Personal identification B: Cognitive patterns C: Procedures and dates D: Principal diagnosis

21. Chapter 3 Answer 8 Answer: B: Cognitive patterns Answer: B: Cognitive patterns Return

22. Chapter 3 Question 9 Quantitative and qualitative reviews performed on patient records by medical record personnel in either a skilled nursing facility or inpatient psychiatric facility are generally in the form of A: Retrospective deficiency analysis B: Special study audits C: Concurrent chart review D: Occurrence screening Quantitative and qualitative reviews performed on patient records by medical record personnel in either a skilled nursing facility or inpatient psychiatric facility are generally in the form of A: Retrospective deficiency analysis B: Special study audits C: Concurrent chart review D: Occurrence screening

23. Chapter 3 Answer 9 Answer: C: Concurrent chart review Answer: C: Concurrent chart review Return

24. Chapter 3 Question 10 In preparing your facility for initial accreditation by Joint Commission, you are trying to improve the process of ongoing record review. All health record reviews are presently performed by a team of HIM department personnel. The committee meets quarterly and reports to a Quality Management Committee. In reviewing Joint Commission standards, your first recommended change is to A: Have more frequent committee meetings B: Have the committee report to the Executive Committee C: Have a physician perform all the reviews D: Provide for record reviews to be performed by an interdisciplinary team of care providers. In preparing your facility for initial accreditation by Joint Commission, you are trying to improve the process of ongoing record review. All health record reviews are presently performed by a team of HIM department personnel. The committee meets quarterly and reports to a Quality Management Committee. In reviewing Joint Commission standards, your first recommended change is to A: Have more frequent committee meetings B: Have the committee report to the Executive Committee C: Have a physician perform all the reviews D: Provide for record reviews to be performed by an interdisciplinary team of care providers.

25. Chapter 3 Answer 10 Answer: D: Provide for record reviews to be performed by an interdisciplinary team of care providers. Answer: D: Provide for record reviews to be performed by an interdisciplinary team of care providers. Return

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