Intro to Health Information Management Technology (HIMT) Practice Exam

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• How many characters are in a typical ICD-10-PCS code?
• Movable files are also known as:
• Which statement defines the Master Patient Index?
• What is FHIR and why is it important?
• In terminal digit filing, which digits determine the order?
• Which is an example of clinical data?
• Tom Jones is admitted to Sunny View Hospital and assigned patient number 123456. One year later he is readmitted and assigned 133890. The original record is renumbered to 133890 and filed in the new folder also numbered 133890. The system being used is called:
• What is the role of a data steward in governance?
• AHIMA's continuing education requirement explicitly names which groups?
• Which statement about HIEs is most accurate?
• Suzy Staff's job title is utilization manager, which means the same as which role?
• Hospice care provides comprehensive medical and supportive social, emotional, and spiritual care to terminally ill patients and their families. The goal of hospice is to provide
• What is HL7 and why is it essential in HIM?
• What is the primary function of the Health Information Management (HIM) department?
• Which standard is primarily used for clinical terminology and vocabularies in HIM?
• What is a PACS and what does it manage?
• Which organization is the premier medical research organization in the United States that supports research projects nationwide?
• Under HIPAA breach notification requirements, by when must affected individuals be notified after discovery of a potential breach?
• Which statement correctly defines ePHI?
• Which statement correctly differentiates a dataset from a data element?
• Which statement best differentiates an Electronic Health Record (EHR) from a traditional paper record?
• In the nursing home advertisement, the job title described would be which?
• Which description best captures descriptive analytics in healthcare?
• Define protected health information (PHI).
• Which term describes a record of system activity and user access to data used for security, accountability, and monitoring?
• What is the difference between data validation and data verification?
• Which of the following is an example of HIPAA Safe Harbor de-identification?
• CDI programs are designed to improve what three areas?
• Which term describes the mechanism that identifies a single patient across multiple encounters within the same facility?
• Under HIPAA, what rights do patients have regarding access to their medical records?
• What is the role of chart abstraction guidelines in HIM?
• A court order that requires an individual to appear in court to testify is called what?
• Exchange of data among multiple software products is known as:
• Which database would a hospital use to verify a practitioner's licensure status and any disciplinary actions on a national level?
• How does data governance differ from data management?
• Excludes notes in ICD-10-CM/PCS coding guidelines are used to indicate what?
• A group medical practice typically consists of how many physicians?
• Differentiate the HIPAA Privacy Rule from the HIPAA Security Rule.
• Which organization works with The Joint Commission to standardize the National Hospital Quality Measures?
• In the NIST CSF, which function focuses on restoring operations after a cybersecurity incident?
• What does the HIPAA/HITECH Act emphasize regarding privacy and security?
• LOINC is used for what purpose in health data?
• What is the DEEDS data set?
• How do SNOMED CT and ICD-10-CM interoperate?
• What is an HIE?
• What does DICOM stand for and why is it used?
• What is the role of a data owner versus a data steward in governance?
• Which two organizations collaborate to standardize National Hospital Quality Measures?
• Who is responsible for gathering information and recommending settlements concerning professionals and general liability incidents, claims, and lawsuits?
• De-identified health information under HIPAA
• What is data governance in HIM?
• Which organization is most closely associated with reporting medical malpractice payments and adverse actions about health care practitioners?
• Which data quality dimension ensures data is consistent across datasets?
• What does National Hospital Quality Measures refer to?
• Name the three primary categories of PHI disclosures without patient authorization.
• What is chart abstraction?
• Which description best defines data governance?
• Which of the following is a stage in the health information lifecycle?
• Which organization is commonly associated with hospital accreditation in the United States?
• Under HIPAA, authorization to disclose PHI is not required in which scenario?
• Which problem in health records is most likely reduced by maintaining an accurate Master Patient Index?
• Process to determine distribution of patients by diagnosis and procedure to assess resource needs
• In serial-unit numbering, if a patient is renumbered and the old folder remains with a note indicating the new number, what is demonstrated?
• Tom was injured on the job. According to HIPAA, which would have the right to access his protected health information regarding that job injury?
• Which data quality dimension ensures information accurately reflects the real-world events it represents?
• What is the role of a CDI specialist?
• What is an amendment request in the context of patient rights?
• How does HIM support telehealth documentation and reimbursement?
• Patients treated and released the same day and do not stay overnight in the hospital are considered what type of patients?
• Which hospital service is most commonly provided in an ambulatory care setting rather than inpatient wards?
• In data governance, who is responsible for day-to-day data handling and quality management?
• Which statement best describes the UHDDS?
• What is the typical HIPAA breach notification timeline?
• What does the 'minimum necessary' standard require in PHI disclosures?
• Which statement best defines administrative data?
• What is multi-factor authentication and why is it used?
• HIM department function called case mix analysis.
• Which four core data quality dimensions are used in HIM?
• Which activity best describes the role of the HIM department in safeguarding patient information?
• What does role-based access control (RBAC) mean in health IT?
• Which organization has offered and maintained accreditation programs for health care organizations since 1951?
• HCPCS Level II codes primarily cover?
• In healthcare, what is a quality measure?
• Patients who undergo procedures that can be performed on an outpatient basis are categorized as which type?
• Ms. HIT files the following records: 13-40-05, 14-40-05, 14-41-05, 15-41-05, and 16-41-05. Which filing system is being used?
• Which national database serves as a repository for information on adverse actions related to health care practitioners?
• The Joint Commission requires patient records to be completed within _____ days after discharge.
• What is a health information exchange (HIE)?
• What is the primary purpose of the AHIMA Code of Ethics in Health Information Management?
• Which department is typically responsible for verifying licensure and malpractice history when granting hospital privileges?
• Which item qualifies as PHI?
• Which of the following is the full name of the agency commonly abbreviated as AoA?
• What do Official Coding Guidelines advise about principal diagnosis assignment?
• Differentiate between abstracting data and CDI queries.
• Which term describes the practice of removing identifiers from data to protect patient privacy?
• In HIM organizations, which roles are commonly included in data governance committees?
• Which set comprises core components of the inpatient revenue cycle?
• The role responsible for safeguarding patient health information policies is called the ...
• The director of health information has received a written document requiring her to appear in court and bring any and all records on patient Polly Jones. The document she received is called a
• What is the purpose of a data dictionary in an HIS?
• Which of the following is NOT a common health information standard used in HIM?
• Patient identification information collected according to facility policy (name, date of birth, place of birth, mother's maiden name) is called what kind of data?
• What are the key privacy protections required by HIPAA for PHI?
• What is the purpose of Official Coding Guidelines?
• Which standard is designed to encode diseases, findings, procedures, and other clinical concepts?
• What is CPT coding used for, and what is HCPCS Level II coding used for?
• Which color corresponds to the digit 0?
• Which item is a focus of a HIPAA risk assessment?
• Which form of PHI does the HIPAA Security Rule specifically require safeguards for?
• Which organization collects and exchanges information about insured individuals' medical histories for underwriting?
• What workflow steps are typically involved in ROI?
• In telehealth documentation, which element is essential to record for reimbursement and compliance?
• Which factors are considered in classifying a DRG for reimbursement?
• Inpatients admitted to critical access hospitals are restricted to stays of how many hours?
• What is a clinical data repository?
• Which statement correctly describes HIPAA regulation?
• Ms. HIM files the following records: 223345, 223346, 223347, 223348, and 223349. Which filing system is being used?
• Which job title is described as coordinating preparation for surveys and monitoring facility compliance with accreditation standards?
• Which statement about the Master Patient Index is true?
• Which statement best describes HIPAA/HITECH breach notification requirements?
• Define ePHI.
• Which statement about the HIPAA privacy rule is true?
• Which filing system uses the middle digits to order records?
• Which component is responsible for determining medical necessity before claims submission in the inpatient revenue cycle?
• What is the primary role of a data steward in an organization?
• Which data element is typically part of demographic data?
• Which statement about KPI in HIM is true?
• What is the role of a Privacy Officer?
• Which statement describes an essential goal of health information management in hospitals?
• In an emergency department, what is the quickest way to determine whether a patient has been previously seen at the facility?
• Who transcribes prerecorded dictation to create medical records, correspondence, and other administrative material?
• What is another term for the additional authentication used after the author's signature?
• How does HIPAA permit reports to public health authorities?
• Which of the following best defines Protected Health Information (PHI)?
• In HIPAA de-identification, what does the Expert Determination method require?
• Which source is most appropriate for verifying a physician's licensure history and any malpractice actions during privilege applications?
• Utilization Manager is described as equivalent to which other role?
• Who performs routine administrative and clinical tasks to keep the offices and clinics of physicians, podiatrists, chiropractors, and optometrists running smoothly?
• What does "coding to the highest level of specificity" mean?
• The agency within the U.S. Department of Health and Human Services that focuses on aging services to enable seniors to remain independent is called the
• Who is responsible for HIPAA privacy compliance, risk assessments, training, and breach response in an organization?
• Which statement about the role of a CDI specialist is true?
• What tool is used to translate clinical concepts between SNOMED CT and ICD-10-CM?
• AHIMA stands for which organization?
• Which of the following is true about ICD-10-PCS?
• Which statement best distinguishes anonymization from pseudonymization?
• Administrative data includes which of the following types of information?
• Why is a retention schedule important in records management?
• Which of the following is NOT typically considered administrative data?
• What is an access control in health information security?
• The CSP certification is offered by which organization?
• What is de-identification under HIPAA?
• In the health information lifecycle, which stage involves sharing PHI with authorized entities?
• HIPAA, expanded acronym, stands for:
• A hospital that provides emergency care, performs surgery, and admits patients for a range of problems is a ____ hospital?
• Which option describes a primary function of a data dictionary?
• What is data provenance in Health Information Management?
• Which data quality dimension ensures data are present and not missing?
• Which statement about the relationship between LHR and PHI is true?
• Under HIPAA, when is breach notification required?
• In a breach affecting more than 500 individuals, which additional notification must be made to the public?
• Which statement best describes a data glossary?
• Which statement accurately describes the data definitions in a data dictionary?
• What does ADT stand for?
• Which statement about a data element is correct?
• What is the difference between data quality and data governance?
• Which agency within the U.S. Department of Health and Human Services focuses on aging services to help seniors stay independent?
• Chart abstraction is used to extract structured data from medical records for coding, quality reporting, or research.
• In the context of EHRs, what does longitudinal mean?
• Suzie Smith wants to obtain a copy of her medical record. She can obtain a copy of all reports in her record EXCEPT for the
• Why is the 'minimum necessary' standard important in HIPAA disclosures?
• What is the Legal Health Record (LHR)?
• The difference between Legal Health Record (LHR) and Personal Health Record (PHR) is that:
• Which term describes data elements used to identify a patient, including name and date of birth?
• Which governance body oversees data quality, privacy, and access within an HIM organization?
• The admission diagnosis entered on the patient record is an example of which data type?
• A form of authentication by an individual in addition to the signature by the original author is known as:
• What is data stewardship?
• Which organization established in the 1970s provides an external peer review process for correctional health services to meet national standards?
• How is death certificate data used in health statistics?
• In ICD-10-CM coding, what does 'code first' indicate?
• A common item not found on an admission data entry screen is:
• Distinguish between active and inactive records.
• Arrange the following numbers in middle-digit order: 01-30-49, 01-31-40, 02-30-49, 02-36-40, 20-39-50, 03-40-50.
• What does NPO stand for?
• Which term describes the disciplined management and accountability for data assets, including quality, privacy, and access?
• What constitutes a breach under HIPAA?
• Admission data entry system used to create admission log and daily census.
• How do a data dictionary and a data glossary differ?
• What penalties may result from HIPAA violations?
• Which term describes a formal recording of items, names, or actions?
• Which statement best describes the purpose of the DICOM standard?
• Which standard is used for coding diagnoses and inpatient procedures for billing?
• Which of the following tasks is typically performed by a medical transcriptionist?
• A written command or direction ordered by a court or judge?
• What is one of the primary responsibilities of a Security Officer in HIM?
• The admission date and discharge date are considered:
• A case manager coordinates patient care to ensure timely discharge or transfer.
• Which statement best describes SNOMED CT used for?
• Time limit to respond to amendment requests under HIPAA.
• What is the key difference between ICD-10-CM and ICD-10-PCS coding?
• Which of the following is one of the five core functions of the NIST Cybersecurity Framework?
• What is a KPI in health information management?
• What coding system is used to report procedures for inpatient hospital services for payment with DRGs?
• Which statement about a data dictionary is accurate?
• What is a diagnosis-related group (DRG) and how does it impact reimbursement?
• AHIMA requires RHITs and RHIAs to submit proof of continuing education every two years.
• Which statement about the Legal Health Record (LHR) is true?
• What triggers HIPAA breach notification requirements?
• What does interoperability mean in the context of HIM?
• What is a Diagnosis-Related Group (DRG)?
• What is a data dictionary?
• What is the primary purpose of a clinical documentation improvement (CDI) program's query process?
• The history and physical examination must be documented within how many hours of inpatient admission?
• Which data type is used to document medical conditions, diagnoses, and treatment plans?
• What is a typical retention period for adult inpatient medical records?
• The UHDDS standardizes inpatient data elements for national and regional statistics and reporting.
• Which statement best defines Protected Health Information (PHI) under HIPAA?
• Which step is typically performed in ROI to verify the requester’s identity?
• What is the ROI process?
• Which of the following is NOT a main stage of the health information lifecycle?
• Which coding systems are used for diagnoses and procedures in most US health care settings?
• SNOMED CT is used for which purpose in health information management?
• What are Safe Harbor identifiers under HIPAA de-identification?
• HIPAA breach notifications generally must be provided within how many days of discovery?
• What is the primary goal of clinical documentation improvement (CDI)?
• PHI stands for
• What does data portability mean in the context of HIM data exchange?
• LOINC standardizes which of the following aspects of health data?
• Which of the following is NOT one of the six common data quality dimensions in HIM?
• Which describes the primary purpose of an audit trail in an HIS?
• What is descriptive analytics in healthcare data?
• Which Act provides open access to federal agency records?
• What is the role of HL7 in health IT interoperability?
• Which list is used to locate a patient's health care encounters across different departments within a facility?
• Which color is mapped to the digit 9?
• What best describes a risk assessment under the HIPAA Security Rule?
• Which data quality dimension focuses on the ability to retrieve data for use when needed?
• In terminal-digit filing, what is the color pattern for record number 39-09-15?
• Which statement about data governance tools is most accurate?