Free AHIMA RHIA Exam Dumps and RHIA Exam Questions

Question No: 11

MultipleChoice

Under APCs, payment status indicator ''S'' means

Options

Aancillary services.

Bmedical visits.

Cmultiple procedure reduction applies.

Dmultiple procedure reduction does not apply.

Question No: 12

MultipleChoice

Under APCs, payment status indicator ''T'' means

Options

Aancillary services.

Bmedical visits.

Cmultiple procedure reduction applies.

Dmultiple procedure reduction does not apply.

Question No: 13

MultipleChoice

Under APCs, payment status indicator ''C'' means

Options

Aancillary services.

Binpatient only service.

Cmultiple procedure reduction applies.

Dmultiple procedure reduction does not apply.

Question No: 14

MultipleChoice

In the managed care industry, there are specific reimbursement concepts, such as ''capitation.'' All of the following statements are true in regard to the concept of ''capitation,'' EXCEPT

Options

Aeach service is paid based upon the actual charges.

Bthe volume of services and their expense does not affect reimbursement.

Ccapitation means paying a fixed amount per member per month.

Dcaptions involves a group of physicians or an individual physician.

Question No: 15

MultipleChoice

Once all data are posted to a patient's account, the claim can be reviewed for accuracy and completeness. Many facilities have internal auditing systems. The auditing systems run each claim through a set of edits specifically designed for the various third-party payers. The auditing system identifies data that have failed edits and flags the claim for correction. These ''internal'' auditing systems are called

Options

Ascrubbers.

Boutliers.

Cgroupers.

Dencoders.

Question No: 16

MultipleChoice

The term ''hard coding'' refers to

Options

AHCPCS/CPT codes that are coded by the coders.

BHPCS/CPT codes that appear in the hospital's chargemaster and will be included automatically on the patient's bill.

CICD-9-CM codes that are coded by the coders.

DICD-9-CM codes that appear in the appear in the hospital's chargemaster

Question No: 17

MultipleChoice

The occurrence of an OCE (outpatient code editor) edit can result in one of __________ different dispositions, which help to ensure that the fiscal intermediaries in all parts of the country are following similar claims processing procedures. An example of one of these dispositions is ''claim rejection.''

Options

A100

B50

C3

D6

Question No: 18

MultipleChoice

''Pill-rolling'' tremor is a characteristic symptom of

Options

Aepilepsy.

BGuillain-Barre syndrome.

Cmyasthenia gravis.

DParkinson disease.

Question No: 19

MultipleChoice

Which would be the better "best practice" for handling fax transmission of a physician's orders?

Options

ATreat faxed orders like verbal orders and require authentication of the orders by appropriate medical staff within the required time period.

BFaxed orders should be placed on the patient's chart immediately upon receipt after the head' nurse signs the orders.

CWait 24 hours before placing faxed orders on the patient's chart to ensure that the orders are legitimate.

DFaxed orders should never be accepted.

Question No: 20

MultipleChoice

HEDIS gathers data in'the following area:

Options

Ameasures of access (e.g., at least one visit to a provider within three years).

Bmeasures of quality (e.g., cholesterol screenings).

Cmeasures of financial performance (e.g., cost per member).

Dall of the above

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