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Registered Health Information Administrator Practice Test

RHIA test Format | Course Contents | Course Outline | test Syllabus | test Objectives

Exam : RHIA
Exam Name : Registered Health Information Administrator(R)
Questions : 180
Question Type : multiple choice
Scored : 160
Unscored : 20
Exam Time : 4 hours

Domain 1 – Data Content- Structure & Standards (Information Governance) (18-22%)
Tasks:
A. Classification Systems
A1. Code diagnosis and procedures according to established guidelines

B. Health Record Content & Documentation
B1. Ensure accuracy and integrity of health data and health record documentation (paper or electronic)
B2. Manage the contents of the legal health record (structured and unstructured)
B3. Manage the retention and destruction of the legal health record

C. Data Governance
C1. Maintain data in accordance with regulatory requirements
C2. Develop and maintain organizational policies- procedures- and guidelines for management of health information

D. Data Management & Secondary Data Sources
D1. Manage health data elements and/or data sets
D2. Assist in the maintenance of the data dictionary and data models for database design
D3. Manage and maintain databases (e.g.- data migration- updates)

Domain 2 – Information Protection: Access- Disclosure- Archival- Privacy & Security (23-27%)
Tasks:
A. Health Law
A1. Maintain healthcare privacy and security training programs
A2. Enforce and monitor organizational compliance with healthcare information laws- regulations and standards (e.g.- audit- report and/or inform)

B. Data Privacy- Confidentiality- and Security
B1. Design policies and implement privacy practices to safeguard Protected Health Information
B2. Design policies and implement security practices to safeguard Protected Health Information
B3. Investigate and resolve healthcare privacy and security issues/breaches

C. Release of Information
C1. Manage access- disclosure- and use of Protected Health Information to ensure confidentiality
C2. Develop policies and procedures for uses and disclosures/redisclosures of Protected Health Information

Domain 3 – Informatics- Analytics & Data Use (22-26%)
Tasks:
A. Health Information Technologies
A1. Implement and manage use of- and access to- technology applications
A2. Evaluate and recommend clinical- administrative- and specialty service applications (e.g.- financial systems- electronic record- clinical coding)

B. Information Management Strategic Planning
B1. Present data for organizational use (e.g.- summarize- synthesize- and condense information)

C. Analytics & Decision Support
C1. Filter and/or interpret information for the end customer
C2. Analyze and present information to organizational stakeholders
C3. Use data mining techniques to query and report from databases

D. Healthcare Statistics
D1. Calculate healthcare statistics for organizational stakeholders
D2. Critically analyze and interpret healthcare statistics for organizational stakeholders (e.g.- CMI)

E. Research Methods
E1. Identify appropriate data sources for research

F. Consumer Informatics
F1. Identify and/or respond to the information needs of internal and external healthcare customers
F2. Provide support for end-user portals and personal health records

G. Health Information Exchange
G1. Apply data and functional standards to achieve interoperability of healthcare information systems
G2. Manage the health information exchange process entity-wide

H. Information Integrity and Data Quality
H1. Apply data/record storage principles and techniques associated with the medium (e.g.- paper-based- hybrid- electronic)
H2. Manage master person index (e.g.- patient record integration- customer/client relationship management)
H3. Manage merge process for duplicates and other errors entity-wide (e.g.- validate data sources)

Domain 4 – Revenue Management (12-16%)
Tasks:
A. Revenue Cycle & Reimbursement
A1. Manage the use of clinical data required in reimbursement systems and prospective payment systems (PPS)
A2. Optimize reimbursement through management of the revenue cycle (e.g.- chargemaster maintenance- DNFB- and AR days)

B. Regulatory
B1. Prepare for accreditation and licensing processes [e.g. Joint Commission- Det Norske Veritas (DNV)- Medicare- state regulators]
B2. Process audit requests (e.g.- RACs or other payors- chart review)
B3. Perform audits (e.g.- chart review- POC)

C. Coding
C1. Manage and/or validate coding accuracy

D. Fraud Surveillance
D1. Participate in investigating incidences of medical identity theft

E. Clinical Documentation Improvement
E1. Query physicians for appropriate documentation to support reimbursement
E2. Educate and train clinical staff regarding supporting documentation requirements

Domain 5 – Leadership (12-16%)
Tasks:
A. Leadership Roles
A1. Develop- motivate- and support work teams and/or individuals (e.g.- coaching- mentoring) A2. Organize and facilitate meetings
A3. Advocate for department- organization and/or profession

B. Change Management
B1. Participate in the implementation of new processes (e.g.- systems- EHR- CAC)
B2. Support changes in the organization (e.g.- culture changes- HIM consolidations- outsourcing)

C. Work Design & Process Improvement
C1. Establish and monitor productivity standards
C2. Analyze and design workflow processes
C3. Participate in the development and monitoring of process improvement plans

D. Human Resources Management
D1. Perform human resource management activities (e.g.- recruiting staff- creating job descriptions- resolving personnel issues)

E. Training & Development
E1. Conduct training and educational activities (e.g. HIM systems- coding- medical and institutional terminology- documentation and regulatory requirements)

F. Strategic & Organizational Management
F1. Monitor industry trends and organizational needs to anticipate changes
F2. Determine resource needs by performing analyses (e.g.- costbenefit- business planning)
F3. Assist with preparation of capital budget

G. Financial Management
G1. Assist in preparation and management of operating and personnel budgets
G2. Assist in the analysis and reporting on budget variances

H. Ethics
H1. Adhere to the AHIMA code of ethics

I. Project Management
I1. Utilize appropriate project management methodologies

J. Vendor/Contract Management
J1. Evaluate and manage contracts (e.g.- vendor- contract personnel- maintenance)

K. Enterprise Information Management
K1. Develop and support strategic and operational plans for entity-wide health information management

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Healthcare
RHIA
Registered Health Information Administrator (AHIMA RHIA) 2026
https://killexams.com/pass4sure/exam-detail/RHIA
Answer: B
QUESTION: 244
Take a look at the comparison of the two life cycles below:
Look at the cell in the Information Systems Life Cycle that is filled with question marks.
Which of the following should replace those question marks to make a complete, correct
comparison?
A. growth
B. installation
C. implementation
D. reevaluation
Answer: C
QUESTION: 245
You are the coding supervisor at a large inpatient facility. Recently, there has been an
increase in coding errors. You have a meeting with your coders to discuss possible
reasons for the problem. The group agrees on the reasons listed below:
Having determined a good list of possible reasons for the increase in coding errors, you
would like to have your coders help you determine where you should place your problem
resolution efforts first. Your best bet for achieving consensus is to use
90
A. brainstorming.
B. nominal group technique.
C. force field analysis.
D. affinity grouping.
Answer: B
QUESTION: 246
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.
Answer: A
QUESTION: 247
The plus sign beside survival time for subjects two (2) and six (6) in the table above
indicate observations on these subjects were censored. This means the subjects
A. entered the study at an advanced stage of the subject's illness.
B. have one or more risk factors in addition to the subject's illness.
C. withdrew from the study alive or were lost to follow-up.
D. died prior to the end of the study, regardless of cause.
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Answer: C
QUESTION: 248
As the Project Manager for the upcoming HER implementation, you ask one of your
assistants 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.
Answer: A
QUESTION: 249
As the HIM manager in charge of your department's budget, you are mandated to report
on variances of more than 6% either positive or negative to your Chief Financial Officer
and include the reasons for the variance and any action plans necessary. Based on the
table below for the December variance report, what category would you be required to
report on to the CFO?
A. office supplies
B. contract services
C. travel
D. education
Answer: C
QUESTION: 250
Evidence-based management and decision-making is an emerging model now used to
make more informed decisions. The primise of this model is
A. using intuition based on previous experience.
92
B. using a decision tree that branches to alternatives.
C. using the best clinical and research practices available.
D. using an alternative that meets minimum requirements.
Answer: C
QUESTION: 251
As a member of the project team for document imaging implementation, you were asked
to provide the information in the grid .This is an example of a(an)
A. PERT diagram.
B. Gantt chart.
C. PMBOK chart.
D. work flow diagram.
Answer: B
QUESTION: 252
Carson surveyed members of AHIMA's student CoP regarding the relationship between
clinical experiences and job opportunities. All respondents were seniors in HIA programs
and each one expected to graduate and take the national test within the next 6 months.
Fifteen of the eighteen respondents indicated at least one clinical rotation had resulted in
a job offer. Based on this information, Carson expects to be offered a job during senior
clinical rotations. Carson is basing this expectation on
A. scientific inquiry.
93
B. empiricism.
C. inductive reasoning.
D. deductive reasoning.
Answer: C
QUESTION: 253
Investigator A claims his results are statistically significant at the 10% level. Investigator
B argue that significance should be announced only if the results are statistically
significant at the 5%.. level. From this we can conclude
A. if investigator A has significant results at the 10% level, they will never be significant
at the 5% level.
B. it will be more difficult for investigator A to reject the statistical null hypotheses if he
always works at the 10% level compared with investigator B who works at the 5% level.
C. if investigator A has significant results at the 10% level, they will also be significant at
the level.
D. it will be less difficult for investigator A to reject the statistical null hypotheses if he
always works at the 10% level compared with investigator B, who works at the 5% level.
Answer: B
QUESTION: 254
A researcher at your facility has submitted his study to the IRB for approval. As a
member of the IRB Review Committee, you note that his research is investigating lung
cancer occurrence in women who smoke. His timeframe for the study is January through
December of 2008. In this study, the independent variable in this case is:
A. the study timeframe.
B. women who smoke.
C. women who do not smoke.
D. cancer occurrence.
Answer: B
QUESTION: 255
94
Your HIM department is moving to a new location, and in order to arrange your
employees functions for optimal work flow efficiency and to decide which employees
need to be placed d to each other, the tool you decide to use is a
A. data flow diagram.
B. PERT chart.
C. proximity chart.
D. flow process chart.
Answer: C
QUESTION: 256
A p value of less than 0.05 is what researchers commonly use to reject the null
hypothesis. small p value may place interpretation of the results of the study at risk for a
A. sampling error.
B. stratification error.
C. type 1 (a) error.
D. type 2 (b) error.
Answer: D
QUESTION: 257
Which of the following employees would be considered exempt under the Fair Labor
Standards Act?
A. the head of the Department of Health Information Services who is involved in
decision making and planning 90%, of the time
B. the coding supervisor who has responsibility for three employees and performs
analysis and coding 80% of the time
C. the departmental secretary who is responsible for performing a variety of clerical and
administrative tasks
D. the sole employee in the physician's workroom who has responsibility for maintaining
and tracking medical record deficiencies
Answer: A
QUESTION: 258
95
In order to prevent the accidental introduction of a virus into your facility's local area
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. downloading executable files from electronic bulletin boards.
D. sending or receiving e-mail from addresses that have not been authorized.
Answer: C
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