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Rhit/Questions/Mcq 1 Flashcards

6 cards from real RHIT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. Which reimbursement methodology groups inpatient hospital cases into payment categories based on principal diagnosis, procedures, and other factors for Medicare payment?

    Answer: Diagnosis-Related Groups (DRGs)

    DRGs are used under the Inpatient Prospective Payment System (IPPS) to reimburse acute care hospitals a fixed amount based on how a patient's case is grouped according to diagnosis, procedures, age, and discharge status.

  2. Under HIPAA, the 'minimum necessary' standard requires covered entities to:

    Answer: Limit disclosures of PHI to the least amount needed to accomplish the intended purpose

    The minimum necessary standard mandates that covered entities make reasonable efforts to use, disclose, or request only the PHI needed for the specific purpose, reducing unnecessary exposure of patient information.

  3. Which of the following is NOT a required element of a valid HIPAA authorization for the release of protected health information?

    Answer: The patient's primary diagnosis

    HIPAA's required authorization elements include a description of PHI, the recipient, purpose, expiration, signature, and revocation rights — but the patient's specific diagnosis is not a required element of the authorization form itself.

  4. A health information technician finds that a physician has not completed a required discharge summary 30 days after patient discharge. This situation is documented through which process?

    Answer: Deficiency analysis

    Deficiency analysis is the HIM process of reviewing medical records for completeness and notifying providers of missing or late entries such as unsigned orders, missing history and physicals, or overdue discharge summaries.

  5. Which organization is responsible for maintaining and publishing the Current Procedural Terminology (CPT) code set?

    Answer: American Medical Association (AMA)

    The AMA owns and publishes CPT codes, which are used to report medical, surgical, and diagnostic procedures and services primarily in the outpatient and physician office setting.

  6. In health information management, 'data integrity' is best defined as:

    Answer: The accuracy, completeness, consistency, and reliability of health data

    Data integrity means that health data is accurate, complete, consistent, and trustworthy throughout its lifecycle — a foundational principle in HIM because decisions about patient care, billing, and quality reporting all depend on reliable data.