AHIMA RHIA Practice Test

Answer choices

1. A. Continue the comments because scanned documents are already final and therefore cannot raise integrity concerns.
2. B. Permit anonymous comments if the text appears clinically helpful to reviewers.
3. C. Move annotations into a controlled documentation function that captures author, date/time, relationship to the source document, and an immutable audit trail.
4. D. Flatten each unsigned comment into the scanned image and remove the change history, leaving one consolidated image as the sole provenance for the annotation content.

Wrong-answer review

• A. Continue the comments because scanned documents are already final and therefore cannot raise integrity concerns.: Finalizing a scan does not make untracked later alterations acceptable.
• B. Permit anonymous comments if the text appears clinically helpful to reviewers.: Clinical usefulness does not eliminate the need for attribution and accountability.
• D. Flatten each unsigned comment into the scanned image and remove the change history, leaving one consolidated image as the sole provenance for the annotation content.: Flattening and deleting history obscures when and by whom information was changed.

Answer choices

1. A. Add staff immediately because more personnel always reduce data-quality errors.
2. B. Revert every registration change permanently because any post-change defect proves the redesign cannot work.
3. C. Perform root-cause analysis of the redesigned workflow, data capture, training, and matching controls before selecting a staffing or technology fix.
4. D. Ignore the duplicate increase until patient complaints show that an overlay has occurred.

Answer choices

1. A. Ask each candidate a completely different set of questions so interviews feel more personalized.
2. B. Select the candidate with the longest résumé because tenure is an objective substitute for competency assessment.
3. C. Avoid documenting interview ratings so managers can make the final choice without being constrained by scores.
4. D. Use a structured interview with job-related questions and consistent scoring criteria tied to the role's defined competencies.

Answer choices

1. A. Install every vendor patch directly in production because maintenance changes never affect health-information behavior.
2. B. Assess impact, apply change control, test affected integrations, document the update, and monitor after deployment rather than assuming a maintenance patch is risk-free.
3. C. Reject all future vendor patches after interface validation, giving the initial validated library priority over later security, support, compatibility, or maintenance updates that become available.
4. D. Delete prior interface test cases because they are relevant only during the initial implementation project.

Answer choices

1. A. Apply the organization's minimum-necessary policies and disclose only the PHI reasonably needed for the stated payment purpose.
2. B. Send the entire chart because payment requests are exempt from the HIPAA minimum-necessary standard.
3. C. Refuse the insurer's request entirely on the ground that HIPAA permits disclosures only for treatment and does not allow PHI to be used for payment review.
4. D. Require the patient to sign a new authorization for every routine payment disclosure.

Answer choices

1. A. Add all historical diagnoses because risk-adjusted models reward complete problem lists regardless of current documentation requirements.
2. B. Remove all chronic diagnoses from claims because risk adjustment should use demographics only.
3. C. Risk-adjusted payment requires accurate, supported reporting under the applicable coding rules; payment incentives do not justify carrying forward unsupported diagnoses.
4. D. Submit the claims without validating chronic diagnoses and let the payer decide which conditions count for risk adjustment after transmission, ending provider responsibility once claim data are sent.

Answer choices

1. A. Focus first on coding because coding is always the most important cause of a claim denial.
2. B. Treat all denial reasons as equally urgent regardless of volume or financial impact.
3. C. Appeal every imaging denial and leave authorization and eligibility workflows unchanged, assuming successful appeal activity is an adequate substitute for preventing recurring denials.
4. D. Address the prior-authorization workflow first while also assigning owners for the smaller eligibility and coding causes and monitoring all categories.

Answer choices

1. A. Document the change request, assess impact on scope, schedule, cost, risk, and resources, and route it through the project's approved change-control process before committing the work.
2. B. Add the archive immediately because stakeholder requests should always be accepted once a project has started.
3. C. Reject the request automatically because an approved scope can never be changed after project initiation.
4. D. Ask the technical team to complete the extra work quietly so the baseline schedule and budget do not need to be updated.

Answer choices

1. A. Report the 200% increase as the primary performance result without emphasizing the small counts, since relative change captures the magnitude of deterioration.
2. B. Report both counts and rates, note the very small denominator, and avoid implying a stable trend until additional data are evaluated.
3. C. Suppress the finding entirely because metrics with fewer than five events have no management value.
4. D. Combine the two quarters and report two cases per quarter so leadership sees a stable average.

Answer choices

1. A. Keep the course unchanged because learner satisfaction is the primary measure of training effectiveness.
2. B. Revise the program based on incident and audit data, target the recurring access problem, and evaluate whether behavior and incident metrics improve after retraining.
3. C. Stop privacy training because continuing incidents prove education can never influence access behavior.
4. D. Remove audit logging so fewer incidents are detected after training.