Module 15 Test 1: Human Resources (RHIA version)

Question 1

You supervise the department’s coding section. You notice that the coding specialist is working 30 additional minutes each day before clocking in at her scheduled starting time. After discussing her time card with her, you discovers that she is starting work early in order to check the unbilled account report. Under which act are you required to pay her for all hours worked?

Fair Labor Standards Act

Equal Pay Act

ERISA

National Labor Relations Act

Answer 1

Fair Labor Standards Act

Question 2

Gina is the HIPAA Privacy and Security officer and primary trainer for a regional health system. In determining how a certain department staff position uses health information, she must review the

past performance evaluations of persons in the position.

facility policy on protecting health information.

facility policy and procedure on documentation of training.

position or job description.

Answer 2

position or job description

Question 3

Human Resources has recently provided training for and implemented a new performance appraisal system that includes input from managers, peers, and staff. Identify this approach

group appraisal.

multifactor evaluation.

360-degree evaluation.

holistic appraisal.

Answer 3

360-degree evaluation

Question 4

They share this complaint with the risk manager. What action should the risk manager take after listening to the employee?

Put the complaint aside to see if other employees complain about the same issue.

Deal with the complaint only if the employee seldom complains.

Deal with the issue as if it were a bona fide grievance.

Ignore the complaint until it is in writing.

Answer 4

Deal with the issue as if it were a bona fide grievance.

Question 5

During orientation, a new employee receives the employee handbook. All of the following information about the employee handbook is true, EXCEPT that

a receipt must be documented in writing.

it must be reviewed periodically by legal counsel to avoid legal risk.

it provides policies and procedures developed by management.

it provides a contractual obligation to continued employment.

Answer 5

it provides a contractual obligation to continued employment.

Question 6

There is an opening for a coder in a 150-bed acute care hospital. The position requires someone who can code from a wide variety of medical records using both ICD and CPT. Determine which of the following candidates interviewing for this position, which would be the most appropriate to hire?

a recent graduate of a 4-year HIM program, RHIA eligible, who hopes to become a department manager within 1 year

an RHIA with 5 years of supervisory experience in medical records who recently moved to this city and can find no other available position as a supervisor at this time

a high school graduate who has applied for entry into the 2-year college RHIT program

a graduate of a 2-year community college HIT program, RHIT eligible, with 1 year of outpatient coding experience

Answer 6

a graduate of a 2-year community college HIT program, RHIT eligible, with 1 year of outpatient coding experience

Question 7

Ty is assistant director in Information Services. He has made an appointment with the director of Human Resources to discuss his recent trip to the state HIM meeting with his director, Wendy. During the trip, Wendy repeatedly asked Ty to her hotel room, suggesting they work on new plans for the department. When Ty declined, Wendy suggested it might not be worthwhile for him to attend future state meetings. The HR director should

explain that off-site events are outside the scope of the HR Department.

explain that it is the director’s right to select who attends professional meetings.

provide Ty with additional training on resisting unwanted advances.

take the complaint seriously and begin a sexual harassment investigation.

Answer 7

take the complaint seriously and begin a sexual harassment investigation.

Question 8

You work in a unionized organization and have filed a grievance. Assess and determine which of the following will most likely take place?

The grievance procedure regulations stipulated in the union contract will be followed.

The time from complaint to resolution should be no longer than 90 days.

You can be terminated for registering a grievance.

The facility policies and procedures for prompt and fair action on any grievance will be followed.

Answer 8

The grievance procedure regulations stipulated in the union contract will be followed.

Question 9

LaToya has accepted a new position and has given her current manager 1 month’s notice. Human Resources has made an appointment with LaToya to discuss her benefits, investment plan, and an exit interview. Point out the primary value of an exit interview

compliance with labor laws.

changing the employee’s mind.

finding out more about the competition.

improving the organization.

Answer 9

improving the organization.

Question 10

Determine which of the following HIPAA components would the general New Employee Orientation training most likely cover?

business associate agreements

job-specific training (e.g., patient’s right to amend record)

marketing issues

workstation security

Answer 10

workstation security

Question 11

Employers may be able to demonstrate that age is a reasonable requirement for a position. Determine what is an exception to the Age Discrimination in Employment Act (ADEA) called?

job description essential

there is no such exception to ADEA

essential element for employment

bona fide occupational qualification

Answer 11

bona fide occupational qualification

Question 12

Rachel’s work performance has diminished over the past 2 weeks. In addition, she has uncharacteristic mood swings and has exhibited difficulty concentrating. She is also having difficulties with tardiness and attendance. As her supervisor, you meet with Rachel to discuss your concerns. She reveals that she is struggling financially. Determine what action you should take.

Put her on probation.

Terminate her.

Assure her that as long as she can perform her job acceptably, her personal life is none of your concern.

Refer her to the Employee Assistance Program.

Answer 12

Refer her to the Employee Assistance Program

Question 13

Identify which of the following is NOT an advantage of teams?

Successful teams have a dominating leader.

Teams can develop new leaders.

Team-based decisions are generally more widely accepted than managerial decisions.

Teamwork can enrich jobs and provide a variety in work assignments.

Answer 13

Successful teams have a dominating leader.

Question 14

Health care is known for rapid change. Melissa, an RHIA who has just been hired as a systems analyst in Information Technology, understands the importance of being a positive change agent. Determine which of the following approaches would be LEAST likely to support her approach?

being available to listen to staff

holding on to the vision

measuring and celebrating success

easing up on delegating

Answer 14

easing up on delegating

Question 15

Selena works 40 hours per week at Rio Grande Radiology, which pays time-and-a-half for overtime and double-time for holidays. During the past week, Selena took 6 hours of unpaid personal leave and worked an 8-hour holiday. Calculate how many hours Selena will be paid.

48

42

50

34

Answer 15

42

Question 16

Trent is a new graduate preparing for an interview. In school, he had the opportunity to role-play a technique that requires applicants to give specific examples of how they have performed a specific task or handled a specific problem in the past. This technique is becoming more popular and is known as a(n)

structured interview.

targeted interview.

behavioral interview.

audition interview.

Answer 16

behavioral interview

Question 17

Human Resources use a systematic procedure to determine the relative worth of a position to the organization. When this approach is used, compensation for the position is most likely based on

job planning.

job ranking.

job evaluation.

job survey.

Answer 17

job evaluation

Question 18

Puget Sound Health System has set hiring goals and taken steps to guarantee equal employment opportunities for members of protected groups (e.g., American Indians, veterans). It is complying with

Minority Hiring Act.

Equal Pay Act.

Affirmative Action.

Civil Rights Act.

Answer 18

Civil Rights Act

Question 19

When analyzing discipline problems, which of the following should be considered?

the seriousness of the problem

the frequency of the problem

all answers apply

the prior performance of the employee in question

Answer 19

all answers apply

Question 20

You are preparing a training program for specific functional areas of the HIM department (e.g., coding, release of information). Determine which of the following is the primary factor to consider in developing an effective training program?

credentials of the employees

cost of training the employees

objectives of each functional area

number of employees to be trained

Answer 20

objectives of each functional area

Question 21

Southwest Health System has numerous semiretired staff. The Human Resources Department has provided training regarding the Age Discrimination in Employment Act (ADEA). They emphasized that it protects employees and applicants beginning at what age?

50

70

40

60

Answer 21

40

Question 22

As telecommuting becomes more common, HIM supervisors will increasingly need to evaluate employees for these virtual office opportunities. Typical criteria include all the following EXCEPT that the employee

successfully plans a work production schedule.

is computer literate.

independently identifies required work products.

checks in frequently with the supervisor.

Answer 22

independently identifies required work products

Question 23

Gary’s primary concern is job continuity and adequate health insurance for his large family. Determine what level of Maslow’s hierarchy of needs Gary operates from.

physiological

safety

self-actualization

esteem

Answer 23

safety

Question 24

Sarah is an RHIA who works at a large academic medical center. Her salary of $37,540 is paid 60% from research grants as clinical trial coordinator and 40% by HIM as a database manager. The hospital’s fringe benefit rate is 23%. Calculate how much must the HIM director include in the budget (rounded to the nearest dollar) to cover Sarah’s database management role?

$22,524

$27,705

$15,016

$18,470

Answer 24

$18,470

Question 25

Miranda has decided to accept a position as a manager in a large health system. A key factor was the opportunity to work for a transformational leader. In determining whether the Health Information director is a transformational leader, which of the following characteristics would concern her?

mentoring

risk taking

charisma

dependency

Answer 25

dependency

Question 26

One of the most common rater biases that affect an employee’s evaluation is the “halo effect,” which suggests that the supervisor

rates everyone as average.

rates the employee on the basis of a strong like or dislike of the person.

is too lenient or too strict in rating employee performance.

bases the employee evaluation on behavior in the most recent period rather than the entire evaluation period.

Answer 26

rates the employee on the basis of a strong like or dislike of the person.

Question 27

An HIM supervisor received a report from one of his employees that a coworker has returned from lunch late on numerous occasions with the smell of alcohol on her breath. Assess and determine how the supervisor should address this issue.

Handle the situation as you would any other disease that affects an employee’s work.

Ignore the report because it is hearsay.

Confront the employee and place her on suspension for 1 week.

Terminate the employee immediately.

Answer 27

Handle the situation as you would any other disease that affects an employee’s work.

Question 28

Rita Mizner, MBA, RHIA, is director of Information Services for Mt. Sinai Medical Center. She is well respected for a management style that empowers her staff. All of the following are characteristics of effective delegation, EXCEPT

retaining authority to make key decisions.

providing necessary resources.

explaining exactly what needs to be done.

agreeing on performance standards.

Answer 28

retaining authority to make key decisions.

Question 29

Kristi wants a Mercedes and the position of vice president of Information Services. She feels that achieving these goals will provide her with a sense of achievement, prestige, and reputation in the eyes of others. At what level of Maslow’s hierarchy of needs is she operating?

self-actualization

basic physiological

safety

esteem

Answer 29

esteem

Question 30

Bree is the record processing coordinator, which is a lead position. She has an excellent work record and is able to assist in most work areas of the department. She knows that she could easily get another job within the hospital for the asking. Recently, she has been arriving late and has been uncooperative in dealing with others. As her immediate supervisor, determine what the BEST first step should be in dealing with this situation.

Ignore the situation and hope she will return to being a good employee.

Counsel her by encouraging self-analysis and problem-solving processes.

Suggest that she transfer to another department.

Institute progressive discipline.

Answer 30

Counsel her by encouraging self-analysis and problem-solving processes.

Question 31

Great Plains Transcription Services has a job opening for a home-based transcriptionist who can transcribe medical and surgical reports. Determine which of the following types of tests should be administered?

stress

skill

personality

intelligence

Answer 31

skill

Question 32

You are interviewing a candidate for a subpoena clerk position in the release of information section. Determine which of the following is the LEAST appropriate information to ask an interviewee to provide?

Do you have family responsibilities that would keep you from remaining at a trial?

Can you provide a copy of your most recent CE certificate and AHIMA membership?

Do you have transportation for attendance at depositions and court?

Can you share an experience where you had to determine applicable state law?

Answer 32

Do you have family responsibilities that would keep you from remaining at a trial?

Question 33

The revenue cycle manager has received permission to check references for the candidate she would like to add to her team. Determine which of the following questions is the candidate’s previous employer least likely to answer?

What was her previous salary?

What was her previous position?

What was the reason for her leaving her previous position?

What were her managers’ personal impressions of her?

Answer 33

What were her managers’ personal impressions of her?

Question 34

Israel, an EHR project manager, wants to increase his implementation staff’s problem-solving skills. Point out which of the following approaches is likely to have the best and most long-lasting results?

Provide training to develop an EHR implementation work team.

Hire a consultant to assess the EHR implementation strategies.

Take a field trip to a neighboring facility known for project management.

Request that Human Resources provide an online module teaching problem-solving skills.

Answer 34

Provide training to develop an EHR implementation work team.

Question 35

Grace Holt, RHIA, is the HIM department director. She is reviewing interviewing techniques with Juan Hernandez, RHIT, HIM department supervisor, as he prepares to interview for a new analyst. Grace recommends that Juan should

talk down to the applicant to show authority.

ask questions that encourage a yes or no response.

politely interrupt as necessary to seek clarification.

phrase questions so the expected answer is encouraged.

Answer 35

politely interrupt as necessary to seek clarification

Question 36

Determine which of the following employees is exempt under the Fair Labor Standards Act

an RHIT who manages the Health Information Services department and is involved with planning and decision-making activities 90% of the time

the department secretary who spends 100% of her time performing clerical duties for the director of Health Information Services

a file clerk who spends 100% of the time on filing activities

an RHIA who performs record analysis and coding 90% of the time and who supervises three employees

Answer 36

an RHIT who manages the Health Information Services department and is involved with planning and decision-making activities 90% of the time

Question 37

There are a variety of approaches to career development. Point out which of the following is NOT one of the recognized strategies?

HR recruiters refer employees for new opportunities within the organization.

Supervisors may identify employee potential and set goals, particularly in performance evaluations.

Coaches focus on the learning process, guiding the employee in developing knowledge and skills.

Mentors have a formal relationship with the protégés, providing expert advice based on personal career experience.

Answer 37

HR recruiters refer employees for new opportunities within the organization.

Question 38

An employee arrives for work Monday through Friday any time between 7:00 AM and 9:00 AM, is on the job until at least 3:00 PM, and then may leave any time between 3:00 PM and 6:00 PM. This employee schedule is an example of

the 8/80 workweek.

the staggered work hours program.

variable work schedule.

flextime.

Answer 38

flextime

Question 39

Trina is a pharmacy tech who recently earned her RHIA. She is interviewing to become a representative of an international pharmaceutical firm. She would work from home, log in to the corporate website several times a day, and make calls on various pharmacies in her territory. She would visit headquarters about once a quarter. This proposed work arrangement can best be described as

outsourcing.

telecommuting.

consulting.

flextime.

Answer 39

telecommuting

Question 40

Research has shown that productivity increases with all of the following actions EXCEPT when

the office environment is reengineered.

it is measured.

it becomes the primary goal of management.

employees are rewarded for extra output.

Answer 40

the office environment is reengineered

Question 41

Your job description states that as assistant director of the HIM department, you will supervise day-to-day operations for the record processing, birth registry, and release of information areas. Identify what principle of management is described?

delegation

span of control

specialization

centralized authority

Answer 41

span of control

Question 42

As the manager of the billing department, you have heard from your employees that rumors have been circulating throughout the hospital concerning centralization and layoffs. At a meeting with the CFO, all departments were asked to cut back 15%. Assess and determine what you should tell your employees.

Nothing; it would only depress them.

Tell one employee who likes to spread rumors so employees will learn from each other.

Share the facts with employees because they came from a credible source, the CFO.

No one in the HIM department will be laid off.

Answer 42

Share the facts with employees because they came from a credible source, the CFO

Question 43

After receiving a completed requisition to fill positions within the HIM department, Human Resources can be most effective in recruiting qualified applicants with the assistance of a(n)

departmental organizational chart.

salary schedule.

employee benefits handbook.

current job description.

Answer 43

current job description

Question 44

Use the following statistics from Utah Home Health to calculate the absenteeism rate.

0.568%

0.44%

5.68%

5.8%

Answer 44

5.68%

Question 45

University Health Systems is focusing on fostering a learning environment in the organization. Determine which of the following characteristics is NOT required?

reflection on learning

intentional career development

formal and on-the-job training

academic organization

Answer 45

academic organization

Question 46

Nina is participating in Human Resources training for new supervisors and has a question for the presenter. “I have an employee who is at the top of the pay scale for her position. Do I still need to do a performance evaluation?” The presenter most likely answers,

“Yes, every employee deserves to know how they are performing and to set goals.”

“Yes, at this stage, she should be asked to participate in evaluating other staff.”

“No, once no salary increase can be provided, an evaluation is not necessary.”

“Maybe, it is typically an optional process at this stage of employment.”

Answer 46

“Yes, every employee deserves to know how they are performing and to set goals.”

Question 47

As manager of release of information, you supervise an employee who has been a correspondence clerk for many years. His performance has gradually diminished and has become substandard. Ascertain what method would most likely prove to be ineffective in assisting this employee in improving her performance?

creating an action plan with the employee

asking the employee to cross-train with other employees

delegating special assignments

threatening to fire the employee

Answer 47

threatening to fire the employee

Question 48

Charles is employed as a regional coding consultant by a corporate hospital chain. In the organization chart, this position would be

shown as a staff position.

not shown, because this function is outsourced.

shown as a line position.

not shown, because it is a consulting position.

Answer 48

shown as a staff position

Question 49

Employee turnover is expensive and stressful on staff and reflects poorly on managers. The best defense against employee dissatisfaction is

written policies and procedures.

open and honest communication.

weekly departmental meetings.

the employee handbook.

Answer 49

open and honest communication

Question 50

A recent graduate has applied for a Trauma Registry position at a Chicago hospital while he prepares to apply to graduate school. In making the decision, he considers the offer of $15 per hour for a 40-hour week, benefits of 27.5% of his salary, and tuition waivers of six credits per year at $145. He calculated that his total compensation, rounded to the nearest dollar, would be

$40,650.

$31,030.

$38,599.

$39,563.

Answer 50

$40,650.