RHIA Domain 5 Test Questions and
Answers All Correct
Which of the following is considered a viable solution to a staff recruitment problem for
coding and transcription shortages? - Answer-d. Telecommuting
Alternative staffing structures offer flexibility in hours, location, and job responsibilities
as a method to attract and retain employees and eliminate staffing shortages. Some
examples are job sharing, outsourcing, flextime, and telecommuting (Oachs 2020, 767).
Which of the following is a statement made by one party to induce another party to enter
into a contract? - Answer-b. Warranty
All contracts include representations or warranties of some sort, which are statements
of facts existing at the time the contract is made. These statements are made by one
party to induce the other party to enter the contract. Typically, these statements relate to
the quality of goods or services purchased or leased (Klaver 2017b, 129-130).
If parties to a contract agree to hold each other harmless for each other's actions or
inactions, this is referred to as a(n): - Answer-a. Indemnification
The purpose of hold harmless or indemnification clauses is to either transfer or assume
liability. For example, the indemnitor (party assuming liability) may agree to hold the
other party harmless against claims arising from the indemnitor's own actions or failures
to act. This means if actions (or inactions) result in harm to the other party, the
indemnitor will seek to make that party whole, often through some sort of compensation
(Klaver 2017b, 129-130).
Which of the following is an example of a budget used as a controlling tool? - Answer-b.
Responding to a monthly budget variance report
Once the budget preparation period is over and budget reports are issued, the budget
becomes a controlling tool. The other examples occur when the budget is being used as
a planning tool (Kelly and Greenstone 2020, 72).
The percent of antibiotics administered immediately prior to open reduction and internal
fixation (ORIF) surgeries or the percent of deliveries accomplished by cesarean section
are examples of what type of performance measure? - Answer-c. Process measure
, A process measure has a scientific basis for it. In this example, the percentage of
antibiotics administered before surgery has been proven through evidence-based
medicine, so it is scientifically based (Shaw and Carter 2019, 40-41).
One of the most common issues that healthcare organizations fail to do well in the
strategic process is: - Answer-c. Execute the implementation plan
The strategic goals and objectives need to be clearly outlined, with assignments for who
will be accountable, timelines, allocation of resources, and measurements that will be
used to ensure success of implementation. When a detailed implementation includes
the elements laid out clearly—with timeframes and regular updates provided within the
organization—the likelihood of strategic success increases significantly (McClernon
2020, 934).
Which of the following would not be included in a healthcare entity's strategic profile? -
Answer-a. Nature of its threats and opportunities
The strategic profile identifies the existing key services or products of the department or
organization, the nature of its customers and users, the nature of its market segments,
and the nature of its geographic markets (McClernon 2020, 922; Robert 2006, 53-542).
At Community Health Services, each budget cycle provides the opportunity to continue
or discontinue services based on available resources so that every department or
activity must be justified and prioritized annually in order to effectively allocate
resources. Community Health uses what type of operational budget? - Answer-d. Zero-
based
Zero-based budgets apply to organizations for which each budget cycle poses the
opportunity to continue or discontinue services based on the availability of resources.
Every department or activity must be justified and prioritized annually in order to
effectively allocate the organization's resources. Professional associations and
charitable foundations, for example, routinely use zero-based budgeting (Revoir 2020,
831).
What is the best description of the consulting services variance?
At the end of March, the HIM department has a YTD payroll budget of $100,000. The
actual YTD amount paid is $95,000 because a coder resigned in February. For the past
two months, the position has been filled through outsourcing. Therefore, the actual YTD
amount for consulting services is $5,000, although no money was budgeted for
consulting services. The reporting threshold for variances is 4 percent. The fiscal year-
end is December. - Answer-b. Unfavorable, permanent
It is unfavorable and permanent because money that was not in the budget was spent
on consulting services (Revoir 2020, 834).
