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Free RHIT Practice Questions

10 free, exam-style Registered Health Information Technician (RHIT) practice questions with answers and explanations. No signup required. Work through them below, then take the full free RHIT practice test to study every exam domain.

Question 1

Two different patients - John Brown (DOB 05/10/1980) and James Brown (DOB 05/10/1982) - are found to share the same medical record number, MRN 11111. This MPI error is called:

  1. A duplicate
  2. An overlay
  3. A merge error
  4. A registration delay
Show answer & explanation

Correct answer: B - An overlay

Question 2

A laptop containing unencrypted ePHI is stolen from a hospital employee's car. This event is:

  1. Not a breach because the laptop was password-protected
  2. Presumed to be a breach requiring notification unless risk assessment shows low probability of compromise
  3. Not a breach because the theft occurred outside the hospital premises
  4. Only a breach if unauthorized access to the data can be proven
Show answer & explanation

Correct answer: B - Presumed to be a breach requiring notification unless risk assessment shows low probability of compromise

Question 3

A patient requests that the hospital not share any information about their visit with their health insurance company. Under HIPAA:

  1. The hospital must always agree to this restriction
  2. The hospital must agree if the patient pays for the service in full out of pocket
  3. The hospital may never restrict disclosure to an insurance company
  4. The hospital must consult with the insurance company first
Show answer & explanation

Correct answer: B - The hospital must agree if the patient pays for the service in full out of pocket

Question 4

A hospital had 800 discharges (including deaths) in March. There were 32 total deaths: 8 occurred within 48 hours and 24 occurred after 48 hours. The net death rate is:

  1. 3.0%
  2. 4.0%
  3. 1.0%
  4. 5.0%
Show answer & explanation

Correct answer: A - 3.0%

Question 5

A patient presents to the outpatient clinic with symptoms of cough and fever. The physician documents 'suspected pneumonia' and orders a chest X-ray. How should the coder assign the diagnosis?

  1. Code pneumonia since the physician documented it
  2. Code the signs and symptoms (cough, fever)
  3. Code 'rule out pneumonia'
  4. Do not assign any diagnosis codes
Show answer & explanation

Correct answer: B - Code the signs and symptoms (cough, fever)

Question 6

A surgeon performs a partial mastectomy (lumpectomy), removing a portion of the left breast. The correct root operation is:

  1. Resection
  2. Excision
  3. Extraction
  4. Destruction
Show answer & explanation

Correct answer: B - Excision

Question 7

A compliant physician query must:

  1. Suggest a specific diagnosis that the physician should document based on clinical evidence
  2. Be based on clinical indicators present in the record and not lead the physician to a specific answer
  3. Include the expected DRG and reimbursement impact to ensure proper coding
  4. Be sent only after the patient has been discharged to avoid workflow disruption
Show answer & explanation

Correct answer: B - Be based on clinical indicators present in the record and not lead the physician to a specific answer

Question 8

A key difference between the Anti-Kickback Statute and the Stark Law is:

  1. AKS is criminal requiring intent; Stark is strict liability civil
  2. Stark is criminal and AKS is civil
  3. Both require proof of criminal intent
  4. AKS applies only to hospitals; Stark applies only to physicians
Show answer & explanation

Correct answer: A - AKS is criminal requiring intent; Stark is strict liability civil

Question 9

The PRIMARY difference between RCA and FMEA is:

  1. RCA focuses on individual incidents; FMEA focuses on system-wide processes
  2. RCA is reactive (after an event occurs); FMEA is proactive (before an event occurs)
  3. RCA requires external consultants; FMEA uses internal team members only
  4. RCA analyzes human factors; FMEA analyzes equipment failures exclusively
Show answer & explanation

Correct answer: B - RCA is reactive (after an event occurs); FMEA is proactive (before an event occurs)

Question 10

Scope creep in project management occurs when:

  1. The project is completed ahead of schedule
  2. Uncontrolled changes or additions to the project scope occur
  3. The project team exceeds the planned size
  4. The project budget is reduced mid-execution
Show answer & explanation

Correct answer: B - Uncontrolled changes or additions to the project scope occur

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