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HAAD RHIA Exam Questions
Registered Health Information Administrator (RHIA) (Page 71 )

Updated On: 17-Feb-2026
Page 71 of 367
PDF with 1832 Questions

The hospital outpatient prospective payment system for Medicare applies to all of the following EXCEPT.

  1. professional services, such as physician fees.
  2. facility reimbursement for outpatient hospital clinic visits.
  3. facility reimbursement for emergency department visits.
  4. facility reimbursement for hospital-based ambulatory surgery.

Answer(s): A



The Correct Coding Initiative (CCI) edits contain a listing of codes under two columns titled, "comprehensive codes" and "component codes." According to the CCI edits, when a provider bills Medicare for a procedure that appears in both columns for the same beneficiary on the same date of service.

  1. code only the component code.
  2. do not code either one.
  3. code only the comprehensive code.
  4. code both the comprehensive code and the component code.

Answer(s): C



The following type of hospital is considered excluded, which means that it does not participate in any type of prospective payment system (PPS).

  1. rehabilitation hospital
  2. long-term care hospital
  3. \psychiatric hospital
  4. cancer hospital

Answer(s): D



These are financial protections to ensure that certain types of facilities (e.g., children's hospitals) recoup all of their losses due to the differences int heir APC payments and the pre-APC payments.

  1. limiting charge
  2. indemnity insurance
  3. hold harmless
  4. pass through

Answer(s): C



LCDs and NCDs are review policies that describe the circumstances of coverage for various types of medical treatment. They advise physicians which services Medicare considers reasonable and necessary and may indicate the need for an advance beneficiary notice. They are developed by the Centers for Medicare and Medicaid Services (CMS), Medicare carriers, or fiscal intermediaries LCD and NCD are acronyms that stand for

  1. local covered determinations and non-covered determinations.
  2. local coverage determinations and national coverage determinations.
  3. list of covered decisions and non-covered decisions.
  4. local contractor's decisions and national contractor's decisions.

Answer(s): B






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