AHIMA RHIT Practice Exam-3 2025/2026

*Peer Review Organization (PRO)* - ANS-The *Tax Equity and Fiscal Responsibility Act
of 1982 (TEFRA)* introduced Diagnosis Related Groups (DRGs), as well as:
*Core performance* - ANS-The measurement used by The Joint Commission, Center
for Medicare and Medicaid Services (CMS), and other *healthcare plans to assess how
well healthcare organizations provided care.*
*Fraud* - ANS-In an Electronic Health Record (EHR) environment, a physician that
borrows records entries from another source or author and then displays the past
documentation as current creates an issue with:
*The Joint Commission* - ANS-A private, not for profit organization that evaluates and
*accredits hospitals and other healthcare organizations on the basis of predefined
performance standards.*
Flashing pagers - ANS-What is an example of a way to decrease the risk of violating
Health Insurance Portability and Accountability Act (HIPAA) Privacy Rules in a patient
waiting area?
*Need to know* - ANS-Type of control that is used to determine *access granted to a
user.*
*Designated record set* - ANS-Health Insurance Portability and Accountability Act
*(HIPAA) Privacy Rule* require this record set to describe what is maintained as part of
the medical record.
*Right to Request Confidential Communication* - ANS-Right under Health Insurance
Portability and Accountability Act (HIPAA)* when a patient requests medical and\or
billing information be mailed to an alternate address.*
*Consolidation Omnibus Budget Reconciliation Act COBRA* - ANS-The act that made it
possible for Center for Medicare and Medicaid Services (CMS) *to deny reimbursement
for substandard healthcare services provided to Medicare and Medicaid beneficiaries*
*Healthcare Integrity and Protection Data Bank (HIPDB)* - ANS-The central place *to
obtain information on healthcare fraud and abuse mandated by Health Insurance
Portability and Accountability Act (HIPAA)*