RHIT Practice Questions (2026) — Free Sample Questions with Answers

Answer: A

Quantitative analysis: Correct. Quantitative analysis checks the record for the presence of required documents, signatures and dates — completeness rather than clinical quality.

Qualitative analysis: Qualitative analysis reviews the content for consistency and quality, such as whether the diagnoses are supported by documentation.

Utilization review: Utilization review evaluates medical necessity and appropriateness of services and level of care.

Clinical pertinence review: Clinical pertinence review is a medical-staff evaluation of whether documentation reflects the care provided.

Quantitative = is it there and signed? Qualitative = is it consistent, accurate and supported?

Answer: B

A disclosure to a collection agency to pursue an unpaid patient balance: Payment-related disclosures are subject to minimum necessary; only the data needed for collection should be shared.

A disclosure to the patient's specialist who is treating the patient: Correct. Disclosures to, or requests by, a health care provider for treatment purposes are exempt from the minimum necessary standard.

A disclosure to an external auditor reviewing the hospital's billing: Health care operations disclosures are subject to minimum necessary.

A disclosure to a public health agency for a reportable disease case: Public health disclosures are permitted without authorization but are still limited to the minimum necessary.

Minimum necessary does not apply to treatment disclosures, disclosures to the individual, those made under an authorization, to HHS, or those required by law.

Answer: B

1.2667: This is the simple average of the three weights ((1.0 + 2.0 + 0.8) ÷ 3), which ignores how many cases fell in each MS-DRG.

1.2000: Correct. CMI = sum of relative weights ÷ cases = (10 × 1.0 + 5 × 2.0 + 5 × 0.8) ÷ 20 = 24.0 ÷ 20 = 1.2000.

3.8000: This adds the three weights without averaging across cases.

24.0000: This is the total of the relative weights, not divided by the number of cases.

CMI = Σ(cases × MS-DRG relative weight) ÷ total cases — a weighted average reflecting resource intensity.

Answer: B

Assign E11.9 and the CKD code separately, because no causal link is documented: The 'with' convention presumes the link, so coding diabetes without complications would be incorrect.

Assign E11.22 plus the stage 3a CKD code, because the link is presumed: Correct. Under the ICD-10-CM 'with' convention, CKD listed under 'with' for diabetes is presumed linked unless the provider states another cause, and the CKD stage is coded additionally.

Query the physician, because the coder may not link conditions without it: A query is unnecessary when the classification itself presumes the relationship; it is needed only if documentation suggests another cause.

Assign only the CKD stage code, because it is the more specific condition: Both conditions are reported; omitting the diabetes code loses the combination code.

The 'with' convention presumes a causal link between conditions linked in the Index (e.g., diabetes and CKD) unless documentation clearly states they are unrelated.

Answer: D

Processing and paying Medicare fee-for-service claims for a region: Claims processing is done by Medicare Administrative Contractors (MACs).

Accrediting hospitals so they can participate in the Medicare program: Accreditation is performed by organizations such as The Joint Commission, not RACs.

Investigating criminal fraud and referring cases to law enforcement: Fraud investigation is done by the OIG and Unified Program Integrity Contractors.

Identifying and correcting improper Medicare payments after claims are paid: Correct. RACs review paid claims to identify overpayments and underpayments, and are paid on a contingency basis.

MAC = processes claims; RAC = post-payment review for improper payments; UPIC/OIG = fraud; QIO = quality and certain medical necessity reviews.

Answer: A

Gantt chart: Correct. A Gantt chart displays tasks as bars along a timeline, showing start and end dates and overlap.

Pareto chart: A Pareto chart ranks causes by frequency to identify the 'vital few' problems.

Fishbone diagram: A fishbone (cause-and-effect) diagram organizes possible causes of a problem.

Control chart: A control chart tracks process variation over time against control limits.

Gantt = schedule bars on a timeline; PERT/critical path = task dependencies and the longest path; Pareto, fishbone and control charts are quality-improvement tools.