RHIT Organizational Management and Leadership 3 — Questions and Answers
Question 1: A HIM manager notices that coding productivity has dropped 15% over the past month. Which management tool would best help identify the root cause of this decline?
- Gantt chart
- Fishbone (Ishikawa) diagram (Correct answer)
- PERT chart
- Balanced scorecard
Correct answer: Fishbone (Ishikawa) diagram
A fishbone diagram is a root cause analysis tool that helps identify the underlying causes of a problem by categorizing potential contributing factors.
Question 2: Under the Fair Labor Standards Act (FLSA), which category of HIM employee is entitled to overtime pay when working more than 40 hours per week?
- Exempt salaried managers
- Non-exempt hourly coders (Correct answer)
- Exempt professional employees
- Salaried directors
Correct answer: Non-exempt hourly coders
Non-exempt employees under FLSA are entitled to overtime pay at 1.5 times their regular rate for hours worked beyond 40 per week.
Question 3: A hospital system acquires a smaller clinic and the HIM director must integrate the two coding departments. This is an example of managing change during which type of organizational event?
- Merger and acquisition (Correct answer)
- Strategic planning
- Succession planning
- Workforce reduction
Correct answer: Merger and acquisition
Mergers and acquisitions require HIM leaders to manage the integration of staff, processes, and systems from two previously separate organizations.
Question 4: Which type of cost remains constant regardless of the volume of health records processed, such as a fixed monthly software license fee?
- Variable cost
- Direct cost
- Fixed cost (Correct answer)
- Indirect cost
Correct answer: Fixed cost
Fixed costs do not change with the volume of activity, such as a monthly software subscription fee that stays the same regardless of how many records are processed.
Question 5: A HIM director uses a SWOT analysis when preparing the department's strategic plan. What does the 'T' in SWOT represent?
- Training
- Threats (Correct answer)
- Targets
- Technology
Correct answer: Threats
In SWOT analysis, 'T' stands for Threats, which are external factors that could negatively impact the organization or department.
Question 6: A coder files a formal complaint alleging that she is being paid less than male coders with the same qualifications and job duties. Which federal law is most relevant to this complaint?
- Title VII of the Civil Rights Act
- Equal Pay Act of 1963 (Correct answer)
- Americans with Disabilities Act
- Age Discrimination in Employment Act
Correct answer: Equal Pay Act of 1963
The Equal Pay Act of 1963 prohibits wage discrimination based on sex for employees performing substantially equal work in the same establishment.
Question 7: Which project management technique uses a visual bar chart to display a project schedule, showing task durations and dependencies over time?
- Fishbone diagram
- Gantt chart (Correct answer)
- PERT chart
- Control chart
Correct answer: Gantt chart
A Gantt chart is a horizontal bar chart that illustrates a project schedule by showing the start and end dates of project tasks.
RHIT Organizational Management and Leadership 3
A HIM manager notices that coding productivity has dropped 15% over the past month.
Which management tool would best help identify the root cause of this decline?