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HINF 6405 Clinical Risk Coding & Compliance: Comprehensive Final Examination (ICD-10-CM, HCC, CMS & Risk Adjustment) Walden University – 2026

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This comprehensive final examination is designed to assess advanced competency in ICD-10-CM coding, clinical documentation integrity, CMS Hierarchical Condition Categories (HCC), Medicare Advantage risk adjustment, compliance standards, and regulatory guidelines. The exam integrates real-world clinical scenarios across multiple specialties, emphasizing accurate diagnosis selection, sequencing, risk adjustment validation, RADV audits, and CMS Star Ratings. It reflects graduate-level rigor aligned with Walden University’s Health Informatics and Medical Coding curriculum and prepares learners for professional certification and applied practice in healthcare compliance and revenue integrity.

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WALDEN UNIVERSITY
School of Health Sciences
Department of Health Informatics & Medical Coding




HINF 6405 Clinical Risk Coding and
Compliance (CRC) FINAL EXAM 2

Question 1
According to AAPC’s Code of Ethics, an AAPC member shall use only
____ and ____ means in all professional dealings.
a.legal and ethical
b.legal and profitable
c.efficient and inexpensive
d.private and professional



Question 2
A patient diagnosed with glaucoma has:
a.Bleeding vessels on the retina
b.Corneal neovascularization
c.Abnormally high intraocular pressure
d.A lens that is no longer clear



Question 3
What term describes a woman in her first pregnancy?
a.Primigravida
b.Parturition
1

, WALDEN UNIVERSITY
School of Health Sciences
Department of Health Informatics & Medical Coding
c.Primipara
d.Nulligravida
Question 4
The drug stem -olol indicates the drug belongs to which of the
following classes:
a. Quinolone-derived antibiotics

b.Beta blocker

c. Dopamine and serotonin–norepinephrine reuptake inhibitor

d.Tyrosine-kinase Inhibitor




Question 5
All of the following drugs belong to the Sulphonylurea class EXCEPT:
a.DiaBeta

b.Amaryl

c.Orinase

d.Metformin
Question 6
A patient is seen in the ED for severe abdominal pain and urinary
frequency. After examination and urinalysis, the patient is diagnosed
with a urinary tract infection (UTI). What ICD-10-CM code(s) is/are
reported?
a. R10.0, R35.0,
2

, WALDEN UNIVERSITY
School of Health Sciences
Department of Health Informatics & Medical Coding
N39.0
b.R10.0, R35.0
c. R10.0, N39.0
d.N39.0


Question 7
What is the diagnosis code(s) for a patient with bronchitis and the flu?
a.J11.1
b.J40, J09.X2
c.J40, J11.1
d.J09.X2


Question 8
A patient presents to the Emergency Department with nausea and
vomiting, abdominal pain, and fever. The provider suspects
appendicitis.
The test results are pending. What ICD-10-CM code(s) is/are reported?
a.R11.2, R10.9, R50.9, K37
b.R11.0, R11.10, R10.9, R50.9
c.R11.2, R10.9, R50.9
d.K37
Question 9
The provider orders the following serum blood tests as part of a
preemployment physical exam: Complete Blood Count (CBC)
automated and automated differential; White Blood Count (WBC);
Comprehensive Metabolic Panel (CMP); and a Thyroid Stimulating
Hormone (TSH) assay. which are all part of the general health panel. A

3

, WALDEN UNIVERSITY
School of Health Sciences
Department of Health Informatics & Medical Coding
drug screen for multiple drug classes was also collected. What diagnosis
code is reported?
a.Z02.1
b.Z00.01
c.R68.89
d.R71.0


Question 10
A patient is seen for his hypertension with stage 5 CKD and myocardial
disease. The conditions are stable and he is told to continue with his
medications. The myocardial disease is unrelated to the hypertension.
What ICD-10-CM codes are reported?
a. I12.0, I51.5
b.I12.0, N18.5, I51.5
c. I13.11, N18.5
d.I10, N18.5, 151.5
Question 11
A patient is admitted after being found unresponsive at home. The
patient had right-sided hemiplegia and aphasia from a previous CVA.
The provider documents a current cerebral infarction due to occlusion
of the right middle cerebral artery as the final diagnosis and the patient
is transferred for rehabilitation. What ICD-10-CM code(s) is/are
reported?
a. I67.89, I69.959, I69.920
b.I67.89, I69.954, R47.01
c. I65.319
d.I63.511, I69.351, I69.320


4

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