AHIMA CCA CERTIFICATION EXAM 2026
COMPLETE QUESTIONS WITH SOLUTIONS
◉2. If another status T procedure were performed, how much would
the facility receive for the second status T procedure?
998323-billing#, V-status indicator, 99285-25-CPT/HCPCS, 0612-
APC.
998324-billing#, T-status indicator, 25500-CPT/HCPCS, 0044-APC.
998325-billing#, X-status indicator, 72050-CPT/HCPCS, 0261-APC.
998326-billing#, S-status indicator, 70450-CPT/HCPCS, 0283-APC.
998327-billing#, S-status indicator, 70450-CPT/HCPCS, 0283-APC
a. 0%
b. 50%
c. 75%
d. 100%. Answer: b. 50%
,Multiple surgical procedures with payment status indicator T
performed during the same operative session are discounted. The
highest-weighted procedure is fully reimbursed. All other
procedures with payment status indicator T are reimbursed at 50%.
◉3. A health information technician is processing payments for
hospital outpatient services to be reimbursed by Medicare for a
patient who had two physician visits, underwent radiology
examinations, clinical laboratory tests, and who received take-home
surgical dressings. Which of the following services is reimbursed
under the outpatient prospective payment system?
a. Clinical laboratory tests
b. Physician office visits
c. Radiology examinations
d. Take-home surgical dressings. Answer: c. Radiology examinations
Radiology procedures are identified under the outpatient
perspective payment system with a status indicator X. Status
indicator X identifies ancillary services that are separately paid .
◉4. Which of the following types of hospitals are excluded from the
Medicare inpatient prospective payment system?
, a. Children's
b. Rural
c. State supported
d. Tertiary. Answer: a. Children's
Psychiatric and rehabilitation hospitals, long-term care hospitals,
children's hospitals, cancer hospitals, and critical access hospitals
are paid on the basis of reasonable cost, subject to payment limits
per discharge or under separate PPS.
◉5. Diagnosis-related groups are organized into:
a. Case-mix classifications
b. Geographic practice cost indices
c. Major diagnostic categories
d. Resource-based relative values. Answer: c. Major diagnostic
categories
Diagnosis-related groupings [DRGs] are classified by one of 25 major
diagnostic categories [MDCs].
◉6. In processing a Medicare payment for outpatient radiology
examinations, a hospital outpatient services department would
receive payment under which of the following?
COMPLETE QUESTIONS WITH SOLUTIONS
◉2. If another status T procedure were performed, how much would
the facility receive for the second status T procedure?
998323-billing#, V-status indicator, 99285-25-CPT/HCPCS, 0612-
APC.
998324-billing#, T-status indicator, 25500-CPT/HCPCS, 0044-APC.
998325-billing#, X-status indicator, 72050-CPT/HCPCS, 0261-APC.
998326-billing#, S-status indicator, 70450-CPT/HCPCS, 0283-APC.
998327-billing#, S-status indicator, 70450-CPT/HCPCS, 0283-APC
a. 0%
b. 50%
c. 75%
d. 100%. Answer: b. 50%
,Multiple surgical procedures with payment status indicator T
performed during the same operative session are discounted. The
highest-weighted procedure is fully reimbursed. All other
procedures with payment status indicator T are reimbursed at 50%.
◉3. A health information technician is processing payments for
hospital outpatient services to be reimbursed by Medicare for a
patient who had two physician visits, underwent radiology
examinations, clinical laboratory tests, and who received take-home
surgical dressings. Which of the following services is reimbursed
under the outpatient prospective payment system?
a. Clinical laboratory tests
b. Physician office visits
c. Radiology examinations
d. Take-home surgical dressings. Answer: c. Radiology examinations
Radiology procedures are identified under the outpatient
perspective payment system with a status indicator X. Status
indicator X identifies ancillary services that are separately paid .
◉4. Which of the following types of hospitals are excluded from the
Medicare inpatient prospective payment system?
, a. Children's
b. Rural
c. State supported
d. Tertiary. Answer: a. Children's
Psychiatric and rehabilitation hospitals, long-term care hospitals,
children's hospitals, cancer hospitals, and critical access hospitals
are paid on the basis of reasonable cost, subject to payment limits
per discharge or under separate PPS.
◉5. Diagnosis-related groups are organized into:
a. Case-mix classifications
b. Geographic practice cost indices
c. Major diagnostic categories
d. Resource-based relative values. Answer: c. Major diagnostic
categories
Diagnosis-related groupings [DRGs] are classified by one of 25 major
diagnostic categories [MDCs].
◉6. In processing a Medicare payment for outpatient radiology
examinations, a hospital outpatient services department would
receive payment under which of the following?
