CCA LATEST 2026 TEST PAPER QUESTIONS AND
SOLUTIONS RATED A+
✔✔CAC software is used to analyze health care documents and produce appropriate
medical codes. This may be used by some health care facilities when there are an
insufficient number of certified medical coding candidates. CAC stands for -
✔✔Computer-Assisted Coding.
✔✔The patient was seen by the physician on September 30. By the time the
documentation reached the medical coder, it was October 2. The code set required to
report the appropriate diagnosis is - ✔✔the 2022 ICD-10-CM code set.
✔✔The patient was admitted through the Emergency Department and she is anxious
about notifying her spouse and her sister. Her spouse is out of town on business and
her sister lives in another state. The patient is worried about how they can get updates
when she is in surgery, when they cannot prove how they are related to her to clear
HIPAA limitations. You tell her not to worry, because - ✔✔the hospital can assign
special pass codes.
✔✔Which of the following are considered sequela regardless of time? - ✔✔nonunion
✔✔The primary purpose for keeping a patient health record is - ✔✔continuity of care.
✔✔Querying a physician is required by the coder when it is found that the
documentation, written by a physician, is any of these EXCEPT:
contradictory in certain statements or findings.
missing specific details necessary to determine an accurate code.
ambiguous in certain statements or findings.
misspelled in places that do not interfere with the medical information included. -
✔✔misspelled in places that do not interfere with the medical information included.
✔✔CDSS is an add-on function included in most electronic health records (EHR). This
enables physicians to review evidence-based medical articles and other current industry
knowledge. CDSS stands for - ✔✔Clinical Decision Support System.
✔✔One expert medical coder in your department is responsible for reviewing the codes
determined by the other coders before the claims are submitted to third-party payers.
This is known as conducting ________. - ✔✔internal audit
✔✔HIPAA requires covered entities to retain patient health records for at least _____,
from either the date of creation, or the last "effective date," whichever date is later. -
✔✔6 years
, ✔✔Which of the following is classified as a poisoning in ICD-10-CM? - ✔✔syncope due
to Contac pills and a three-martini lunch
✔✔In most situations the person who authorizes release of medical information is the -
✔✔patient.
✔✔ You would expect to find documentation regarding the assessment of an obstetric
patient's lochia, fundus, and perineum on the - ✔✔postpartum record.
✔✔Procedure-to-Procedure (PTP) Edits review claims for codes that report -
✔✔procedures that cannot or should not be provided to the same patient on the same
day.
✔✔It is September 15th, and you have just received the upcoming year's ICD-10-PCS
code set updates. The next step is to ________. - ✔✔put in a change ticket for the
hospital's chargemaster to be updated
✔✔You are conducting an educational session on benchmarking. You tell your
audience that the key to benchmarking is to use the comparison to - ✔✔improve your
department's processes.
✔✔A physician has come to the HIM department because he wants a new smartphone
to be able to access patient records. This way he can enter orders when he is outside of
the hospital. You need to direct the IT department to - ✔✔encrypt the phone so access
is protected.
✔✔The APC payment system is based on what coding system(s)? - ✔✔CPT/HCPCS
codes
✔✔The Joint Commission requires that all medical records be completed within
___________ following patient discharge. - ✔✔30 days
✔✔You have been hired to work with a computer-assisted coding (CAC) initiative. The
technology that you will be working with is - ✔✔natural language processing.
✔✔External audits may be conducted by several organizations in the federal
government as well as the private sector, including ________. - ✔✔Humana Fraud
Department
RAC
OIG
SOLUTIONS RATED A+
✔✔CAC software is used to analyze health care documents and produce appropriate
medical codes. This may be used by some health care facilities when there are an
insufficient number of certified medical coding candidates. CAC stands for -
✔✔Computer-Assisted Coding.
✔✔The patient was seen by the physician on September 30. By the time the
documentation reached the medical coder, it was October 2. The code set required to
report the appropriate diagnosis is - ✔✔the 2022 ICD-10-CM code set.
✔✔The patient was admitted through the Emergency Department and she is anxious
about notifying her spouse and her sister. Her spouse is out of town on business and
her sister lives in another state. The patient is worried about how they can get updates
when she is in surgery, when they cannot prove how they are related to her to clear
HIPAA limitations. You tell her not to worry, because - ✔✔the hospital can assign
special pass codes.
✔✔Which of the following are considered sequela regardless of time? - ✔✔nonunion
✔✔The primary purpose for keeping a patient health record is - ✔✔continuity of care.
✔✔Querying a physician is required by the coder when it is found that the
documentation, written by a physician, is any of these EXCEPT:
contradictory in certain statements or findings.
missing specific details necessary to determine an accurate code.
ambiguous in certain statements or findings.
misspelled in places that do not interfere with the medical information included. -
✔✔misspelled in places that do not interfere with the medical information included.
✔✔CDSS is an add-on function included in most electronic health records (EHR). This
enables physicians to review evidence-based medical articles and other current industry
knowledge. CDSS stands for - ✔✔Clinical Decision Support System.
✔✔One expert medical coder in your department is responsible for reviewing the codes
determined by the other coders before the claims are submitted to third-party payers.
This is known as conducting ________. - ✔✔internal audit
✔✔HIPAA requires covered entities to retain patient health records for at least _____,
from either the date of creation, or the last "effective date," whichever date is later. -
✔✔6 years
, ✔✔Which of the following is classified as a poisoning in ICD-10-CM? - ✔✔syncope due
to Contac pills and a three-martini lunch
✔✔In most situations the person who authorizes release of medical information is the -
✔✔patient.
✔✔ You would expect to find documentation regarding the assessment of an obstetric
patient's lochia, fundus, and perineum on the - ✔✔postpartum record.
✔✔Procedure-to-Procedure (PTP) Edits review claims for codes that report -
✔✔procedures that cannot or should not be provided to the same patient on the same
day.
✔✔It is September 15th, and you have just received the upcoming year's ICD-10-PCS
code set updates. The next step is to ________. - ✔✔put in a change ticket for the
hospital's chargemaster to be updated
✔✔You are conducting an educational session on benchmarking. You tell your
audience that the key to benchmarking is to use the comparison to - ✔✔improve your
department's processes.
✔✔A physician has come to the HIM department because he wants a new smartphone
to be able to access patient records. This way he can enter orders when he is outside of
the hospital. You need to direct the IT department to - ✔✔encrypt the phone so access
is protected.
✔✔The APC payment system is based on what coding system(s)? - ✔✔CPT/HCPCS
codes
✔✔The Joint Commission requires that all medical records be completed within
___________ following patient discharge. - ✔✔30 days
✔✔You have been hired to work with a computer-assisted coding (CAC) initiative. The
technology that you will be working with is - ✔✔natural language processing.
✔✔External audits may be conducted by several organizations in the federal
government as well as the private sector, including ________. - ✔✔Humana Fraud
Department
RAC
OIG
