CCA Mock Exam
1. Patient undergoes a posterior L1-L5 spinal fusion for scoliosis with placement of a
Harrington rod. Code using CPT.
a. 22612, 22800, 22841
b. 22800, 22840
c. 22800, 22842
d. 22800, 22846
2. D&C for missed abortion, first trimester. (Code CPT for procedures.)
a. 59850
b. 59840
c. 59820
d. 59855
3. You would expect to find documentation regarding the assessment of an obstetric
patient's lochia, fundus, and perineum on the
a. prenatal record.
b. delivery room record.
c. labor record.
d. postpartum record.
4. Procedure-to-Procedure (PTP) Edits review claims for codes that report
a. durable medical equipment without medical necessity.
b. diagnosis codes that have been deleted.
c. procedures that cannot or should not be provided to the same patient on the same
day.
d. post-operative therapies.
5. It is September 15th, and you have just received the upcoming year’s ICD-10-PCS code
set updates. The next step is to ________.
a. notify the physicians so they are aware
b. put in a change ticket for the hospital’s chargemaster to be updated
c. wait until the codes come into effect on October 1st
d. immediately work to memorize new codes
6. Hysteroscopy with D&C and polypectomy. (Code CPT for procedures.)
a. 58563
b. 58120, 58100, 58555
c. 58558, 58120
d. 58558
7. Patient came to the hospital ambulatory surgical center for repair of incisional inguinal
hernia. This is the second time the patient has developed this problem. The hernia was
repaired with Gore-Tex graft. Choose the appropriate ICD-10-CM and CPT codes.
a. K40.91, 49565, 49568
b. K40.40, K43.9, 49560, 49568
c. K43.9, K40.90, 49520, 49568
d. K40.40, 49565
,8. You are conducting an educational session on benchmarking. You tell your audience that
the key to benchmarking is to use the comparison to
a. improve your department's processes.
b. compare your department with another.
c. implement your QI process.
d. make recommendations for improvement to the other department or organization.
9. 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
a. explain that this would be a HIPAA violation.
b. encrypt the phone so access is protected.
c. send the physician to computer classes.
d. limit the physician's access to the hospital's network.
10.The APC payment system is based on what coding system(s)?
a. CPT and ICD-10-CM diagnosis and procedure codes
b. AMA's CPT codes
c. ICD-10-CM diagnosis and procedure codes
d. CPT/HCPCS codes
11.The Joint Commission requires that all medical records be completed within
___________ following patient discharge.
a. 90 days
b. 30 days
c. 14 days
d. 7 days
12.Patient has breast carcinoma and is now undergoing complete axillary lymphadenectomy.
(Code for physician using CPT procedure codes only.)
a. 38562
b. 38740
c. 38745
d. 38525
13.You have been hired to work with a computer-assisted coding (CAC) initiative. The
technology that you will be working with is
a. intraoperability.
b. message standards.
c. electronic data interchange.
d. natural language processing.
14.External audits may be conducted by several organizations in the federal government as
well as the private sector, including ________.
a. Humana Fraud Department
b. any of these
c. OIG
d. RAC
, 15.Patient has a year history of mitral valve regurgitation and now presents for a mitral valve
replacement with bypass. (Code for physician using CPT procedure codes only.)
a. 33430
b. 33425
c. 35231
d. 33460
16.When writing a query to a physician regarding ambiguous details in the documentation,
one must be careful to never let the question
a. include clinical indicators from the health record.
b. imply an answer that will lead to a higher reimbursement rate.
c. be open-ended so the physician can answer however he or she wants.
d. include the name and patient number for the individual whose record is questioned.
17.If the National Coverage Determination indicates that Medicare will not pay for a
specific procedure, you may have to have the patient sign
a. a patient confidentiality form.
b. an Advance Beneficiary Notice (ABN).
c. a waiver of financial liability.
d. a loan application.
18.Patient arrives in the emergency room via a medical helicopter. The patient has sustained
multiple life-threatening injuries due to a multiple car accident. The patient goes into
cardiac arrest upon arrival. An hour and 30 minutes of critical care time is spent trying to
stabilize the patient.
a. 99291, 99292
b. 99282
c. 99285, 99288, 99291
d. 99291, 99292, 99285
19.All health care facilities are obligated by federal legislation to provide a safe and
protected workplace for all staff and volunteers. This legislation is known as
a. OSHA.
b. FCA.
c. HIPAA.
d. EMTALA.
20.Patient presents with a diabetic ulcer that needs to be debrided. The patient was taken to
the operating room where debridement of the muscle took place.
a. 11011
b. 11043
c. 11400
d. 15999
21.Employing the SOAP style of progress notes, choose the "assessment" statement from the
following:
a. patient moving about very cautiously and appears to be in pain.
b. adjust pain medication; begin physical therapy tomorrow.
c. sciatica unimproved with hot pack therapy.
d. patient states low back pain with sciatica is as severe as it was on admission.
1. Patient undergoes a posterior L1-L5 spinal fusion for scoliosis with placement of a
Harrington rod. Code using CPT.
a. 22612, 22800, 22841
b. 22800, 22840
c. 22800, 22842
d. 22800, 22846
2. D&C for missed abortion, first trimester. (Code CPT for procedures.)
a. 59850
b. 59840
c. 59820
d. 59855
3. You would expect to find documentation regarding the assessment of an obstetric
patient's lochia, fundus, and perineum on the
a. prenatal record.
b. delivery room record.
c. labor record.
d. postpartum record.
4. Procedure-to-Procedure (PTP) Edits review claims for codes that report
a. durable medical equipment without medical necessity.
b. diagnosis codes that have been deleted.
c. procedures that cannot or should not be provided to the same patient on the same
day.
d. post-operative therapies.
5. It is September 15th, and you have just received the upcoming year’s ICD-10-PCS code
set updates. The next step is to ________.
a. notify the physicians so they are aware
b. put in a change ticket for the hospital’s chargemaster to be updated
c. wait until the codes come into effect on October 1st
d. immediately work to memorize new codes
6. Hysteroscopy with D&C and polypectomy. (Code CPT for procedures.)
a. 58563
b. 58120, 58100, 58555
c. 58558, 58120
d. 58558
7. Patient came to the hospital ambulatory surgical center for repair of incisional inguinal
hernia. This is the second time the patient has developed this problem. The hernia was
repaired with Gore-Tex graft. Choose the appropriate ICD-10-CM and CPT codes.
a. K40.91, 49565, 49568
b. K40.40, K43.9, 49560, 49568
c. K43.9, K40.90, 49520, 49568
d. K40.40, 49565
,8. You are conducting an educational session on benchmarking. You tell your audience that
the key to benchmarking is to use the comparison to
a. improve your department's processes.
b. compare your department with another.
c. implement your QI process.
d. make recommendations for improvement to the other department or organization.
9. 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
a. explain that this would be a HIPAA violation.
b. encrypt the phone so access is protected.
c. send the physician to computer classes.
d. limit the physician's access to the hospital's network.
10.The APC payment system is based on what coding system(s)?
a. CPT and ICD-10-CM diagnosis and procedure codes
b. AMA's CPT codes
c. ICD-10-CM diagnosis and procedure codes
d. CPT/HCPCS codes
11.The Joint Commission requires that all medical records be completed within
___________ following patient discharge.
a. 90 days
b. 30 days
c. 14 days
d. 7 days
12.Patient has breast carcinoma and is now undergoing complete axillary lymphadenectomy.
(Code for physician using CPT procedure codes only.)
a. 38562
b. 38740
c. 38745
d. 38525
13.You have been hired to work with a computer-assisted coding (CAC) initiative. The
technology that you will be working with is
a. intraoperability.
b. message standards.
c. electronic data interchange.
d. natural language processing.
14.External audits may be conducted by several organizations in the federal government as
well as the private sector, including ________.
a. Humana Fraud Department
b. any of these
c. OIG
d. RAC
, 15.Patient has a year history of mitral valve regurgitation and now presents for a mitral valve
replacement with bypass. (Code for physician using CPT procedure codes only.)
a. 33430
b. 33425
c. 35231
d. 33460
16.When writing a query to a physician regarding ambiguous details in the documentation,
one must be careful to never let the question
a. include clinical indicators from the health record.
b. imply an answer that will lead to a higher reimbursement rate.
c. be open-ended so the physician can answer however he or she wants.
d. include the name and patient number for the individual whose record is questioned.
17.If the National Coverage Determination indicates that Medicare will not pay for a
specific procedure, you may have to have the patient sign
a. a patient confidentiality form.
b. an Advance Beneficiary Notice (ABN).
c. a waiver of financial liability.
d. a loan application.
18.Patient arrives in the emergency room via a medical helicopter. The patient has sustained
multiple life-threatening injuries due to a multiple car accident. The patient goes into
cardiac arrest upon arrival. An hour and 30 minutes of critical care time is spent trying to
stabilize the patient.
a. 99291, 99292
b. 99282
c. 99285, 99288, 99291
d. 99291, 99292, 99285
19.All health care facilities are obligated by federal legislation to provide a safe and
protected workplace for all staff and volunteers. This legislation is known as
a. OSHA.
b. FCA.
c. HIPAA.
d. EMTALA.
20.Patient presents with a diabetic ulcer that needs to be debrided. The patient was taken to
the operating room where debridement of the muscle took place.
a. 11011
b. 11043
c. 11400
d. 15999
21.Employing the SOAP style of progress notes, choose the "assessment" statement from the
following:
a. patient moving about very cautiously and appears to be in pain.
b. adjust pain medication; begin physical therapy tomorrow.
c. sciatica unimproved with hot pack therapy.
d. patient states low back pain with sciatica is as severe as it was on admission.
