CCA Exam Prep from AHIMA questions
with correct answers
. A 7-year-old patient was admitted to the emergency department for treatment of
shortness of breath. The patient is given epinephrine and nebulizer treatments. The
shortness of breath and wheezing are unabated following treatment. What diagnosis
should be suspected?
Acute bronchitis
Acute bronchitis with chronic obstructive pulmonary disease
Asthma with status asthmaticus
Chronic obstructive asthma - CORRECT ANSWERS-c
. A coding audit shows that an inpatient coder is using multiple codes that describe the
individual components of a procedure rather than using a single code that describes all
the steps of the procedure performed. Which of the following should be done in this
case?
Require all coders to implement this practice
Report the practice to the OIG
Counsel the coder and stop the practice immediately
Put the coder on unpaid leave of absence - CORRECT ANSWERS-c
. A denial of a claim is possible for all of the following reasons except:
Not meeting medical necessity
Billing too many units of a specific service
Unbundling
Approved precertification - CORRECT ANSWERS-d
,. A health information technician (HIT) is hired as the chief compliance officer for a large
group practice. In evaluating the current program, the HIT learns that there are written
standards of conduct and policies and procedures that address specific areas of
potential fraud as well as audits in place to monitor compliance. Which of the following
should the compliance officer also ensure are in place?
Compliance program education and training programs for all employees in the
organization
Establishment of a hotline to receive complaints and adoption of procedures to protect
whistleblowers from retaliation
Adopt procedures to adequately identify individuals who make complaints so that
appropriate follow-up can be conducted
Establish a corporate compliance committee who report directly to the CFO -
CORRECT ANSWERS-b
. A health information technician has been asked to design a problem list for an
electronic health record (EHR). Which of the following data elements should be included
on the problem list?
Problem number, problem description, date problem entered
Problem number, problem name, date of consent for treatment
Patient identifying information, problem number, examination results
Problem name, date of onset, physical exam - CORRECT ANSWERS-a
. A hospital receives a valid request from a patient for copies of his or her medical
records. The HIM clerk who is preparing the records removes copies of the patient's
records from another hospital where the patient was previously treated. According to
HIPAA regulations, was this action correct?
Yes; HIPAA only requires that current records be produced for the patient.
Yes; this is hospital policy over which HIPAA has no control.
No; the records from the previous hospital are considered part of the designated record
set and should be given to the patient.
No; the records from the previous hospital are not included in the designated record set
but should be released anyway. - CORRECT ANSWERS-c
. A notation for a hypertensive patient in a physician ambulatory care progress note
reads: "Continue with Diuril, 500 mgs once daily. Return visit in 2 weeks." Which part of
a POMR progress note would this notation be written?
,Subjective
Objective
Assessment
Plan - CORRECT ANSWERS-d
. A patient was admitted for abdominal pain with diarrhea and was diagnosed with
infectious gastroenteritis. The patient also has angina and chronic obstructive
pulmonary disease. Which of the following would be the correct coding and sequencing
for this case?
Abdominal pain; infectious gastroenteritis; chronic obstructive pulmonary disease;
angina
Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
Gastroenteritis; abdominal pain; angina
Gastroenteritis; abdominal pain; diarrhea; chronic obstructive pulmonary disease;
angina - CORRECT ANSWERS-b
. After a deductible has been paid, insured and insurer share covered losses according
to a specified ratio, and the insured pays a(n) _________ amount.
Out-of-pocket expense
Coinsurance
Deductible
Premium - CORRECT ANSWERS-b
. An HIM professional who releases health information that he or she knows will result in
genetic discrimination is violating the ethical principle of:
Autonomy
Beneficence
Justice
Nonmaleficence - CORRECT ANSWERS-d
. Denials of outpatient claims are often generated from all of the following edits except:
NCCI (National Correct Coding Initiative)
OCE (outpatient code editor)
, OCE (outpatient claims editor)
National and local policies - CORRECT ANSWERS-c
. Dr. Jones comes into the HIM department and requests the HIM director to pull all of
his records from the previous year in which the principal diagnosis of myocardial
infarction was indicated. Where would the HIM director begin to pull these records?
Disease index
Master patient index
Operative index
Physician index - CORRECT ANSWERS-a
. Exceptions to the consent requirement include:
Medical emergencies
Provider discretion
Implied consent
Informed consent - CORRECT ANSWERS-a
. ICD-10-CM codes must be a minimum length of how many characters?
Three
Five
Six
Seven - CORRECT ANSWERS-a
. Identify the term ICD-10-CM uses for the following definition: "the expulsion of some,
but not all, of the products of conception from the uterus."
Spontaneous abortion
Therapeutic abortion
Incomplete abortion
Complete abortion - CORRECT ANSWERS-c
. In developing a coding compliance program, which of the following would not be
ordinarily included as participants in coding compliance education?
with correct answers
. A 7-year-old patient was admitted to the emergency department for treatment of
shortness of breath. The patient is given epinephrine and nebulizer treatments. The
shortness of breath and wheezing are unabated following treatment. What diagnosis
should be suspected?
Acute bronchitis
Acute bronchitis with chronic obstructive pulmonary disease
Asthma with status asthmaticus
Chronic obstructive asthma - CORRECT ANSWERS-c
. A coding audit shows that an inpatient coder is using multiple codes that describe the
individual components of a procedure rather than using a single code that describes all
the steps of the procedure performed. Which of the following should be done in this
case?
Require all coders to implement this practice
Report the practice to the OIG
Counsel the coder and stop the practice immediately
Put the coder on unpaid leave of absence - CORRECT ANSWERS-c
. A denial of a claim is possible for all of the following reasons except:
Not meeting medical necessity
Billing too many units of a specific service
Unbundling
Approved precertification - CORRECT ANSWERS-d
,. A health information technician (HIT) is hired as the chief compliance officer for a large
group practice. In evaluating the current program, the HIT learns that there are written
standards of conduct and policies and procedures that address specific areas of
potential fraud as well as audits in place to monitor compliance. Which of the following
should the compliance officer also ensure are in place?
Compliance program education and training programs for all employees in the
organization
Establishment of a hotline to receive complaints and adoption of procedures to protect
whistleblowers from retaliation
Adopt procedures to adequately identify individuals who make complaints so that
appropriate follow-up can be conducted
Establish a corporate compliance committee who report directly to the CFO -
CORRECT ANSWERS-b
. A health information technician has been asked to design a problem list for an
electronic health record (EHR). Which of the following data elements should be included
on the problem list?
Problem number, problem description, date problem entered
Problem number, problem name, date of consent for treatment
Patient identifying information, problem number, examination results
Problem name, date of onset, physical exam - CORRECT ANSWERS-a
. A hospital receives a valid request from a patient for copies of his or her medical
records. The HIM clerk who is preparing the records removes copies of the patient's
records from another hospital where the patient was previously treated. According to
HIPAA regulations, was this action correct?
Yes; HIPAA only requires that current records be produced for the patient.
Yes; this is hospital policy over which HIPAA has no control.
No; the records from the previous hospital are considered part of the designated record
set and should be given to the patient.
No; the records from the previous hospital are not included in the designated record set
but should be released anyway. - CORRECT ANSWERS-c
. A notation for a hypertensive patient in a physician ambulatory care progress note
reads: "Continue with Diuril, 500 mgs once daily. Return visit in 2 weeks." Which part of
a POMR progress note would this notation be written?
,Subjective
Objective
Assessment
Plan - CORRECT ANSWERS-d
. A patient was admitted for abdominal pain with diarrhea and was diagnosed with
infectious gastroenteritis. The patient also has angina and chronic obstructive
pulmonary disease. Which of the following would be the correct coding and sequencing
for this case?
Abdominal pain; infectious gastroenteritis; chronic obstructive pulmonary disease;
angina
Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
Gastroenteritis; abdominal pain; angina
Gastroenteritis; abdominal pain; diarrhea; chronic obstructive pulmonary disease;
angina - CORRECT ANSWERS-b
. After a deductible has been paid, insured and insurer share covered losses according
to a specified ratio, and the insured pays a(n) _________ amount.
Out-of-pocket expense
Coinsurance
Deductible
Premium - CORRECT ANSWERS-b
. An HIM professional who releases health information that he or she knows will result in
genetic discrimination is violating the ethical principle of:
Autonomy
Beneficence
Justice
Nonmaleficence - CORRECT ANSWERS-d
. Denials of outpatient claims are often generated from all of the following edits except:
NCCI (National Correct Coding Initiative)
OCE (outpatient code editor)
, OCE (outpatient claims editor)
National and local policies - CORRECT ANSWERS-c
. Dr. Jones comes into the HIM department and requests the HIM director to pull all of
his records from the previous year in which the principal diagnosis of myocardial
infarction was indicated. Where would the HIM director begin to pull these records?
Disease index
Master patient index
Operative index
Physician index - CORRECT ANSWERS-a
. Exceptions to the consent requirement include:
Medical emergencies
Provider discretion
Implied consent
Informed consent - CORRECT ANSWERS-a
. ICD-10-CM codes must be a minimum length of how many characters?
Three
Five
Six
Seven - CORRECT ANSWERS-a
. Identify the term ICD-10-CM uses for the following definition: "the expulsion of some,
but not all, of the products of conception from the uterus."
Spontaneous abortion
Therapeutic abortion
Incomplete abortion
Complete abortion - CORRECT ANSWERS-c
. In developing a coding compliance program, which of the following would not be
ordinarily included as participants in coding compliance education?
