1|Page
AHIMA CCA EXAM 3 LATEST 2025 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
Which of the following is a prospective payment system implemented for
payment of acute hospital inpatient services?
a. APC
b. DRG
c. OPPS
d. RBRVS Correct Answer: C
In 1983, CMS implemented a PPS for inpatient hospital care provided
to Medicare beneficiaries. The PPS methodology is called diagnosis-
related groups (DRGs) (Johns 2011, 319).
After a deductible has been paid, insured and insurer share covered losses
according to a specified ratio, and the insured pays a(n) _________
amount.
a. Out-of-pocket expense
b. Coinsurance
c. Deductible
d. PremiumCorrect Answer: B
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Coinsurance refers to the amount the insured pays as a requirement
of the insurance policy to share covered losses by insurer and
insured (Johns 2011, 288).
What kind of provider setting manages patients who are terminally ill and
often have a life expectancy less than six months?
a. Skilled nursing facility
b. Home health
c. Hospice
d. Acute-care, inpatientCorrect Answer: C
Hospice care is provided to the terminally ill persons whose life
expectancies are certified by their attending physician to be six
months or less (Johns 2011, 295).
The Joint Commission requires that the medical record delinquency rate
quarter averaged from the last four quarterly measurements is not greater
than ______ of the average monthly discharge rate.
a. 25%
b. 50%
c. 75%
d. 100% Correct Answer: B
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The Joint Commission will cite a healthcare organization with a
requirement for improvement if the total average health record
delinquency exceeds 50 percent of the average monthly discharges in
any one quarter (Johns 2011, 609).
An 8-year-old male hemophiliac is admitted with acute blood loss anemia
due to uncontrolled bleeding. He is given clotting factor and six units of
whole blood. Which of the following diagnosis and procedure ICD-9-CM
codes would be correct?
a. 286.0, 99.06, 99.03
b. 285.1, 286.0, 99.06, 99.03
c. 286.0, 285.1, 99.06, 99.03
d. 285.1, 99.06, 99.03 Correct Answer: B
The anemia code 285.1 would be coded as the principal diagnosis. In
accordance with the UHDDS definition for principal diagnosis, the
anemia (not the hemophilia), is the reason for admission and
sequenced as the principal diagnosis (CMS 2010c, Section II, 96;
AHIMA 2012a, 646).
Protection of healthcare information from damage, loss, and unauthorized
alteration is also known as:
a. Privacy
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b. Results management
c. Security
d. Data accuracy Correct Answer: C
Security includes physical and electronic protection of the integrity,
availability, and confidentiality of computer-based information and the
resources used to enter, store, process, and communicate it; and the
means to control access and protect information from accidental or
intentional disclosure (Johns 2011, 755).
What is the amount the insured pays before the insurer assumes liability for
any remaining costs of covered services?
a. Out-of-pocket expense
b. Coinsurance
c. Deductible
d. PremiumCorrect Answer: C
A deductible is the amount the insured pays before the insurer
assumes liability for any remaining costs of covered services (Johns
2011, 288).
CPT procedure codes 96360 and 96361 are used to report infusion of:
a. Chemotherapeutic agents
AHIMA CCA EXAM 3 LATEST 2025 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
Which of the following is a prospective payment system implemented for
payment of acute hospital inpatient services?
a. APC
b. DRG
c. OPPS
d. RBRVS Correct Answer: C
In 1983, CMS implemented a PPS for inpatient hospital care provided
to Medicare beneficiaries. The PPS methodology is called diagnosis-
related groups (DRGs) (Johns 2011, 319).
After a deductible has been paid, insured and insurer share covered losses
according to a specified ratio, and the insured pays a(n) _________
amount.
a. Out-of-pocket expense
b. Coinsurance
c. Deductible
d. PremiumCorrect Answer: B
,2|Page
Coinsurance refers to the amount the insured pays as a requirement
of the insurance policy to share covered losses by insurer and
insured (Johns 2011, 288).
What kind of provider setting manages patients who are terminally ill and
often have a life expectancy less than six months?
a. Skilled nursing facility
b. Home health
c. Hospice
d. Acute-care, inpatientCorrect Answer: C
Hospice care is provided to the terminally ill persons whose life
expectancies are certified by their attending physician to be six
months or less (Johns 2011, 295).
The Joint Commission requires that the medical record delinquency rate
quarter averaged from the last four quarterly measurements is not greater
than ______ of the average monthly discharge rate.
a. 25%
b. 50%
c. 75%
d. 100% Correct Answer: B
,3|Page
The Joint Commission will cite a healthcare organization with a
requirement for improvement if the total average health record
delinquency exceeds 50 percent of the average monthly discharges in
any one quarter (Johns 2011, 609).
An 8-year-old male hemophiliac is admitted with acute blood loss anemia
due to uncontrolled bleeding. He is given clotting factor and six units of
whole blood. Which of the following diagnosis and procedure ICD-9-CM
codes would be correct?
a. 286.0, 99.06, 99.03
b. 285.1, 286.0, 99.06, 99.03
c. 286.0, 285.1, 99.06, 99.03
d. 285.1, 99.06, 99.03 Correct Answer: B
The anemia code 285.1 would be coded as the principal diagnosis. In
accordance with the UHDDS definition for principal diagnosis, the
anemia (not the hemophilia), is the reason for admission and
sequenced as the principal diagnosis (CMS 2010c, Section II, 96;
AHIMA 2012a, 646).
Protection of healthcare information from damage, loss, and unauthorized
alteration is also known as:
a. Privacy
, 4|Page
b. Results management
c. Security
d. Data accuracy Correct Answer: C
Security includes physical and electronic protection of the integrity,
availability, and confidentiality of computer-based information and the
resources used to enter, store, process, and communicate it; and the
means to control access and protect information from accidental or
intentional disclosure (Johns 2011, 755).
What is the amount the insured pays before the insurer assumes liability for
any remaining costs of covered services?
a. Out-of-pocket expense
b. Coinsurance
c. Deductible
d. PremiumCorrect Answer: C
A deductible is the amount the insured pays before the insurer
assumes liability for any remaining costs of covered services (Johns
2011, 288).
CPT procedure codes 96360 and 96361 are used to report infusion of:
a. Chemotherapeutic agents
