AHIMA CCA Exam Prep Questions With All Correct
& Verified Answers
1.Mary Smith, RHIA, has been charged with the responsibility of designing
a data collection form to be used on admission of a patient to the acute-care
hospital in which she works. The first resource that she should use is:
UHDDS
UACDS
MDS
ORYX: a
2.When the CCI editor flags that a comprehensive code and a component
code are billed together for the same beneficiary on the same date of
service, Medicare will pay for:
The component code but not the comprehensive code
The comprehensive but not the component code
The comprehensive and the component codes
Neither the comprehensive nor the component codes: b
3.When clean claims are submitted, they can be adjudicated in many ways
through computer software automatically. Which statement is not one of
the outcomes that can occur as part of auto-adjudication?
Auto-pay
Auto-suspend
Auto-calculate
Auto-deny: c
4.Which of the following is not a way that ICD-10-CM improves coding
accu- racy?
Reduces sequencing problems by combining conditions into one code
Provides laterality options
Captures more details for injuries, diabetes, and postoperative complications
1/
118
, AHIMA CCA Exam Prep Questions With All Correct
& Verified Answers
Increases cross-referencing: d
5.Which of the following organizations is responsible for updating the
proce- dure classification of ICD-10-PCS?
Centers for Disease Control (CDC)
Centers for Medicare and Medicaid Services (CMS)
National Center for Health Statistics (NCHS)
World Health Organization (WHO): b
6.This program was initiated by the Balanced Budget Act of 1997 and allows
states to expand existing insurance programs to cover children up to age
19. Children's State Medicare Program (CSMP)
State Children's Health Insurance Program (SCHIP)
Children's State Healthcare Alliance (CSHA)
Children's Aid to Healthcare (CAH): b
7.Which of the following provides a complete description to patients
about how PHI is used in a healthcare facility?
Notice of Privacy Practices
Authorization
Consent for treatment
Minimum necessary: a
8.The National Correct Coding Initiative was developed to control
improper coding leading to inappropriate payment for:
Part A Medicare claims
Part B Medicare claims
Medicaid claims
Medicare and Medicaid claims: b
2/
118
, AHIMA CCA Exam Prep Questions With All Correct
& Verified Answers
9.Which of the following software applications would be used to aid in
the coding function in a physician's office?
Grouper
Encoder
Pricer
Diagnosis calculator: b
10.What is the maximum number of diagnosis codes that can appear on
the UB-04 paper claim form locator 67 for a hospital inpatient principal
and secondary diagnoses?
35
25
18
9: b
11.CMS identified conditions that are not present on admission and could
be "reasonably preventable." Hospitals are not allowed to receive
additional payment for these conditions when the condition is present on
admission. What are these conditions called?
Conditions of Participation
Present on admission
Hospital-acquired conditions
Hospital-acquired infection: c
12.Which of the following materials is not documented in an emergency
care record?
Patient's instructions at discharge
Time and means of the patient's arrival
Patient's complete medical history
Emergency care administered before arrival at the facility: c
3/
118
, AHIMA CCA Exam Prep Questions With All Correct
& Verified Answers
13.Using uniform terminology is a way to improve:
Validity
Data timeliness
Audit trails
Data reliability: d
14.When the physician does not specify the method used to remove a
lesion during an endoscopy, what is the appropriate procedure?
Assign the removal by snare technique code.
Assign the removal by hot biopsy forceps code.
Assign the ablation code.
Query the physician as to the method used.: d
15.Which of the following is not reimbursed according to the Medicare
outpa- tient prospective payment system?
CMHC partial hospitalization services
Critical access hospitals
Hospital outpatient departments
Vaccines provided by CORFs: b
16.The technology commonly used for automated claims processing
(send- ing bills directly to third-party payers) is:
Optical character recognition
Bar coding
Neural
networks
Electronic data interchange: d
17.Timely and correct reimbursement is dependent
on: Adjudication
4/
118
& Verified Answers
1.Mary Smith, RHIA, has been charged with the responsibility of designing
a data collection form to be used on admission of a patient to the acute-care
hospital in which she works. The first resource that she should use is:
UHDDS
UACDS
MDS
ORYX: a
2.When the CCI editor flags that a comprehensive code and a component
code are billed together for the same beneficiary on the same date of
service, Medicare will pay for:
The component code but not the comprehensive code
The comprehensive but not the component code
The comprehensive and the component codes
Neither the comprehensive nor the component codes: b
3.When clean claims are submitted, they can be adjudicated in many ways
through computer software automatically. Which statement is not one of
the outcomes that can occur as part of auto-adjudication?
Auto-pay
Auto-suspend
Auto-calculate
Auto-deny: c
4.Which of the following is not a way that ICD-10-CM improves coding
accu- racy?
Reduces sequencing problems by combining conditions into one code
Provides laterality options
Captures more details for injuries, diabetes, and postoperative complications
1/
118
, AHIMA CCA Exam Prep Questions With All Correct
& Verified Answers
Increases cross-referencing: d
5.Which of the following organizations is responsible for updating the
proce- dure classification of ICD-10-PCS?
Centers for Disease Control (CDC)
Centers for Medicare and Medicaid Services (CMS)
National Center for Health Statistics (NCHS)
World Health Organization (WHO): b
6.This program was initiated by the Balanced Budget Act of 1997 and allows
states to expand existing insurance programs to cover children up to age
19. Children's State Medicare Program (CSMP)
State Children's Health Insurance Program (SCHIP)
Children's State Healthcare Alliance (CSHA)
Children's Aid to Healthcare (CAH): b
7.Which of the following provides a complete description to patients
about how PHI is used in a healthcare facility?
Notice of Privacy Practices
Authorization
Consent for treatment
Minimum necessary: a
8.The National Correct Coding Initiative was developed to control
improper coding leading to inappropriate payment for:
Part A Medicare claims
Part B Medicare claims
Medicaid claims
Medicare and Medicaid claims: b
2/
118
, AHIMA CCA Exam Prep Questions With All Correct
& Verified Answers
9.Which of the following software applications would be used to aid in
the coding function in a physician's office?
Grouper
Encoder
Pricer
Diagnosis calculator: b
10.What is the maximum number of diagnosis codes that can appear on
the UB-04 paper claim form locator 67 for a hospital inpatient principal
and secondary diagnoses?
35
25
18
9: b
11.CMS identified conditions that are not present on admission and could
be "reasonably preventable." Hospitals are not allowed to receive
additional payment for these conditions when the condition is present on
admission. What are these conditions called?
Conditions of Participation
Present on admission
Hospital-acquired conditions
Hospital-acquired infection: c
12.Which of the following materials is not documented in an emergency
care record?
Patient's instructions at discharge
Time and means of the patient's arrival
Patient's complete medical history
Emergency care administered before arrival at the facility: c
3/
118
, AHIMA CCA Exam Prep Questions With All Correct
& Verified Answers
13.Using uniform terminology is a way to improve:
Validity
Data timeliness
Audit trails
Data reliability: d
14.When the physician does not specify the method used to remove a
lesion during an endoscopy, what is the appropriate procedure?
Assign the removal by snare technique code.
Assign the removal by hot biopsy forceps code.
Assign the ablation code.
Query the physician as to the method used.: d
15.Which of the following is not reimbursed according to the Medicare
outpa- tient prospective payment system?
CMHC partial hospitalization services
Critical access hospitals
Hospital outpatient departments
Vaccines provided by CORFs: b
16.The technology commonly used for automated claims processing
(send- ing bills directly to third-party payers) is:
Optical character recognition
Bar coding
Neural
networks
Electronic data interchange: d
17.Timely and correct reimbursement is dependent
on: Adjudication
4/
118
