1|Page
AHIMA CCA FINAL EXAM LATEST 2025 ACTUAL EXAM WITH
COMPLETE 500 QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A patient requests copies of her personal health information on CD. When
the patient goes home, she finds that she cannot read the CD on her
computer. The patient then requests the hospital provide the medical
records in paper format. How should the hospital respond?
a. Provide the medical records in paper format
b. Burn another CD because this is hospital policy
c. Provide the patient with both paper and CD copies of the medical record
d. Review the CD copies with the patient on a hospital computer -
ANSWER-Correct Answer: A
The covered entity must provide access to the personal health
information in the form or format requested when it is readily
producible in such form for format. When it is not readily producible
in the form or format requested, it must be produced in a readable
hard-copy form or such other form or format agreed upon by the
covered entity and the individual (Johns 2011, 831).
Which payment system was introduced in 1992 and replaced Medicare's
customary, prevailing, and reasonable (CPR) payment system?
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a. Diagnosis-related groups
b. Resource-based relative value scale system
c. Long-term care drugs
d. Resource utilization groups - ANSWER-Correct Answer: B
The RBRVS system is the federal government's payment system for
physicians. It is a system of classifying health services based on the
cost of furnishing physicians' services in different settings, the skill
and training levels required to perform the services, and the time and
risk involved (Casto and Layman 2011, 151).
Identify the CPT code(s) for the following patient: A 2-year-old male
presented to the hospital to have his gastrostomy tube changed under
fluoroscopic guidance.
a. 43752
b. 43760
c. 43761, 76000
d. 49450 - ANSWER-Correct Answer: D
Code 49450 includes replacement of gastrostomy or cecostomy tube,
percutaneous, under fluoroscopic guidance including contrast
injections(s), image documentation, and report. Therefore, it would
,3|Page
not be appropriate to add code 76000 for fluoroscopic guidance,
which is already included in the procedure code (AMA 2012b, 258).
A family practitioner requests the opinion of a physician specialist in
endocrinology who reviews the patient's health record and examines the
patient. The physician specialist records findings, impressions, and
recommendations in which type of report?
a. Consultation
b. Medical history
c. Physical examination
d. Progress notes - ANSWER-Correct Answer: A
The consultation report documents the clinical opinion of a physician
other than the primary or attending physician. The report is based on
the consulting physician's examination of the patient and a review of
his or her health record (Johns 2011, 78).
Which of the following is (are) the correct ICD-9-CM code(s) for
thoracoscopic lobectomy of left lung?
a. 32.30
b. 32.41
c. 32.49
d. 34.02, 32.41 - ANSWER-Correct Answer: B
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Index Lobectomy, lung, segmental (with resection of adjacent lobes),
thoracoscopic. Segmental includes the complete excision of a lobe of
the lung (Schraffenberger 2012, 227-228).
An individual designated as an inpatient coder may have access to an
electronic medical record to code the record. Under what access security
mechanism is the coder allowed access to the system?
a. Role-based
b. User-based
c. Context-based
d. Situation-based - ANSWER-Correct Answer: A
Role-based access control (RBAC) is a control system in which
access decisions are based on the roles of individual users as part of
an organization (Brodnik et al. 2009, 211).
Which part of the problem-oriented medical record is used by many
facilities that have not adopted the whole problem-oriented format?
a. Problem list as an index
b. Initial plan
c. SOAP form of progress notes
d. Database - ANSWER-Correct Answer: C
AHIMA CCA FINAL EXAM LATEST 2025 ACTUAL EXAM WITH
COMPLETE 500 QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A patient requests copies of her personal health information on CD. When
the patient goes home, she finds that she cannot read the CD on her
computer. The patient then requests the hospital provide the medical
records in paper format. How should the hospital respond?
a. Provide the medical records in paper format
b. Burn another CD because this is hospital policy
c. Provide the patient with both paper and CD copies of the medical record
d. Review the CD copies with the patient on a hospital computer -
ANSWER-Correct Answer: A
The covered entity must provide access to the personal health
information in the form or format requested when it is readily
producible in such form for format. When it is not readily producible
in the form or format requested, it must be produced in a readable
hard-copy form or such other form or format agreed upon by the
covered entity and the individual (Johns 2011, 831).
Which payment system was introduced in 1992 and replaced Medicare's
customary, prevailing, and reasonable (CPR) payment system?
,2|Page
a. Diagnosis-related groups
b. Resource-based relative value scale system
c. Long-term care drugs
d. Resource utilization groups - ANSWER-Correct Answer: B
The RBRVS system is the federal government's payment system for
physicians. It is a system of classifying health services based on the
cost of furnishing physicians' services in different settings, the skill
and training levels required to perform the services, and the time and
risk involved (Casto and Layman 2011, 151).
Identify the CPT code(s) for the following patient: A 2-year-old male
presented to the hospital to have his gastrostomy tube changed under
fluoroscopic guidance.
a. 43752
b. 43760
c. 43761, 76000
d. 49450 - ANSWER-Correct Answer: D
Code 49450 includes replacement of gastrostomy or cecostomy tube,
percutaneous, under fluoroscopic guidance including contrast
injections(s), image documentation, and report. Therefore, it would
,3|Page
not be appropriate to add code 76000 for fluoroscopic guidance,
which is already included in the procedure code (AMA 2012b, 258).
A family practitioner requests the opinion of a physician specialist in
endocrinology who reviews the patient's health record and examines the
patient. The physician specialist records findings, impressions, and
recommendations in which type of report?
a. Consultation
b. Medical history
c. Physical examination
d. Progress notes - ANSWER-Correct Answer: A
The consultation report documents the clinical opinion of a physician
other than the primary or attending physician. The report is based on
the consulting physician's examination of the patient and a review of
his or her health record (Johns 2011, 78).
Which of the following is (are) the correct ICD-9-CM code(s) for
thoracoscopic lobectomy of left lung?
a. 32.30
b. 32.41
c. 32.49
d. 34.02, 32.41 - ANSWER-Correct Answer: B
, 4|Page
Index Lobectomy, lung, segmental (with resection of adjacent lobes),
thoracoscopic. Segmental includes the complete excision of a lobe of
the lung (Schraffenberger 2012, 227-228).
An individual designated as an inpatient coder may have access to an
electronic medical record to code the record. Under what access security
mechanism is the coder allowed access to the system?
a. Role-based
b. User-based
c. Context-based
d. Situation-based - ANSWER-Correct Answer: A
Role-based access control (RBAC) is a control system in which
access decisions are based on the roles of individual users as part of
an organization (Brodnik et al. 2009, 211).
Which part of the problem-oriented medical record is used by many
facilities that have not adopted the whole problem-oriented format?
a. Problem list as an index
b. Initial plan
c. SOAP form of progress notes
d. Database - ANSWER-Correct Answer: C
