CCA Exam Practice Test (All Domains 1-6)
i,- i,- i,- i,- i,- i,- i,-
Questions with Verified Answers | 100% i,- i,- i,- i,- i,- i,-
Correct| Latest 2025/2026 Update. i,- i,- i,- i,-
Domaini,-1:i,-healthi,-recordsi,-andi,-datai,-contenti,-Domaini,-2:i,-healthi,-informationi,-
requirementsi,-andi,-standardsi,-Domaini,-3:i,-clinicali,-classificationi,-systemsi,-Domaini,-4:i,-
reimbursementi,-methodologiesi,-Domaini,-5:i,-informationi,-andi,-communicationi,-
technologiesi,-Domaini,-6:i,-privacy,i,-confidentiality,i,-legal,i,-andi,-ethicali,-issues
Who is responsible for writing and signing discharge summaries
i,- i,- i,- i,- i,- i,- i,- i,- i,-
and discharge instructions?
i,- Attending physician i,- i,-i,- i,- i,-
Although the HIPAA Rule allows patient access to personal health
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
information about themselves, which of the following cannot be
i,- i,- i,- i,- i,- i,- i,- i,- i,-
disclosed to patients? Psychotherapy notes
i,- i,- i,-i,- i,- i,-
Identify the punctuation mark that is used to supplement words
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
or explanatory information that may or may not be present in the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
statement of diagnosis or procedure in ICD-9-CM coding. The
i,- i,- i,- i,- i,- i,- i,- i,- i,-
punctuation does not affect the code number assigned to the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
case. The punctuation is considered a nonessential modifier, and
i,- i,- i,- i,- i,- i,- i,- i,- i,-
all three volumes of ICD-9-CM use them.
i,- i,- Parentheses ( ) i,- i,- i,- i,- i,-i,- i,- i,- i,-
,What is the name of the organization that develops the billing
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
form that hospitals are required to use?
i,- National Uniform
i,- i,- i,- i,- i,- i,-i,- i,- i,- i,-
Billing Committee (NUBC) i,- i,-
Which of the following ethical principles is being followed when
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
an HIT professional ensures that patient information is only
i,- i,- i,- i,- i,- i,- i,- i,- i,-
released to those who have a legal right to access it?
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-
Beneficence
A hospital currently includes the patient's social security number
i,- i,- i,- i,- i,- i,- i,- i,- i,-
on the face sheet of the paper medical record and in the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
electronic version of the record. The hospital risk manager has
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
identified this as a potential identity fraud risk and wants the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
information removed. The risk manager is not getting i,- i,- i,- i,- i,- i,- i,- i,-
cooperation from the physicians and others in the hospital who i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
say that they need the information for identification and other
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
purposes. Given this situation, what should the HIM director
i,- i,- i,- i,- i,- i,- i,- i,- i,-
suggest? Avoid displaying the number on any document,
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,-
screen, or data collection field. i,- i,- i,- i,-
Both HEDIS and the Joint Commission's ORYX program are
i,- i,- i,- i,- i,- i,- i,- i,- i,-
designed to collect data to be used for ______________.
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-
Performance improvement programs i,- i,-
,Which of the following would be classified to an ICD-9-CM
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
category for bacterial diseases? Staphylococcus aureous
i,- i,- i,- i,-i,- i,- i,-
A patient with known COPD and hypertension under treatment
i,- i,- i,- i,- i,- i,- i,- i,- i,-
was admitted to the hospital with symptoms of a lower
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
abdominal pain. He undergoes a laparoscopic appendectomy and
i,- i,- i,- i,- i,- i,- i,- i,-
develops a fever. The patient was subsequently discharged from
i,- i,- i,- i,- i,- i,- i,- i,- i,-
the hospital with a principal diagnosis of acute appendicitis and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
secondary diagnoses of post-operative infection, COPD, and
i,- i,- i,- i,- i,- i,- i,-
hypertension. Which of the following diagnoses should not be i,- i,- i,- i,- i,- i,- i,- i,- i,-
tagged as POA? Postoperative infection
i,- i,- i,-i,- i,- i,-
CPT was developed and is maintained by:
i,- i,- i,- i,- i,- i,- i,-i,- i,- AMA
Which organization developed the first hospital standardization
i,- i,- i,- i,- i,- i,- i,-
program? American College of Surgeon i,-i,- i,- i,- i,- i,-
On review of the audit trail for an EHR system, the HIM director
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
discovers that a departmental employee who has authorized
i,- i,- i,- i,- i,- i,- i,- i,-
access to patient records is printing far more records than the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
average user. In this cases, what should the supervisor do?
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-
Determine what information was printed and why i,- i,- i,- i,- i,- i,-
, What are possible "add-on" payments that a hospital could
i,- i,- i,- i,- i,- i,- i,- i,- i,-
receive in addition to the basic Medicare DRG payment?
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-
Additional payments may be made to disproportionate share
i,- i,- i,- i,- i,- i,- i,- i,-
hospitals, for indirect medical education, for new technologies,
i,- i,- i,- i,- i,- i,- i,- i,-
and for cost outlier cases.
i,- i,- i,- i,-
The ___________ is a type of coding that is a natural outgrowth of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the electronic heath record.
i,- Computer-assisted coding i,- i,- i,-i,- i,- i,-
Today, Janet Kim visited her new dentist for an appointment. She
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
was not presented with a Notice of Privacy Practices. Is this
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
acceptable? No, it is a violation of the HIPAA Privacy rule
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
During an audit of health records, the HIM director finds that
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
transcribed reports are being changed by the author up to a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
week after initial transcription. The director is concerned that
i,- i,- i,- i,- i,- i,- i,- i,- i,-
changes occurring this long after transcription jeopardize the
i,- i,- i,- i,- i,- i,- i,- i,-
legal principle that documentation must occur near the time of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the event. To remedy this situation, the HIM director should
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
recommend which of the following? Develop a facility policy
i,- i,- i,- i,- i,-i,- i,- i,- i,- i,- i,-
that defines the acceptable period of time allowed for a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
transcribed document to remain in a draft form. i,- i,- i,- i,- i,- i,- i,-
i,- i,- i,- i,- i,- i,- i,-
Questions with Verified Answers | 100% i,- i,- i,- i,- i,- i,-
Correct| Latest 2025/2026 Update. i,- i,- i,- i,-
Domaini,-1:i,-healthi,-recordsi,-andi,-datai,-contenti,-Domaini,-2:i,-healthi,-informationi,-
requirementsi,-andi,-standardsi,-Domaini,-3:i,-clinicali,-classificationi,-systemsi,-Domaini,-4:i,-
reimbursementi,-methodologiesi,-Domaini,-5:i,-informationi,-andi,-communicationi,-
technologiesi,-Domaini,-6:i,-privacy,i,-confidentiality,i,-legal,i,-andi,-ethicali,-issues
Who is responsible for writing and signing discharge summaries
i,- i,- i,- i,- i,- i,- i,- i,- i,-
and discharge instructions?
i,- Attending physician i,- i,-i,- i,- i,-
Although the HIPAA Rule allows patient access to personal health
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
information about themselves, which of the following cannot be
i,- i,- i,- i,- i,- i,- i,- i,- i,-
disclosed to patients? Psychotherapy notes
i,- i,- i,-i,- i,- i,-
Identify the punctuation mark that is used to supplement words
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
or explanatory information that may or may not be present in the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
statement of diagnosis or procedure in ICD-9-CM coding. The
i,- i,- i,- i,- i,- i,- i,- i,- i,-
punctuation does not affect the code number assigned to the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
case. The punctuation is considered a nonessential modifier, and
i,- i,- i,- i,- i,- i,- i,- i,- i,-
all three volumes of ICD-9-CM use them.
i,- i,- Parentheses ( ) i,- i,- i,- i,- i,-i,- i,- i,- i,-
,What is the name of the organization that develops the billing
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
form that hospitals are required to use?
i,- National Uniform
i,- i,- i,- i,- i,- i,-i,- i,- i,- i,-
Billing Committee (NUBC) i,- i,-
Which of the following ethical principles is being followed when
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
an HIT professional ensures that patient information is only
i,- i,- i,- i,- i,- i,- i,- i,- i,-
released to those who have a legal right to access it?
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-
Beneficence
A hospital currently includes the patient's social security number
i,- i,- i,- i,- i,- i,- i,- i,- i,-
on the face sheet of the paper medical record and in the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
electronic version of the record. The hospital risk manager has
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
identified this as a potential identity fraud risk and wants the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
information removed. The risk manager is not getting i,- i,- i,- i,- i,- i,- i,- i,-
cooperation from the physicians and others in the hospital who i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
say that they need the information for identification and other
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
purposes. Given this situation, what should the HIM director
i,- i,- i,- i,- i,- i,- i,- i,- i,-
suggest? Avoid displaying the number on any document,
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,-
screen, or data collection field. i,- i,- i,- i,-
Both HEDIS and the Joint Commission's ORYX program are
i,- i,- i,- i,- i,- i,- i,- i,- i,-
designed to collect data to be used for ______________.
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-
Performance improvement programs i,- i,-
,Which of the following would be classified to an ICD-9-CM
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
category for bacterial diseases? Staphylococcus aureous
i,- i,- i,- i,-i,- i,- i,-
A patient with known COPD and hypertension under treatment
i,- i,- i,- i,- i,- i,- i,- i,- i,-
was admitted to the hospital with symptoms of a lower
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
abdominal pain. He undergoes a laparoscopic appendectomy and
i,- i,- i,- i,- i,- i,- i,- i,-
develops a fever. The patient was subsequently discharged from
i,- i,- i,- i,- i,- i,- i,- i,- i,-
the hospital with a principal diagnosis of acute appendicitis and
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
secondary diagnoses of post-operative infection, COPD, and
i,- i,- i,- i,- i,- i,- i,-
hypertension. Which of the following diagnoses should not be i,- i,- i,- i,- i,- i,- i,- i,- i,-
tagged as POA? Postoperative infection
i,- i,- i,-i,- i,- i,-
CPT was developed and is maintained by:
i,- i,- i,- i,- i,- i,- i,-i,- i,- AMA
Which organization developed the first hospital standardization
i,- i,- i,- i,- i,- i,- i,-
program? American College of Surgeon i,-i,- i,- i,- i,- i,-
On review of the audit trail for an EHR system, the HIM director
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
discovers that a departmental employee who has authorized
i,- i,- i,- i,- i,- i,- i,- i,-
access to patient records is printing far more records than the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
average user. In this cases, what should the supervisor do?
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-
Determine what information was printed and why i,- i,- i,- i,- i,- i,-
, What are possible "add-on" payments that a hospital could
i,- i,- i,- i,- i,- i,- i,- i,- i,-
receive in addition to the basic Medicare DRG payment?
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-
Additional payments may be made to disproportionate share
i,- i,- i,- i,- i,- i,- i,- i,-
hospitals, for indirect medical education, for new technologies,
i,- i,- i,- i,- i,- i,- i,- i,-
and for cost outlier cases.
i,- i,- i,- i,-
The ___________ is a type of coding that is a natural outgrowth of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the electronic heath record.
i,- Computer-assisted coding i,- i,- i,-i,- i,- i,-
Today, Janet Kim visited her new dentist for an appointment. She
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
was not presented with a Notice of Privacy Practices. Is this
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
acceptable? No, it is a violation of the HIPAA Privacy rule
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
During an audit of health records, the HIM director finds that
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
transcribed reports are being changed by the author up to a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
week after initial transcription. The director is concerned that
i,- i,- i,- i,- i,- i,- i,- i,- i,-
changes occurring this long after transcription jeopardize the
i,- i,- i,- i,- i,- i,- i,- i,-
legal principle that documentation must occur near the time of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the event. To remedy this situation, the HIM director should
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
recommend which of the following? Develop a facility policy
i,- i,- i,- i,- i,-i,- i,- i,- i,- i,- i,-
that defines the acceptable period of time allowed for a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
transcribed document to remain in a draft form. i,- i,- i,- i,- i,- i,- i,-