CCA LATEST 2026 EXAM QUESTIONS AND SOLUTIONS
RATED A+
✔✔An HIM professional was tasked with analyzing a group of medical records
qualitatively for deficiencies. This would include - ✔✔reviewing medical records for
missing or ambiguous details.
✔✔A staff member, Louis, in Admissions, occasionally brings his nephew to work after
school and permits him to access social media on his computer. He posts selfies and
sometimes shares what he sees and hears in the office. As the HIM manager, you must
- ✔✔require Louis to go through HIPAA training again and explain to him the illegality of
posting any protected information on social media.
✔✔A claim may be returned by the third-party payer unpaid because it was denied or
rejected. If eligibility and coverage was checked prior to the patient being seen, the
denial may be due to any of these reasons EXCEPT - ✔✔the claim submitted is clean.
✔✔When patient records are no longer required and deemed unnecessary, they must
be destroyed, regardless of the format (paper, EHR, etc.). The guidance states that the
destruction must be - ✔✔documented as to method and date.
✔✔Patient health care records can be released for research purposes or education,
without patient permission, if they have been de-identified. This means all details have
been removed that may - ✔✔lead to one specific person.
✔✔The chargemaster relieves the coders from coding repetitive services that require
little, if any, formal documentation analysis. This is called - ✔✔hard coding.
✔✔A document that acknowledges patient responsibility for payment if Medicare denies
the claim is a(n) - ✔✔advance beneficiary notice.
✔✔The required method for the submission of health care claims to third-party payers
must be electronic unless the facility has acquired a - ✔✔waiver from the payer to
submit paper claims.
✔✔The following data is required to be included in a patient health record, EXCEPT -
✔✔copies of all claims submitted.
✔✔The _______ has the duty to adjust the MS-DRGs if necessary at the beginning of
every fiscal year beginning _____________. - ✔✔CMS, October 1
, ✔✔If the same condition is described as both acute and chronic and separate
subentries exist in the ICD-10-CM alphabetic index at the same indentation level -
✔✔they should both be coded, acute sequenced first.
✔✔In reviewing a medical record for coding purposes, the coder notes that the
discharge summary has not yet been transcribed. In its absence, the best place to look
for the patient's response to treatment and documentation of any complications that
may have developed during this episode of care is in the - ✔✔doctors' progress note
section.
✔✔CMS delegates its daily operations of the Medicare and Medicaid programs to -
✔✔Medicare administrative contractor (MAC).
✔✔The Master Patient Index, __________, which can be used to access data for
analysis. - ✔✔collates patient information from separate systems
✔✔Patient self-reported documentation may also be used to assign codes for social
determinants of health, with the requirement that - ✔✔the physician includes these
details in the encounter documentation.
✔✔CAC software is used to analyze health care documents and produce appropriate
medical codes. This may be used by some health care facilities when there are an
insufficient number of certified medical coding candidates. CAC stands for -
✔✔Computer-Assisted Coding.
✔✔The patient was seen by the physician on September 30. By the time the
documentation reached the medical coder, it was October 2. The code set required to
report the appropriate diagnosis is - ✔✔the 2022 ICD-10-CM code set.
✔✔The patient was admitted through the Emergency Department and she is anxious
about notifying her spouse and her sister. Her spouse is out of town on business and
her sister lives in another state. The patient is worried about how they can get updates
when she is in surgery, when they cannot prove how they are related to her to clear
HIPAA limitations. You tell her not to worry, because - ✔✔the hospital can assign
special pass codes.
✔✔Which of the following are considered sequela regardless of time? - ✔✔nonunion
✔✔The primary purpose for keeping a patient health record is - ✔✔continuity of care.
✔✔Querying a physician is required by the coder when it is found that the
documentation, written by a physician, is any of these EXCEPT:
RATED A+
✔✔An HIM professional was tasked with analyzing a group of medical records
qualitatively for deficiencies. This would include - ✔✔reviewing medical records for
missing or ambiguous details.
✔✔A staff member, Louis, in Admissions, occasionally brings his nephew to work after
school and permits him to access social media on his computer. He posts selfies and
sometimes shares what he sees and hears in the office. As the HIM manager, you must
- ✔✔require Louis to go through HIPAA training again and explain to him the illegality of
posting any protected information on social media.
✔✔A claim may be returned by the third-party payer unpaid because it was denied or
rejected. If eligibility and coverage was checked prior to the patient being seen, the
denial may be due to any of these reasons EXCEPT - ✔✔the claim submitted is clean.
✔✔When patient records are no longer required and deemed unnecessary, they must
be destroyed, regardless of the format (paper, EHR, etc.). The guidance states that the
destruction must be - ✔✔documented as to method and date.
✔✔Patient health care records can be released for research purposes or education,
without patient permission, if they have been de-identified. This means all details have
been removed that may - ✔✔lead to one specific person.
✔✔The chargemaster relieves the coders from coding repetitive services that require
little, if any, formal documentation analysis. This is called - ✔✔hard coding.
✔✔A document that acknowledges patient responsibility for payment if Medicare denies
the claim is a(n) - ✔✔advance beneficiary notice.
✔✔The required method for the submission of health care claims to third-party payers
must be electronic unless the facility has acquired a - ✔✔waiver from the payer to
submit paper claims.
✔✔The following data is required to be included in a patient health record, EXCEPT -
✔✔copies of all claims submitted.
✔✔The _______ has the duty to adjust the MS-DRGs if necessary at the beginning of
every fiscal year beginning _____________. - ✔✔CMS, October 1
, ✔✔If the same condition is described as both acute and chronic and separate
subentries exist in the ICD-10-CM alphabetic index at the same indentation level -
✔✔they should both be coded, acute sequenced first.
✔✔In reviewing a medical record for coding purposes, the coder notes that the
discharge summary has not yet been transcribed. In its absence, the best place to look
for the patient's response to treatment and documentation of any complications that
may have developed during this episode of care is in the - ✔✔doctors' progress note
section.
✔✔CMS delegates its daily operations of the Medicare and Medicaid programs to -
✔✔Medicare administrative contractor (MAC).
✔✔The Master Patient Index, __________, which can be used to access data for
analysis. - ✔✔collates patient information from separate systems
✔✔Patient self-reported documentation may also be used to assign codes for social
determinants of health, with the requirement that - ✔✔the physician includes these
details in the encounter documentation.
✔✔CAC software is used to analyze health care documents and produce appropriate
medical codes. This may be used by some health care facilities when there are an
insufficient number of certified medical coding candidates. CAC stands for -
✔✔Computer-Assisted Coding.
✔✔The patient was seen by the physician on September 30. By the time the
documentation reached the medical coder, it was October 2. The code set required to
report the appropriate diagnosis is - ✔✔the 2022 ICD-10-CM code set.
✔✔The patient was admitted through the Emergency Department and she is anxious
about notifying her spouse and her sister. Her spouse is out of town on business and
her sister lives in another state. The patient is worried about how they can get updates
when she is in surgery, when they cannot prove how they are related to her to clear
HIPAA limitations. You tell her not to worry, because - ✔✔the hospital can assign
special pass codes.
✔✔Which of the following are considered sequela regardless of time? - ✔✔nonunion
✔✔The primary purpose for keeping a patient health record is - ✔✔continuity of care.
✔✔Querying a physician is required by the coder when it is found that the
documentation, written by a physician, is any of these EXCEPT:
