COMPREHENSIVE AHIMA CCA Exam.
A TOP-RATED EXAM GUIDE WITH VERIFIED
CORRECT ANSWERS LATEST UPDATED
GUIDE 2026/2027
1.
A 65-year-old white male was admitted to the hospital on 1/15 complaining of abdominal
pain. The attending physician requested an upper GI series and laboratory evaluation of CBC
and UA. The x-ray revealed possible cholelithiasis, and the UA showed an increased white
blood cell count. The patient was taken to surgery for an exploratory laparoscopy, and a
ruptured appendix was discovered. The chief complaint was:
a. Ruptured appendix
b. Exploratory laparoscopy
c. Abdominal pain
d. Cholelithiasis - ansc. Abdominal pain
The nature and duration of the symptoms that caused the patient to seek medical attention as
stated in the patient's own words (Odom-Wesley et al. 2009, 331).
2.
84. An individual stole and used another person's insurance information to obtain medical
care. This action would be considered:
a. Violation of bioethics
b. Fraud and abuse
c. Medical identity theft
d. Abuse - ansc. Medical identity theft
Correct Answer: 84. c. Medical identity theft occurs when someone uses a person's name and
sometimes other parts of their identity without the victim's knowledge or consent to obtain
medical services or goods (Johns 2011, 773).
3.
Identify the ICD-9-CM diagnostic code(s) for acute osteomyelitis of ankle due to
Staphylococcus.
a. 730.06
b. 730.07
c. 730.07, 041.1
,COMPREHENSIVE AHIMA CCA Exam.
A TOP-RATED EXAM GUIDE WITH VERIFIED
CORRECT ANSWERS LATEST UPDATED
GUIDE 2026/2027
d. 730.07, 041.10 - ansd. 730.07, 041.10
Correct Answer: D Index Osteomyelitis, acute or subacute. Refer to the table in the Index for
the fifth digit 5, ankle and foot. Infection, staphylococcal NEC (Schraffenberger 2012, 305-
306).
4.
A system that provides alerts and reminders to clinicians is a(n):
a. Clinical decision support system
b. Electronic data interchange
c. Point of care charting system
d. Knowledge database - ansCorrect Answer: A Clinical decision support includes providing
documentation of clinical findings and procedures, active reminders about medication
administration, suggestions for prescribing less expensive but equally effective drugs,
protocols for certain health maintenance procedures, alerts that a duplicate lab test is being
ordered, and countless other decision-making aids for all stakeholders in the care process
(Johns 2011, 138).
5.
What does an audit trail check for?
a. Unauthorized access to a system
b. Loss of data
c. Presence of a virus
d. Successful completion of a backup - ansCorrect Answer: A
Audit trails can provide tracking information such as who accessed which records and for
what purpose (Johns 2011, 403).
6.
This is a condition with an imprecise diagnosis with various characteristics. The condition
may be diagnosed when a patient presents with sinus arrest, sinoatrial exit block, or persistent
sinus bradycardia. This syndrome is often the result of drug therapy, such as digitalis,
calcium channel blockers, beta-blockers, sympatholytic agents, or antiarrhythmics. Another
presentation includes recurrent supraventricular tachycardias associated with
bradyarrhythmias. Prolonged ambulatory monitoring may be indicated to establish a
diagnosis of this condition. Treatment includes insertion of a permanent cardiac pacemaker.
,COMPREHENSIVE AHIMA CCA Exam.
A TOP-RATED EXAM GUIDE WITH VERIFIED
CORRECT ANSWERS LATEST UPDATED
GUIDE 2026/2027
a. Atrial fibrillation (427.31)
b. Atrial flutter (427.32)
c. Paroxysmal supraventricular tachycardia (427.0)
d. Sick sinus syndrome (SSS) (427.81) - ansd. Sick sinus syndrome (SSS) (427.81)
Correct Answer: D SSS is the imprecise diagnosis with various characteristics treated with
the insertion of a permanent cardiac pacemaker. The other three conditions are treated with
cardioversion and different pharmacological therapy (Schraffenberger 2012, 194-195).
7.
Identify the ICD-9-CM diagnostic code for primary localized osteoarthrosis of the hip.
a. 715.95
b. 715.15
c. 721.90
d. 715.16 - ansb. 715.15
Correct Answer: B Index Osteoarthrosis, localized, primary. For category 715, refer to the
table for the fifth digit of 5 for pelvic region and thigh (Schraffenberger 2012, 303-304).
8.
A health record with deficiencies that is not complete within the timeframe specified in the
medical staff rules and regulations is called a(n):
a. Suspended record
b. Delinquent record
c. Pending record
d. Illegal record - ansCorrect Answer: B
An incomplete record not rectified within a specific number of days as indicated in the
medical staff rules and regulations is considered to be delinquent (Johns 2011, 412).
9.
A hospital HIM department wants to purchase an electronic system that records the location
of health records removed from the filing system and documents the date of their return to the
HIM department. Which of the following electronic systems would fulfill this purpose?
, COMPREHENSIVE AHIMA CCA Exam.
A TOP-RATED EXAM GUIDE WITH VERIFIED
CORRECT ANSWERS LATEST UPDATED
GUIDE 2026/2027
a. Chart deficiency system
b. Chart tracking system
c. Chart abstracting system
d. Chart encoder - ansCorrect Answer: B
With an automated tracking system, it is easy to track how many records are charged out of
the system, their location, and whether they have been returned on the due dates indicated
(Johns 2011, 402).
10.
Identify the appropriate ICD-9-CM diagnosis code for Lou Gehrig's disease.
a. 335.20
b. 334.8
c. 335.29
d. 335.2 - ansCorrect Answer: A
Index Disease, Lou Gehrig's or Lou Gehrig's disease. Amyotrophic lateral sclerosis is another
name for Lou Gehrig's disease. Many diseases carry the name of a person or an eponym. The
main terms for eponyms are located in the Alphabetic Index under the eponym or the disease,
syndrome, or disorder (Schraffenberger 2012, 13).
11.
In the laboratory section of CPT, if a group of tests overlaps two or more panels, report the
panel that incorporates the greatest number of tests to fulfill the code definition. What would
a coder do with the remaining test codes that are not part of a panel?
a. Report the remaining tests using individual test codes, according to CPT.
b. Do not report the remaining individual test codes.
c. Report only those test codes that are part of a panel.
d. Do not report a test code more than once regardless whether the test was performed twice.
- ansCorrect Answer: A
A TOP-RATED EXAM GUIDE WITH VERIFIED
CORRECT ANSWERS LATEST UPDATED
GUIDE 2026/2027
1.
A 65-year-old white male was admitted to the hospital on 1/15 complaining of abdominal
pain. The attending physician requested an upper GI series and laboratory evaluation of CBC
and UA. The x-ray revealed possible cholelithiasis, and the UA showed an increased white
blood cell count. The patient was taken to surgery for an exploratory laparoscopy, and a
ruptured appendix was discovered. The chief complaint was:
a. Ruptured appendix
b. Exploratory laparoscopy
c. Abdominal pain
d. Cholelithiasis - ansc. Abdominal pain
The nature and duration of the symptoms that caused the patient to seek medical attention as
stated in the patient's own words (Odom-Wesley et al. 2009, 331).
2.
84. An individual stole and used another person's insurance information to obtain medical
care. This action would be considered:
a. Violation of bioethics
b. Fraud and abuse
c. Medical identity theft
d. Abuse - ansc. Medical identity theft
Correct Answer: 84. c. Medical identity theft occurs when someone uses a person's name and
sometimes other parts of their identity without the victim's knowledge or consent to obtain
medical services or goods (Johns 2011, 773).
3.
Identify the ICD-9-CM diagnostic code(s) for acute osteomyelitis of ankle due to
Staphylococcus.
a. 730.06
b. 730.07
c. 730.07, 041.1
,COMPREHENSIVE AHIMA CCA Exam.
A TOP-RATED EXAM GUIDE WITH VERIFIED
CORRECT ANSWERS LATEST UPDATED
GUIDE 2026/2027
d. 730.07, 041.10 - ansd. 730.07, 041.10
Correct Answer: D Index Osteomyelitis, acute or subacute. Refer to the table in the Index for
the fifth digit 5, ankle and foot. Infection, staphylococcal NEC (Schraffenberger 2012, 305-
306).
4.
A system that provides alerts and reminders to clinicians is a(n):
a. Clinical decision support system
b. Electronic data interchange
c. Point of care charting system
d. Knowledge database - ansCorrect Answer: A Clinical decision support includes providing
documentation of clinical findings and procedures, active reminders about medication
administration, suggestions for prescribing less expensive but equally effective drugs,
protocols for certain health maintenance procedures, alerts that a duplicate lab test is being
ordered, and countless other decision-making aids for all stakeholders in the care process
(Johns 2011, 138).
5.
What does an audit trail check for?
a. Unauthorized access to a system
b. Loss of data
c. Presence of a virus
d. Successful completion of a backup - ansCorrect Answer: A
Audit trails can provide tracking information such as who accessed which records and for
what purpose (Johns 2011, 403).
6.
This is a condition with an imprecise diagnosis with various characteristics. The condition
may be diagnosed when a patient presents with sinus arrest, sinoatrial exit block, or persistent
sinus bradycardia. This syndrome is often the result of drug therapy, such as digitalis,
calcium channel blockers, beta-blockers, sympatholytic agents, or antiarrhythmics. Another
presentation includes recurrent supraventricular tachycardias associated with
bradyarrhythmias. Prolonged ambulatory monitoring may be indicated to establish a
diagnosis of this condition. Treatment includes insertion of a permanent cardiac pacemaker.
,COMPREHENSIVE AHIMA CCA Exam.
A TOP-RATED EXAM GUIDE WITH VERIFIED
CORRECT ANSWERS LATEST UPDATED
GUIDE 2026/2027
a. Atrial fibrillation (427.31)
b. Atrial flutter (427.32)
c. Paroxysmal supraventricular tachycardia (427.0)
d. Sick sinus syndrome (SSS) (427.81) - ansd. Sick sinus syndrome (SSS) (427.81)
Correct Answer: D SSS is the imprecise diagnosis with various characteristics treated with
the insertion of a permanent cardiac pacemaker. The other three conditions are treated with
cardioversion and different pharmacological therapy (Schraffenberger 2012, 194-195).
7.
Identify the ICD-9-CM diagnostic code for primary localized osteoarthrosis of the hip.
a. 715.95
b. 715.15
c. 721.90
d. 715.16 - ansb. 715.15
Correct Answer: B Index Osteoarthrosis, localized, primary. For category 715, refer to the
table for the fifth digit of 5 for pelvic region and thigh (Schraffenberger 2012, 303-304).
8.
A health record with deficiencies that is not complete within the timeframe specified in the
medical staff rules and regulations is called a(n):
a. Suspended record
b. Delinquent record
c. Pending record
d. Illegal record - ansCorrect Answer: B
An incomplete record not rectified within a specific number of days as indicated in the
medical staff rules and regulations is considered to be delinquent (Johns 2011, 412).
9.
A hospital HIM department wants to purchase an electronic system that records the location
of health records removed from the filing system and documents the date of their return to the
HIM department. Which of the following electronic systems would fulfill this purpose?
, COMPREHENSIVE AHIMA CCA Exam.
A TOP-RATED EXAM GUIDE WITH VERIFIED
CORRECT ANSWERS LATEST UPDATED
GUIDE 2026/2027
a. Chart deficiency system
b. Chart tracking system
c. Chart abstracting system
d. Chart encoder - ansCorrect Answer: B
With an automated tracking system, it is easy to track how many records are charged out of
the system, their location, and whether they have been returned on the due dates indicated
(Johns 2011, 402).
10.
Identify the appropriate ICD-9-CM diagnosis code for Lou Gehrig's disease.
a. 335.20
b. 334.8
c. 335.29
d. 335.2 - ansCorrect Answer: A
Index Disease, Lou Gehrig's or Lou Gehrig's disease. Amyotrophic lateral sclerosis is another
name for Lou Gehrig's disease. Many diseases carry the name of a person or an eponym. The
main terms for eponyms are located in the Alphabetic Index under the eponym or the disease,
syndrome, or disorder (Schraffenberger 2012, 13).
11.
In the laboratory section of CPT, if a group of tests overlaps two or more panels, report the
panel that incorporates the greatest number of tests to fulfill the code definition. What would
a coder do with the remaining test codes that are not part of a panel?
a. Report the remaining tests using individual test codes, according to CPT.
b. Do not report the remaining individual test codes.
c. Report only those test codes that are part of a panel.
d. Do not report a test code more than once regardless whether the test was performed twice.
- ansCorrect Answer: A
