AHIMA CCA FINAL EXAM 2026/2027 QUESTIONS AND
SOLUTIONS RATED A+
✔✔28.
Which of the following definitions best describes the concept of confidentiality?
a. The right of individuals to control access to their personal health information
b. The protection of healthcare information from damage, loss, and unauthorized
alteration
c. The expectation that personal information shared by an individual with a healthcare
provider during the course of care will be used only for its intended purpose
d. The expectation that only individuals with the appropriate authority will be allowed to
access healthcare information - ✔✔Correct Answer: C
Confidentiality refers to the expectation that the personal information shared by an
individual with a healthcare provider during the course of care will be used only for its
intended purpose (Johns 2011, 49).
✔✔29.
Identify the ICD-9-CM diagnosis code for Paget's disease of the bone (no bone tumor
noted).
a. 170.9
b. 213.9
c. 238.0
d. 731.0 - ✔✔Correct Answer: D
Index Paget's disease, bone. The main terms for eponyms are located in the Alphabetic
Index under the eponym or the disease, syndrome, or disorder (Schraffenberger 2012,
13).
✔✔30.
Which of the following fails to meet the CMS classification of a hospital-acquired
condition?
a. Foreign object retained after surgery
b. Air embolism
c. Gram-negative pneumonia
,d. Blood incompatibility - ✔✔Correct Answer: C
Gram-negative pneumonia (Johns 2011, 326).
✔✔31.
Which of the following is (are) the correct ICD-9-CM procedure code(s) for cystoscopy
with biopsy?
a. 57.34
b. 57.32, 57.33
c. 57.33
d. 57.39 - ✔✔Correct Answer: C
Index Cystoscopy (transurethral), with biopsy (Schraffenberger 2012, 251).
✔✔32.
Identify the ICD-9-CM diagnosis code for chondromalacia of the patella.
a. 717.7
b. 733.92
c. 748.3
d. 716.86 - ✔✔Correct Answer: A
Index Chondromalacia, patella (Schraffenberger 2012, 303-304).
✔✔33.
Identify the ICD-9-CM diagnosis code for blighted ovum.
a. 236.1
b. 661.00
c. 631.8
d. 634.90 - ✔✔Correct Answer: C
Index Ovum, blighted (Schraffenberger 2012, 282-283).
,✔✔34.
Each year the OIG develops a work plan that details areas of compliance it will be
investigating for that year. What is the expectation of the hospital in relation to the OIG
work plan?
a. Hospitals are required to follow the same work plan and deploy audits based on that
work plan.
b. Hospitals should plan their compliance and auditing projects around the OIG work
plan to ensure they are in compliance with the target areas in the plan.
c. Hospitals must not develop their audits based on the OIG work plan; rather, they
must develop their own and look for high-risk areas that need improvement.
d. Hospitals must use the plan developed by their state hospital association that is
specific to state laws and compliance activities. - ✔✔Correct Answer: B
Hospitals are encouraged but not required to follow the same work plan as the OIG.
Hospitals should review the plan carefully and plan their compliance program around
the target areas (Johns 2011, 275).
✔✔35.
The _____ may contain information about diseases among relatives in which heredity
may play a role.
a. Physical examination
b. History
c. Laboratory report
d. Administrative data - ✔✔Correct Answer: B
A complete medical history documents the patient's current complaints and symptoms
and lists the patient's past medical, social, and family history (Johns 2011, 63).
✔✔36.
There are several codes to describe a colonoscopy. CPT code 45378 describes the
most basic colonoscopy without additional services. Additional codes in the
colonoscopy section of CPT further define removal of foreign body (45379); biopsy,
single or multiple (45380); and others. Reporting the basic form of a colonoscopy
(45378) with a foreign body (45379) or biopsy code (45380) would violate which rule?
a. Unbundling
b. Optimizing
, c. Sequencing
d. Maximizing - ✔✔Correct Answer: A
The coder should assign the most comprehensive code to describe the entire
procedure performed. When a code describes the entire service provided, the coder
should not code each component separately. Assigning additional codes inherent to the
main code would be a form of unbundling (Hazelwood and Venable 2012, 336).
✔✔37.
Corporate compliance programs were released by the OIG for hospitals to develop and
implement their own compliance programs. All of the following except _____ are basic
elements of a corporate compliance program.
a. Designation of a Chief Compliance Officer
b. Implementation of regular and effective education and training programs for all
employees
c. Medical staff appointee for documentation compliance
d. The use of audits or other evaluation techniques to monitor compliance - ✔✔Correct
Answer: C
Seven elements are required as part of the basic elements of a corporate compliance
program and a medical staff appointee is not one of them (Johns 2011, 274).
✔✔38.
The electronic claim format (837I) replaces which paper billing form?
a. CMS-1500
b. CMS-1450 (UB-04)
c. UB-92
d. CMS-1400 - ✔✔Correct Answer: B
The electronic claim form (screen 837I) replaced the UB-04 (CMS 1450) paper billing
form (Johns 2011, 343).
✔✔39.
According to the Joint Commission Accreditation Standards, which document must be
placed in the patient's record before a surgical procedure may be performed?
SOLUTIONS RATED A+
✔✔28.
Which of the following definitions best describes the concept of confidentiality?
a. The right of individuals to control access to their personal health information
b. The protection of healthcare information from damage, loss, and unauthorized
alteration
c. The expectation that personal information shared by an individual with a healthcare
provider during the course of care will be used only for its intended purpose
d. The expectation that only individuals with the appropriate authority will be allowed to
access healthcare information - ✔✔Correct Answer: C
Confidentiality refers to the expectation that the personal information shared by an
individual with a healthcare provider during the course of care will be used only for its
intended purpose (Johns 2011, 49).
✔✔29.
Identify the ICD-9-CM diagnosis code for Paget's disease of the bone (no bone tumor
noted).
a. 170.9
b. 213.9
c. 238.0
d. 731.0 - ✔✔Correct Answer: D
Index Paget's disease, bone. The main terms for eponyms are located in the Alphabetic
Index under the eponym or the disease, syndrome, or disorder (Schraffenberger 2012,
13).
✔✔30.
Which of the following fails to meet the CMS classification of a hospital-acquired
condition?
a. Foreign object retained after surgery
b. Air embolism
c. Gram-negative pneumonia
,d. Blood incompatibility - ✔✔Correct Answer: C
Gram-negative pneumonia (Johns 2011, 326).
✔✔31.
Which of the following is (are) the correct ICD-9-CM procedure code(s) for cystoscopy
with biopsy?
a. 57.34
b. 57.32, 57.33
c. 57.33
d. 57.39 - ✔✔Correct Answer: C
Index Cystoscopy (transurethral), with biopsy (Schraffenberger 2012, 251).
✔✔32.
Identify the ICD-9-CM diagnosis code for chondromalacia of the patella.
a. 717.7
b. 733.92
c. 748.3
d. 716.86 - ✔✔Correct Answer: A
Index Chondromalacia, patella (Schraffenberger 2012, 303-304).
✔✔33.
Identify the ICD-9-CM diagnosis code for blighted ovum.
a. 236.1
b. 661.00
c. 631.8
d. 634.90 - ✔✔Correct Answer: C
Index Ovum, blighted (Schraffenberger 2012, 282-283).
,✔✔34.
Each year the OIG develops a work plan that details areas of compliance it will be
investigating for that year. What is the expectation of the hospital in relation to the OIG
work plan?
a. Hospitals are required to follow the same work plan and deploy audits based on that
work plan.
b. Hospitals should plan their compliance and auditing projects around the OIG work
plan to ensure they are in compliance with the target areas in the plan.
c. Hospitals must not develop their audits based on the OIG work plan; rather, they
must develop their own and look for high-risk areas that need improvement.
d. Hospitals must use the plan developed by their state hospital association that is
specific to state laws and compliance activities. - ✔✔Correct Answer: B
Hospitals are encouraged but not required to follow the same work plan as the OIG.
Hospitals should review the plan carefully and plan their compliance program around
the target areas (Johns 2011, 275).
✔✔35.
The _____ may contain information about diseases among relatives in which heredity
may play a role.
a. Physical examination
b. History
c. Laboratory report
d. Administrative data - ✔✔Correct Answer: B
A complete medical history documents the patient's current complaints and symptoms
and lists the patient's past medical, social, and family history (Johns 2011, 63).
✔✔36.
There are several codes to describe a colonoscopy. CPT code 45378 describes the
most basic colonoscopy without additional services. Additional codes in the
colonoscopy section of CPT further define removal of foreign body (45379); biopsy,
single or multiple (45380); and others. Reporting the basic form of a colonoscopy
(45378) with a foreign body (45379) or biopsy code (45380) would violate which rule?
a. Unbundling
b. Optimizing
, c. Sequencing
d. Maximizing - ✔✔Correct Answer: A
The coder should assign the most comprehensive code to describe the entire
procedure performed. When a code describes the entire service provided, the coder
should not code each component separately. Assigning additional codes inherent to the
main code would be a form of unbundling (Hazelwood and Venable 2012, 336).
✔✔37.
Corporate compliance programs were released by the OIG for hospitals to develop and
implement their own compliance programs. All of the following except _____ are basic
elements of a corporate compliance program.
a. Designation of a Chief Compliance Officer
b. Implementation of regular and effective education and training programs for all
employees
c. Medical staff appointee for documentation compliance
d. The use of audits or other evaluation techniques to monitor compliance - ✔✔Correct
Answer: C
Seven elements are required as part of the basic elements of a corporate compliance
program and a medical staff appointee is not one of them (Johns 2011, 274).
✔✔38.
The electronic claim format (837I) replaces which paper billing form?
a. CMS-1500
b. CMS-1450 (UB-04)
c. UB-92
d. CMS-1400 - ✔✔Correct Answer: B
The electronic claim form (screen 837I) replaced the UB-04 (CMS 1450) paper billing
form (Johns 2011, 343).
✔✔39.
According to the Joint Commission Accreditation Standards, which document must be
placed in the patient's record before a surgical procedure may be performed?
