AHIMA CCA FINAL – EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: After a deductible has been paid, insured and insurer
share covered losses according to a specified ratio, and the
insured pays a(n) _________ amount.
a. Out-of-pocket expense
b. Coinsurance
c. Deductible
d. Premium
Answer:
Correct Answer: B Coinsurance refers to the amount the insured pays as
a requirement of the insurance policy to share covered losses by insurer
and insured (Johns 2011, 288).
Question 2: What kind of provider setting manages patients who
are terminally ill and often have a life expectancy less than six
months?
a. Skilled nursing facility
b. Home health
c. Hospice
d. Acute-care, inpatient
Answer:
,Correct Answer: C Hospice care is provided to the terminally ill persons
whose life expectancies are certified by their attending physician to be
six months or less (Johns 2011, 295).
Question 3: The Joint Commission requires that the medical record
delinquency rate quarter averaged from the last four quarterly
measurements is not greater than ______ of the average monthly
discharge rate.
a. 25%
b. 50%
c. 75%
d. 100%
Answer:
Correct Answer: B The Joint Commission will cite a healthcare
organization with a requirement for improvement if the total average
health record delinquency exceeds 50 percent of the average monthly
discharges in any one quarter (Johns 2011, 609).
Question 4: An 8-year-old male hemophiliac is admitted with acute
blood loss anemia due to uncontrolled bleeding. He is given
clotting factor and six units of whole blood. Which of the following
diagnosis and procedure ICD-9-CM codes would be correct?
a. 286.0, 99.06, 99.03
b. 285.1, 286.0, 99.06, 99.03
c. 286.0, 285.1, 99.06, 99.03
d. 285.1, 99.06, 99.03
Answer:
,Correct Answer: B The anemia code 285.1 would be coded as the
principal diagnosis. In accordance with the UHDDS definition for
principal diagnosis, the anemia (not the hemophilia), is the reason for
admission and sequenced as the principal diagnosis (CMS 2010c,
Section II, 96; AHIMA 2012a, 646).
Question 5: Protection of healthcare information from damage,
loss, and unauthorized alteration is also known as:
a. Privacy
b. Results management
c. Security
d. Data accuracy
Answer:
Correct Answer: C Security includes physical and electronic protection of
the integrity, availability, and confidentiality of computer-based
information and the resources used to enter, store, process, and
communicate it; and the means to control access and protect information
from accidental or intentional disclosure (Johns 2011, 755).
Question 6: What is the amount the insured pays before the insurer
assumes liability for any remaining costs of covered services?
a. Out-of-pocket expense
b. Coinsurance
c. Deductible
d. Premium
Answer:
, Correct Answer: C A deductible is the amount the insured pays before
the insurer assumes liability for any remaining costs of covered services
(Johns 2011, 288).
Question 7: CPT procedure codes 96360 and 96361 are used to
report infusion of:
a. Chemotherapeutic agents
b. Sequential drugs of the same drug family
c. Hormonal antineoplastics
d. Prepackaged fluids and/or electrolytes
Answer:
Correct Answer: D Instructional notes for hydration state "Codes
96360-96361 are intended to report a hydration IV infusion to consist of
a pre-packaged fluid and electrolytes (eg, normal saline, D5-1/2 normal
saline+30mEq KCl/liter), but are not used to report infusion of drugs or
other substances." (AMA 2012b, 518-519; AHIMA 2012a, 630).
Question 8: What part of Medicare covers physician services,
outpatient care and home healthcare?
a. Part A
b. Part B
c. Part C
d. Part D
Answer:
Correct Answer: B Medicare Part B insurance covers physician services,
outpatient care, and home healthcare (Johns 2011, 293).
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: After a deductible has been paid, insured and insurer
share covered losses according to a specified ratio, and the
insured pays a(n) _________ amount.
a. Out-of-pocket expense
b. Coinsurance
c. Deductible
d. Premium
Answer:
Correct Answer: B Coinsurance refers to the amount the insured pays as
a requirement of the insurance policy to share covered losses by insurer
and insured (Johns 2011, 288).
Question 2: What kind of provider setting manages patients who
are terminally ill and often have a life expectancy less than six
months?
a. Skilled nursing facility
b. Home health
c. Hospice
d. Acute-care, inpatient
Answer:
,Correct Answer: C Hospice care is provided to the terminally ill persons
whose life expectancies are certified by their attending physician to be
six months or less (Johns 2011, 295).
Question 3: The Joint Commission requires that the medical record
delinquency rate quarter averaged from the last four quarterly
measurements is not greater than ______ of the average monthly
discharge rate.
a. 25%
b. 50%
c. 75%
d. 100%
Answer:
Correct Answer: B The Joint Commission will cite a healthcare
organization with a requirement for improvement if the total average
health record delinquency exceeds 50 percent of the average monthly
discharges in any one quarter (Johns 2011, 609).
Question 4: An 8-year-old male hemophiliac is admitted with acute
blood loss anemia due to uncontrolled bleeding. He is given
clotting factor and six units of whole blood. Which of the following
diagnosis and procedure ICD-9-CM codes would be correct?
a. 286.0, 99.06, 99.03
b. 285.1, 286.0, 99.06, 99.03
c. 286.0, 285.1, 99.06, 99.03
d. 285.1, 99.06, 99.03
Answer:
,Correct Answer: B The anemia code 285.1 would be coded as the
principal diagnosis. In accordance with the UHDDS definition for
principal diagnosis, the anemia (not the hemophilia), is the reason for
admission and sequenced as the principal diagnosis (CMS 2010c,
Section II, 96; AHIMA 2012a, 646).
Question 5: Protection of healthcare information from damage,
loss, and unauthorized alteration is also known as:
a. Privacy
b. Results management
c. Security
d. Data accuracy
Answer:
Correct Answer: C Security includes physical and electronic protection of
the integrity, availability, and confidentiality of computer-based
information and the resources used to enter, store, process, and
communicate it; and the means to control access and protect information
from accidental or intentional disclosure (Johns 2011, 755).
Question 6: What is the amount the insured pays before the insurer
assumes liability for any remaining costs of covered services?
a. Out-of-pocket expense
b. Coinsurance
c. Deductible
d. Premium
Answer:
, Correct Answer: C A deductible is the amount the insured pays before
the insurer assumes liability for any remaining costs of covered services
(Johns 2011, 288).
Question 7: CPT procedure codes 96360 and 96361 are used to
report infusion of:
a. Chemotherapeutic agents
b. Sequential drugs of the same drug family
c. Hormonal antineoplastics
d. Prepackaged fluids and/or electrolytes
Answer:
Correct Answer: D Instructional notes for hydration state "Codes
96360-96361 are intended to report a hydration IV infusion to consist of
a pre-packaged fluid and electrolytes (eg, normal saline, D5-1/2 normal
saline+30mEq KCl/liter), but are not used to report infusion of drugs or
other substances." (AMA 2012b, 518-519; AHIMA 2012a, 630).
Question 8: What part of Medicare covers physician services,
outpatient care and home healthcare?
a. Part A
b. Part B
c. Part C
d. Part D
Answer:
Correct Answer: B Medicare Part B insurance covers physician services,
outpatient care, and home healthcare (Johns 2011, 293).
