CONQUERING THE AHIMA CCA EXAM 2025: YOUR PATH TO CERTIFIED CODING ASSOCIATE SUCCESS
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 - Precise Answer ✔✔c. 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 - Precise Answer ✔✔c. 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
d. 730.07, 041.10 - Precise Answer ✔✔d. 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 - Precise Answer ✔✔Correct 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 - Precise Answer ✔✔Correct 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.
a. Atrial fibrillation (427.31)
b. Atrial flutter (427.32)
c. Paroxysmal supraventricular tachycardia (427.0)
, d. Sick sinus syndrome (SSS) (427.81) - Precise Answer ✔✔d. 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 - Precise Answer ✔✔b. 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
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 - Precise Answer ✔✔c. 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 - Precise Answer ✔✔c. 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
d. 730.07, 041.10 - Precise Answer ✔✔d. 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 - Precise Answer ✔✔Correct 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 - Precise Answer ✔✔Correct 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.
a. Atrial fibrillation (427.31)
b. Atrial flutter (427.32)
c. Paroxysmal supraventricular tachycardia (427.0)
, d. Sick sinus syndrome (SSS) (427.81) - Precise Answer ✔✔d. 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 - Precise Answer ✔✔b. 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
