Certified Coding Associate (CCA) Exam
Preparation - with rationale
Questions & Answers
1. A coding analyst consistently enters the wrong code for patient gender inthe
electronic billing system. What data quality or data integrity measures should
be in place to ensure that only allowable code numbers are entered?
a. Access controls
b. Audit trail
c. Edit checks
d. Password controls
Answer c. Edit checks
Edit checks help ensure data integrity by allowing only reasonable and predeter-
mined values to be entered into the computer (Rinehart-Thompson 2016a, 265).
2. A health record with deficiencies that is not complete within the timeframe
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specified in the medical staff rules and regulations is called a(n)
a. Suspended record
b. Delinquent record
c. Pending record
d. Illegal record
Answer b. Delinquent record
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 (Sayles 2016,
65).
3. Which of the following would be the best technique to ensure that registra-
tion clerks consistently use the correct notation for assigning admission datein
an electronic health record (EHR)?
a. Make admission date a required field
b. Provide an input mask for entering data in the field
c. Make admission date a numeric field
d. Provide sufficient space for input of data
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Answer b.Provide an input mask for enteringdata in the field
When several people enter data in an EHR, you can define how users must enterdata
in specific fields to help maintain consistency. For example, an input mask fora form
means that users can only enter the date in a specified format (MacDonald2010,
chapter 4; Carter and Palmer 2016, 506).
4. Mary Smith, RHIA, has been charged with the responsibility of designing a
data collection form to be used on admission of a patient to the acute-care
hospital in which she works.The first resource that she should use is .
a. UHDDS
b. UACDS
c. MDS
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d. ORYX
Answer a. UHDDS
In 1974, the federal government adopted the UHDDS as the standard for collecting
data for the Medicare and Medicaid programs. When the Prospective Payment Actwas
enacted in 1983, UHDDS definitions were incorporated into the rules and regulations
for implementing diagnosis-related groups (DRGs). A key component was the
incorporation of the definitions of principal diagnosis, principal procedure, and other
significant procedures, into the DRG algorithms (Oachs and Watters 2016,223).
5. Data definition refers to
a. Meaning of data
b. Completeness of data
c. Consistency of data
d. Detail of data
Answer a. Meaning of data
Data definition means that the data and information documented in the health record
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