AHIMA CCA EXAM – COMPLETE 2026 PRACTICE
QUESTIONS & VERIFIED ANSWERS (A+ GUIDE)
An encoder that is built using expert system techniques such as rule-based systems is a(n):
a. Encoder interface
b. Logic-based encoder
c. Automated code book encoder
d. Grouper
Correct Answer: B
Some encoders are built using expert system techniques such as rule-based systems, and
other encoding software is more simplistic, merely automating a look-up function similar
to the manual index in ICD or other coding classifications (Johns 2011, 269).
A notation for a hypertensive patient in a physician ambulatory care progress note reads:
"Blood pressure adequately controlled." In which part of a POMR progress note would this
notation be written?
a. Subjective
b. Objective
,c. Assessment
d. Plan
Correct Answer: C
Professional conclusions reached from evaluation of the subjective or objective
information make up the assessment (Johns 2011, 114).
An accounting of disclosures must include disclosures:
a. For use in law enforcement requests
b. To any patient family member who makes a request
c. To any individual who requested the information
d. Made for public health reporting purposes
Correct Answer: D
Disclosures for which accounting is not required involve nine exceptions including those in
the question (Johns 2011, 833).
A patient is admitted with spotting. She had been treated two weeks previously for a
miscarriage with sepsis. The sepsis had resolved and she is afebrile at this time. She is
,treated with an aspiration dilation and curettage. Products of conception are found. Which
of the following should be the principal diagnosis?
a. Miscarriage
b. Complications of spontaneous abortion with sepsis
c. Sepsis
d. Spontaneous abortion with sepsis
Correct Answer: A
Subsequent admissions for retained products of conception following a spontaneous or
legally induced abortion are assigned the appropriate code from category 634,
Spontaneous abortion, or 635, Legally induced abortion, with a fifth digit of "1"
(incomplete). This advice is appropriate even when the patient was discharged previously
with a discharge diagnosis of complete abortion (Schraffenberger 2012, 264-266).
Given NCCI edits, if the placement of a catheter is billed along with the performance of an
infusion procedure for the same date of service for an outpatient beneficiary, Medicare will
pay for:
a. The placement of the catheter
b. The placement of the catheter and the infusion procedure
c. The infusion procedure
, d. Neither the placement of the catheter nor the infusion procedure
Correct Answer: C
Access to an indwelling IV or insertion of a subcutaneous catheter or port for the purpose
of a therapeutic infusion is considered part of the procedure and not separately billed
(Smith 2012, 237).
Assign the correct CPT code for the following procedure: Revision of the pacemaker skin
pocket.
a. 33223
b. 33210
c. 33212
d. 33222
Correct Answer: D
Begin with the main term Revision; pacemaker site; chest (Kuehn 2012, 27, 142).
When clean claims are submitted, they can be adjudicated in many ways through
computer software automatically. Which statement is not one of the outcomes that can
occur as part of auto-adjudication?
QUESTIONS & VERIFIED ANSWERS (A+ GUIDE)
An encoder that is built using expert system techniques such as rule-based systems is a(n):
a. Encoder interface
b. Logic-based encoder
c. Automated code book encoder
d. Grouper
Correct Answer: B
Some encoders are built using expert system techniques such as rule-based systems, and
other encoding software is more simplistic, merely automating a look-up function similar
to the manual index in ICD or other coding classifications (Johns 2011, 269).
A notation for a hypertensive patient in a physician ambulatory care progress note reads:
"Blood pressure adequately controlled." In which part of a POMR progress note would this
notation be written?
a. Subjective
b. Objective
,c. Assessment
d. Plan
Correct Answer: C
Professional conclusions reached from evaluation of the subjective or objective
information make up the assessment (Johns 2011, 114).
An accounting of disclosures must include disclosures:
a. For use in law enforcement requests
b. To any patient family member who makes a request
c. To any individual who requested the information
d. Made for public health reporting purposes
Correct Answer: D
Disclosures for which accounting is not required involve nine exceptions including those in
the question (Johns 2011, 833).
A patient is admitted with spotting. She had been treated two weeks previously for a
miscarriage with sepsis. The sepsis had resolved and she is afebrile at this time. She is
,treated with an aspiration dilation and curettage. Products of conception are found. Which
of the following should be the principal diagnosis?
a. Miscarriage
b. Complications of spontaneous abortion with sepsis
c. Sepsis
d. Spontaneous abortion with sepsis
Correct Answer: A
Subsequent admissions for retained products of conception following a spontaneous or
legally induced abortion are assigned the appropriate code from category 634,
Spontaneous abortion, or 635, Legally induced abortion, with a fifth digit of "1"
(incomplete). This advice is appropriate even when the patient was discharged previously
with a discharge diagnosis of complete abortion (Schraffenberger 2012, 264-266).
Given NCCI edits, if the placement of a catheter is billed along with the performance of an
infusion procedure for the same date of service for an outpatient beneficiary, Medicare will
pay for:
a. The placement of the catheter
b. The placement of the catheter and the infusion procedure
c. The infusion procedure
, d. Neither the placement of the catheter nor the infusion procedure
Correct Answer: C
Access to an indwelling IV or insertion of a subcutaneous catheter or port for the purpose
of a therapeutic infusion is considered part of the procedure and not separately billed
(Smith 2012, 237).
Assign the correct CPT code for the following procedure: Revision of the pacemaker skin
pocket.
a. 33223
b. 33210
c. 33212
d. 33222
Correct Answer: D
Begin with the main term Revision; pacemaker site; chest (Kuehn 2012, 27, 142).
When clean claims are submitted, they can be adjudicated in many ways through
computer software automatically. Which statement is not one of the outcomes that can
occur as part of auto-adjudication?
