AHIMA CCA Exam
2. c. Medical identity theft
84. An individual stole and used another person's
insurance information to obtain medical care. This Correct Answer: 84. c. Medical identity theft occurs when someone uses a
action would be considered: 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).
a. Violation of bioethics
b. Fraud and abuse
c. Medical identity theft
d. Abuse
3. c. Abdominal pain
A 65-year-old white male was admitted to the hospital
on 1/15 complaining of abdominal pain. The attending The nature and duration of the symptoms that caused the patient to seek
physician requested an upper GI series and laboratory medical attention as stated in the patient's own words (Odom-Wesley et al.
evaluation of CBC and UA. The x-ray revealed possible 2009, 331).
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
4. Correct Answer: A Clinical decision support includes providing documentation
A system that provides alerts and reminders to of clinical findings and procedures, active reminders about medication
clinicians is a(n): administration, suggestions for prescribing less expensive but equally effective
drugs, protocols for certain health maintenance procedures, alerts that a
a. Clinical decision support system duplicate lab test is being ordered, and countless other decision-making aids
for all stakeholders in the care process (Johns 2011, 138).
b. Electronic data interchange
c. Point of care charting system
d. Knowledge database
, AHIMA CCA Exam
5. Correct Answer: A
What does an audit trail check for?
Audit trails can provide tracking information such as who accessed which
a. Unauthorized access to a system records and for what purpose (Johns 2011, 403).
b. Loss of data
c. Presence of a virus
d. Successful completion of a backup
6. d. Sick sinus syndrome (SSS) (427.81)
This is a condition with an imprecise diagnosis with
various characteristics. The condition may be Correct Answer: D SSS is the imprecise diagnosis with various characteristics
diagnosed when a patient presents with sinus arrest, treated with the insertion of a permanent cardiac pacemaker. The other three
sinoatrial exit block, or persistent sinus bradycardia. This conditions are treated with cardioversion and different pharmacological
syndrome is often the result of drug therapy, such as therapy (Schraffenberger 2012, 194-195).
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)
7. b. 715.15
Identify the ICD-9-CM diagnostic code for primary
localized osteoarthrosis of the hip. 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
a. 715.95 (Schraffenberger 2012, 303-304).
b. 715.15
c. 721.90
d. 715.16
8. Correct Answer: B
A health record with deficiencies that is not complete
within the timeframe specified in the medical staff rules An incomplete record not rectified within a specific number of days as
and regulations is called a(n): indicated in the medical staff rules and regulations is considered to be
delinquent (Johns 2011, 412).
a. Suspended record
b. Delinquent record
c. Pending record
d. Illegal record
, AHIMA CCA Exam
9. Correct Answer: B
A hospital HIM department wants to purchase an
electronic system that records the location of health With an automated tracking system, it is easy to track how many records are
records removed from the filing system and documents charged out of the system, their location, and whether they have been returned
the date of their return to the HIM department. Which on the due dates indicated (Johns 2011, 402).
of the following electronic systems would fulfill this
purpose?
a. Chart deficiency system
b. Chart tracking system
c. Chart abstracting system
d. Chart encoder
10. Correct Answer: A
Identify the appropriate ICD-9-CM diagnosis code for
Lou Gehrig's disease. Index Disease, Lou Gehrig's or Lou Gehrig's disease. Amyotrophic lateral
sclerosis is another name for Lou Gehrig's disease. Many diseases carry the
a. 335.20 name of a person or an eponym. The main terms for eponyms are located in
the Alphabetic Index under the eponym or the disease, syndrome, or disorder
b. 334.8 (Schraffenberger 2012, 13).
c. 335.29
d. 335.2
11. Correct Answer: A
In the laboratory section of CPT, if a group of tests
overlaps two or more panels, report the panel that Reporting additional test codes that overlap codes in a panel allows the coder
incorporates the greatest number of tests to fulfill the to assign all appropriate codes for services provided. It is inappropriate to
code definition. What would a coder do with the assign additional panel codes when all codes in the panel are not performed.
remaining test codes that are not part of a panel? Reporting individual lab codes is appropriate when all codes in a panel have
not been provided (AMA 2012b, 402).
a. Report the remaining tests using individual test
codes, according to CPT.
b. Do not report the remaining individual test codes.
c. Report only those test codes that are part of a panel.
d. Do not report a test code more than once regardless
whether the test was performed twice.
2. c. Medical identity theft
84. An individual stole and used another person's
insurance information to obtain medical care. This Correct Answer: 84. c. Medical identity theft occurs when someone uses a
action would be considered: 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).
a. Violation of bioethics
b. Fraud and abuse
c. Medical identity theft
d. Abuse
3. c. Abdominal pain
A 65-year-old white male was admitted to the hospital
on 1/15 complaining of abdominal pain. The attending The nature and duration of the symptoms that caused the patient to seek
physician requested an upper GI series and laboratory medical attention as stated in the patient's own words (Odom-Wesley et al.
evaluation of CBC and UA. The x-ray revealed possible 2009, 331).
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
4. Correct Answer: A Clinical decision support includes providing documentation
A system that provides alerts and reminders to of clinical findings and procedures, active reminders about medication
clinicians is a(n): administration, suggestions for prescribing less expensive but equally effective
drugs, protocols for certain health maintenance procedures, alerts that a
a. Clinical decision support system duplicate lab test is being ordered, and countless other decision-making aids
for all stakeholders in the care process (Johns 2011, 138).
b. Electronic data interchange
c. Point of care charting system
d. Knowledge database
, AHIMA CCA Exam
5. Correct Answer: A
What does an audit trail check for?
Audit trails can provide tracking information such as who accessed which
a. Unauthorized access to a system records and for what purpose (Johns 2011, 403).
b. Loss of data
c. Presence of a virus
d. Successful completion of a backup
6. d. Sick sinus syndrome (SSS) (427.81)
This is a condition with an imprecise diagnosis with
various characteristics. The condition may be Correct Answer: D SSS is the imprecise diagnosis with various characteristics
diagnosed when a patient presents with sinus arrest, treated with the insertion of a permanent cardiac pacemaker. The other three
sinoatrial exit block, or persistent sinus bradycardia. This conditions are treated with cardioversion and different pharmacological
syndrome is often the result of drug therapy, such as therapy (Schraffenberger 2012, 194-195).
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)
7. b. 715.15
Identify the ICD-9-CM diagnostic code for primary
localized osteoarthrosis of the hip. 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
a. 715.95 (Schraffenberger 2012, 303-304).
b. 715.15
c. 721.90
d. 715.16
8. Correct Answer: B
A health record with deficiencies that is not complete
within the timeframe specified in the medical staff rules An incomplete record not rectified within a specific number of days as
and regulations is called a(n): indicated in the medical staff rules and regulations is considered to be
delinquent (Johns 2011, 412).
a. Suspended record
b. Delinquent record
c. Pending record
d. Illegal record
, AHIMA CCA Exam
9. Correct Answer: B
A hospital HIM department wants to purchase an
electronic system that records the location of health With an automated tracking system, it is easy to track how many records are
records removed from the filing system and documents charged out of the system, their location, and whether they have been returned
the date of their return to the HIM department. Which on the due dates indicated (Johns 2011, 402).
of the following electronic systems would fulfill this
purpose?
a. Chart deficiency system
b. Chart tracking system
c. Chart abstracting system
d. Chart encoder
10. Correct Answer: A
Identify the appropriate ICD-9-CM diagnosis code for
Lou Gehrig's disease. Index Disease, Lou Gehrig's or Lou Gehrig's disease. Amyotrophic lateral
sclerosis is another name for Lou Gehrig's disease. Many diseases carry the
a. 335.20 name of a person or an eponym. The main terms for eponyms are located in
the Alphabetic Index under the eponym or the disease, syndrome, or disorder
b. 334.8 (Schraffenberger 2012, 13).
c. 335.29
d. 335.2
11. Correct Answer: A
In the laboratory section of CPT, if a group of tests
overlaps two or more panels, report the panel that Reporting additional test codes that overlap codes in a panel allows the coder
incorporates the greatest number of tests to fulfill the to assign all appropriate codes for services provided. It is inappropriate to
code definition. What would a coder do with the assign additional panel codes when all codes in the panel are not performed.
remaining test codes that are not part of a panel? Reporting individual lab codes is appropriate when all codes in a panel have
not been provided (AMA 2012b, 402).
a. Report the remaining tests using individual test
codes, according to CPT.
b. Do not report the remaining individual test codes.
c. Report only those test codes that are part of a panel.
d. Do not report a test code more than once regardless
whether the test was performed twice.
