AHIMA CCA EXAM 1 – EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: Which of the following is the correct ICD-9-CM
procedure code for a Mayo operation known as a bunionectomy?
a. 77.54
b. 77.69
c. 77.59
d. 77.51
Answer:
Correct Answer: C Index Bunionectomy or Mayo operation,
bunionectomy. The main terms for eponyms are located in the
Alphabetic Index under the eponym or the disease, syndrome,
operation, or disorder (Schraffenberger 2012, 13).
Question 2: Whereas the focus of inpatient data collection is on the
principal diagnosis, the focus of outpatient data collection is on:
a. Reason for admission
b. Reason for encounter
c. Discharge diagnosis
d. Activities of daily living
Answer:
, Correct Answer: B The Uniform Ambulatory Care Data Set (UACDS)
includes data elements specific to ambulatory care, such as the
reason for the encounter with the healthcare provider (LaTour and
Eichenwald Maki 2010, 166).
Question 3: How do accreditation organizations such as the Joint
Commission use the health record?
a. To serve as a source for case study information
b. To determine whether the documentation supports the provider's
claim for reimbursement
c. To provide healthcare services
d. To determine whether standards of care are being met
Answer:
Correct Answer: D Surveyors review the documentation of patient
care services to determine whether the standards for care are being
met (Johns 2011, 40).
Question 4: Mildred Smith was admitted from an acute-care
hospital to a nursing facility with the following information: "Patient
is being admitted for organic brain syndrome." Underneath the
diagnosis, her medical information along with her rehabilitation
potential were also listed. On which form is this information
documented?
a. Transfer or referral
b. Release of information
c. Patient rights acknowledgement
, d. Admitting physical evaluation
Answer:
Correct Answer: A The transfer or referral form provides document
communication between caregivers in multiple healthcare settings. It
is important that a patient's treatment plan be consistent as the
patient moves through the healthcare delivery system
(Odom-Wesley et al. 2009, 131).
Question 5: Which of the following statements is true?
a. The higher the relative weight, the higher the payment rates.
b. The lower the relative weight, the higher the payment rates.
c. The lower the relative weight, the sicker the patient.
d. The higher the relative weight, the lesser reimbursement due the
facility.
Answer:
Correct Answer: A Higher relative weights link to higher payment
rates (Casto and Layman 2011, 13).
Question 6: A coder needs to locate electronic health records for a
patient across a health information exchange (HIE). What tool(s)
should the coder use?
a. Certification
b. Identity-matching algorithm and record locator service
c. Interoperability and certification
d. Meaningful use
, Answer:
Correct Answer: B An HIE organization requires an identity-matching
algorithm and record locator service (RLS). An identity-matching
algorithm must be used by the HIE to identify any patient for whom
data are to be exchanged. This algorithm uses sophisticated
probability equations to identify patients. The RLS, then, is a process
that seeks information about where a patient may have a health
record available to the HIE organization (Johns 2011, 151).
Question 7: All documentation entered in the medical record
relating to the patient's diagnosis and treatment is considered this
type of data:
a. Clinical
b. Identification
c. Secondary
d. Financial
Answer:
Correct Answer: A Clinical information is data related to the patient's
diagnosis or treatment in a healthcare facility (Odom-Wesley et al.
2009, 55).
Question 8: What type of data is exemplified by the insured party's
member identification number?
a. Demographic data
b. Clinical data
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: Which of the following is the correct ICD-9-CM
procedure code for a Mayo operation known as a bunionectomy?
a. 77.54
b. 77.69
c. 77.59
d. 77.51
Answer:
Correct Answer: C Index Bunionectomy or Mayo operation,
bunionectomy. The main terms for eponyms are located in the
Alphabetic Index under the eponym or the disease, syndrome,
operation, or disorder (Schraffenberger 2012, 13).
Question 2: Whereas the focus of inpatient data collection is on the
principal diagnosis, the focus of outpatient data collection is on:
a. Reason for admission
b. Reason for encounter
c. Discharge diagnosis
d. Activities of daily living
Answer:
, Correct Answer: B The Uniform Ambulatory Care Data Set (UACDS)
includes data elements specific to ambulatory care, such as the
reason for the encounter with the healthcare provider (LaTour and
Eichenwald Maki 2010, 166).
Question 3: How do accreditation organizations such as the Joint
Commission use the health record?
a. To serve as a source for case study information
b. To determine whether the documentation supports the provider's
claim for reimbursement
c. To provide healthcare services
d. To determine whether standards of care are being met
Answer:
Correct Answer: D Surveyors review the documentation of patient
care services to determine whether the standards for care are being
met (Johns 2011, 40).
Question 4: Mildred Smith was admitted from an acute-care
hospital to a nursing facility with the following information: "Patient
is being admitted for organic brain syndrome." Underneath the
diagnosis, her medical information along with her rehabilitation
potential were also listed. On which form is this information
documented?
a. Transfer or referral
b. Release of information
c. Patient rights acknowledgement
, d. Admitting physical evaluation
Answer:
Correct Answer: A The transfer or referral form provides document
communication between caregivers in multiple healthcare settings. It
is important that a patient's treatment plan be consistent as the
patient moves through the healthcare delivery system
(Odom-Wesley et al. 2009, 131).
Question 5: Which of the following statements is true?
a. The higher the relative weight, the higher the payment rates.
b. The lower the relative weight, the higher the payment rates.
c. The lower the relative weight, the sicker the patient.
d. The higher the relative weight, the lesser reimbursement due the
facility.
Answer:
Correct Answer: A Higher relative weights link to higher payment
rates (Casto and Layman 2011, 13).
Question 6: A coder needs to locate electronic health records for a
patient across a health information exchange (HIE). What tool(s)
should the coder use?
a. Certification
b. Identity-matching algorithm and record locator service
c. Interoperability and certification
d. Meaningful use
, Answer:
Correct Answer: B An HIE organization requires an identity-matching
algorithm and record locator service (RLS). An identity-matching
algorithm must be used by the HIE to identify any patient for whom
data are to be exchanged. This algorithm uses sophisticated
probability equations to identify patients. The RLS, then, is a process
that seeks information about where a patient may have a health
record available to the HIE organization (Johns 2011, 151).
Question 7: All documentation entered in the medical record
relating to the patient's diagnosis and treatment is considered this
type of data:
a. Clinical
b. Identification
c. Secondary
d. Financial
Answer:
Correct Answer: A Clinical information is data related to the patient's
diagnosis or treatment in a healthcare facility (Odom-Wesley et al.
2009, 55).
Question 8: What type of data is exemplified by the insured party's
member identification number?
a. Demographic data
b. Clinical data
