AHIMA CCA EXAM 2 – EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: The Privacy Rule establishes that a patient has the
right of access to inspect and obtain a copy of his or her PHI:
a. For as long as it is maintained
b. For six years
c. Forever
d. For 12 months
Answer:
Correct Answer: A An individual's right extends for as long as the
record is maintained (Johns 2011, 827).
Question 2: Assignment of benefits is a contract between a
physician and Medicare in which the physician agrees to bill
Medicare directly for covered services and to bill the beneficiary
only for ________ , and to accept the Medicare payment as payment
in full.
a. Coinsurance or deductible
b. Deductible only
c. Coinsurance only
d. Balance of charges
Answer:
, Correct Answer: A When a physician accepts assignment of
benefits, the physician can only collect any applicable deductible
and/or coinsurance from the patient (Casto and Layman 2011, 156).
Question 3: The purpose of a physician query is to:
a. Identify the MS-DRG
b. Identify the principal diagnosis
c. Improve documentation for patient care and proper reimbursement
d. Increase reimbursement as form of optimization
Answer:
Correct Answer: C Improve documentation to support services billed
(Johns 2011, 348).
Question 4: Identify the correct ICD-9-CM diagnosis code(s) for a
patient with seizures; epilepsy ruled out.
a. 780.39
b. 345.9
c. 780.39, 345.9
d. 345.90
Answer:
, Correct Answer: A Code signs and symptoms when a condition is
ruled out, which means the condition has been proven not to exist.
The code for seizures (780.39) is assigned when a more specific
diagnosis cannot be made even after all the facts bearing on the
case have been investigated (Hazelwood and Venable 2012, 68-73).
Question 5: The Privacy Rule applies to:
a. All covered entities involved with transmitting or performing any
electronic transactions specified in the act
b. Healthcare providers only
c. Only healthcare providers that receive Medicare reimbursement
d. Only entities funded by the federal government
Answer:
Correct Answer: A The Privacy Rule is applicable to all covered
entities involved, either directly or indirectly, with transmitting or
performing any electronic transactions specified in the act (Johns
2011, 823).
Question 6: Which answer FAILS to provide a requirement for
assignment of the MS-DRG?
a. Diagnoses and procedures (principal and secondary)
b. Attending and consulting physicians
c. Presence of major or other complications and comorbidities (MCC
or CC)
d. Discharge disposition or status
, Answer:
**Correct Answer: B Attending and consulting physicians have no
bearing on the assignment of the MS-DRG and payment to the
hospital (Schraffenberger 2012, 471-473).
Question 7: Who is responsible for writing and signing discharge
summaries and discharge instructions?
a. Attending physician
b. Head nurse
c. Primary physician
d. Admitting nurse
Answer:
Correct Answer: A The physician principally responsible for the
patient's hospital care writes and signs the discharge summary
(Odom-Wesley et al. 2009, 200).
Question 8: Under the HIPAA privacy standard, which of the
following types of protected health information (PHI) must be
specifically identified in an authorization?
a. History and physical reports
b. Operative reports
c. Consultation reports
d. Psychotherapy notes
Answer:
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: The Privacy Rule establishes that a patient has the
right of access to inspect and obtain a copy of his or her PHI:
a. For as long as it is maintained
b. For six years
c. Forever
d. For 12 months
Answer:
Correct Answer: A An individual's right extends for as long as the
record is maintained (Johns 2011, 827).
Question 2: Assignment of benefits is a contract between a
physician and Medicare in which the physician agrees to bill
Medicare directly for covered services and to bill the beneficiary
only for ________ , and to accept the Medicare payment as payment
in full.
a. Coinsurance or deductible
b. Deductible only
c. Coinsurance only
d. Balance of charges
Answer:
, Correct Answer: A When a physician accepts assignment of
benefits, the physician can only collect any applicable deductible
and/or coinsurance from the patient (Casto and Layman 2011, 156).
Question 3: The purpose of a physician query is to:
a. Identify the MS-DRG
b. Identify the principal diagnosis
c. Improve documentation for patient care and proper reimbursement
d. Increase reimbursement as form of optimization
Answer:
Correct Answer: C Improve documentation to support services billed
(Johns 2011, 348).
Question 4: Identify the correct ICD-9-CM diagnosis code(s) for a
patient with seizures; epilepsy ruled out.
a. 780.39
b. 345.9
c. 780.39, 345.9
d. 345.90
Answer:
, Correct Answer: A Code signs and symptoms when a condition is
ruled out, which means the condition has been proven not to exist.
The code for seizures (780.39) is assigned when a more specific
diagnosis cannot be made even after all the facts bearing on the
case have been investigated (Hazelwood and Venable 2012, 68-73).
Question 5: The Privacy Rule applies to:
a. All covered entities involved with transmitting or performing any
electronic transactions specified in the act
b. Healthcare providers only
c. Only healthcare providers that receive Medicare reimbursement
d. Only entities funded by the federal government
Answer:
Correct Answer: A The Privacy Rule is applicable to all covered
entities involved, either directly or indirectly, with transmitting or
performing any electronic transactions specified in the act (Johns
2011, 823).
Question 6: Which answer FAILS to provide a requirement for
assignment of the MS-DRG?
a. Diagnoses and procedures (principal and secondary)
b. Attending and consulting physicians
c. Presence of major or other complications and comorbidities (MCC
or CC)
d. Discharge disposition or status
, Answer:
**Correct Answer: B Attending and consulting physicians have no
bearing on the assignment of the MS-DRG and payment to the
hospital (Schraffenberger 2012, 471-473).
Question 7: Who is responsible for writing and signing discharge
summaries and discharge instructions?
a. Attending physician
b. Head nurse
c. Primary physician
d. Admitting nurse
Answer:
Correct Answer: A The physician principally responsible for the
patient's hospital care writes and signs the discharge summary
(Odom-Wesley et al. 2009, 200).
Question 8: Under the HIPAA privacy standard, which of the
following types of protected health information (PHI) must be
specifically identified in an authorization?
a. History and physical reports
b. Operative reports
c. Consultation reports
d. Psychotherapy notes
Answer:
