AHIMA CCA EXAM 3 – EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: An HIM professional who releases health information
that he or she knows will result in genetic discrimination is
violating the ethical principle of:
a. Autonomy
b. Beneficence
c. Justice
d. Nonmaleficence
Answer:
Correct Answer: D Nonmaleficence means to do no harm. With
regard to the patient and the healthcare team, the HIM professional
is obligated to protect health, medical, genetic, social, personal,
financial, and adoption information: Clinical information (genetic risk
factors) must be protected as well as behavioral information. It is
important to protect genetic and social information so that patients
will not be vulnerable to the risks of discrimination (LaTour and
Eichenwald Maki 2010, 311-312).
Question 2: The present on admission (POA) indicator is a
requirement for
a. Inpatient Medicare claims submitted by acute care hospitals
, b. Inpatient Medicare and Medicaid claims submitted by hospitals
c. Medicare claims submitted by all entities
d. Inpatient skilled nursing facility Medicare claims
Answer:
Correct Answer: A The POA indicator applies to diagnosis codes for
claims involving inpatient admission to acute-care hospitals or other
facilities, as required by law or regulation for public health reporting
(Schraffenberger 2012, 58; CMS 2011c, 97-102; Johns 2011, 325).
Question 3: Which of the following software applications would be
used to aid in the coding function in a physician's office?
a. Grouper
b. Encoder
c. Pricer
d. Diagnosis calculator
Answer:
Correct Answer: B An encoder is a computer software program
designed to assist coders assign appropriate clinical codes. An
encoder helps ensure accurate reporting of diagnoses and
procedures (LaTour and Eichenwald Maki 2010, 318-319).
Question 4: An infusion that lasts less than 15 minutes would be
reported with a(n):
a. Intravenous infusion code
b. Intravenous piggyback code
, c. Intravenous or intra-arterial push code
d. Intravenous hydration code
Answer:
Correct Answer: C An infusion that lasts less than 15 minutes should
be reported with an IV push code per the CPT coding guidelines of
the CPT Professional Edition based on the instructional notes
preceding the hydration notes (AMA 2012b, 518; AHIMA 2012a,
630).
Question 5: Patient data collection requirements vary according to
healthcare setting. One would expect a data element would be
collected in the MDS, but would not be collected in the UHDDS.
a. Personal identification
b. Cognitive patterns
c. Procedures and dates
d. Principal diagnosis
Answer:
Correct Answer: B According to UHDDS requirements, answers a, c,
and d represent items collected about inpatients. Only answer b
represents a data item collected more typically in long-term care
settings and required in the MDS (Johns 2011, 98). 42.
Question 6: Identify the CPT procedure code(s) and correct
modifiers for a basic metabolic panel with ionized calcium and an
additional test for carbon dioxide on the same day. Keep in mind
, that a carbon dioxide test is part of the basic metabolic panel.
a. 80047
b. 80047, 82374
c. 80047, 82374-91
d. 80048, 82374-91
Answer:
Correct Answer: C Index Organ or disease-oriented panel,
metabolic, basic to reference codes 80047 and 80048. Code 80047
includes ionized calcium for the correct panel code. Index Carbon
Dioxide, blood or urine to arrive at code 82374. Add modifier -91 to
the carbon dioxide code to signify the test was performed twice on
the same day and is separately reportable. Modifier -91 represents a
repeat clinical diagnostic laboratory test, and should be used for a
repeat test even when the first test is part of a panel represented by
a panel code (AMA 2012b, 402). 43.
Question 7: Identify the CPT procedure code(s) for laparoscopic
Nissen fundoplication.
a. 43279
b. 43280
c. 43327
d. 43289
Answer:
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: An HIM professional who releases health information
that he or she knows will result in genetic discrimination is
violating the ethical principle of:
a. Autonomy
b. Beneficence
c. Justice
d. Nonmaleficence
Answer:
Correct Answer: D Nonmaleficence means to do no harm. With
regard to the patient and the healthcare team, the HIM professional
is obligated to protect health, medical, genetic, social, personal,
financial, and adoption information: Clinical information (genetic risk
factors) must be protected as well as behavioral information. It is
important to protect genetic and social information so that patients
will not be vulnerable to the risks of discrimination (LaTour and
Eichenwald Maki 2010, 311-312).
Question 2: The present on admission (POA) indicator is a
requirement for
a. Inpatient Medicare claims submitted by acute care hospitals
, b. Inpatient Medicare and Medicaid claims submitted by hospitals
c. Medicare claims submitted by all entities
d. Inpatient skilled nursing facility Medicare claims
Answer:
Correct Answer: A The POA indicator applies to diagnosis codes for
claims involving inpatient admission to acute-care hospitals or other
facilities, as required by law or regulation for public health reporting
(Schraffenberger 2012, 58; CMS 2011c, 97-102; Johns 2011, 325).
Question 3: Which of the following software applications would be
used to aid in the coding function in a physician's office?
a. Grouper
b. Encoder
c. Pricer
d. Diagnosis calculator
Answer:
Correct Answer: B An encoder is a computer software program
designed to assist coders assign appropriate clinical codes. An
encoder helps ensure accurate reporting of diagnoses and
procedures (LaTour and Eichenwald Maki 2010, 318-319).
Question 4: An infusion that lasts less than 15 minutes would be
reported with a(n):
a. Intravenous infusion code
b. Intravenous piggyback code
, c. Intravenous or intra-arterial push code
d. Intravenous hydration code
Answer:
Correct Answer: C An infusion that lasts less than 15 minutes should
be reported with an IV push code per the CPT coding guidelines of
the CPT Professional Edition based on the instructional notes
preceding the hydration notes (AMA 2012b, 518; AHIMA 2012a,
630).
Question 5: Patient data collection requirements vary according to
healthcare setting. One would expect a data element would be
collected in the MDS, but would not be collected in the UHDDS.
a. Personal identification
b. Cognitive patterns
c. Procedures and dates
d. Principal diagnosis
Answer:
Correct Answer: B According to UHDDS requirements, answers a, c,
and d represent items collected about inpatients. Only answer b
represents a data item collected more typically in long-term care
settings and required in the MDS (Johns 2011, 98). 42.
Question 6: Identify the CPT procedure code(s) and correct
modifiers for a basic metabolic panel with ionized calcium and an
additional test for carbon dioxide on the same day. Keep in mind
, that a carbon dioxide test is part of the basic metabolic panel.
a. 80047
b. 80047, 82374
c. 80047, 82374-91
d. 80048, 82374-91
Answer:
Correct Answer: C Index Organ or disease-oriented panel,
metabolic, basic to reference codes 80047 and 80048. Code 80047
includes ionized calcium for the correct panel code. Index Carbon
Dioxide, blood or urine to arrive at code 82374. Add modifier -91 to
the carbon dioxide code to signify the test was performed twice on
the same day and is separately reportable. Modifier -91 represents a
repeat clinical diagnostic laboratory test, and should be used for a
repeat test even when the first test is part of a panel represented by
a panel code (AMA 2012b, 402). 43.
Question 7: Identify the CPT procedure code(s) for laparoscopic
Nissen fundoplication.
a. 43279
b. 43280
c. 43327
d. 43289
Answer:
