CCA Mock ExaminationEXAM WITH
COMPLETE SOLUTIONS 2025
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Your organization is sending confidential patient information across the internet using
technology that will transform the original data into unintelligible code that can be re-
created by authorized users. This technique is called? - ANSData Encryption
As part of a concurrent record review, you need to locate the initial plan of action based
on the attending physician's initial assessment of the patient. You can expect to find this
documentation either within the body of the H&P or in the _______. - ANSReview of
systems (ROS)
Sciatica unimproved with hot pack therapy is an example of what in the SOAP style of
progress notes? - ANSA-Assessment
You have been hired to work with computer-assisted coding initiative. The technology
that you will be working with is what? - ANSNatural language processing
A final progress note is appropriate as a discharge summary for a hospitalization in
which the patient ________. - ANSWas an obstetric admission with a normal delivery
and no complications.
In reviewing a medical record for coding purposes, the coder notes that the discharge
summary has not yet been transcribed. In its absence, the best place to look for the
patient's response to treatment and documentation of any complications that may have
developed during this episode of care is in the _______. - ANSDoctors' progress note
section
You would expect to find documentation regarding the assessment of an obstetric
patient's lochia, fundus, and perineum on what type of record? - ANSPostpartum record
A patient is admitted through the emergency department with diabetes mellitus. Three
days after admission, the physician documents uncontrolled DM. What is the "Present
on Admission" (POA)? - ANSN-No, the DM wasn't considered uncontrolled until 3 days
after admission
How do you figure out the Case-mix index for a facility? (CMI) - ANSmultiply relative
weight by # of patients with this MS-DRG (in the row) and then add up all the numbers
and divide by the total number of patients.
, The special form that plays the central role in planning providing care at nursing,
psychiatric, and rehabilitation facilities is the ________. - ANSInterdisciplinary patient
care plan
What legal term is used in describing sexual harassment in reference to unwelcome
sexual advances, the request for sexual favors, and verbal or physical conduct of a
sexual nature made in return for job benefits? - ANSQuid pro quo
Your facility would like to improve physician documentation in order to allow improved
coding. As a coding supervisor, you have found it very effective to provide the
physicians with what? - ANSFeedback on specific instances when improved
documentation would improve coding.
Using the chart on page 279: One week's productivity information is shown in the table.
What percentage of the coders is meeting the productivity standards? - ANS100%
Which diagnosis or procedure would prevent the normal delivery code (O80) from being
assisgned? - ANSLow forceps
What is considered to be a late effect (sequelae) regardless of time? - ANSnonunion
Patient is admitted for elective cholecystectomy for treatment of chronic cholecystitis
with cholelithiasis. Prior to administration of general anesthesia, patient suffers cerebral
thrombosis. Surgery is subsequently canceled. Code and sequence the coding. -
ANSK80.10, 434.00, Z53.09
The calculus of gallbladder is sequence first
Some ICD-9-CM codes are exempt from POA reporting because they _________. -
ANSRepresent circumstances regarding the health care encounter or factors influencing
health status that do not represent a current disease AND some are always present on
admission.
Conditions that are always POA are what? - ANSCongenital conditions
When coding multiple wound repairs in CPT... - ANSall wound repairs are coded, with
the most complex reported first.
What is vital for determining why the reimbursement from an insurance company is less
than what was expected? - ANSThe remittance advice
A patient developed syncope after taking Contac pills with a double scotch, what is this
coded as? - ANSA poisoning
What do POA indicators apply to? - ANSinpatient reporting of diagnosis codes
COMPLETE SOLUTIONS 2025
Save
Your organization is sending confidential patient information across the internet using
technology that will transform the original data into unintelligible code that can be re-
created by authorized users. This technique is called? - ANSData Encryption
As part of a concurrent record review, you need to locate the initial plan of action based
on the attending physician's initial assessment of the patient. You can expect to find this
documentation either within the body of the H&P or in the _______. - ANSReview of
systems (ROS)
Sciatica unimproved with hot pack therapy is an example of what in the SOAP style of
progress notes? - ANSA-Assessment
You have been hired to work with computer-assisted coding initiative. The technology
that you will be working with is what? - ANSNatural language processing
A final progress note is appropriate as a discharge summary for a hospitalization in
which the patient ________. - ANSWas an obstetric admission with a normal delivery
and no complications.
In reviewing a medical record for coding purposes, the coder notes that the discharge
summary has not yet been transcribed. In its absence, the best place to look for the
patient's response to treatment and documentation of any complications that may have
developed during this episode of care is in the _______. - ANSDoctors' progress note
section
You would expect to find documentation regarding the assessment of an obstetric
patient's lochia, fundus, and perineum on what type of record? - ANSPostpartum record
A patient is admitted through the emergency department with diabetes mellitus. Three
days after admission, the physician documents uncontrolled DM. What is the "Present
on Admission" (POA)? - ANSN-No, the DM wasn't considered uncontrolled until 3 days
after admission
How do you figure out the Case-mix index for a facility? (CMI) - ANSmultiply relative
weight by # of patients with this MS-DRG (in the row) and then add up all the numbers
and divide by the total number of patients.
, The special form that plays the central role in planning providing care at nursing,
psychiatric, and rehabilitation facilities is the ________. - ANSInterdisciplinary patient
care plan
What legal term is used in describing sexual harassment in reference to unwelcome
sexual advances, the request for sexual favors, and verbal or physical conduct of a
sexual nature made in return for job benefits? - ANSQuid pro quo
Your facility would like to improve physician documentation in order to allow improved
coding. As a coding supervisor, you have found it very effective to provide the
physicians with what? - ANSFeedback on specific instances when improved
documentation would improve coding.
Using the chart on page 279: One week's productivity information is shown in the table.
What percentage of the coders is meeting the productivity standards? - ANS100%
Which diagnosis or procedure would prevent the normal delivery code (O80) from being
assisgned? - ANSLow forceps
What is considered to be a late effect (sequelae) regardless of time? - ANSnonunion
Patient is admitted for elective cholecystectomy for treatment of chronic cholecystitis
with cholelithiasis. Prior to administration of general anesthesia, patient suffers cerebral
thrombosis. Surgery is subsequently canceled. Code and sequence the coding. -
ANSK80.10, 434.00, Z53.09
The calculus of gallbladder is sequence first
Some ICD-9-CM codes are exempt from POA reporting because they _________. -
ANSRepresent circumstances regarding the health care encounter or factors influencing
health status that do not represent a current disease AND some are always present on
admission.
Conditions that are always POA are what? - ANSCongenital conditions
When coding multiple wound repairs in CPT... - ANSall wound repairs are coded, with
the most complex reported first.
What is vital for determining why the reimbursement from an insurance company is less
than what was expected? - ANSThe remittance advice
A patient developed syncope after taking Contac pills with a double scotch, what is this
coded as? - ANSA poisoning
What do POA indicators apply to? - ANSinpatient reporting of diagnosis codes
