CCA EXAM PREPARATION WITH
VERIFIED SOLUTIONS
During lan laudit lof lhealth lrecords, lthe lHIM ldirector lfinds lthat ltranscribed lreports lare
lbeing lchanged lby lthe lauthor lup lto la lweek lafter linitial ltranscription. lThe ldirector lis
lconcerned lthat lchanges loccurring lthis llong lafter ltranscription ljeopardize lthe llegal
lprinciple lthat ldocumentation lmust loccur lnear lthe ltime lof lthe levent. lTo lremedy lthis
lsituation, lthe lHIM ldirector lshould lrecommend lwhich lof lthe lfollowing? l- lcorrect
lanswers l-Develop la lfacility lpolicy lthat ldefines lthe lacceptable lperiod lof ltime lallowed
lfor la ltranscribed ldocument lto lremain lin la ldraft lform.
What lis lthe lbasic lformula lfor lcalculating leach lMS-DRG lhospital lpayments? l- lcorrect
lanswers l-Hospital lpayment l= lDRG lrelative lweight lx lhospital lbase lrate
Which lof lthe lfollowing lactivities lwould lbe lin lviolation lof lAHIMA's lCode lof lEthics? l-
lcorrect lanswers l-Coding lan lintentionally linappropriate llevel lof lservice
,What lis labstracting? l- lcorrect lanswers l-Compiling lthe lpertinent linformation lfrom lthe
lmedical lrecord lbased lon lpredetermined ldata lsets
ICD-9-CM ldefines lthe l"newborn lperiod" las lbirth lthrough lthe l___________ lday
lfollowing lbirth. l- lcorrect lanswers l-28th
What lhealthcare lorganization lcollects lUHDDS ldata? l- lcorrect lanswers l-All lnon-
outpatient lsettings lincluding lacute lcare, lshort lterm lcare, llong lterm lcare, lan
lpsychiatric lhospitals, lhome lhealth lagencies, lrehabilitation lfacilities, land lnursing
lhome.
A lcoding lanalyst lconsistently lenters lthe lwrong lcode lfor lpatient lgender lin lthe
lelectronic lbilling lsystem. lWhat lsecurity lmeasures lshould lbe lin lplace lto lminimize lthis
lsecurity lbreach? l- lcorrect lanswers l-Edit lchecks
Mercy lHospital lpersonnel lneed lto lreview lthe lmedical lrecords lfor lKatie lGrace lfor
lutilization lreview lpurposes l(1). lThey lwill lalso lbe lsending lher lrecords lto lher
lphysician lfor lcontinuity lof lcare l(2). lUnder lHIPAA, lthese ltwo lfunctions lare: l- lcorrect
lanswers l-Use land ldisclosure
Who lis lresponsible lfor lwriting land lsigning ldischarge lsummaries land ldischarge
linstructions? l- lcorrect lanswers l-Attending lphysician
Although lthe lHIPAA lRule lallows lpatient laccess lto lpersonal lhealth linformation labout
lthemselves, lwhich lof lthe lfollowing lcannot lbe ldisclosed lto lpatients? l- lcorrect lanswers
l-Psychotherapy lnotes
Identify lthe lpunctuation lmark lthat lis lused lto lsupplement lwords lor lexplanatory
linformation lthat lmay lor lmay lnot lbe lpresent lin lthe lstatement lof ldiagnosis lor
lprocedure lin lICD-9-CM lcoding. lThe lpunctuation ldoes lnot laffect lthe lcode lnumber
lassigned lto lthe lcase. lThe lpunctuation lis lconsidered la lnonessential lmodifier, land lall
lthree lvolumes lof lICD-9-CM luse lthem. l- lcorrect lanswers l-Parentheses l( l)
What lis lthe lname lof lthe lorganization lthat ldevelops lthe lbilling lform lthat lhospitals lare
lrequired lto luse? l- lcorrect lanswers l-National lUniform lBilling lCommittee l(NUBC)
Which lof lthe lfollowing lethical lprinciples lis lbeing lfollowed lwhen lan lHIT lprofessional
lensures lthat lpatient linformation lis lonly lreleased lto lthose lwho lhave la llegal lright lto
laccess lit? l- lcorrect lanswers l-Beneficence
A lhospital lcurrently lincludes lthe lpatient's lsocial lsecurity lnumber lon lthe lface lsheet lof
lthe lpaper lmedical lrecord land lin lthe lelectronic lversion lof lthe lrecord. lThe lhospital
lrisk lmanager lhas lidentified lthis las la lpotential lidentity lfraud lrisk land lwants lthe
linformation lremoved. lThe lrisk lmanager lis lnot lgetting lcooperation lfrom lthe
lphysicians land lothers lin lthe lhospital lwho lsay lthat lthey lneed lthe linformation lfor
lidentification land lother lpurposes. lGiven lthis lsituation, lwhat lshould lthe lHIM ldirector
, lsuggest? l- lcorrect lanswers l-Avoid ldisplaying lthe lnumber lon lany ldocument, lscreen,
lor ldata lcollection lfield.
Both lHEDIS land lthe lJoint lCommission's lORYX lprogram lare ldesigned lto lcollect ldata
lto lbe lused lfor l______________. l- lcorrect lanswers l-Performance limprovement
lprograms
Which lof lthe lfollowing lwould lbe lclassified lto lan lICD-9-CM lcategory lfor lbacterial
ldiseases? l- lcorrect lanswers l-Staphylococcus laureous
A lpatient lwith lknown lCOPD land lhypertension lunder ltreatment lwas ladmitted lto lthe
lhospital lwith lsymptoms lof la llower labdominal lpain. lHe lundergoes la llaparoscopic
lappendectomy land ldevelops la lfever. lThe lpatient lwas lsubsequently ldischarged lfrom
lthe lhospital lwith la lprincipal ldiagnosis lof lacute lappendicitis land lsecondary ldiagnoses
lof lpost-operative linfection, lCOPD, land lhypertension. lWhich lof lthe lfollowing
ldiagnoses lshould lnot lbe ltagged las lPOA? l- lcorrect lanswers l-Postoperative linfection
CPT lwas ldeveloped land lis lmaintained lby: l- lcorrect lanswers l-AMA
Which lorganization ldeveloped lthe lfirst lhospital lstandardization lprogram? l- lcorrect
lanswers l-American lCollege lof lSurgeon
On lreview lof lthe laudit ltrail lfor lan lEHR lsystem, lthe lHIM ldirector ldiscovers lthat la
ldepartmental lemployee lwho lhas lauthorized laccess lto lpatient lrecords lis lprinting lfar
lmore lrecords lthan lthe laverage luser. lIn lthis lcases, lwhat lshould lthe lsupervisor ldo? l-
lcorrect lanswers l-Determine lwhat linformation lwas lprinted land lwhy
What lare lpossible l"add-on" lpayments lthat la lhospital lcould lreceive lin laddition lto lthe
lbasic lMedicare lDRG lpayment? l- lcorrect lanswers l-Additional lpayments lmay lbe
lmade lto ldisproportionate lshare lhospitals, lfor lindirect lmedical leducation, lfor lnew
ltechnologies, land lfor lcost loutlier lcases.
The l___________ lis la ltype lof lcoding lthat lis la lnatural loutgrowth lof lthe lelectronic
lheath lrecord. l- lcorrect lanswers l-Computer-assisted lcoding
Today, lJanet lKim lvisited lher lnew ldentist lfor lan lappointment. lShe lwas lnot lpresented
lwith la lNotice lof lPrivacy lPractices. lIs lthis lacceptable? l- lcorrect lanswers l-No, lit lis la
lviolation lof lthe lHIPAA lPrivacy lrule
Which lof lthe lfollowing lwould lbe lthe lbest ltechnique lto lensure lthat lregistration lclerks
lconsistently luse lthe lcorrect lnotation lfor lassigning ladmission ldate lin lan lelectronic
lhealth lrecord l(EHR)? l- lcorrect lanswers l-Provide lan linput lmask lfor lentering ldata lin
lthe lfield
VERIFIED SOLUTIONS
During lan laudit lof lhealth lrecords, lthe lHIM ldirector lfinds lthat ltranscribed lreports lare
lbeing lchanged lby lthe lauthor lup lto la lweek lafter linitial ltranscription. lThe ldirector lis
lconcerned lthat lchanges loccurring lthis llong lafter ltranscription ljeopardize lthe llegal
lprinciple lthat ldocumentation lmust loccur lnear lthe ltime lof lthe levent. lTo lremedy lthis
lsituation, lthe lHIM ldirector lshould lrecommend lwhich lof lthe lfollowing? l- lcorrect
lanswers l-Develop la lfacility lpolicy lthat ldefines lthe lacceptable lperiod lof ltime lallowed
lfor la ltranscribed ldocument lto lremain lin la ldraft lform.
What lis lthe lbasic lformula lfor lcalculating leach lMS-DRG lhospital lpayments? l- lcorrect
lanswers l-Hospital lpayment l= lDRG lrelative lweight lx lhospital lbase lrate
Which lof lthe lfollowing lactivities lwould lbe lin lviolation lof lAHIMA's lCode lof lEthics? l-
lcorrect lanswers l-Coding lan lintentionally linappropriate llevel lof lservice
,What lis labstracting? l- lcorrect lanswers l-Compiling lthe lpertinent linformation lfrom lthe
lmedical lrecord lbased lon lpredetermined ldata lsets
ICD-9-CM ldefines lthe l"newborn lperiod" las lbirth lthrough lthe l___________ lday
lfollowing lbirth. l- lcorrect lanswers l-28th
What lhealthcare lorganization lcollects lUHDDS ldata? l- lcorrect lanswers l-All lnon-
outpatient lsettings lincluding lacute lcare, lshort lterm lcare, llong lterm lcare, lan
lpsychiatric lhospitals, lhome lhealth lagencies, lrehabilitation lfacilities, land lnursing
lhome.
A lcoding lanalyst lconsistently lenters lthe lwrong lcode lfor lpatient lgender lin lthe
lelectronic lbilling lsystem. lWhat lsecurity lmeasures lshould lbe lin lplace lto lminimize lthis
lsecurity lbreach? l- lcorrect lanswers l-Edit lchecks
Mercy lHospital lpersonnel lneed lto lreview lthe lmedical lrecords lfor lKatie lGrace lfor
lutilization lreview lpurposes l(1). lThey lwill lalso lbe lsending lher lrecords lto lher
lphysician lfor lcontinuity lof lcare l(2). lUnder lHIPAA, lthese ltwo lfunctions lare: l- lcorrect
lanswers l-Use land ldisclosure
Who lis lresponsible lfor lwriting land lsigning ldischarge lsummaries land ldischarge
linstructions? l- lcorrect lanswers l-Attending lphysician
Although lthe lHIPAA lRule lallows lpatient laccess lto lpersonal lhealth linformation labout
lthemselves, lwhich lof lthe lfollowing lcannot lbe ldisclosed lto lpatients? l- lcorrect lanswers
l-Psychotherapy lnotes
Identify lthe lpunctuation lmark lthat lis lused lto lsupplement lwords lor lexplanatory
linformation lthat lmay lor lmay lnot lbe lpresent lin lthe lstatement lof ldiagnosis lor
lprocedure lin lICD-9-CM lcoding. lThe lpunctuation ldoes lnot laffect lthe lcode lnumber
lassigned lto lthe lcase. lThe lpunctuation lis lconsidered la lnonessential lmodifier, land lall
lthree lvolumes lof lICD-9-CM luse lthem. l- lcorrect lanswers l-Parentheses l( l)
What lis lthe lname lof lthe lorganization lthat ldevelops lthe lbilling lform lthat lhospitals lare
lrequired lto luse? l- lcorrect lanswers l-National lUniform lBilling lCommittee l(NUBC)
Which lof lthe lfollowing lethical lprinciples lis lbeing lfollowed lwhen lan lHIT lprofessional
lensures lthat lpatient linformation lis lonly lreleased lto lthose lwho lhave la llegal lright lto
laccess lit? l- lcorrect lanswers l-Beneficence
A lhospital lcurrently lincludes lthe lpatient's lsocial lsecurity lnumber lon lthe lface lsheet lof
lthe lpaper lmedical lrecord land lin lthe lelectronic lversion lof lthe lrecord. lThe lhospital
lrisk lmanager lhas lidentified lthis las la lpotential lidentity lfraud lrisk land lwants lthe
linformation lremoved. lThe lrisk lmanager lis lnot lgetting lcooperation lfrom lthe
lphysicians land lothers lin lthe lhospital lwho lsay lthat lthey lneed lthe linformation lfor
lidentification land lother lpurposes. lGiven lthis lsituation, lwhat lshould lthe lHIM ldirector
, lsuggest? l- lcorrect lanswers l-Avoid ldisplaying lthe lnumber lon lany ldocument, lscreen,
lor ldata lcollection lfield.
Both lHEDIS land lthe lJoint lCommission's lORYX lprogram lare ldesigned lto lcollect ldata
lto lbe lused lfor l______________. l- lcorrect lanswers l-Performance limprovement
lprograms
Which lof lthe lfollowing lwould lbe lclassified lto lan lICD-9-CM lcategory lfor lbacterial
ldiseases? l- lcorrect lanswers l-Staphylococcus laureous
A lpatient lwith lknown lCOPD land lhypertension lunder ltreatment lwas ladmitted lto lthe
lhospital lwith lsymptoms lof la llower labdominal lpain. lHe lundergoes la llaparoscopic
lappendectomy land ldevelops la lfever. lThe lpatient lwas lsubsequently ldischarged lfrom
lthe lhospital lwith la lprincipal ldiagnosis lof lacute lappendicitis land lsecondary ldiagnoses
lof lpost-operative linfection, lCOPD, land lhypertension. lWhich lof lthe lfollowing
ldiagnoses lshould lnot lbe ltagged las lPOA? l- lcorrect lanswers l-Postoperative linfection
CPT lwas ldeveloped land lis lmaintained lby: l- lcorrect lanswers l-AMA
Which lorganization ldeveloped lthe lfirst lhospital lstandardization lprogram? l- lcorrect
lanswers l-American lCollege lof lSurgeon
On lreview lof lthe laudit ltrail lfor lan lEHR lsystem, lthe lHIM ldirector ldiscovers lthat la
ldepartmental lemployee lwho lhas lauthorized laccess lto lpatient lrecords lis lprinting lfar
lmore lrecords lthan lthe laverage luser. lIn lthis lcases, lwhat lshould lthe lsupervisor ldo? l-
lcorrect lanswers l-Determine lwhat linformation lwas lprinted land lwhy
What lare lpossible l"add-on" lpayments lthat la lhospital lcould lreceive lin laddition lto lthe
lbasic lMedicare lDRG lpayment? l- lcorrect lanswers l-Additional lpayments lmay lbe
lmade lto ldisproportionate lshare lhospitals, lfor lindirect lmedical leducation, lfor lnew
ltechnologies, land lfor lcost loutlier lcases.
The l___________ lis la ltype lof lcoding lthat lis la lnatural loutgrowth lof lthe lelectronic
lheath lrecord. l- lcorrect lanswers l-Computer-assisted lcoding
Today, lJanet lKim lvisited lher lnew ldentist lfor lan lappointment. lShe lwas lnot lpresented
lwith la lNotice lof lPrivacy lPractices. lIs lthis lacceptable? l- lcorrect lanswers l-No, lit lis la
lviolation lof lthe lHIPAA lPrivacy lrule
Which lof lthe lfollowing lwould lbe lthe lbest ltechnique lto lensure lthat lregistration lclerks
lconsistently luse lthe lcorrect lnotation lfor lassigning ladmission ldate lin lan lelectronic
lhealth lrecord l(EHR)? l- lcorrect lanswers l-Provide lan linput lmask lfor lentering ldata lin
lthe lfield
