CCA EXAM 3 (ULTIMATE) 2025/26 QUESTIONS WITH CORRECTLY ANSWERED SOLUTIONS.
Grouper - (ANSWER)The computer software program that assigns appropriate MS-DRGs according to
information provided for each episode of care is called a:
Invasion of privacy - (ANSWER)A physician takes the medical records of a group of HIV-positive patients
out of the hospital to complete research tasks at home. The physician mistakenly leaves the records in a
restaurant, where they are read by a newspaper reporter who publishes an article that identifies the
patients. The physician can be sued for:
Signature of the patient and date the notice was given to the patient - (ANSWER)Which of the following
does not have to be included in a covered entity's notice of privacy practice (NPP)?
30 days/24 hours/48 hours - (ANSWER)The discharge summary must be completed within ________
after discharge for most patients but within ________ for patients transferred to other facilities.
Discharge summaries are not always required for patients who were hospitalized for less than ________
hours.
Fraud - (ANSWER)An intentional misrepresentation that an individual knows to be false and knowing
that the act could result in some unauthorized benefit to some other person is an example of:
O00.101, 10T24ZZ - (ANSWER)The patient presented through the ED with severe abdominal pain,
amenorrhea. Serum human chorionic gonadotropin (hCG) was lower than normal. There were also
endometrial and uterine changes. Patient diagnosed with right tubal pregnancy. A laparoscopic removal
of tubal pregnancy, right side, was performed. Which of the following is the correct code assignment?
Autoauthentication - (ANSWER)The physician as signed a statement that all of her dictated reports
should be automatically considered approved and signed unless she makes corrections within 72 hours
of dictating. This is called:
EHRs are filed in paper folders. - (ANSWER)Which of the following statements does not pertain to
electronic health records (EHRs)?
Nonmaleficence - (ANSWER)An HIM professional who releases health information that he or she knows
will result in genetic discrimination is violating the ethical principle of:
, CCA EXAM 3 (ULTIMATE) 2025/26 QUESTIONS WITH CORRECTLY ANSWERED SOLUTIONS.
Digital data - (ANSWER)What is the term for data or information represented in an encoded, computer-
readable format?
Medical Home - (ANSWER)One of the newest concepts in managed care, described as "model of the
philosophy of primary care that is patient centered, comprehensive, team-based, coordinated,
accessible, and focused on quality initiatives" is:
C81.91, 07B20ZX, D7031ZZ - (ANSWER)Patient admitted with left cervical lymphadenopathy. A biopsy of
a single lymph node confirmed Hodgkin's sarcoma disease. Radiotherapy using 2 MeV began
postoperatively. Which of the following is the correct code set?
Fight fraud, waste and abuse; promise quality and safety; secure the future; and advance innovations in
healthcare. - (ANSWER)The Office of Inspector General's (OIG's) strategic plan includes four goals:
Recovery Audit Contractors - (ANSWER)The Medicare Modernization Act (MMA) of 2003 called for CMS
to launch a Medicare payment recovery demonstration project. The purpose of the act eventually
resulted in the implementation of a group contracted by the government to monitor suspicious and
improper activity of Medicare payments including overpayments and underpayments. What is this
group?
Licensure - (ANSWER)Before healthcare organizations can provide services, they usually must obtain
________ by government entities such as the state in which they are located.
80047, 82374-91 - (ANSWER)Identify the CPT procedure code(s) and correct modifier(s), if needed, 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.
Part B Medicare claims - (ANSWER)The National Correct Coding Initiative was developed to control
improper coding leading to inappropriate payment for:
Skilled nursing facility care - (ANSWER)What kind of care is covered when a patient requires nursing or
rehab services occurring within 30 days of a 3-day stay or longer in an acute care hospital setting and is
certified as medically necessary?
Grouper - (ANSWER)The computer software program that assigns appropriate MS-DRGs according to
information provided for each episode of care is called a:
Invasion of privacy - (ANSWER)A physician takes the medical records of a group of HIV-positive patients
out of the hospital to complete research tasks at home. The physician mistakenly leaves the records in a
restaurant, where they are read by a newspaper reporter who publishes an article that identifies the
patients. The physician can be sued for:
Signature of the patient and date the notice was given to the patient - (ANSWER)Which of the following
does not have to be included in a covered entity's notice of privacy practice (NPP)?
30 days/24 hours/48 hours - (ANSWER)The discharge summary must be completed within ________
after discharge for most patients but within ________ for patients transferred to other facilities.
Discharge summaries are not always required for patients who were hospitalized for less than ________
hours.
Fraud - (ANSWER)An intentional misrepresentation that an individual knows to be false and knowing
that the act could result in some unauthorized benefit to some other person is an example of:
O00.101, 10T24ZZ - (ANSWER)The patient presented through the ED with severe abdominal pain,
amenorrhea. Serum human chorionic gonadotropin (hCG) was lower than normal. There were also
endometrial and uterine changes. Patient diagnosed with right tubal pregnancy. A laparoscopic removal
of tubal pregnancy, right side, was performed. Which of the following is the correct code assignment?
Autoauthentication - (ANSWER)The physician as signed a statement that all of her dictated reports
should be automatically considered approved and signed unless she makes corrections within 72 hours
of dictating. This is called:
EHRs are filed in paper folders. - (ANSWER)Which of the following statements does not pertain to
electronic health records (EHRs)?
Nonmaleficence - (ANSWER)An HIM professional who releases health information that he or she knows
will result in genetic discrimination is violating the ethical principle of:
, CCA EXAM 3 (ULTIMATE) 2025/26 QUESTIONS WITH CORRECTLY ANSWERED SOLUTIONS.
Digital data - (ANSWER)What is the term for data or information represented in an encoded, computer-
readable format?
Medical Home - (ANSWER)One of the newest concepts in managed care, described as "model of the
philosophy of primary care that is patient centered, comprehensive, team-based, coordinated,
accessible, and focused on quality initiatives" is:
C81.91, 07B20ZX, D7031ZZ - (ANSWER)Patient admitted with left cervical lymphadenopathy. A biopsy of
a single lymph node confirmed Hodgkin's sarcoma disease. Radiotherapy using 2 MeV began
postoperatively. Which of the following is the correct code set?
Fight fraud, waste and abuse; promise quality and safety; secure the future; and advance innovations in
healthcare. - (ANSWER)The Office of Inspector General's (OIG's) strategic plan includes four goals:
Recovery Audit Contractors - (ANSWER)The Medicare Modernization Act (MMA) of 2003 called for CMS
to launch a Medicare payment recovery demonstration project. The purpose of the act eventually
resulted in the implementation of a group contracted by the government to monitor suspicious and
improper activity of Medicare payments including overpayments and underpayments. What is this
group?
Licensure - (ANSWER)Before healthcare organizations can provide services, they usually must obtain
________ by government entities such as the state in which they are located.
80047, 82374-91 - (ANSWER)Identify the CPT procedure code(s) and correct modifier(s), if needed, 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.
Part B Medicare claims - (ANSWER)The National Correct Coding Initiative was developed to control
improper coding leading to inappropriate payment for:
Skilled nursing facility care - (ANSWER)What kind of care is covered when a patient requires nursing or
rehab services occurring within 30 days of a 3-day stay or longer in an acute care hospital setting and is
certified as medically necessary?
