CCA Exam Preparation QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) GRADED A+
(BRAND NEW!!)
Terms in this set (229) QUESTIONS VERIFIED ANSWERS
1) During an audit of health records, the Develop a facility policy that defines
HIM director finds that transcribed the acceptable period of time allowed
reports are being changed by the author for a transcribed document to remain
up to a week after initial transcription. in a draft form.
The director is concerned that changes
occurring this long after transcription
jeopardize the legal principle that
documentation must occur near the time
of the event. To remedy this situation, the
HIM director should recommend which
of the following?
2) What is the basic formula for calculating Hospital payment = DRG relative
each MS-DRG hospital payments? weight x hospital base rate
3) Which of the following activities would Coding an intentionally inappropriate
be in violation of AHIMA's Code of level of service
Ethics?
,4) What is abstracting? Compiling the pertinent information
from the medical record based on
predetermined data sets
5) ICD-9-CM defines the "newborn period" 28th
as birth through the ___________ day
following birth.
6) What healthcare organization collects All non-outpatient settings including
UHDDS data? acute care, short term care, long term
care, an psychiatric hospitals, home
health agencies, rehabilitation
facilities, and nursing home.
7) A coding analyst consistently enters the Edit checks
wrong code for patient gender in the
electronic billing system. What security
measures should be in place to minimize
this security breach?
8) Mercy Hospital personnel need to review Use and disclosure
the medical records for Katie Grace for
utilization review purposes (1). They will
also be sending her records to her
physician for continuity of care (2).
Under HIPAA, these two functions are:
9) Who is responsible for writing and Attending physician
, signing discharge summaries and
discharge instructions?
10) Although the HIPAA Rule allows patient Psychotherapy notes
access to personal health information
about themselves, which of the following
cannot be disclosed to patients?
11) Identify the punctuation mark that is used Parentheses ( )
to supplement words or explanatory
information that may or may not be
present in the statement of diagnosis or
procedure in ICD-9-CM coding. The
punctuation does not affect the code
number assigned to the case. The
punctuation is considered a nonessential
modifier, and all three volumes of ICD-9-
CM use them.
12) What is the name of the organization that National Uniform Billing Committee
develops the billing form that hospitals (NUBC)
are required to use?
13) Which of the following ethical principles Beneficence
is being followed when an HIT
professional ensures that patient
information is only released to those who
, have a legal right to access it?
14) A hospital currently includes the patient's Avoid displaying the number on any
social security number on the face sheet document, screen, or data collection
of the paper medical record and in the field.
electronic version of the record. The
hospital risk manager has identified this
as a potential identity fraud risk and
wants the information removed. The risk
manager is not getting cooperation from
the physicians and others in the hospital
who say that they need the information
for identification and other purposes.
Given this situation, what should the HIM
director suggest?
15) Both HEDIS and the Joint Commission's Performance improvement programs
ORYX program are designed to collect
data to be used for ______________.
16) Which of the following would be Staphylococcus aureous
classified to an ICD-9-CM category for
bacterial diseases?
17) A patient with known COPD and Postoperative infection
hypertension under treatment was
admitted to the hospital with symptoms of
DETAILED ANSWERS (VERIFIED ANSWERS) GRADED A+
(BRAND NEW!!)
Terms in this set (229) QUESTIONS VERIFIED ANSWERS
1) During an audit of health records, the Develop a facility policy that defines
HIM director finds that transcribed the acceptable period of time allowed
reports are being changed by the author for a transcribed document to remain
up to a week after initial transcription. in a draft form.
The director is concerned that changes
occurring this long after transcription
jeopardize the legal principle that
documentation must occur near the time
of the event. To remedy this situation, the
HIM director should recommend which
of the following?
2) What is the basic formula for calculating Hospital payment = DRG relative
each MS-DRG hospital payments? weight x hospital base rate
3) Which of the following activities would Coding an intentionally inappropriate
be in violation of AHIMA's Code of level of service
Ethics?
,4) What is abstracting? Compiling the pertinent information
from the medical record based on
predetermined data sets
5) ICD-9-CM defines the "newborn period" 28th
as birth through the ___________ day
following birth.
6) What healthcare organization collects All non-outpatient settings including
UHDDS data? acute care, short term care, long term
care, an psychiatric hospitals, home
health agencies, rehabilitation
facilities, and nursing home.
7) A coding analyst consistently enters the Edit checks
wrong code for patient gender in the
electronic billing system. What security
measures should be in place to minimize
this security breach?
8) Mercy Hospital personnel need to review Use and disclosure
the medical records for Katie Grace for
utilization review purposes (1). They will
also be sending her records to her
physician for continuity of care (2).
Under HIPAA, these two functions are:
9) Who is responsible for writing and Attending physician
, signing discharge summaries and
discharge instructions?
10) Although the HIPAA Rule allows patient Psychotherapy notes
access to personal health information
about themselves, which of the following
cannot be disclosed to patients?
11) Identify the punctuation mark that is used Parentheses ( )
to supplement words or explanatory
information that may or may not be
present in the statement of diagnosis or
procedure in ICD-9-CM coding. The
punctuation does not affect the code
number assigned to the case. The
punctuation is considered a nonessential
modifier, and all three volumes of ICD-9-
CM use them.
12) What is the name of the organization that National Uniform Billing Committee
develops the billing form that hospitals (NUBC)
are required to use?
13) Which of the following ethical principles Beneficence
is being followed when an HIT
professional ensures that patient
information is only released to those who
, have a legal right to access it?
14) A hospital currently includes the patient's Avoid displaying the number on any
social security number on the face sheet document, screen, or data collection
of the paper medical record and in the field.
electronic version of the record. The
hospital risk manager has identified this
as a potential identity fraud risk and
wants the information removed. The risk
manager is not getting cooperation from
the physicians and others in the hospital
who say that they need the information
for identification and other purposes.
Given this situation, what should the HIM
director suggest?
15) Both HEDIS and the Joint Commission's Performance improvement programs
ORYX program are designed to collect
data to be used for ______________.
16) Which of the following would be Staphylococcus aureous
classified to an ICD-9-CM category for
bacterial diseases?
17) A patient with known COPD and Postoperative infection
hypertension under treatment was
admitted to the hospital with symptoms of
