AHIMA CCA: FINAL EXAM QUESTIONS
AND ANSWERS GRADED A+ ASSURED
SUCCESS NEW UPDATE 2025/2026, Exams
of Nursing
Dr. Jones comes into the HIM department and requests the HIM director to pull all of his
records from the previous year in which the principal diagnosis of myocardial infarction was
indicated. Where would the HIM director begin to pull these records?
a. Disease index
b. Master patient index
c. Operative index
d. Physician index
a. Disease index
The disease index is a listing in diagnosis code number order for patients discharged from the
facility during a particular time period. Each patient's diagnoses are converted from a verbal
description to a numerical code, usually using a coding system such as the ICD-9-CM (LaTour
and Eichenwald Maki 2010, 331).
What term is used for retrospective cash payments paid by the patient for services rendered by
a provider?
a. Fee-for-service
b. Deductible
c. Retrospective
d. Prospective
1|Page
,a. Fee-for-service
Patient paid cash for services on a retrospective fee-for-service basis, which meant the patient
was expected to pay the healthcare provider after a service was rendered (Johns 2011, 291).
Before healthcare organizations can provide services, they usually must obtain by government
entities such as the state in which they are located.
a. Accreditation
b. Certification
c. Licensure
d. Permission
c. Licensure
Compliance with state licensing laws is required in order for healthcare organizations to remain
in operation (Johns 2011, chapter 61).
The National Correct Coding Initiative was developed to control improper coding leading to
inappropriate payment for:
a. Part A Medicare claims
b. Part B Medicare claims
c. Medicaid claims
d. Medicare and Medicaid claims
b. Part B Medicare claims
CMS implemented the National Correct Coding Initiative (NCCI) in 1996 to develop correct
coding methodologies to improve the appropriate payment of Medicare Part B claims (Johns
2011, 347).
What is the name of the formal document prepared by the surgeon at the conclusion of surgery
to describe the surgical procedure performed?
2|Page
,a. Operative report
b. Tissue report
c. Pathology report
d. Anesthesia record
a. Operative report
The operative report describes the surgical procedures performed on the patient (Johns 2011,
73).
Code 87900, infectious agent drug susceptibility phenotype prediction using regularly updated
genotypic bioinformatics, is used in the management of patients with what disease?
a. Cancer patients on toxic chemotherapy agents
b. HIV patients on antiretroviral therapy
c. Tuberculosis patients on rifampin therapy
d. Organ transplant patients on immunosuppressive therapy
b. HIV patients on antiretroviral therapy
CPT code 87900 for infectious agent drug susceptibility phenotype prediction using regularly
updated genotypic bioinformatics is used in the management of HIV patients on antiretroviral
therapy (AMA 2012b, 442).
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?
a. Operation Restore Trust
b. Payment Error Prevention Program
3|Page
, c. Recovery Audit Contractors
d. Medicare Administrative Contractors
c. Recovery Audit Contractors
Recovery audit contractors (RACs) would become a cost-effective means of ensuring correct
payments to providers under Medicare. The RACs were charged with identifying underpayments
and overpayments for claims filed under Medicare (Casto and Layman 2011, 39).
What is the term used for the record of care in any health-related setting, used by healthcare
professionals while providing patient-care services or for administrative, business, or payment
purposes?
a. Minimum data record
b. Legal health record
c. Mixed-media health record
d. Electronic health record
b. Legal health record
The legal health record is the record of care in any health-related setting, used by healthcare
professionals while providing patient-care services or for administrative, business, or payment
purposes (Odom-Wesley et al. 2009, 24).
If a nurse uses the abbreviation CPR to mean cardiopulmonary resuscitation one time and
computer-based patient record another time, leading to confusion if the chart were audited
would be a concern when applying this dimension of data quality?
a. Accuracy
b. Consistency
c. Precision
d. Currency
4|Page
AND ANSWERS GRADED A+ ASSURED
SUCCESS NEW UPDATE 2025/2026, Exams
of Nursing
Dr. Jones comes into the HIM department and requests the HIM director to pull all of his
records from the previous year in which the principal diagnosis of myocardial infarction was
indicated. Where would the HIM director begin to pull these records?
a. Disease index
b. Master patient index
c. Operative index
d. Physician index
a. Disease index
The disease index is a listing in diagnosis code number order for patients discharged from the
facility during a particular time period. Each patient's diagnoses are converted from a verbal
description to a numerical code, usually using a coding system such as the ICD-9-CM (LaTour
and Eichenwald Maki 2010, 331).
What term is used for retrospective cash payments paid by the patient for services rendered by
a provider?
a. Fee-for-service
b. Deductible
c. Retrospective
d. Prospective
1|Page
,a. Fee-for-service
Patient paid cash for services on a retrospective fee-for-service basis, which meant the patient
was expected to pay the healthcare provider after a service was rendered (Johns 2011, 291).
Before healthcare organizations can provide services, they usually must obtain by government
entities such as the state in which they are located.
a. Accreditation
b. Certification
c. Licensure
d. Permission
c. Licensure
Compliance with state licensing laws is required in order for healthcare organizations to remain
in operation (Johns 2011, chapter 61).
The National Correct Coding Initiative was developed to control improper coding leading to
inappropriate payment for:
a. Part A Medicare claims
b. Part B Medicare claims
c. Medicaid claims
d. Medicare and Medicaid claims
b. Part B Medicare claims
CMS implemented the National Correct Coding Initiative (NCCI) in 1996 to develop correct
coding methodologies to improve the appropriate payment of Medicare Part B claims (Johns
2011, 347).
What is the name of the formal document prepared by the surgeon at the conclusion of surgery
to describe the surgical procedure performed?
2|Page
,a. Operative report
b. Tissue report
c. Pathology report
d. Anesthesia record
a. Operative report
The operative report describes the surgical procedures performed on the patient (Johns 2011,
73).
Code 87900, infectious agent drug susceptibility phenotype prediction using regularly updated
genotypic bioinformatics, is used in the management of patients with what disease?
a. Cancer patients on toxic chemotherapy agents
b. HIV patients on antiretroviral therapy
c. Tuberculosis patients on rifampin therapy
d. Organ transplant patients on immunosuppressive therapy
b. HIV patients on antiretroviral therapy
CPT code 87900 for infectious agent drug susceptibility phenotype prediction using regularly
updated genotypic bioinformatics is used in the management of HIV patients on antiretroviral
therapy (AMA 2012b, 442).
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?
a. Operation Restore Trust
b. Payment Error Prevention Program
3|Page
, c. Recovery Audit Contractors
d. Medicare Administrative Contractors
c. Recovery Audit Contractors
Recovery audit contractors (RACs) would become a cost-effective means of ensuring correct
payments to providers under Medicare. The RACs were charged with identifying underpayments
and overpayments for claims filed under Medicare (Casto and Layman 2011, 39).
What is the term used for the record of care in any health-related setting, used by healthcare
professionals while providing patient-care services or for administrative, business, or payment
purposes?
a. Minimum data record
b. Legal health record
c. Mixed-media health record
d. Electronic health record
b. Legal health record
The legal health record is the record of care in any health-related setting, used by healthcare
professionals while providing patient-care services or for administrative, business, or payment
purposes (Odom-Wesley et al. 2009, 24).
If a nurse uses the abbreviation CPR to mean cardiopulmonary resuscitation one time and
computer-based patient record another time, leading to confusion if the chart were audited
would be a concern when applying this dimension of data quality?
a. Accuracy
b. Consistency
c. Precision
d. Currency
4|Page
