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Mock CCA Exam 2025
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
a. firewall
c. a call-back process
b. validity processing
d. data encryption - .....ANSWER ...✔✔ d. data
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 history and physical or in the
a. doctor's admitting progress note
b. nurse's admit note
c. review of systems
d. discharge summary - .....ANSWER ...✔✔ a. doctor's
admitting progress note
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Employing the SOAP style of progress notes, choose the
"assessment" statement from the following:
a. Patient states low back pain with sciatica is as severe
as it was on admission
b. Patient moving about very cautiously and appears to
be in pain
c. Adjust pain medication; begin physical therapy
tomorrow
d. Sciatica unimproved with hot pack therapy -
.....ANSWER ...✔✔ d. Sciatica unimproved with hot
pack therapy
You have been hired to work with a computer-assisted
coding initiative. The technology that you will be
working with is
a. electronic data interchange
b. intraoperability
c. message standards
d. natural language processing - .....ANSWER ...✔✔
d. natural language processing
A final progress note is appropriate as a discharge
summary for a hospitalization in which the patient
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a. dies within 24 hours of admission
b. has no comorbidities or complications during this
episode of care
c. was admitted within 30 days with the same diagnosis
d. was an obstetric admission with a normal delivery
and no complications - .....ANSWER ...✔✔ d. was 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 patients's response to treatment and
documentation of any complications that may have
developed during this episode of care is in the
a. doctor's progress note section
b. operative report
c. history and physical
d. doctor's orders - .....ANSWER ...✔✔ a. doctor's
progress note section
You would expect to find documentation regarding the
assessment of an obstetric patient's lochia, fundus, and
perineum on the
a. prenatal record
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b. labor record
c. delivery room record
d. postpartum record - .....ANSWER ...✔✔ d.
postpartum record
A patient is admitted through the emergency
department with diabetes mellitus. Three days after
admission, the physician documents uncontrolled
diabetes mellitus. What is the "present on admission"
(POA) indicator for uncontrolled diabetes mellitus?
a. "Y"
b. "U"
c. "W"
d. "N" - .....ANSWER ...✔✔ d. "N"
(the DM wasn't considered uncontrolled until 3 days
after admission)
CMI Table - .....ANSWER ...✔✔ b. 2.965807
The special form that plays the central role in planning
and providing care at nursing, psychiatric, and
rehabilitation facilities is the
Mock CCA Exam 2025
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
a. firewall
c. a call-back process
b. validity processing
d. data encryption - .....ANSWER ...✔✔ d. data
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 history and physical or in the
a. doctor's admitting progress note
b. nurse's admit note
c. review of systems
d. discharge summary - .....ANSWER ...✔✔ a. doctor's
admitting progress note
,2|Page
Employing the SOAP style of progress notes, choose the
"assessment" statement from the following:
a. Patient states low back pain with sciatica is as severe
as it was on admission
b. Patient moving about very cautiously and appears to
be in pain
c. Adjust pain medication; begin physical therapy
tomorrow
d. Sciatica unimproved with hot pack therapy -
.....ANSWER ...✔✔ d. Sciatica unimproved with hot
pack therapy
You have been hired to work with a computer-assisted
coding initiative. The technology that you will be
working with is
a. electronic data interchange
b. intraoperability
c. message standards
d. natural language processing - .....ANSWER ...✔✔
d. natural language processing
A final progress note is appropriate as a discharge
summary for a hospitalization in which the patient
,3|Page
a. dies within 24 hours of admission
b. has no comorbidities or complications during this
episode of care
c. was admitted within 30 days with the same diagnosis
d. was an obstetric admission with a normal delivery
and no complications - .....ANSWER ...✔✔ d. was 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 patients's response to treatment and
documentation of any complications that may have
developed during this episode of care is in the
a. doctor's progress note section
b. operative report
c. history and physical
d. doctor's orders - .....ANSWER ...✔✔ a. doctor's
progress note section
You would expect to find documentation regarding the
assessment of an obstetric patient's lochia, fundus, and
perineum on the
a. prenatal record
, 4|Page
b. labor record
c. delivery room record
d. postpartum record - .....ANSWER ...✔✔ d.
postpartum record
A patient is admitted through the emergency
department with diabetes mellitus. Three days after
admission, the physician documents uncontrolled
diabetes mellitus. What is the "present on admission"
(POA) indicator for uncontrolled diabetes mellitus?
a. "Y"
b. "U"
c. "W"
d. "N" - .....ANSWER ...✔✔ d. "N"
(the DM wasn't considered uncontrolled until 3 days
after admission)
CMI Table - .....ANSWER ...✔✔ b. 2.965807
The special form that plays the central role in planning
and providing care at nursing, psychiatric, and
rehabilitation facilities is the
