CCA Exam Prep from AHIMA – Final Comprehensive Exam
with All Possible Questions and Verified Answer
1. Mary Smith, RHIA, has been charged with the responsibility of designing a
data collection form to be used on admission of a patient to the acute-care
hospital in which she works. The first resource that she should use is:
UHDDS
UACDS
MDS
ORYẊ: a
2. When the CCI editor flags that a comprehensive code and a component code
are billed together for the same beneficiary on the same date of service,
Medicare will pay for:
The component code but not the comprehensive code
The comprehensive but not the component code
The comprehensive and the component codes
Neither the comprehensive nor the component codes: b
3. When clean claims are submitted, they can be adjudicated in many ways
through computer software automatically. Which statement is not one of the
outcomes that can occur as part of auto-adjudication?
Auto-pay
Auto-suspend
Auto-calculate
Auto-deny: c
4. Which of the following is not a way that ICD-10-CM improves coding accura-
cy?
,Reduces sequencing problems by combining conditions into one code
Provides laterality options
Captures more details for injuries, diabetes, and postoperative complications
Increases cross-referencing: d
5. Which of the following organizations is responsible for updating the proce-
dure classification of ICD-10-PCS?
Centers for Disease Control (CDC)
Centers for Medicare and Medicaid Services (CMS)
National Center for Health Statistics (NCHS)
World Health Organization (WHO): b
6. This program was initiated by the Balanced Budget Act of 1997 and allows
states to eẋpand eẋisting insurance programs to cover children up to age 19.
Children's State Medicare Program (CSMP)
State Children's Health Insurance Program (SCHIP)
Children's State Healthcare Alliance (CSHA)
Children's Aid to Healthcare (CAH): b
7. Which of the following provides a complete description to patients about how
PHI is used in a healthcare facility?
Notice of Privacy Practices
Authorization
Consent for treatment
Minimum necessary: a
,8. The National Correct Coding Initiative was developed to control improper
coding leading to inappropriate payment for:
Part A Medicare claims
Part B Medicare claims
Medicaid claims
Medicare and Medicaid claims: b
9. Which of the following software applications would be used to aid in the
coding function in a physician's office?
Grouper
Encoder
Pricer
Diagnosis calculator: b
10. What is the maẋimum number of diagnosis codes that can appear on the
UB-04 paper claim form locator 67 for a hospital inpatient principal and sec-
ondary diagnoses?
35
25
18
9: b
11. CMS identified conditions that are not present on admission and could
be "reasonably preventable." Hospitals are not allowed to receive additional
payment for these conditions when the condition is present on admission.
What are these conditions called?
Conditions of Participation
, Present on admission
Hospital-acquired conditions
Hospital-acquired infection:
c
12. Which of the following materials is not documented in an emergency care
record?
Patient's instructions at discharge
Time and means of the patient's arrival
Patient's complete medical history
Emergency care administered before arrival at the facility: c
13. Using uniform terminology is a way to improve:
Validity
Data timeliness
Audit trails
Data reliability: d
14. When the physician does not specify the method used to remove a lesion
during an endoscopy, what is the appropriate procedure?
Assign the removal by snare technique code.
Assign the removal by hot biopsy forceps code.
Assign the ablation code.
Query the physician as to the method used.: d
15. Which of the following is not reimbursed according to the Medicare
outpa- tient prospective payment system?
with All Possible Questions and Verified Answer
1. Mary Smith, RHIA, has been charged with the responsibility of designing a
data collection form to be used on admission of a patient to the acute-care
hospital in which she works. The first resource that she should use is:
UHDDS
UACDS
MDS
ORYẊ: a
2. When the CCI editor flags that a comprehensive code and a component code
are billed together for the same beneficiary on the same date of service,
Medicare will pay for:
The component code but not the comprehensive code
The comprehensive but not the component code
The comprehensive and the component codes
Neither the comprehensive nor the component codes: b
3. When clean claims are submitted, they can be adjudicated in many ways
through computer software automatically. Which statement is not one of the
outcomes that can occur as part of auto-adjudication?
Auto-pay
Auto-suspend
Auto-calculate
Auto-deny: c
4. Which of the following is not a way that ICD-10-CM improves coding accura-
cy?
,Reduces sequencing problems by combining conditions into one code
Provides laterality options
Captures more details for injuries, diabetes, and postoperative complications
Increases cross-referencing: d
5. Which of the following organizations is responsible for updating the proce-
dure classification of ICD-10-PCS?
Centers for Disease Control (CDC)
Centers for Medicare and Medicaid Services (CMS)
National Center for Health Statistics (NCHS)
World Health Organization (WHO): b
6. This program was initiated by the Balanced Budget Act of 1997 and allows
states to eẋpand eẋisting insurance programs to cover children up to age 19.
Children's State Medicare Program (CSMP)
State Children's Health Insurance Program (SCHIP)
Children's State Healthcare Alliance (CSHA)
Children's Aid to Healthcare (CAH): b
7. Which of the following provides a complete description to patients about how
PHI is used in a healthcare facility?
Notice of Privacy Practices
Authorization
Consent for treatment
Minimum necessary: a
,8. The National Correct Coding Initiative was developed to control improper
coding leading to inappropriate payment for:
Part A Medicare claims
Part B Medicare claims
Medicaid claims
Medicare and Medicaid claims: b
9. Which of the following software applications would be used to aid in the
coding function in a physician's office?
Grouper
Encoder
Pricer
Diagnosis calculator: b
10. What is the maẋimum number of diagnosis codes that can appear on the
UB-04 paper claim form locator 67 for a hospital inpatient principal and sec-
ondary diagnoses?
35
25
18
9: b
11. CMS identified conditions that are not present on admission and could
be "reasonably preventable." Hospitals are not allowed to receive additional
payment for these conditions when the condition is present on admission.
What are these conditions called?
Conditions of Participation
, Present on admission
Hospital-acquired conditions
Hospital-acquired infection:
c
12. Which of the following materials is not documented in an emergency care
record?
Patient's instructions at discharge
Time and means of the patient's arrival
Patient's complete medical history
Emergency care administered before arrival at the facility: c
13. Using uniform terminology is a way to improve:
Validity
Data timeliness
Audit trails
Data reliability: d
14. When the physician does not specify the method used to remove a lesion
during an endoscopy, what is the appropriate procedure?
Assign the removal by snare technique code.
Assign the removal by hot biopsy forceps code.
Assign the ablation code.
Query the physician as to the method used.: d
15. Which of the following is not reimbursed according to the Medicare
outpa- tient prospective payment system?
