CCA EXAMS VERIFIED QUESTIONS AND CORRECT ANSWERS
. A 7-year-old patient was admitted to the emergency department for treatment of shortness of breath.
The patient is given epinephrine and nebulizer treatments. The shortness of breath and wheezing are
unabated following treatment. What diagnosis should be suspected?
Acute bronchitis
Acute bronchitis with chronic obstructive pulmonary disease
Asthma with status asthmaticus
Chronic obstructive asthma
- ANSWERS-c
. A coding audit shows that an inpatient coder is using multiple codes that describe the individual
components of a procedure rather than using a single code that describes all the steps of the procedure
performed. Which of the following should be done in this case?
Require all coders to implement this practice
Report the practice to the OIG
Counsel the coder and stop the practice immediately
Put the coder on unpaid leave of absence
- ANSWERS-c
. A denial of a claim is possible for all of the following reasons except:
Not meeting medical necessity
Billing too many units of a specific service
Unbundling
,Approved precertification
- ANSWERS-d
. A health information technician (HIT) is hired as the chief compliance officer for a large group practice. In
evaluating the current program, the HIT learns that there are written standards of conduct and policies and
procedures that address specific areas of potential fraud as well as audits in place to monitor compliance.
Which of the following should the compliance officer also ensure are in place?
Compliance program education and training programs for all employees in the organization
Establishment of a hotline to receive complaints and adoption of procedures to protect whistleblowers from
retaliation
Adopt procedures to adequately identify individuals who make complaints so that appropriate follow-up
can be conducted
Establish a corporate compliance committee who report directly to the CFO
- ANSWERS-b
. A health information technician has been asked to design a problem list for an electronic health record
(EHR). Which of the following data elements should be included on the problem list?
Problem number, problem description, date problem entered
Problem number, problem name, date of consent for treatment
Patient identifying information, problem number, examination results
Problem name, date of onset, physical exam
- ANSWERS-a
. A hospital receives a valid request from a patient for copies of his or her medical records. The HIM clerk
who is preparing the records removes copies of the patient's records from another hospital where the
patient was previously treated. According to HIPAA regulations, was this action correct?
Yes; HIPAA only requires that current records be produced for the patient.
,Yes; this is hospital policy over which HIPAA has no control.
No; the records from the previous hospital are considered part of the designated record set and should be
given to the patient.
No; the records from the previous hospital are not included in the designated record set but should be
released anyway.
- ANSWERS-c
. A notation for a hypertensive patient in a physician ambulatory care progress note reads: "Continue with
Diuril, 500 mgs once daily. Return visit in 2 weeks." Which part of a POMR progress note would this
notation be written?
Subjective
Objective
Assessment
Plan
- ANSWERS-d
. A patient was admitted for abdominal pain with diarrhea and was diagnosed with infectious
gastroenteritis. The patient also has angina and chronic obstructive pulmonary disease. Which of the
following would be the correct coding and sequencing for this case?
Abdominal pain; infectious gastroenteritis; chronic obstructive pulmonary disease; angina
Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
Gastroenteritis; abdominal pain; angina
Gastroenteritis; abdominal pain; diarrhea; chronic obstructive pulmonary disease; angina
- ANSWERS-b
, . After a deductible has been paid, insured and insurer share covered losses according to a specified
ratio, and the insured pays a(n) _________ amount.
Out-of-pocket expense
Coinsurance
Deductible
Premium
- ANSWERS-b
. An HIM professional who releases health information that he or she knows will result in genetic
discrimination is violating the ethical principle of:
Autonomy
Beneficence
Justice
Nonmaleficence
- ANSWERS-d
. Denials of outpatient claims are often generated from all of the following edits except:
NCCI (National Correct Coding Initiative)
OCE (outpatient code editor)
OCE (outpatient claims editor)
National and local policies
- ANSWERS-c
. A 7-year-old patient was admitted to the emergency department for treatment of shortness of breath.
The patient is given epinephrine and nebulizer treatments. The shortness of breath and wheezing are
unabated following treatment. What diagnosis should be suspected?
Acute bronchitis
Acute bronchitis with chronic obstructive pulmonary disease
Asthma with status asthmaticus
Chronic obstructive asthma
- ANSWERS-c
. A coding audit shows that an inpatient coder is using multiple codes that describe the individual
components of a procedure rather than using a single code that describes all the steps of the procedure
performed. Which of the following should be done in this case?
Require all coders to implement this practice
Report the practice to the OIG
Counsel the coder and stop the practice immediately
Put the coder on unpaid leave of absence
- ANSWERS-c
. A denial of a claim is possible for all of the following reasons except:
Not meeting medical necessity
Billing too many units of a specific service
Unbundling
,Approved precertification
- ANSWERS-d
. A health information technician (HIT) is hired as the chief compliance officer for a large group practice. In
evaluating the current program, the HIT learns that there are written standards of conduct and policies and
procedures that address specific areas of potential fraud as well as audits in place to monitor compliance.
Which of the following should the compliance officer also ensure are in place?
Compliance program education and training programs for all employees in the organization
Establishment of a hotline to receive complaints and adoption of procedures to protect whistleblowers from
retaliation
Adopt procedures to adequately identify individuals who make complaints so that appropriate follow-up
can be conducted
Establish a corporate compliance committee who report directly to the CFO
- ANSWERS-b
. A health information technician has been asked to design a problem list for an electronic health record
(EHR). Which of the following data elements should be included on the problem list?
Problem number, problem description, date problem entered
Problem number, problem name, date of consent for treatment
Patient identifying information, problem number, examination results
Problem name, date of onset, physical exam
- ANSWERS-a
. A hospital receives a valid request from a patient for copies of his or her medical records. The HIM clerk
who is preparing the records removes copies of the patient's records from another hospital where the
patient was previously treated. According to HIPAA regulations, was this action correct?
Yes; HIPAA only requires that current records be produced for the patient.
,Yes; this is hospital policy over which HIPAA has no control.
No; the records from the previous hospital are considered part of the designated record set and should be
given to the patient.
No; the records from the previous hospital are not included in the designated record set but should be
released anyway.
- ANSWERS-c
. A notation for a hypertensive patient in a physician ambulatory care progress note reads: "Continue with
Diuril, 500 mgs once daily. Return visit in 2 weeks." Which part of a POMR progress note would this
notation be written?
Subjective
Objective
Assessment
Plan
- ANSWERS-d
. A patient was admitted for abdominal pain with diarrhea and was diagnosed with infectious
gastroenteritis. The patient also has angina and chronic obstructive pulmonary disease. Which of the
following would be the correct coding and sequencing for this case?
Abdominal pain; infectious gastroenteritis; chronic obstructive pulmonary disease; angina
Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
Gastroenteritis; abdominal pain; angina
Gastroenteritis; abdominal pain; diarrhea; chronic obstructive pulmonary disease; angina
- ANSWERS-b
, . After a deductible has been paid, insured and insurer share covered losses according to a specified
ratio, and the insured pays a(n) _________ amount.
Out-of-pocket expense
Coinsurance
Deductible
Premium
- ANSWERS-b
. An HIM professional who releases health information that he or she knows will result in genetic
discrimination is violating the ethical principle of:
Autonomy
Beneficence
Justice
Nonmaleficence
- ANSWERS-d
. Denials of outpatient claims are often generated from all of the following edits except:
NCCI (National Correct Coding Initiative)
OCE (outpatient code editor)
OCE (outpatient claims editor)
National and local policies
- ANSWERS-c
