AHIMA CCA: Exam With Questions And
Answers Already Passed!!!.
1.
A 65-year-old white male was admitted to the hospital on 1/15 complaining
of abdominal pain. The attending physician requested an upper GI series and
laboratory evaluation of CBC and UA. The x-ray revealed possible
cholelithiasis, and the UA showed an increased white blood cell count. The
patient was taken to surgery for an exploratory laparoscopy, and a ruptured
appendix was discovered. The chief complaint was:
a. Ruptured appendix
b. Exploratory laparoscopy
c. Abdominal pain
d. Cholelithiasis - ANS c. Abdominal pain
The nature and duration of the symptoms that caused the patient to seek
medical attention as stated in the patient's own words (Odom-Wesley et al.
2009, 331).
2.
84. An individual stole and used another person's insurance information to
obtain medical care. This action would be considered:
a. Violation of bioethics
b. Fraud and abuse
c. Medical identity theft
d. Abuse - ANS c. Medical identity theft
Correct Answer: 84. c. Medical identity theft occurs when someone uses a
person's name and sometimes other parts of their identity without the
victim's knowledge or consent to obtain medical services or goods (Johns
2011, 773).
3.
Identify the ICD-9-CM diagnostic code(s) for acute osteomyelitis of ankle due
to Staphylococcus.
a. 730.06
b. 730.07
, c. 730.07, 041.1
d. 730.07, 041.10 - ANS d. 730.07, 041.10
Correct Answer: D Index Osteomyelitis, acute or subacute. Refer to the table in
the Index for the fifth digit 5, ankle and foot. Infection, staphylococcal NEC
(Schraffenberger 2012, 305-306).
4.
A system that provides alerts and reminders to clinicians is a(n):
a. Clinical decision support system
b. Electronic data interchange
c. Point of care charting system
d. Knowledge database - ANS Correct Answer: A Clinical decision support
includes providing documentation of clinical findings and procedures,
active reminders about medication administration, suggestions for
prescribing less expensive but equally effective drugs, protocols for
certain health maintenance procedures, alerts that a duplicate lab test is
being ordered, and countless other decision-making aids for all
stakeholders in the care process (Johns 2011, 138).
5.
What does an audit trail check for?
a. Unauthorized access to a system
b. Loss of data
c. Presence of a virus
d. Successful completion of a backup - ANS Correct Answer: A
Audit trails can provide tracking information such as who accessed which
records and for what purpose (Johns 2011, 403).
6.
This is a condition with an imprecise diagnosis with various characteristics. The
condition may be diagnosed when a patient presents with sinus arrest,
sinoatrial exit block, or persistent sinus bradycardia. This syndrome is often
the result of drug therapy, such as digitalis, calcium channel blockers, beta-
blockers, sympatholytic agents, or antiarrhythmics. Another presentation
includes recurrent supraventricular tachycardias associated with
bradyarrhythmias. Prolonged ambulatory monitoring may be indicated
,to establish a diagnosis of this condition. Treatment includes insertion of a
permanent cardiac pacemaker.
a. Atrial fibrillation (427.31)
b. Atrial flutter (427.32)
c. Paroxysmal supraventricular tachycardia (427.0)
d. Sick sinus syndrome (SSS) (427.81) - ANS d. Sick sinus syndrome (SSS)
(427.81)
Correct Answer: D SSS is the imprecise diagnosis with various characteristics
treated with the insertion of a permanent cardiac pacemaker. The other
three conditions are treated with cardioversion and different
pharmacological therapy (Schraffenberger 2012, 194-195).
7.
Identify the ICD-9-CM diagnostic code for primary localized osteoarthrosis of the
hip.
a. 715.95
b. 715.15
c. 721.90
d. 715.16 - ANS b. 715.15
Correct Answer: B Index Osteoarthrosis, localized, primary. For category 715,
refer to the table for the fifth digit of 5 for pelvic region and thigh
(Schraffenberger 2012, 303- 304).
8.
A health record with deficiencies that is not complete within the timeframe
specified in the medical staff rules and regulations is called a(n):
a. Suspended record
b. Delinquent record
c. Pending record
d. Illegal record - ANS Correct Answer: B
An incomplete record not rectified within a specific number of days as
indicated in the medical staff rules and regulations is considered to be
delinquent (Johns 2011, 412).
, 9.
A hospital HIM department wants to purchase an electronic system that
records the location of health records removed from the filing system and
documents the date of their return to the HIM department. Which of the
following electronic systems would fulfill this purpose?
a. Chart deficiency system
b. Chart tracking system
c. Chart abstracting system
d. Chart encoder - ANS Correct Answer: B
With an automated tracking system, it is easy to track how many records are
charged out of the system, their location, and whether they have been
returned on the due dates indicated (Johns 2011, 402).
10.
Identify the appropriate ICD-9-CM diagnosis code for Lou Gehrig's disease.
a. 335.20
b. 334.8
c. 335.29
d. 335.2 - ANS Correct Answer: A
Index Disease, Lou Gehrig's or Lou Gehrig's disease. Amyotrophic lateral
sclerosis is another name for Lou Gehrig's disease. Many diseases carry the
name of a person or an eponym. The main terms for eponyms are located in
the Alphabetic Index under the eponym or the disease, syndrome, or
disorder (Schraffenberger 2012, 13).
11.
In the laboratory section of CPT, if a group of tests overlaps two or more
panels, report the panel that incorporates the greatest number of tests to
fulfill the code definition.
What would a coder do with the remaining test codes that are not part of a
panel?
a. Report the remaining tests using individual test codes, according to CPT.
b. Do not report the remaining individual test codes.
c. Report only those test codes that are part of a panel.
Answers Already Passed!!!.
1.
A 65-year-old white male was admitted to the hospital on 1/15 complaining
of abdominal pain. The attending physician requested an upper GI series and
laboratory evaluation of CBC and UA. The x-ray revealed possible
cholelithiasis, and the UA showed an increased white blood cell count. The
patient was taken to surgery for an exploratory laparoscopy, and a ruptured
appendix was discovered. The chief complaint was:
a. Ruptured appendix
b. Exploratory laparoscopy
c. Abdominal pain
d. Cholelithiasis - ANS c. Abdominal pain
The nature and duration of the symptoms that caused the patient to seek
medical attention as stated in the patient's own words (Odom-Wesley et al.
2009, 331).
2.
84. An individual stole and used another person's insurance information to
obtain medical care. This action would be considered:
a. Violation of bioethics
b. Fraud and abuse
c. Medical identity theft
d. Abuse - ANS c. Medical identity theft
Correct Answer: 84. c. Medical identity theft occurs when someone uses a
person's name and sometimes other parts of their identity without the
victim's knowledge or consent to obtain medical services or goods (Johns
2011, 773).
3.
Identify the ICD-9-CM diagnostic code(s) for acute osteomyelitis of ankle due
to Staphylococcus.
a. 730.06
b. 730.07
, c. 730.07, 041.1
d. 730.07, 041.10 - ANS d. 730.07, 041.10
Correct Answer: D Index Osteomyelitis, acute or subacute. Refer to the table in
the Index for the fifth digit 5, ankle and foot. Infection, staphylococcal NEC
(Schraffenberger 2012, 305-306).
4.
A system that provides alerts and reminders to clinicians is a(n):
a. Clinical decision support system
b. Electronic data interchange
c. Point of care charting system
d. Knowledge database - ANS Correct Answer: A Clinical decision support
includes providing documentation of clinical findings and procedures,
active reminders about medication administration, suggestions for
prescribing less expensive but equally effective drugs, protocols for
certain health maintenance procedures, alerts that a duplicate lab test is
being ordered, and countless other decision-making aids for all
stakeholders in the care process (Johns 2011, 138).
5.
What does an audit trail check for?
a. Unauthorized access to a system
b. Loss of data
c. Presence of a virus
d. Successful completion of a backup - ANS Correct Answer: A
Audit trails can provide tracking information such as who accessed which
records and for what purpose (Johns 2011, 403).
6.
This is a condition with an imprecise diagnosis with various characteristics. The
condition may be diagnosed when a patient presents with sinus arrest,
sinoatrial exit block, or persistent sinus bradycardia. This syndrome is often
the result of drug therapy, such as digitalis, calcium channel blockers, beta-
blockers, sympatholytic agents, or antiarrhythmics. Another presentation
includes recurrent supraventricular tachycardias associated with
bradyarrhythmias. Prolonged ambulatory monitoring may be indicated
,to establish a diagnosis of this condition. Treatment includes insertion of a
permanent cardiac pacemaker.
a. Atrial fibrillation (427.31)
b. Atrial flutter (427.32)
c. Paroxysmal supraventricular tachycardia (427.0)
d. Sick sinus syndrome (SSS) (427.81) - ANS d. Sick sinus syndrome (SSS)
(427.81)
Correct Answer: D SSS is the imprecise diagnosis with various characteristics
treated with the insertion of a permanent cardiac pacemaker. The other
three conditions are treated with cardioversion and different
pharmacological therapy (Schraffenberger 2012, 194-195).
7.
Identify the ICD-9-CM diagnostic code for primary localized osteoarthrosis of the
hip.
a. 715.95
b. 715.15
c. 721.90
d. 715.16 - ANS b. 715.15
Correct Answer: B Index Osteoarthrosis, localized, primary. For category 715,
refer to the table for the fifth digit of 5 for pelvic region and thigh
(Schraffenberger 2012, 303- 304).
8.
A health record with deficiencies that is not complete within the timeframe
specified in the medical staff rules and regulations is called a(n):
a. Suspended record
b. Delinquent record
c. Pending record
d. Illegal record - ANS Correct Answer: B
An incomplete record not rectified within a specific number of days as
indicated in the medical staff rules and regulations is considered to be
delinquent (Johns 2011, 412).
, 9.
A hospital HIM department wants to purchase an electronic system that
records the location of health records removed from the filing system and
documents the date of their return to the HIM department. Which of the
following electronic systems would fulfill this purpose?
a. Chart deficiency system
b. Chart tracking system
c. Chart abstracting system
d. Chart encoder - ANS Correct Answer: B
With an automated tracking system, it is easy to track how many records are
charged out of the system, their location, and whether they have been
returned on the due dates indicated (Johns 2011, 402).
10.
Identify the appropriate ICD-9-CM diagnosis code for Lou Gehrig's disease.
a. 335.20
b. 334.8
c. 335.29
d. 335.2 - ANS Correct Answer: A
Index Disease, Lou Gehrig's or Lou Gehrig's disease. Amyotrophic lateral
sclerosis is another name for Lou Gehrig's disease. Many diseases carry the
name of a person or an eponym. The main terms for eponyms are located in
the Alphabetic Index under the eponym or the disease, syndrome, or
disorder (Schraffenberger 2012, 13).
11.
In the laboratory section of CPT, if a group of tests overlaps two or more
panels, report the panel that incorporates the greatest number of tests to
fulfill the code definition.
What would a coder do with the remaining test codes that are not part of a
panel?
a. Report the remaining tests using individual test codes, according to CPT.
b. Do not report the remaining individual test codes.
c. Report only those test codes that are part of a panel.
