Florida Clinical Data Analyst Exam
Questions And Verified Answers With
Rationales 2025/2026
1. Which coding classification is primarily used for inpatient hospital
diagnosis reporting in the United States?
a. CPT
b. HCPCS
c. ICD-10-CM
d. SNOMED CT
ICD-10-CM is used for diagnosis coding in inpatient and outpatient
settings, while CPT and HCPCS are for procedures and services.
2. What federal law established standards for electronic healthcare
transactions and national identifiers?
a. HITECH Act
b. HIPAA
, c. ACA
d. Medicare Modernization Act
HIPAA created transaction and code set standards and mandated use
of national identifiers.
3. In a relational database, which key uniquely identifies each record in a
table?
a. Foreign key
b. Index
c. Primary key
d. Attribute
A primary key uniquely identifies records; foreign keys link related
tables.
4. What is the main function of an encounter form (superbill)?
a. Collect patient insurance premiums
b. List diagnoses and services for billing
c. Record lab test values
d. Document vital signs
Superbills list services and diagnoses to facilitate billing and claims
submission.
5. Which organization maintains CPT codes?
a. CMS
b. American Medical Association (AMA)
c. WHO
, d. AHIMA
The AMA owns and maintains the CPT coding system.
6. A p-value less than 0.05 typically indicates what?
a. No statistical significance
b. Statistical significance
c. High variability
d. Data error
By convention, p<0.05 suggests rejecting the null hypothesis and that
results are statistically significant.
7. What is the key purpose of risk adjustment in healthcare data?
a. Reduce fraud
b. Adjust for differences in patient populations
c. Increase payment uniformly
d. Simplify coding
Risk adjustment accounts for patient complexity so comparisons
across providers are fair.
8. Which file format is commonly used to exchange healthcare data
electronically under HIPAA?
a. XML
b. CSV
c. X12
d. PDF
X12 is the standard EDI format required for HIPAA transaction sets.
Questions And Verified Answers With
Rationales 2025/2026
1. Which coding classification is primarily used for inpatient hospital
diagnosis reporting in the United States?
a. CPT
b. HCPCS
c. ICD-10-CM
d. SNOMED CT
ICD-10-CM is used for diagnosis coding in inpatient and outpatient
settings, while CPT and HCPCS are for procedures and services.
2. What federal law established standards for electronic healthcare
transactions and national identifiers?
a. HITECH Act
b. HIPAA
, c. ACA
d. Medicare Modernization Act
HIPAA created transaction and code set standards and mandated use
of national identifiers.
3. In a relational database, which key uniquely identifies each record in a
table?
a. Foreign key
b. Index
c. Primary key
d. Attribute
A primary key uniquely identifies records; foreign keys link related
tables.
4. What is the main function of an encounter form (superbill)?
a. Collect patient insurance premiums
b. List diagnoses and services for billing
c. Record lab test values
d. Document vital signs
Superbills list services and diagnoses to facilitate billing and claims
submission.
5. Which organization maintains CPT codes?
a. CMS
b. American Medical Association (AMA)
c. WHO
, d. AHIMA
The AMA owns and maintains the CPT coding system.
6. A p-value less than 0.05 typically indicates what?
a. No statistical significance
b. Statistical significance
c. High variability
d. Data error
By convention, p<0.05 suggests rejecting the null hypothesis and that
results are statistically significant.
7. What is the key purpose of risk adjustment in healthcare data?
a. Reduce fraud
b. Adjust for differences in patient populations
c. Increase payment uniformly
d. Simplify coding
Risk adjustment accounts for patient complexity so comparisons
across providers are fair.
8. Which file format is commonly used to exchange healthcare data
electronically under HIPAA?
a. XML
b. CSV
c. X12
d. PDF
X12 is the standard EDI format required for HIPAA transaction sets.
