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CCA Exam Preparation Questions with Solutions| All with Verified Updated Questions
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CCA Exam Preparation Questions with Solutions| All with Verified Updated Questions
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CCA Exam Preparation Questions withSolutions| All with Verified Updated
Questions
Which of the following would be the best technique to ensure that registration clerks
consistently use the correct notation for assigning admission date in an electronic health record
(EHR)? - ✔✔Provide an input mask for entering data in the field
What should a hospital do when a state law requires more stringent privacy protection than the
federal HIPAA privacy standard? - ✔✔Comply with both the state law and the HIPAA
Standard
An employee in the physical therapy department arrives early every morning to snoop through
the clinical information system for potential information about neighbors and friends. What
security mechanisms should be implemented to prevent this security breach? -
✔✔Information access controls
According to ICD-9-C.M, an elderly primigravida is defined as a woman who gives birth to her
first child at the age of ______ or older: - ✔✔35
Which of the following reports include names of the surgeon and assistants, date, duration, and
description of the procedure and any specimens removed. - ✔✔Operative report
Which answer below is not correct for assignment of the MS-DRG? - ✔✔Attending and
consulting physicians
Which of the following documentation must be included in a patient's medical record prior to
performing a surgical procedure? - ✔✔Consent for operative procedure, history, physical
examination.
,What is the maximum number of diagnosis codes that can appear on the UB-04 paper claim
form locator 67 for a hospital inpatient principle and secondary diagnoses? - ✔✔25
Documentation in the history of use of drugs, alcohol, and/or tobacco is considered part of the:
- ✔✔Social history
Which of the following is a core ethical obligation of health information staff? -
✔✔Protecting patients privacy and confidential communications
Documentation regarding a patient's marital status, dietary, sleep, and exercise patterns, use of
coffee, tabacco, alcohol, and other drugs may be found in the _____________. - ✔✔History
record
Which of the following provides organizations with the ability to access data from multiple
databases and to combine the results into a single questions-and-reporting interface? -
✔✔Data warehouse
Community Hospital implemented a clinical document improvement (CDI) program six months
ago. The goal of the program was to improve clinical documentation to support quality of care,
data quality, and HIM coding accuracy. Which of the following would be best to ensure that
everyone understands the importance of this program? - ✔✔Include ancillary clinical and
medical staff in the process
Which of the following activities is considered an unethical practice? - ✔✔Backdating
progress notes
In a routine health record quantitative analysis review it was fund that a physician dictated a
discharge summary on 1/26/2009. The patient, however, was discharged two days later. In this
case, what would be the best course of action? - ✔✔Request the physician dictate an
addendum to the discharge summary
,Mohs micrographic surgery involves the surgeon acting as: - ✔✔Both surgeon and
pathologist
A hospital is planning on allowing coding professionals to work at home. The hospital is in the
process of identifying strategies to minimize the security risks associated with this practice.
Which of the following would be best to ensure that data breaches are minimized when the
home computer is unattended? - ✔✔Automatic session terminations
Dr. Jones has signed a statement that all of her dictated reports should be automatically
considered approved and signed unless she makes correction within 72 hours of dictating. This
is called _____________. - ✔✔Autoauthentication
What type of standard establishes methods for creating unique designations for individual
patients, healthcare professionals, healthcare provider organizations, and healthcare vendors
and suppliers? - ✔✔Identifier standard
When coding a selective catheterization in CPT, how are codes assigned? - ✔✔One code for
the final vessel entered
What is the maximum number of procedure codes that can appear on a UB-04 paper claim
form for a hospital inpatient? - ✔✔six
In hospitals, automated systems for registering patients and tracking their encounters are
commonly known as _________ systems. - ✔✔ADT
Category II codes cover all but one of the following topics. Which is not addressed by Category
II codes? - ✔✔New technology
Referencing the CPT codebook, a list of codes describing procedures that include conscious
sedation, if administered by the same surgeon as performs the procedure, can be found in: -
✔✔Appendix G
, Per the HIPAA Privacy Rule, which of the following requires authorization for research
purposes? - ✔✔Use of Mary's individually identifiable information related to her asthma
treatments
When correcting erroneous information in a health record, which of the following is not
appropriate? - ✔✔Use black pen to obliterate the entry
What penalties can be enforced against a person or entity that willfully and knowingly violates
the HIPAA Privacy Rule with the intent to sell, transfer, or use PHI for commercial advantage,
personal gain, or malicious harm? - ✔✔A fine of not more than $250.000, not more than 10
years in jail, or both
The clinical statement, "microscopic sections of the gallbladder reveals a surface lined by tall
columnar cells of uniform size and shape" would be documented on which medical record
form? - ✔✔Operative report
Which of the following specialized patient assessment tools must be used to Medicare-certified
home care providers? - ✔✔Outcomes and Assessment Protocol
How does Medicare or other third-party payers determine whether the patient has medical
necessity for the tests, procedures, or treatment billed on a claim form? - ✔✔By reviewing
all the diagnosis codes assigned to explain the reasons the services were provided
Under the HIPAA privacy standard, which of the following types of protected health information
(PHI) must be specifically identified in an authorization? - ✔✔Psychotherapy notes
Identify the acute care record report where the following information would be found: Gross
Description: Received fresh designated left lacrimal gland is a single, unoriented, irregular tan-
pink portion of soft tissue measuring 0.8 x 0.6 x 0.1 cm, which is submitted entirely, intact, in
one cassette. - ✔✔Medical laboratory report
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