CCA Exam Questions & Answers 2023/2024
An encounter that prompts the coder to answer a series of questions and choices based on the documentation in the medical record is called a(n) - ANSWER-logic-based encoder
The best resource for checking out specific voluntary accreditation standards a...
An encounter that prompts the coder to answer a series of questions and choices based on the
documentation in the medical record is called a(n) - ANSWER-logic-based encoder
The best resource for checking out specific voluntary accreditation standards and guidelines for a
rehabilitation facility is the - ANSWER-CARF Manual
You have been asked to give an example of a clinical information system. Which one of the following
would you cite?
A. Financial information system
B. Admission-discharge-transfer system
C. Billing system
D. Laboratory information system - ANSWER-D. Laboratory information system
You have been appointed as chair of the Health Record Committee at a new hospital. Your committee
has been asked to recommend time-limited documentation standards for inclusion in the medical staff
bylaws, rules, and regulations. The committee documentation standards must meet he standards of both
the Joint Commission and the Medicare Conditions of Participation. The standards for the history and
physical exam documentation are discussed first. You advise them that the time period for completion of
this report should be set at - ANSWER-24 hours after admission or prior to surgery
Health care claims transactions use one of three electronic formats, including which one of those listed
below?
A. ANSI ASC X12N 837 format
B. National Claim Format
C. Medicare Summary Notice format
,D. CMS-1500 flat-file format - ANSWER-A. ANSI ASC X12N 837 format
You need to retrieve information on a particular physician in your facility. Specifically, you need to know
how many cases he saw during the month of May. What would be your best source of information? -
ANSWER-physician index
A clinical documentation specialist performs many roles. These include reviewing the data and looking
for trends or patterns over time, as well as noting any variances that require further investigation. In this
role, the CDS professional is acting as a(n) - ANSWER-analyst
Which data bank would hospitals, health care providers, and other health care facilities report medical
malpractice payments and adverse actions related to fraud and abuse by a licensed health care provider?
- ANSWER-HIPDB-Healthcare Integrity and Protections Data Bank
In 1987, OBRA helped shift the focus in long-term care to patient outcomes. As a result, core assessment
date elements are collected on each SNF resident as defined in the - ANSWER-MDS-Minimum Data Set
Which one of the following is NOT a technical security control employed by electronic health record
systems?
A. user-based access controls
B. automatic log off
C. audit trails
D. data encryption protocols - ANSWER-B. Automatic log off
Which of the following systems facilitates capturing standardized data with the electronic
documentation of patient at the point of care?
A. Continuity of Care Document (CCD)
B. Clinical Documentation Architecture (CDA)
C. Continuity of Care Record (CCR)
D. Clinical Care Classification (CCC) - ANSWER-D. Clinical Care Classification (CCC)
, It is recommended that all but which of the following information should be permanently retained in
some format, even when the remainder of the health record is destroyed?
A. Nursing notes
B. Discharge summaries.
C. Physician names
D. Dates of admission, discharge ,and encounters - ANSWER-D. Dates of admission, discharge, and
encounters
Which of the following indices might be protected from unauthorized access through the use of unique
identifier codes assigned to members of the medical staff?
A. Master Patient Index
B. Disease Index
C. Procedure Index
D. Physician Index - ANSWER-D. Physician Index
In the computerization of forms, good screen-view design, along with the options of alerts and alarms,
makes it easier to ensure that all essential data items have been captured. One essential item to be
captured on the physical exam is the - ANSWER-General appearance as assessed by the physician
The purpose of the Correct Coding Initiative is to - ANSWER-Detect and prevent payment for improperly
coded services
In regard to quality of coding, the degree to which the same results (same codes) are obtained by
different coders or on multiple attempts by the same coder refers to - ANSWER-Reliability
When you and your team have identified a problem and must determine the cause or causes of that
situation, completing a(n) _______________ can help. - ANSWER-Fishbone Diagram
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