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CCA practice exam questions accurate solutions, Exams of Nursing

Cheyney University of PennsylvaniaNursing

CCA practice exam questions accurate solutions

Typology: Exams

2025/2026

Available from 06/23/2026

tizian-mwangi
tizian-mwangi 🇺🇸

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CCA practice exam questions accurate solutions
1. You would expect to find documentation regarding the assessment
of an
obstetric patient's lochia, fundus, and perineum on the: postpartum
record.
2. Procedure-to-Procedure (PTP) Edits review claims for codes that report:
pro-
cedures
that
cannot
or
should
not
be
provided
to
the
same
patient
on
the
same
day.
3.
It is September
15th, and you have just received the upcoming year's ICD-10-PCS code
set updates. The next step is to
.:
put in a change ticket
for the hospital's chargemaster to be updated
4. You are conducting an educational session on benchmarking. You tell
your
audience that the key to benchmarking is to use the comparison to:
improve your
department's processes.
5. A physician has come to the HIM department because he wants a
new smartphone to be able to access patient records. This way he can
enter orders when he is outside of the hospital. You need to direct the
IT department
to:
encrypt
the
phone
so
access
is
protected.
6.
The
APC
payment
system
is
based
on
what
coding
system(s)?:
CPT/HCPCS
codes
7. The Joint Commission requires that all medical records be completed
within
following patient discharge.: 30 days
8. You have been hired to work with a computer-assisted coding (CAC)
initia-
tive. The technology that you will be working with is: natural language
processing.
9. External audits
may be conducted by several organizations in the federal government
as well as the private sector, including
.:
Humana Fraud
Depart-
ment
RAC
pf3
pf4
pf5
pf8

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CCA practice exam questions accurate solutions

  1. You would expect to find documentation regarding the assessment of an obstetric patient's lochia, fundus, and perineum on the: postpartum record.
  2. Procedure-to-Procedure (PTP) Edits review claims for codes that report: pro- cedures that cannot or should not be provided to the same patient on the same day.
  3. It is September 15th, and you have just received the upcoming year's ICD-10-PCS code set updates. The next step is to .: put in a change ticket for the hospital's chargemaster to be updated
  4. You are conducting an educational session on benchmarking. You tell your audience that the key to benchmarking is to use the comparison to: improve your department's processes.
  5. A physician has come to the HIM department because he wants a new smartphone to be able to access patient records. This way he can enter orders when he is outside of the hospital. You need to direct the IT department to: encrypt the phone so access is protected.
  6. The APC payment system is based on what coding system(s)?: CPT/HCPCS codes
  7. The Joint Commission requires that all medical records be completed within following patient discharge.: 30 days
  8. You have been hired to work with a computer-assisted coding (CAC) initia-tive. The technology that you will be working with is: natural language processing.
  9. External audits may be conducted by several organizations in the federal government as well as the private sector, including .: Humana Fraud Depart- ment RAC

2 /

OIG

  1. When writing a query to a physician regarding ambiguous details in the documentation, one must be careful to never let the question: imply an answer that will lead to a higher reimbursement rate.
  2. If the National Coverage Determination indicates that Medicare will not pay for a specific procedure, you may have to have the patient sign: an Advance Beneficiary Notice (ABN).
  3. All health care facilities are obligated by federal legislation to provide a safe and protected workplace for all staff and volunteers. This legislation is known as: OSHA.
  4. Employing the SOAP style of progress notes, choose the "assessment" statement from the following:: sciatica unimproved with hot pack therapy.
  5. A patient was seen in the outpatient department with a chronic cough and the record states "rule out lung cancer." What should be coded as the patient's diagnosis?: chronic cough
  6. A final progress note is appropriate as a discharge summary for a hospital-ization in which the patient: was an obstetric admission with a normal delivery and no complications.
  7. Security devices that form barriers between routers of a public network and a private network to protect access by unauthorized users are called: firewalls.
  8. NCCI edits were developed by the Centers for Medicare and Medicare Services (CMS) to: both reinforce accurate coding and identify noncompliant coding processes.
  9. Your facility would like to improve physician documentation in order to allow improved coding. As coding supervisor, you have found it very effective to provide the physicians with: feedback on specific instances when improved documentation would improve coding.
  10. NCCI stands for: National Correct Coding Initiative.
  11. While CAC systems are convenient, the codes they determine must be validated to ensure accuracy. One method to do this would be: a prospective audit.
  12. The outpatient method for reimbursement from CMS for Medicare is: Ambu- latory Patient Classification (APC).
  13. All of these are acceptable destruction methods when health records are no longer required, EXCEPT: deleting files from the server.

4 / individuals who are authorized to do so is a function of data: integrity.

  1. DNR and DNI documents are all part of what are known as: advance directives.
  2. Medically Unlikely Edits (MUE) are a claims review looking for: incorrect units of service of any procedure, service, or treatment.

5 /

  1. The practice of using a code that results in a higher payment to the provider than the code that more accurately reflects the service provided is known as: upcoding.
  2. Your organization is sending confidential patient information across the In-ternet using technology that will transform the original data into unintelligible code that can be re-created by authorized users. This technique is called: data encryption.
  3. Which diagnosis should be listed first when sequencing inpatient codes using the UHDDS?: principal diagnosis
  4. Diagnosis codes update every year on: October 1.
  5. The are the organizations that contract with Medicare to perform reviews of medical records with the corresponding Medicare claims to detect and correct improper payments.: recovery audit contractors (RACs)
  6. An ethical physician's query cannot include .: a recommendation for an answer
  7. An HIM professional was tasked with analyzing a group of medical records qualitatively for deficiencies. This would include: reviewing medical records for missing or ambiguous details.
  8. A staff member, Louis, in Admissions, occasionally brings his nephew to work after school and permits him to access social media on his computer. He posts selfies and sometimes shares what he sees and hears in the office. As the HIM manager, you must: require Louis to go through HIPAA training again and explain to him the illegality of posting any protected information on social media.
  9. A claim may be returned by the third-party payer unpaid because it was denied or rejected. If eligibility and coverage was checked prior to the patient being seen, the denial may be due to any of these reasons EXCEPT: the claim submitted is clean.
  10. When patient records are no longer required and deemed unnecessary, they must be destroyed, regardless of the format (paper, EHR, etc.). The guidance states that the destruction must be: documented as to method and date.
  11. Patient health care records can be released for research purposes or educa-tion, without patient permission, if they have been de-identified. This means all details have been removed that may: lead to one specific person.

7 /

  1. The patient was seen by the physician on September 30. By the time the documentation reached the medical coder, it was October 2. The code set required to report the appropriate diagnosis is: the 2022 ICD-10-CM code set.
  2. The patient was admitted through the Emergency Department and she is anxious about notifying her spouse and her sister. Her spouse is out of town on business and her sister lives in another state. The patient is worried about how they can get updates when she is in surgery, when they cannot prove how they are related to her to clear HIPAA limitations. You tell her not to worry, because: the hospital can assign special pass codes.
  3. Which of the following are considered sequela regardless of time?: nonunion
  4. The primary purpose for keeping a patient health record is: continuity of care.
  5. Querying a physician is required by the coder when it is found that the documentation, written by a physician, is any of these EXCEPT: contradictory in certain statements or findings. missing specific details necessary to determine an accurate code. ambiguous in certain statements or findings. misspelled in places that do not interfere with the medical information includ-ed.: misspelled in places that do not interfere with the medical information included.
  6. CDSS is an add-on function included in most electronic health records (EHR). This enables physicians to review evidence-based medical articles and other current industry knowledge. CDSS stands for: Clinical Decision Support System.
  7. One expert medical coder in your department is responsible for reviewing the codes determined by the other coders before the claims are submitted to third- party payers. This is known as conducting .: internal audit
  8. HIPAA requires covered entities to retain patient health records for at least , from either the date of creation, or the last "effective date," whichever date is later.: 6 years
  9. Which of the following is classified as a poisoning in ICD-10-CM?:

8 / syncope due to Contac pills and a three-martini lunch

  1. In most situations the person who authorizes release of medical informa-tion is the: patient.