Mock CCA Exam Questions with 100 Verified

Mock CCA Exam Questions with 100% Verified Correct Answers Rated A+ Your organization is sending confidential patient information across the Internet using technology that will transform the original data into unintelligible code that can be re-created by authorized users. This technique is called

• firewall
• a call-back process
• validity processing
• data encryption - Correct Answer d. data encryption

As part of a concurrent record review, you need to locate the initial plan of action based on the attending physician's initial assessment of the patient. You can expect to find this documentation either within the body of the history and physical or in the

• doctor's admitting progress note
• nurse's admit note
• review of systems
• discharge summary - Correct Answer a. doctor's admitting progress note

Employing the SOAP style of progress notes, choose the "assessment" statement from the following:

• Patient states low back pain with sciatica is as severe as it was on admission
• Patient moving about very cautiously and appears to be in pain
• Adjust pain medication; begin physical therapy tomorrow
• Sciatica unimproved with hot pack therapy - Correct Answer d. Sciatica unimproved with hot pack

therapy You have been hired to work with a computer-assisted coding initiative. The technology that you will be working with is

• electronic data interchange
• intraoperability
• message standards
• natural language processing - Correct Answer d. natural language processing

A final progress note is appropriate as a discharge summary for a hospitalization in which the patient 1 / 3

• dies within 24 hours of admission
• has no comorbidities or complications during this episode of care
• was admitted within 30 days with the same diagnosis
• was an obstetric admission with a normal delivery and no complications - Correct Answer d. was

an obstetric admission with a normal delivery and no complications In reviewing a medical record for coding purposes, the coder notes that the discharge summary has not yet been transcribed. In its absence, the best place to look for the patients's response to treatment and documentation of any complications that may have developed during this episode of care is in the

• doctor's progress note section
• operative report
• history and physical
• doctor's orders - Correct Answer a. doctor's progress note section

You would expect to find documentation regarding the assessment of an obstetric patient's lochia, fundus, and perineum on the

• prenatal record
• labor record
• delivery room record
• postpartum record - Correct Answer d. postpartum record

A patient is admitted through the emergency department with diabetes mellitus. Three days after admission, the physician documents uncontrolled diabetes mellitus. What is the "present on admission" (POA) indicator for uncontrolled diabetes mellitus?

• "Y"
• "U"
• "W"
• "N" - Correct Answer d. "N"

(the DM wasn't considered uncontrolled until 3 days after admission) CMI Table - Correct Answer b. 2.965807 2 / 3

The special form that plays the central role in planning and providing care at nursing, psychiatric, and rehabilitation facilities is the

• interdisciplinary patient care plan
• medical history and review of systems
• interval summary
• problem list - Correct Answer a. interdisciplinary patient care plan

What legal term is used in describing sexual harassment in reference to unwelcome sexual advances, request for sexual favors, and verbal or physical conduct of a sexual nature made in return for job benefits?

• res ipsa loquitur
• qui tam
• quid pro quo
• respondeat superior - Correct Answer c. quid pro quo

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

• a copy of the facility coding guidelines, along with written information on improved

documentation

• the UHDDS and information on where each data element is collected and/or verified in your

facility

• regular in-service presentations on documentation, including its importance and tips for

improvement

• feedback on specific instances when improved documentation would improve coding - Correct

Answer d. feedback on specific instances when improved documentation would improve coding Table - Correct Answer a. 100% Which of the following diagnoses or procedures would prevent the normal delivery code, 650, from being assigned?

• occiput presentation
• single liveborn
• episiotomy
• / 3