CCA MOCK EXAMINATION 100% VERIFIED QUESTIONS AND ANSWERS (LATEST 2022/2023)
Your organization is sending confidential patient information across the
... [Show More] Internet using technology that will transform the original data into unintelligible code that can be re-created by authorized users. This technique is called
a. firewall
c. a call-back process
b. validity processing
d. data encryption - 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
a. doctor's admitting progress note
b. nurse's admit note
c. review of systems
d. discharge summary - a. doctor's admitting progress note
Employing the SOAP style of progress notes, choose the "assessment" statement from the following:
a. Patient states low back pain with sciatica is as severe as it was on admission
b. Patient moving about very cautiously and appears to be in pain
c. Adjust pain medication; begin physical therapy tomorrow
d. Sciatica unimproved with hot pack therapy - 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
a. electronic data interchange
b. intraoperability
c. message standards
d. natural language processing - d. natural language processing
A final progress note is appropriate as a discharge summary for a hospitalization in which the patient
a. dies within 24 hours of admission
b. has no comorbidities or complications during this episode of care
c. was admitted within 30 days with the same diagnosis
d. was an obstetric admission with a normal delivery and no complications - 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
a. doctor's progress note section
b. operative report
c. history and physical
d. doctor's orders - 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
a. prenatal record
b. labor record
c. delivery room record
d. postpartum record - d. postpartum record [Show Less]