AHIMA CCA Certification Sample Questions

The AHIMA Certified Coding Associate Certification Sample Question Set on this page is designed to familiarize you with the actual AHIMA CCA exam format and question types. These sample questions help you understand how questions are structured and what to expect on test day. While they provide a useful starting point, they represent only a limited preview of the real exam experience.

These sample questions are intended for evaluation and familiarization only. To understand exam style, pacing, and reasoning patterns more clearly, we recommend trying our online sample practice environment. If you are preparing for the AHIMA Certified Coding Associate (CCA) and want to assess your readiness more rigorously, structured, timed, scenario-based practice is recommended. This approach aligns with the cognitive demands and professional expectations typically associated with Entry-level medical coders, Health information technicians, Coding and billing professionals working in settings such as Hospitals, Physician offices, Healthcare organizations and related settings.

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The demo introduces core concepts, while full-length premium simulations provide deeper, scenario-based coverage that more closely reflects the actual cognitive demands of the AHIMA Certified Coding Associate exam, particularly in areas such as ICD coding, CPT coding, Health record documentation review. You can use these sample questions as a starting point, then progress to the AHIMA CCA Certification Practice Exam for stronger readiness. Our premium simulations are designed to mirror real exam conditions, helping you refine reasoning, pacing, and decision-making before your official exam attempt.

AHIMA CCA Sample Questions:

01. A hospital’s compliance program should include a "Hotline" or "Whistleblower" mechanism. According to the Federal Sentencing Guidelines, this mechanism must:
a) Allow for anonymous reporting without fear of retaliation.
b) Only be used for reporting physical safety issues.
c) Require employees to give their names when reporting.
d) Be monitored only by the hospital CEO.

02. A surgeon performs a debridement of a necrotizing infection on a patient’s lower leg. The surgeon removes 15 sq cm of subcutaneous tissue and 10 sq cm of underlying muscle tissue. According to CPT guidelines, how should this be reported?
a) Report the debridement of the muscle (11043) and the subcutaneous tissue (11042) with modifier -51.
b) Sum the total area (25 sq cm) and report 11042.
c) Report the debridement of the subcutaneous tissue (11042) and add 11045 for the muscle.
d) Report only the debridement of the muscle (11043).

03. What is the primary objective of the Clinical Documentation Improvement (CDI) program?
a) To reduce the number of coders needed by a facility.
b) To ensure the medical record accurately reflects the patient’s severity of illness and risk of mortality.
c) To maximize hospital profits by any means necessary.
d) To replace physicians with automated AI scribes.

04. A "Clean Claim" is defined as a claim that:
a) Has no errors and can be processed without additional information from the provider.
b) Includes only one CPT code and one ICD-10-CM code.
c) Is submitted by a physician who has never been audited.
d) Has been paid by the insurance company within 14 days.

05. A patient has a long history of Type 2 Diabetes and is admitted with a "chronic foot ulcer”. The physician does not link the two. According to ICD-10-CM guidelines, is a query necessary to establish a "diabetic foot ulcer"?
a) No, but only if the patient is also taking insulin.
b) No, the relationship is assumed unless documented otherwise.
c) Yes, because a foot ulcer could be caused by shoes.
d) Yes, the physician must always state "due to”.

06. In an outpatient setting, a patient receives 45 minutes of IV hydration therapy for dehydration. According to CPT guidelines, can this be reported?
a) No, hydration must be more than 60 minutes to be reported.
b) Yes, using code 96361.
c) Yes, using code 96360.
d) No, hydration must be more than 30 minutes to be reported.

07. When determining the Level of Medical Decision Making (MDM) for an Office E/M visit (99202–99215), which of the following is NOT one of the three primary components used in the 2024 MDM table?
a) The risk of complications and/or morbidity or mortality of patient management.
b) The number and complexity of problem(s) addressed.
c) The extent of the physical examination performed.
d) The amount and/or complexity of data to be reviewed and analyzed.

08. A 10-digit, intelligence-free numerical identifier used to uniquely identify healthcare providers in all HIPAA-standard transactions is the:
a) NPI (National Provider Identifier)
b) Tax ID
c) EIN
d) UPIN

09. A patient is diagnosed with Type 2 Diabetes Mellitus with diabetic polyneuropathy. The patient also has a history of non-compliance with their medication regimen due to financial hardship. Which of the following codes should be assigned in addition to the diabetes codes?
a) Z71.9 (Counseling)
b) Z91.19 (Patient's noncompliance with medical treatment and regimen for other reasons)
c) Z91.120 (Patient's intentional underdosing of medication regimen due to financial hardship)
d) Z59.6 (Low income)

10. The "Data Dictionary" is a document that:
a) Defines the name, data type, and required format for every field in a database.
b) Explains the hospital's privacy policy to patients.
c) Is used to translate English records into Spanish.
d) Lists all the medical terms used by the doctors.

Answers:

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Note: These sample questions are not official exam questions and are intended only for familiarization and study purposes. If you find any typos or data entry errors in these AHIMA Certified Coding Associate (CCA) sample questions, please let us know by emailing us at feedback@medicoexam.com