Certified Coding Associate (CCA) Exam With Complete Solutions Latest Update, Exams of Nursing

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Certified Coding Associate (CCA) Exam With Complete Solutions Latest Update per cpt guidelines a seperate procedure is - correct answers considered to an integral part of another, larger service the codes in the musculoskeletal section of cpt may be used by - correct answers any physician observastion e/m codes 99218-99220 are used in physician billing when - correct answers a patient is referred to a designated observation status documentation in the history of use of drugs, alcohol and or tacacco is considered part of the - correct answers social history tissue transplanted from one individual to another of the same species but different genotype is called - correct answers c mohs micrographic surgery invloves the surgeon acting as - correct answers surgeon and pathologist if an orthopedic surgeon attempted to reduce a fracture but was unsuccessful in obtaining acceptable alignment, what type of code should be assigned for the procedure - correct answers a 'with manipulation' code in coding arterial catheteriztions, when the tip of the catheter is manipulated from the insertion into the aorta and then out into another artery, this is called - correct answers selective catheterization when coding a selective catheterization in cpt, how are codes assigned - correct answers one code, for the final vessel entered Which of the following provides organizations with the ability to access data from multiple databases and to combine the results into a single questions-and-reporting interface? - correct answers Data Warehouse What is the maximum number of procedure codes that can appear on a UB-04 paper claim form for a hospital inpatient? - correct answers six (6) What was the goal of the new MS-DRG system? - correct answers To improve Medicare's capability to recognize severity of illness in its inpatient hospital payments. The new system is projected to increase payments to cutting, copying, and pasting documentation in the EHR system Under the HIPAA privacy standard, which of the following types of protected health information (PHI) must be specifically identified in an authorization? - correct answers Psychotherapy notes Which of the following documentation must be included in a patient's medical record prior to performing a surgical procedure? - correct answers Consent for operative procedure, history, physical examination What is the basic formula for calculating each MS-DRG hospital payments? - correct answers Hospital payment = DRG relative weight x hospital base rate Per CPT guidelines, a separate procedure is: - correct answers Considered to be an integral part of another, larger procedure CPT was developed and is maintained by: - correct answers AMA Which of the following is not an accepted accrediting body for behavioral healthcare organizations? A. American Psychological Association B. Joint Commission C. Commission on Accreditation of Rehabilitation Facilities D. National Committee for Quality Assurance - correct answers A. American Psychological Association What is the name of the national program to detect and correct improper payments in the Medicare Fee-for- Service (FFS) programs? - correct answers Recovery audit contractors (RACs) In coding arterial catheterizations, when the tip of the catheter is manipulated from the insertion into the aorta and then out into another artery, this is called: - correct answers Selective catheterization A hospital is planning on allowing coding professionals to work at home. The hospital is in the process of identifying strategies to minimize the security risks associated with this practice. Which of the following would be best to ensure that data breaches are minimized when the home computer is unattended? A. User name and password B. Automatic session terminations C. Cable locks D. Encryption - correct answers B. Automatic session terminations What diagnosis would the coder expect to see when a patient with pneumonia (PNA) has inhaled food, liquid, or oil? - correct answers Aspiration pneumonia What healthcare organization collects UHDDS data? - correct answers All non-outpatient settings including acute care, short term care, long term care, and psychiatric hospitals, home health agencies, rehabilitation facilities, and nursing homes Tissue transplated from one individual to another of the same species but different genotype is called a(n): - correct answers Allograft or allogeneic graft What type of organization works under contract with the CMS to conduct Medicare and Medicaid certification surveys for hospitals? - correct answers State licensure agencies Which answer below is not correct for assignment of the MS-DRG? A. Diagnoses and procedures (principal and secondary) B. Attending and consulting physicians C. Presence of major or other complications and co morbidities (MCC or CC) They will also be sending her records to her physician for continuity of care (2). Under HIPAA, these two functions are: - correct answers Use (1) and disclosure (2) Category II codes cover all but one of the following topics. Which is not addressed by Category II codes? A. Patient management B. New technology C. Therapeutic, preventative, or other interventions D. Patient safety - correct answers B. New technology Referencing the CPT codebook, a list of codes describing procedures that include conscious sedation, if administered by the same surgeon as performs the procedure, can be found in: - correct answers Appendix G Mohs micrographic surgery involves the surgeon acting as: - correct answers Both surgeon and pathologist During an audit of health records, the HIM director finds that transcribed reports are being changed by the author up to a week after initial transcription. The director is concerned that changes occurring this long after transcription jeopardize the legal principle that documentation must occur near the time of the event. To remedy this situation, the HIM director should recommend which of the following? A. Immediately stop the practice of changing transcribed reports B. Develop a facility policy that defines the acceptable period of time allowed for a transcribed document to remain in draft form C. Conduct a verification audit D. Alert hospital legal counsel of the practice - correct answers B. Develop a facility policy that defines the acceptable period of time allowed for a transcribed document to remain in draft form In a routine health record quantitative analysis review it was fund that a physician dictated a discharge summary on 1/26/2009. The patient, however, was discharged two days later. In this case, what would be the best course of action? A. Request that the physician dictate another discharge summary B. Have the record analyst note the date discrepancy C. Request the physician dictate an addendum to the discharge summary D. File the record as complete since the discharge summary includes all the pertinent patient information - correct answers C. Request the physician dictate an addendum to the discharge summary A patient with known COPD and hypertension under treatment was admitted to the hospital with symptoms of a lower abdominal pain. He undergoes a laparoscopic appendectomy and develops a fever. The patient was subsequently discharged from the hospital with a principal diagnosis of acute appendicitis and secondary diagnoses of post-operative infection, COPD, and hypertension. Which of the following diagnoses should not be tagged as POA? A. Postoperative infection B. Appendicitis C. COPD D. Hypertension - correct answers A. Postoperative infection Which of the following specialized patient assessment tools must be used to Medicare-certified home care providers? - correct answers Outcomes and Assessment Information Set What are possible "add-on" payments that a hospital could receive in addition to the basic Medicare DRG payment? - correct answers Additional payments may be made to disproportionate share hospitals, for indirect medical education, for new technologies, and for cost outlier cases. stored in the information system is read directly by the software, which then suggests codes to match the documentation. - correct answers Natural-language processing The ________ mandated the development of standards for electronic medical records. - correct answers Health Insurance Portability and Accountability Act (HIPAA) of 1996 Which of the following issues compliance program guidance? - correct answers HHS Office of Inspector General (OIG) Written or spoken permission to proceed with care is classified as: - correct answers Expressed consent Which of the following is a direct command that requires an individual or a representative of an organization to appear in court or to present an object to the court? - correct answers Subpoena In processing a Medicare payment for outpatient radiology examinations, a hospital outpatient services department would receive payment under which of the following? - correct answers OPPS Medicare's newest claims processing payment contract entities are referred to as: - correct answers Medicare administrative contractors (MACs) Prospective payment systems were developed by the federal government to: - correct answers Manage Medicare and Medicaid costs Messaging standards for electronic data interchange in healthcare have been developed by: - correct answers HL7 What system assigns each service a value representing the true resources involved in producing it, including the time and intensity of work, the expenses of practice, and the risk of malpractice? - correct answers RVUs A health information technician is processing payments for hospital outpatient services to be reimbursed by Medicare for a patient who had two physician visits, underwent radiology examinations, clinical laboratory tests, and who received take-home surgical dressings. Which of the following services is reimbursed under the outpatient prospective payment system? - correct answers Radiology examinations A notation for a diabetic patient in a physician progress note reads: "FBS 110 mg%, urine sugar, no acetone." Which part of a POMR progress note would this notation be written? - correct answers Objective Which document directs an individual to bring originals or copies of records to court? - correct answers Subpoena duces tecum A notation for a diabetic patient in a physician progress note reads: "Occasionally gets hungry. No insulin reactions. Says she is following her diabetic diet." Which part of a POMR progress note would this notation be written? - correct answers Subjective The sum of a hospital's total relative DRG weights for a year was 15,192 and the hospital had 10,471 total discharges for the year. Given this information, what would be the hospital's case-mix index for that year? - correct answers 1.45 Under the Medicare hospital outpatient perspective payment system (OPPS), services are paid according to: - correct answers A rate-per-service basis that varies according to the ambulatory payment classification (APC) group to which the service is assigned Under the OPPS, on which code set is the APC system primarily based for outpatient procedures and services