CCA EXAM PRACTICE TEST Questions and answers 2023 (100% verified)
You would expect to find documentation regarding the assessment of an obstetric patient's lochia,
fundus, and perineum on the - (correct answer)postpartum record.
Procedure-to-Procedure (PTP) Edits review claims for codes that report - (correct answer)procedures
that cannot or should not be provided to the same patient on the same day.
It is September 15th, and you have just received the upcoming year's ICD-10-PCS code set updates.
The next step is to ________. - (correct answer)put in a change ticket for the hospital's chargemaster
to be updated
You are conducting an educational session on benchmarking. You tell your audience that the key to
benchmarking is to use the comparison to - (correct answer)improve your department's processes.
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 - (correct answer)encrypt the phone so access is protected.
The APC payment system is based on what coding system(s)? - (correct answer)CPT/HCPCS codes
The Joint Commission requires that all medical records be completed within ___________ following
patient discharge. - (correct answer)30 days
You have been hired to work with a computer-assisted coding (CAC) initiative. The technology that
you will be working with is - (correct answer)natural language processing.
External audits may be conducted by several organizations in the federal government as well as the
private sector, including ________. - (correct answer)Humana Fraud Department
RAC
OIG
When writing a query to a physician regarding ambiguous details in the documentation, one must be
careful to never let the question - (correct answer)imply an answer that will lead to a higher
reimbursement rate.
If the National Coverage Determination indicates that Medicare will not pay for a specific procedure,
you may have to have the patient sign - (correct answer)an Advance Beneficiary Notice (ABN).
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 - (correct answer)OSHA.
Employing the SOAP style of progress notes, choose the "assessment" statement from the following:
- (correct answer)sciatica unimproved with hot pack therapy.
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? - (correct answer)chronic cough
A final progress note is appropriate as a discharge summary for a hospitalization in which the patient
- (correct answer)was an obstetric admission with a normal delivery and no complications.
Security devices that form barriers between routers of a public network and a private network to
protect access by unauthorized users are called - (correct answer)firewalls.
NCCI edits were developed by the Centers for Medicare and Medicare Services (CMS) to - (correct
answer)both reinforce accurate coding and identify noncompliant coding processes.
, CCA EXAM PRACTICE TEST Questions and answers 2023 (100% verified)
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 - (correct
answer)feedback on specific instances when improved documentation would improve coding.
NCCI stands for - (correct answer)National Correct Coding Initiative.
While CAC systems are convenient, the codes they determine must be validated to ensure accuracy.
One method to do this would be - (correct answer)a prospective audit.
The outpatient method for reimbursement from CMS for Medicare is - (correct answer)Ambulatory
Patient Classification (APC).
All of these are acceptable destruction methods when health records are no longer required, EXCEPT
- (correct answer)deleting files from the server.
One excellent source to guide you to perform ethical coding is ________. - (correct answer)AHIMA
Which of the following contains a list of coding edits developed by CMS in an effort to promote
correct coding nationwide and to prevent the inappropriate unbundling of related services? -
(correct answer)National Correct Coding Initiative (NCCI)
Which of the following could influence a facility's case mix? - (correct answer)accuracy of coding
changes in DRG weights
changes in the services offered by a facility
The patient was brought in by ambulance to the Emergency Department. An EKG and bloodwork
were completed, and the patient was discharged, with a recommendation to see his cardiologist.
The next day, the cardiologist admitted this patient to the surgery ward to prepare for a valve
replacement procedure. The EKG performed in the ED the day before should - (correct answer)be
reported as an outpatient procedure.
The special form that plays the central role in planning and providing care at nursing, psychiatric, and
rehabilitation facilities is the - (correct answer)interdisciplinary patient care plan.
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 - (correct answer)doctor's admitting
progress note.
If a claim is returned as denied or rejected due to an error, the best thing to do is - (correct
answer)correct the claim and resubmit in accordance with the third-party payer.
Which of the following is vital for determining why the reimbursement from an insurance company
is less than that was expected? - (correct answer)the remittance advice
The most efficient way to determine the accurate DRG (Diagnosis Related Group) is to utilize
software known as - (correct answer)a grouper.
Linking diagnosis codes to the CPT codes reported on a claim provides evidence of - (correct
answer)medical necessity.
The purpose of the Correct Coding Initiative is to - (correct answer)detect and prevent payment for
improperly coded services.
You would expect to find documentation regarding the assessment of an obstetric patient's lochia,
fundus, and perineum on the - (correct answer)postpartum record.
Procedure-to-Procedure (PTP) Edits review claims for codes that report - (correct answer)procedures
that cannot or should not be provided to the same patient on the same day.
It is September 15th, and you have just received the upcoming year's ICD-10-PCS code set updates.
The next step is to ________. - (correct answer)put in a change ticket for the hospital's chargemaster
to be updated
You are conducting an educational session on benchmarking. You tell your audience that the key to
benchmarking is to use the comparison to - (correct answer)improve your department's processes.
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 - (correct answer)encrypt the phone so access is protected.
The APC payment system is based on what coding system(s)? - (correct answer)CPT/HCPCS codes
The Joint Commission requires that all medical records be completed within ___________ following
patient discharge. - (correct answer)30 days
You have been hired to work with a computer-assisted coding (CAC) initiative. The technology that
you will be working with is - (correct answer)natural language processing.
External audits may be conducted by several organizations in the federal government as well as the
private sector, including ________. - (correct answer)Humana Fraud Department
RAC
OIG
When writing a query to a physician regarding ambiguous details in the documentation, one must be
careful to never let the question - (correct answer)imply an answer that will lead to a higher
reimbursement rate.
If the National Coverage Determination indicates that Medicare will not pay for a specific procedure,
you may have to have the patient sign - (correct answer)an Advance Beneficiary Notice (ABN).
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 - (correct answer)OSHA.
Employing the SOAP style of progress notes, choose the "assessment" statement from the following:
- (correct answer)sciatica unimproved with hot pack therapy.
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? - (correct answer)chronic cough
A final progress note is appropriate as a discharge summary for a hospitalization in which the patient
- (correct answer)was an obstetric admission with a normal delivery and no complications.
Security devices that form barriers between routers of a public network and a private network to
protect access by unauthorized users are called - (correct answer)firewalls.
NCCI edits were developed by the Centers for Medicare and Medicare Services (CMS) to - (correct
answer)both reinforce accurate coding and identify noncompliant coding processes.
, CCA EXAM PRACTICE TEST Questions and answers 2023 (100% verified)
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 - (correct
answer)feedback on specific instances when improved documentation would improve coding.
NCCI stands for - (correct answer)National Correct Coding Initiative.
While CAC systems are convenient, the codes they determine must be validated to ensure accuracy.
One method to do this would be - (correct answer)a prospective audit.
The outpatient method for reimbursement from CMS for Medicare is - (correct answer)Ambulatory
Patient Classification (APC).
All of these are acceptable destruction methods when health records are no longer required, EXCEPT
- (correct answer)deleting files from the server.
One excellent source to guide you to perform ethical coding is ________. - (correct answer)AHIMA
Which of the following contains a list of coding edits developed by CMS in an effort to promote
correct coding nationwide and to prevent the inappropriate unbundling of related services? -
(correct answer)National Correct Coding Initiative (NCCI)
Which of the following could influence a facility's case mix? - (correct answer)accuracy of coding
changes in DRG weights
changes in the services offered by a facility
The patient was brought in by ambulance to the Emergency Department. An EKG and bloodwork
were completed, and the patient was discharged, with a recommendation to see his cardiologist.
The next day, the cardiologist admitted this patient to the surgery ward to prepare for a valve
replacement procedure. The EKG performed in the ED the day before should - (correct answer)be
reported as an outpatient procedure.
The special form that plays the central role in planning and providing care at nursing, psychiatric, and
rehabilitation facilities is the - (correct answer)interdisciplinary patient care plan.
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 - (correct answer)doctor's admitting
progress note.
If a claim is returned as denied or rejected due to an error, the best thing to do is - (correct
answer)correct the claim and resubmit in accordance with the third-party payer.
Which of the following is vital for determining why the reimbursement from an insurance company
is less than that was expected? - (correct answer)the remittance advice
The most efficient way to determine the accurate DRG (Diagnosis Related Group) is to utilize
software known as - (correct answer)a grouper.
Linking diagnosis codes to the CPT codes reported on a claim provides evidence of - (correct
answer)medical necessity.
The purpose of the Correct Coding Initiative is to - (correct answer)detect and prevent payment for
improperly coded services.
