COC 2020 - FINAL EXAM QUESTIONS W/O CODES (SET 1) WITH CORRECT ANSWERS RATED A+

A choledochal cyst is a cyst originating from which structure? - correct answerCommon bile duct A character's position can be understood as which type of classification that allows different specific values to be inserted into that space, and whose physical position remains stable? - correct answerSemi-independent A code from categories Q00-Q99 can be used until the patient reaches what age? Refer to ICD-10-CM guideline I.C.17. - correct answer• They can be used throughout the life of the patient unless it has been corrected . A condition where the thyroid is overactive is called: - correct answerThyrotoxicosis A critical access hospital is: - correct answerAnswer:A facility in a rural area used for hospital inpatient stays, inpatient rehabilitation and psychiatric services, which also offers emergency services Rationale: Medicare beneficiaries in rural areas can receive services from critical access hospitals. CAHs offer 24-hour emergency services seven days a week, hospital inpatient stays, inpatient rehabilitation, and psychiatric services. A cystourethroscopy is examination of what structures? - correct answerBladder and urethra A dacryocystectomy describes: - correct answerExcision of the lacrimal sac A deficiency of cells in the blood is defined as: - correct answerCytopenia A facility coder: - correct answerMust understand the complete revenue cycle process. Rationale: A facility coder must understand the complete revenue cycle process and the impact the coder's role in the overall success. A gonioscopy is an examination of what part of the eye: - correct answerAnterior chamber of the eye A hospital CDM contains the following information: - correct answerDepartment number, CPT®/HCPCS Level II code(s), charge, revenue code, inventory number, description of service Rationale: Typically, a CDM includes the department number/internal control/inventory number, description of services, revenue center (UB revenue code), CPT ®/HCPCS Level II (procedure codes), and charge for service. A hospital has an obligation to provide emergency services to a patient under what federal act? - correct answerEmergency Medical Treatment and Active Labor Act A Medicare patient is scheduled for a procedure Medicare deemed as statutorily excluded. The facility asks the patient to sign the ABN, but the patient refuses. The facility bills the patient for the service and the patient refuses to pay. Is the patient liable in this situation? - correct answerYes If yes, why is the patient liable for the bill? When the statute excludes the service, an ABN is not necessary and refusal to sign the ABN does not exempt the patient from payment responsibility. A Medicare patient was to undergo a procedure based on a diagnosis that was not medically necessary for Medicare reimbursement. The surgery technician presented the ABN appropriately to the patient, but the patient refused to sign the ABN. The surgery technician documented on the ABN that the patient refused to sign. The technician asked the nurse to witness the patient's refusal to sign. The patient insisted on undergoing the procedure and the surgeon agreed to perform the service. Medicare denied the claim because the diagnosis did not support medical necessity for the service. What is the most appropriate action? - correct answerThe hospital may bill the patient and collect the full amount of the bill. A Medicare secondary payer ensures: - correct answerMedicare payment for items or services is prohibited if payment can be paid by another payer under certain conditions.