CCA Exam()Questions & Answers 100% Correct(GRADED A+)

An encounter that prompts the coder to answer a series of questions and choices based on the documentation in the medical record is called a(n) - ANSWERlogic-based encoder The best resource for checking out specific voluntary accreditation standards and guidelines for a rehabilitation facility is the - ANSWERCARF Manual You have been asked to give an example of a clinical information system. Which one of the following would you cite? A. Financial information system B. Admission-discharge-transfer system C. Billing system D. Laboratory information system - ANSWERD. Laboratory information system You have been appointed as chair of the Health Record Committee at a new hospital. Your committee has been asked to recommend time-limited documentation standards for inclusion in the medical staff bylaws, rules, and regulations. The committee documentation standards must meet he standards of both the Joint Commission and the Medicare Conditions of Participation. The standards for the history and physical exam documentation are discussed first. You advise them that the time period for completion of this report should be set at - ANSWER24 hours after admission or prior to surgery Health care claims transactions use one of three electronic formats, including which one of those listed below? A. ANSI ASC X12N 837 format B. National Claim Format C. Medicare Summary Notice format D. CMS-1500 flat-file format - ANSWERA. ANSI ASC X12N 837 format You need to retrieve information on a particular physician in your facility. Specifically, you need to know how many cases he saw during the month of May. What would be your best source of information? - ANSWERphysician index A clinical documentation specialist performs many roles. These include reviewing the data and looking for trends or patterns over time, as well as noting any variances that require further investigation. In this role, the CDS professional is acting as a(n) - ANSWERanalyst Which data bank would hospitals, health care providers, and other health care facilities report medical malpractice payments and adverse actions related to fraud and abuse by a licensed health care provider? - ANSWERHIPDB-Healthcare Integrity and Protections Data Bank In 1987, OBRA helped shift the focus in long-term care to patient outcomes. As a result, core assessment date elements are collected on each SNF resident as defined in the - ANSWERMDS-Minimum Data Set Which one of the following is NOT a technical security control employed by electronic health record systems? A. user-based access controls B. automatic log off C. audit trails D. data encryption protocols - ANSWERB. Automatic log off Which of the following systems facilitates capturing standardized data with the electronic documentation of patient at the point of care? A. Continuity of Care Document (CCD) B. Clinical Documentation Architecture (CDA) C. Continuity of Care Record (CCR) D. Clinical Care Classification (CCC) - ANSWERD. Clinical Care Classification (CCC) It is recommended that all but which of the following information should be permanently retained in some format, even when the remainder of the health record is destroyed? A. Nursing notes CCA Exam()Questions & Answers 100% Correct(GRADED A+)