HOSMERIT
COC FINAL EXAM 2024 QUESTIONS WITH CORRECT
ANSWERS
Destruction of lesions of the vulva can be donw with "cryosurgery". This method uses: -✅✅-
Extreme cold
Differences between coding surgical and diagnostic procedures for the outpatient facilityand the
provider: - ✅✅-Answer: Modifiers and payment methodology are different for the outpatient
facility and the provider Response Feedback: Rationale: In most cases, the codes selected for
surgical procedures and diagnostic procedures are the same whether you are coding for the
outpatient facility or the provider. Modifiers and payment methodology are different for the
outpatient facility and for the provider.
Discuss the purpose of "scout" films in the radiology setting. - ✅✅-Scout films may be
performed prior to an actual imaging study with contrast or delayed imaging. Scout films are not
coded separately as they are considered part of the basic procedure.
Dislocation: - ✅✅-injury or disability caused when the normal position of a joint orother part of
the body is disturbed.
Documentation criteria require that the medical record should be and
. - ✅✅-complete, legible
Documentation standards are classified into the following categories: - ✅✅-Patient specific
data and information; Additional standards for specific patient populations, for example,
operative/invasive procedures, ambulatory care, emergency, clinical trials, etc.
DRG assignment can be affected by up to how many procedures during a stay? -
✅✅-Twenty-five
DRGs represent the average resources needed to treat Pts that fall in the same DRG. Ifa hosptial
is able to treat a Pt for a condition at a cost that is less than the Medicare reimbursement amount,
what happens to the excess money? - ✅✅-The hospital keeps the excess amount
, Each MS_DRG is assigned to a Major Diagnostic Category. How many categories arethere? -
✅✅-Twenty Five
Each page of the medical record should contain the patient's or . - ✅✅-name, patientID number.
Electrocautery - ✅✅-Instrument for directing electrical energy through tissue for lesion
destruction
Electrodessication - ✅✅-The use of monopolar high frequency electrical current forlesion
removal
Examples of procedures considered "inpatient only" include: - ✅✅-Surgical thoracoscopy,
laminectomies, vertebral corpectomy, enterostomies, risky invasiveprocedures
Facial - ✅✅-Controls facial muscles around the eyes, forehead, external ear, andmouth; sensa-
tion of taste; and certain salivary and lacrimal (tear) glands
Field: - ✅✅-Geometric area defined by a collimator at the skin surface
Food moves through the digestive tract by what means? - ✅✅-Peristalsis
For Medicare how is each claim paid for outpatient facility reimbursement? - ✅✅-Eachclaim is
paid based on the determined interim outpatient reimbursement rate. Rationale: During the year-
end cost report settlement, the prior year's entire outpatient claims are analyzed via a computer
system. This method is to determine an interim reimbursement rate on which to pay the following
year's Medicare claims.
For OPPS, critical care is paid at two levels. What is the distinguishing factor for payment? -
✅✅-One level for critical care services, another level when trauma activation occurs in addition
to critical care
For surgical procedures involving a primary surgeon and an assistant surgeon, who is the person
responsible for the information in the procedural note? - ✅✅-Primary surgeon Rationale: For
surgical procedures with more than one surgeon, the primary surgeon is responsible for the
procedural note. A resident, intern, or assistant can dictate the note, but the primary surgeon must
indicate agreement by reading and signing it.
For the UB-04 Form, which provider type qualifier is used to report the rendering provider? -
✅✅-82
COC FINAL EXAM 2024 QUESTIONS WITH CORRECT
ANSWERS
Destruction of lesions of the vulva can be donw with "cryosurgery". This method uses: -✅✅-
Extreme cold
Differences between coding surgical and diagnostic procedures for the outpatient facilityand the
provider: - ✅✅-Answer: Modifiers and payment methodology are different for the outpatient
facility and the provider Response Feedback: Rationale: In most cases, the codes selected for
surgical procedures and diagnostic procedures are the same whether you are coding for the
outpatient facility or the provider. Modifiers and payment methodology are different for the
outpatient facility and for the provider.
Discuss the purpose of "scout" films in the radiology setting. - ✅✅-Scout films may be
performed prior to an actual imaging study with contrast or delayed imaging. Scout films are not
coded separately as they are considered part of the basic procedure.
Dislocation: - ✅✅-injury or disability caused when the normal position of a joint orother part of
the body is disturbed.
Documentation criteria require that the medical record should be and
. - ✅✅-complete, legible
Documentation standards are classified into the following categories: - ✅✅-Patient specific
data and information; Additional standards for specific patient populations, for example,
operative/invasive procedures, ambulatory care, emergency, clinical trials, etc.
DRG assignment can be affected by up to how many procedures during a stay? -
✅✅-Twenty-five
DRGs represent the average resources needed to treat Pts that fall in the same DRG. Ifa hosptial
is able to treat a Pt for a condition at a cost that is less than the Medicare reimbursement amount,
what happens to the excess money? - ✅✅-The hospital keeps the excess amount
, Each MS_DRG is assigned to a Major Diagnostic Category. How many categories arethere? -
✅✅-Twenty Five
Each page of the medical record should contain the patient's or . - ✅✅-name, patientID number.
Electrocautery - ✅✅-Instrument for directing electrical energy through tissue for lesion
destruction
Electrodessication - ✅✅-The use of monopolar high frequency electrical current forlesion
removal
Examples of procedures considered "inpatient only" include: - ✅✅-Surgical thoracoscopy,
laminectomies, vertebral corpectomy, enterostomies, risky invasiveprocedures
Facial - ✅✅-Controls facial muscles around the eyes, forehead, external ear, andmouth; sensa-
tion of taste; and certain salivary and lacrimal (tear) glands
Field: - ✅✅-Geometric area defined by a collimator at the skin surface
Food moves through the digestive tract by what means? - ✅✅-Peristalsis
For Medicare how is each claim paid for outpatient facility reimbursement? - ✅✅-Eachclaim is
paid based on the determined interim outpatient reimbursement rate. Rationale: During the year-
end cost report settlement, the prior year's entire outpatient claims are analyzed via a computer
system. This method is to determine an interim reimbursement rate on which to pay the following
year's Medicare claims.
For OPPS, critical care is paid at two levels. What is the distinguishing factor for payment? -
✅✅-One level for critical care services, another level when trauma activation occurs in addition
to critical care
For surgical procedures involving a primary surgeon and an assistant surgeon, who is the person
responsible for the information in the procedural note? - ✅✅-Primary surgeon Rationale: For
surgical procedures with more than one surgeon, the primary surgeon is responsible for the
procedural note. A resident, intern, or assistant can dictate the note, but the primary surgeon must
indicate agreement by reading and signing it.
For the UB-04 Form, which provider type qualifier is used to report the rendering provider? -
✅✅-82
