AHIMA RHIT PRACTICE EXAMS VERIFIED QUESTIONS AND
CORRECT ANSWERS
$81,795
- ANSWERS-A hospital did an audit of their September discharges on Unit 3A. Coding and MS-DRG
errors were corrected and ultimately resulted in a case mix index increase of 0.4100. If the facility had a
PPS base rate of $3,500 and Medicare discharges totaled 57 in September, what additional
reimbursement amount would be received for that month?
A four digit number used for Medicare billing
- ANSWERS-A Revenue Code is:
After Study
- ANSWERS-The principal diagnosis is defined by UHDDS as that condition established ________ to be
chiefly responsible for occasioning the admission of the patient to the hospital for care.
Case Resource Consumption
- ANSWERS-Under a prospective payment system, payment for healthcare is predetermined by:
Centers for Medicare and Medicaid Services
- ANSWERS-Which agency is responsible for the maintenance and distribution of HCPCS Level II codes?
Code for the manifestation
- ANSWERS-Poisoning is caused by the incorrect use of a drug. The code for poisoning is sequenced first
followed by the:
Code the surgical endoscopy only
- ANSWERS-CPT® defines a diagnostic endoscopy as a "separate procedure." If a surgical endoscopy is
performed in conjunction with the diagnostic service, how should this scenario be coded?
Consolidation Omnibus Budget Reconciliation Act of 1985
- ANSWERS-Which Act made it possible for CMS to deny reimbursement for substandard healthcare
services provided to Medicare and Medicaid beneficiaries?
CORRECT ANSWERS
$81,795
- ANSWERS-A hospital did an audit of their September discharges on Unit 3A. Coding and MS-DRG
errors were corrected and ultimately resulted in a case mix index increase of 0.4100. If the facility had a
PPS base rate of $3,500 and Medicare discharges totaled 57 in September, what additional
reimbursement amount would be received for that month?
A four digit number used for Medicare billing
- ANSWERS-A Revenue Code is:
After Study
- ANSWERS-The principal diagnosis is defined by UHDDS as that condition established ________ to be
chiefly responsible for occasioning the admission of the patient to the hospital for care.
Case Resource Consumption
- ANSWERS-Under a prospective payment system, payment for healthcare is predetermined by:
Centers for Medicare and Medicaid Services
- ANSWERS-Which agency is responsible for the maintenance and distribution of HCPCS Level II codes?
Code for the manifestation
- ANSWERS-Poisoning is caused by the incorrect use of a drug. The code for poisoning is sequenced first
followed by the:
Code the surgical endoscopy only
- ANSWERS-CPT® defines a diagnostic endoscopy as a "separate procedure." If a surgical endoscopy is
performed in conjunction with the diagnostic service, how should this scenario be coded?
Consolidation Omnibus Budget Reconciliation Act of 1985
- ANSWERS-Which Act made it possible for CMS to deny reimbursement for substandard healthcare
services provided to Medicare and Medicaid beneficiaries?
