CCA Exam Prep from AHIMA Study Guide Test.

CCA Exam Prep from AHIMA Study Guide Test. 1. Mary Smith, RHIA, has been charged with the respon- a sibility of designing a data collection form to be used on admission of a patient to the acute-care hospital in which she works. The first resource that she should use is: UHDDS UACDS MDS ORYX 2. When the CCI editor flags that a comprehensive b code and a component code are billed together for the same beneficiary on the same date of service, Medicare will pay for: The component code but not the comprehensive code The comprehensive but not the component code The comprehensive and the component codes Neither the comprehensive nor the component codes 3. When clean claims are submitted, they can be adjudi- c cated in many ways through computer software auto- matically. Which statement is not one of the outcomes that can occur as part of auto-adjudication? Auto-pay Auto-suspend Auto-calculate Auto-deny 4. Which of the following is not a way that ICD-10-CM d improves coding accuracy? Reduces sequencing problems by combining condi- tions into one code Provides laterality options Captures more details for injuries, diabetes, and post- operative complications Increases cross-referencing 5. Which of the following organizations is responsible for b updating the procedure classification of ICD-10-PCS? Centers for Disease Control (CDC) Centers for Medicare and Medicaid Services (CMS) National Center for Health Statistics (NCHS) World Health Organization (WHO) 6. This program was initiated by the Balanced Budget b Act of 1997 and allows states to expand existing insur- ance programs to cover children up to age 19. Children's State Medicare Program (CSMP) State Children's Health Insurance Program (SCHIP) Children's State Healthcare Alliance (CSHA) Children's Aid to Healthcare (CAH) 7. Which of the following provides a complete descrip- a tion to patients about how PHI is used in a healthcare facility? Notice of Privacy Practices Authorization Consent for treatment Minimum necessary 8. The National Correct Coding Initiative was developed b to control improper coding leading to inappropriate payment for: Part A Medicare claims Part B Medicare claims Medicaid claims Medicare and Medicaid claims 9. Which of the following software applications would b be used to aid in the coding function in a physician's office? Grouper Encoder Pricer Diagnosis calculator 10. What is the maximum number of diagnosis codes that b can appear on the UB-04 paper claim form locator 67 for a hospital inpatient principal and secondary diagnoses? 35 25 18 9 11. CMS identified conditions that are not present on ad- c mission and could be "reasonably preventable." Hos- pitals are not allowed to receive additional payment for these conditions when the condition is present on admission. What are these conditions called? Conditions of Participation Present on admission Hospital-acquired conditions Hospital-acquired infection 12. Which of the following materials is not documented in c an emergency care record? Patient's instructions at discharge Time and means of the patient's arrival Patient's complete medical history Emergency care administered before arrival at the facility 13. Using uniform terminology is a way to improve: d Validity Data timeliness Audit trails Data reliability 14. When the physician does not specify the method used d to remove a lesion during an endoscopy, what is the appropriate procedure? Assign the removal by snare technique code. Assign the removal by hot biopsy forceps code. Assign the ablation code.