CCA Domain 2 Exam Prep- 10th Edition AHIMA Study Guide Test.

CCA Domain 2 Exam Prep- 10th Edition AHIMA Study Guide Test. 1. Which of the following software applications would be used to aid in the coding function in a physician's office? 1. Grouper 2. Encoder 3. Pricer 4. Diagnosis calculator 2. In fiscal year 2008, Medicare revamped the inpatient payment system to incorporate three severity levels. The grouping is known as . 1. AP-DRGs 2. RBRVS 3. MS-DRGs 4. APR-DRGs 3. The healthcare program for active duty members of the military and other qualified family members is . 1. Children's Health Insurance Program (CHIP) 2. Veterans Insurance 3. Tricare 4. Workers' compensation 4. An electrolyte panel (80051) in the Laboratory sec- tion of CPT consists of tests for carbon dioxide (82374), chloride (82435), potassium (84132), and sodi- um (84295). If each of the component codes are report- ed and billed individually on a claim form, this would be a form of . 1. Optimizing 2. Unbundling Encoder MS-DRGs Tricare Unbundling 3. Sequencing 4. Classifying 5. In the Laboratory section of CPT, if a group of tests overlaps two or more panels, report the panel that Report the remaining tests using individual test incorporates the greatest number of tests to fulfill the codes. code definition. What would a coding professional do with the remaining test codes that are not part of a panel? 1. Report the remaining tests using individual test codes. 2. Do not report the remaining individual test codes. 3. Report only those test codes that are part of a panel. 4. Do not report a test code more than once regardless of whether the test was performed twice. 6. The Office of Inspector General's (OIG) Compliance Establish a compliance Program for Hospitals recommends that hospitals ap- committee point a chief compliance officer and . 1. Establish a compliance committee 2. Report their case mix annually 3. Monitor the fraud hotline 4. Assign CDI professionals to audit claims 7. The front end of the revenue cycle management process does not include . 1. An enterprise-wide scheduling system 2. Claims appeals 3. An order tracking system 4. A financial function system 8. What is the best reference tool for ICD-10-CM and ICD-10-PCS coding advice? Claims appeals AHA's Coding Clinic for ICD-10-CM/PCS 1. CMS Inpatient Prospective Payment System (IPPS) 2. ICD-10-CM and ICD-10-PCS Coding Guidelines 3. AHA's Coding Clinic for ICD-10-CM/PCS 4. National Correct Coding Initiative (NCCI) 9. CMS developed medically unlikely edits (MUEs) to pre- HCPCS/CPT codes vent providers from billing units of service greater than the norm would indicate. These MUEs were imple- mented on January 1, 2007, and are applied to which code set? 1. ICD-10-PCS codes 2. HCPCS/CPT codes 3. ICD-10-CM codes 4. LOINC 10. Several key principles require appropriate physician documentation to secure payment from the insurer. Which of the following fails to impact payment based on physician responsibility? 1. The health record should be complete and legible. 2. The rationale for ordering diagnostic and other an- cillary services should be documented or easily in- ferred. 3. The charges and services should be documented on the itemized bill. 4. The patient's progress and response to treatment and any revision in the treatment plan and diagnoses should be documented. 11. Which of the following does not need to be included in the documentation of each patient encounter to secure payment from the insurer? The charges and services should be documented on the itemized bill. The identity of the patient's nearest relative and emer- gency contact number The reason for the encounter and the patient's rele-