CCA Exam Prep from AHIMA Study 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
, CCA Exam Prep from AHIMA Study Test.
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)
, CCA Exam Prep from AHIMA Study Test.
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
, CCA Exam Prep from AHIMA Study Test.
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
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
, CCA Exam Prep from AHIMA Study Test.
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)
, CCA Exam Prep from AHIMA Study Test.
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
, CCA Exam Prep from AHIMA Study Test.
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
