CCA Exam Prep – Compliance with
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c. Informal counseling or verbal warning - ANS-Performance counseling usually begins
with which of the following?
a. Submitting an action plan of steps the employee will do to resolve the issue and
improve performance
b. Job termination
c. Informal counseling or verbal warning
d. Put the coder on unpaid leave of absence
a. Pay for performance and quality - ANS-What is the incentive to improve the quality of
clinical outcomes using the electronic health record that could result in additional
reimbursement or eligibility for grants or other subsidies to support further HIT efforts?
a. Pay for performance and quality
b. Patient referrals
c. Payer of last resort
d. Performance evaluations
b. Penalties for non-compliance of standards - ANS-An effective compliance program
should include some basic elements to comply with state and federal laws. These
include policies, procedures and standards of conduct; the identification of a compliance
officer and committee; education of staff; establishment of communication channels;
performance of internal monitoring; corrective action when a problem is identified; and
________:
a. Clinical documentation strategies
b. Penalties for non-compliance of standards
c. Improving the accuracy of health claims
d. External audits
d. Standards - ANS-Statements that define the performance expectations and
structures or processes that must be in place are ________.
a. Rules
b. Policies
c. Guidelines
d. Standards
b. Fight fraud, waste and abuse; promise quality and safety, secure and advance future
innovations in healthcare. - ANS-The Office of Inspector General's (OIG's) strategic plan
includes four goals:
, a. Reduce risk, prevent criminal conduct, enforce laws and maintain ethics in health
care.
b. Fight fraud, waste and abuse; promise quality and safety, secure and advance future
innovations in healthcare.
c. Prevent criminal conduct; promulgate quality and safety; educate medical staff; and
oversee disciplinary actions.
d. Promote quality and safety, education for patients and clinical staff and advance
pharmaceuticals' best use.
b. Health record number - ANS-Which of the following is an example of a unique
identifier for an individual heath record to ensure that the information in the record is not
misplaced, lost, or confused with information for another person each time a patient
visits a facility?
a. Account number
b. Health record number
c. Admission date
d. Discharge date
d. Tracking length of stay - ANS-All of the following should be part of the core areas of a
coding compliance plan except:
a. Physician query process
b. Correct use of encoder software
c. Coding diagnoses supported by medical record documentation
d. Tracking length of stay
d. Quality improvement - ANS-Which of the following programs has been in place in
hospitals for years and has been required by the Medicare and Medicaid programs and
accreditation standards?
a. Internal DRG audits
b. Peer review
c. Managed care
d. Quality improvement
a. Privacy - ANS-Which of the following is the concept of the right of an individual to be
left alone?
a. Privacy
b. Bioethics
c. Security
d. Confidentiality
b. Concurrent - ANS-The HIM department is planning to scan medical record
documentation. The project includes the scanning of documentation such as history and
physicals, physician orders, operative reports, and nursing notes. Which of the following
methods of scanning would be best to help HIM professionals monitor the completeness
of health records during a patient's hospitalization?
a. Ad hoc
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c. Informal counseling or verbal warning - ANS-Performance counseling usually begins
with which of the following?
a. Submitting an action plan of steps the employee will do to resolve the issue and
improve performance
b. Job termination
c. Informal counseling or verbal warning
d. Put the coder on unpaid leave of absence
a. Pay for performance and quality - ANS-What is the incentive to improve the quality of
clinical outcomes using the electronic health record that could result in additional
reimbursement or eligibility for grants or other subsidies to support further HIT efforts?
a. Pay for performance and quality
b. Patient referrals
c. Payer of last resort
d. Performance evaluations
b. Penalties for non-compliance of standards - ANS-An effective compliance program
should include some basic elements to comply with state and federal laws. These
include policies, procedures and standards of conduct; the identification of a compliance
officer and committee; education of staff; establishment of communication channels;
performance of internal monitoring; corrective action when a problem is identified; and
________:
a. Clinical documentation strategies
b. Penalties for non-compliance of standards
c. Improving the accuracy of health claims
d. External audits
d. Standards - ANS-Statements that define the performance expectations and
structures or processes that must be in place are ________.
a. Rules
b. Policies
c. Guidelines
d. Standards
b. Fight fraud, waste and abuse; promise quality and safety, secure and advance future
innovations in healthcare. - ANS-The Office of Inspector General's (OIG's) strategic plan
includes four goals:
, a. Reduce risk, prevent criminal conduct, enforce laws and maintain ethics in health
care.
b. Fight fraud, waste and abuse; promise quality and safety, secure and advance future
innovations in healthcare.
c. Prevent criminal conduct; promulgate quality and safety; educate medical staff; and
oversee disciplinary actions.
d. Promote quality and safety, education for patients and clinical staff and advance
pharmaceuticals' best use.
b. Health record number - ANS-Which of the following is an example of a unique
identifier for an individual heath record to ensure that the information in the record is not
misplaced, lost, or confused with information for another person each time a patient
visits a facility?
a. Account number
b. Health record number
c. Admission date
d. Discharge date
d. Tracking length of stay - ANS-All of the following should be part of the core areas of a
coding compliance plan except:
a. Physician query process
b. Correct use of encoder software
c. Coding diagnoses supported by medical record documentation
d. Tracking length of stay
d. Quality improvement - ANS-Which of the following programs has been in place in
hospitals for years and has been required by the Medicare and Medicaid programs and
accreditation standards?
a. Internal DRG audits
b. Peer review
c. Managed care
d. Quality improvement
a. Privacy - ANS-Which of the following is the concept of the right of an individual to be
left alone?
a. Privacy
b. Bioethics
c. Security
d. Confidentiality
b. Concurrent - ANS-The HIM department is planning to scan medical record
documentation. The project includes the scanning of documentation such as history and
physicals, physician orders, operative reports, and nursing notes. Which of the following
methods of scanning would be best to help HIM professionals monitor the completeness
of health records during a patient's hospitalization?
a. Ad hoc
