CCA EXAM WITH VERIFIED QUESTIONS AND
ANSWERS|| GUARANTEED PASS
Which of the following is not an essential data element for a healthcare
insurance claim?
a. Revenue code
b. Procedure code
c. Provider name
d. Procedure name - ANSWER-d. Procedure name
Denials of outpatient claims are often generated from all of the following edits
except:
a. NCCI (National Correct Coding Initiative)
b. OCE (outpatient code editor)
c. OCE (outpatient claims editor)
d. National and local policies - ANSWER-c. OCE (outpatient claims editor)
A coding audit shows that an inpatient coder is using multiple codes that
describe the individual components of a procedure rather than using a single
code that describes all the steps of the procedure performed. Which of the
following should be done in this case?
a. Require all coders to implement this practice
b. Report the practice to the OIG
,c. Counsel the coder and stop the practice immediately
d. Put the coder on unpaid leave of absence - ANSWER-c. Counsel the coder
and stop the practice immediately
Which of the following types of hospitals are excluded from the Medicare
inpatient prospective payment system?
a. Children's
b. Rural
c. State supported
d. Tertiary - ANSWER-a. Children's
Which of the following best describes the type of coding utilized when a
CPT/HCPCS code is assigned directly through the charge description master for
claim submission and bypasses the record review and code assignment by the
facility coding staff?
a. Hard coding
b. Soft coding
c. Encoder coding
d. Natural-language processing coding - ANSWER-a. Hard coding
What is the process used to transform text into an unintelligible string of
characters that can be transmitted via communications media with a high degree
of security and then decrypted when it reaches a secure destination?
a. Distortion
b. Extrication
c. Encryption
d. Encoded - ANSWER-c. Encryption
,The practice of assigning a diagnosis or procedure code specifically for the
purpose of obtaining a higher level of payment is called _____.
a. Billing
b. Unbundling
c. Upcoding
d. Unnecessary service - ANSWER-c. Upcoding
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 - ANSWER-a. Pay for performance and quality
Notices of privacy practices must be available at the site where the individual is
treated and:
a. Must be posted next to the entrance
b. Must be posted in a prominent place where it is reasonable to expect that
patients will read them
c. May be posted anywhere at the site
d. Do not have to be posted at the site - ANSWER-b. Must be posted in a
prominent place where it is reasonable to expect that patients will read them
Which of the following laws created the Healthcare Integrity and Protection
Data Bank?
, a. Health Information Portability and Accountability Act
b. American Recovery and Reinvestment Act
c. Consolidate Omnibus Budget Reconciliation Act
d. Healthcare Quality Improvement Act - ANSWER-a. Health Information
Portability and Accountability Act
The government sponsored supplemental medical insurance that covers
physicians and surgeons services, emergency department, outpatient clinic, labs
and physical therapy is:
a. Medicaid
b. Medicare Part B
c. Medicare Part A
d. Medicare Part D - ANSWER-c. Medicare Part B
What system assigns each service a value representing the true resources
involved in producing it, including the time and intensity of work, the expenses
of practice, and the risk of malpractice?
a. DRGs
b. RVUs
c. CPT
d. SVR - ANSWER-b. RVUs
Medicare defines fraud as _____.
a. Billing practices that are inconsistent with generally acceptable fiscal policies
b. Making unintentional billing errors
ANSWERS|| GUARANTEED PASS
Which of the following is not an essential data element for a healthcare
insurance claim?
a. Revenue code
b. Procedure code
c. Provider name
d. Procedure name - ANSWER-d. Procedure name
Denials of outpatient claims are often generated from all of the following edits
except:
a. NCCI (National Correct Coding Initiative)
b. OCE (outpatient code editor)
c. OCE (outpatient claims editor)
d. National and local policies - ANSWER-c. OCE (outpatient claims editor)
A coding audit shows that an inpatient coder is using multiple codes that
describe the individual components of a procedure rather than using a single
code that describes all the steps of the procedure performed. Which of the
following should be done in this case?
a. Require all coders to implement this practice
b. Report the practice to the OIG
,c. Counsel the coder and stop the practice immediately
d. Put the coder on unpaid leave of absence - ANSWER-c. Counsel the coder
and stop the practice immediately
Which of the following types of hospitals are excluded from the Medicare
inpatient prospective payment system?
a. Children's
b. Rural
c. State supported
d. Tertiary - ANSWER-a. Children's
Which of the following best describes the type of coding utilized when a
CPT/HCPCS code is assigned directly through the charge description master for
claim submission and bypasses the record review and code assignment by the
facility coding staff?
a. Hard coding
b. Soft coding
c. Encoder coding
d. Natural-language processing coding - ANSWER-a. Hard coding
What is the process used to transform text into an unintelligible string of
characters that can be transmitted via communications media with a high degree
of security and then decrypted when it reaches a secure destination?
a. Distortion
b. Extrication
c. Encryption
d. Encoded - ANSWER-c. Encryption
,The practice of assigning a diagnosis or procedure code specifically for the
purpose of obtaining a higher level of payment is called _____.
a. Billing
b. Unbundling
c. Upcoding
d. Unnecessary service - ANSWER-c. Upcoding
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 - ANSWER-a. Pay for performance and quality
Notices of privacy practices must be available at the site where the individual is
treated and:
a. Must be posted next to the entrance
b. Must be posted in a prominent place where it is reasonable to expect that
patients will read them
c. May be posted anywhere at the site
d. Do not have to be posted at the site - ANSWER-b. Must be posted in a
prominent place where it is reasonable to expect that patients will read them
Which of the following laws created the Healthcare Integrity and Protection
Data Bank?
, a. Health Information Portability and Accountability Act
b. American Recovery and Reinvestment Act
c. Consolidate Omnibus Budget Reconciliation Act
d. Healthcare Quality Improvement Act - ANSWER-a. Health Information
Portability and Accountability Act
The government sponsored supplemental medical insurance that covers
physicians and surgeons services, emergency department, outpatient clinic, labs
and physical therapy is:
a. Medicaid
b. Medicare Part B
c. Medicare Part A
d. Medicare Part D - ANSWER-c. Medicare Part B
What system assigns each service a value representing the true resources
involved in producing it, including the time and intensity of work, the expenses
of practice, and the risk of malpractice?
a. DRGs
b. RVUs
c. CPT
d. SVR - ANSWER-b. RVUs
Medicare defines fraud as _____.
a. Billing practices that are inconsistent with generally acceptable fiscal policies
b. Making unintentional billing errors
