MOCK CRC EXAM -CERTIFIED RISK ADJUSTMENT CODER | ACTUAL QUESTIONS & VERIFIED SOLUTIONS | NEWEST UPDATED EDITION|GRADED A+

Question 1

1. _____ regulations determine the coding requirements for Medicare Advantage plans.



A. FEHB

B. HIAA

C. CMS

D. ERISA

CORRECT ANSWER

D. ERISA




Question 2

2. Medicare Advantage combines the benefits of which of the following plans?



A. Medicare Part A and Part B

B. Medicare Part A and Part D

C. Medicare Part B and Part D

D. Medicare Part A and Part B, and sometimes Part D

CORRECT ANSWER

D. Medicare Part A and Part B, and sometimes Part D




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,Question 3

3. The medical coding classification known as ICD-10-CM communicates information that is
key to which aspect of the healthcare system?



A. Medical necessity

B. Reimbursement

C. Resource allocation

D. All of the above

CORRECT ANSWER

D. All of the above




Question 4

4. It is fraudulent for a coder to knowingly:



A. Code for services not rendered

B. Change the date of service

C. Upcode

D. All of the above

CORRECT ANSWER

D. All of the above




Question 5

5. All risk-adjustment models employ diagnosis codes to assess the potential risks

associated with individual patients. Other factors taken into consideration when

calculating risks include all of the following except:



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, A. Gender

B. Socioeconomic status

C. Family history

D. Procedure codes

CORRECT ANSWER

D. Procedure codes




Question 6

6. The definition of dysphasia is:



A. The absence of swallowing

B. Painful or difficult speech

C. The absence of speech

D. Painful or difficult swallowing

CORRECT ANSWER

C. The absence of speech




Question 7

7. MAC



A. Make a Change

B. Medicare Administrative Contractor

C. Maximum Allowable Copay

D. Money Access Center

CORRECT ANSWER



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