Question 1
Mary Smith, RHIA, has been charged with the responsibility 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
CORRECT ANSWER
A
Question 2
When the CCI editor flags that a comprehensive 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
1
@https://www.stuvia.com/user/thestudyvault
,The comprehensive and the component codes
Neither the comprehensive nor the component codes
CORRECT ANSWER
B
Question 3
When clean claims are submitted, they can be adjudicated in many ways through
computer software automatically. Which statement is not one of the outcomes that can
occur as part of auto-adjudication?
Auto-pay
Auto-suspend
Auto-calculate
Auto-deny
CORRECT ANSWER
C
Question 4
Which of the following is not a way that ICD-10-CM improves coding accuracy?
Reduces sequencing problems by combining conditions into one code
Provides laterality options
2
@https://www.stuvia.com/user/thestudyvault
,Captures more details for injuries, diabetes, and postoperative complications
Increases cross-referencing
CORRECT ANSWER
D
Question 5
Which of the following organizations is responsible for 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)
CORRECT ANSWER
B
Question 6
This program was initiated by the Balanced Budget Act of 1997 and allows states to
expand existing insurance programs to cover children up to age 19.
Children's State Medicare Program (CSMP)
State Children's Health Insurance Program (SCHIP)
3
@https://www.stuvia.com/user/thestudyvault
, Children's State Healthcare Alliance (CSHA)
Children's Aid to Healthcare (CAH)
CORRECT ANSWER
B
Question 7
Which of the following provides a complete description to patients about how PHI is used
in a healthcare facility?
Notice of Privacy Practices
Authorization
Consent for treatment
Minimum necessary
CORRECT ANSWER
A
Question 8
The National Correct Coding Initiative was developed to control improper coding leading
to inappropriate payment for:
Part A Medicare claims
Part B Medicare claims
4
@https://www.stuvia.com/user/thestudyvault
Mary Smith, RHIA, has been charged with the responsibility 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
CORRECT ANSWER
A
Question 2
When the CCI editor flags that a comprehensive 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
1
@https://www.stuvia.com/user/thestudyvault
,The comprehensive and the component codes
Neither the comprehensive nor the component codes
CORRECT ANSWER
B
Question 3
When clean claims are submitted, they can be adjudicated in many ways through
computer software automatically. Which statement is not one of the outcomes that can
occur as part of auto-adjudication?
Auto-pay
Auto-suspend
Auto-calculate
Auto-deny
CORRECT ANSWER
C
Question 4
Which of the following is not a way that ICD-10-CM improves coding accuracy?
Reduces sequencing problems by combining conditions into one code
Provides laterality options
2
@https://www.stuvia.com/user/thestudyvault
,Captures more details for injuries, diabetes, and postoperative complications
Increases cross-referencing
CORRECT ANSWER
D
Question 5
Which of the following organizations is responsible for 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)
CORRECT ANSWER
B
Question 6
This program was initiated by the Balanced Budget Act of 1997 and allows states to
expand existing insurance programs to cover children up to age 19.
Children's State Medicare Program (CSMP)
State Children's Health Insurance Program (SCHIP)
3
@https://www.stuvia.com/user/thestudyvault
, Children's State Healthcare Alliance (CSHA)
Children's Aid to Healthcare (CAH)
CORRECT ANSWER
B
Question 7
Which of the following provides a complete description to patients about how PHI is used
in a healthcare facility?
Notice of Privacy Practices
Authorization
Consent for treatment
Minimum necessary
CORRECT ANSWER
A
Question 8
The National Correct Coding Initiative was developed to control improper coding leading
to inappropriate payment for:
Part A Medicare claims
Part B Medicare claims
4
@https://www.stuvia.com/user/thestudyvault
