Coding Associate Exam Study Guide CCA - Expert-Verified Solutions

Coding Associate Exam Study Guide CCA - Expert-Verified Solutions per cpt guidelines a seperate procedure is - answer - considered to an integral part of another, larger service the codes in the musculoskeletal section of cpt may be used by - answer - any physician observastion e/m codes are used in physician billing when - answer - a patient is referred to a designated observation status documentation in the history of use of drugs, alcohol and or tacacco is considered part of the - answer - social history tissue transplanted from one individual to another of the same species but different genotype is called - answer - c mohs micrographic surgery invloves the surgeon acting as - answer - surgeon and pathologist if an orthopedic surgeon attempted to reduce a fracture but was unsuccessful in obtaining acceptable alignment, what type of code should be assigned for the procedure - answer - a 'with manipulation' code in coding arterial catheteriztions, when the tip of the catheter is manipulated from the insertion into the aorta and then out into another artery, this is called - answer - selective catheterization when coding a selective catheterization in cpt, how are codes assigned - answer - one code, for the final vessel entered Which of the following provides organizations with the ability to access data from multiple databases and to combine the results into a single questions-and-reporting interface? - answer - Data Warehouse What is the maximum number of procedure codes that can appear on a UB-04 paper claim form for a hospital inpatient? - answer - six (6) What was the goal of the new MS-DRG system? - answer - To improve Medicare's capability to recognize severity of illness in its inpatient hospital payments. The new system is projected to increase payments to hospitals for services provided to sicker patients and decrease payments for treating less severely ill patients Today, Janet Kim visited her new dentist for an appointment. She was not presented with a Notice of Privacy Practices. Is this acceptable? - answer - No; it is a violation of the HIPAA Privacy Rule How does Medicare or other third-party payers determine whether the patient has medical necessity for the tests, procedures, or treatment billed on a claim form? - answer - By reviewing al the diagnosis codes assigned to explain the reasons the services were provided Documentation in the history of use of drugs, alcohol, and/or tobacco is considered part of the: - answer - Social history Which of the following ethical principles is being followed when an HIT professional ensures thtat patient information is only released to those who have a legl right to access it? - answer - Beneficence Dr. Jones has signed a statement that all of her dictated reports should be automatically considered approved and signed unless she makes correction within 72 hours of dictating. This is called _____________. - answer - Autoauthentication Both HEDIS and the Joint Commission's ORYX program are designed to collect data to be used for __________. - answer - Performance improvement programs The coder notes that the physician has presribed Retrovir for the patient. The coder might find which of the following on the patient's discharge summary? - answer - AIDS During a review of documentation practices, the HIM director finds that nurses are routinely using the copy and paste function of the hospital's new EHR system for documenting nursing notes. In some cases, nurses are copying and pasting the objective data from the lab system and intake-output records as well as the patient's subjective complaints and symptoms originally documented by another practitioner. Which of the following should the HIM director do to ensure the nurses are following acceptable documentation practices? A. Inform the nurses that "copy and paste" is not acceptable and to stop this practice immediately B. Determine how many nurses are involved in this practice C. Institute an i