COC 2022 - FINAL EXAM QUESTIONS AND ANSWERS
A choledochal cyst is a cyst originating from which structure? Correct answer- Common bile duct
A character's position can be understood as which type of classification that allows different specific values to be inserted into that space, and whose physical position remains stable? Correct answer- Semi-independent
A code from categories Q00-Q99 can be used until the patient reaches what age? Refer
to ICD-10-CM guideline I.C.17. Correct answer- • They can be used throughout the life of the patient unless it has been corrected .
A condition where the thyroid is overactive is called: Correct answer- Thyrotoxicosis
A critical access hospital is: Correct answer- Answer:A facility in a rural area used for hospital inpatient stays, inpatient rehabilitation and psychiatric services, which also offers emergency services Rationale: Medicare beneficiaries in rural areas can receive services from critical access hospitals. CAHs offer 24-hour emergency services seven days a week, hospital inpatient stays, inpatient rehabilitation, and psychiatric services.
A cystourethroscopy is examination of what structures? Correct answer- Bladder and urethra
A dacryocystectomy describes: Correct answer- Excision of the lacrimal sac
A deficiency of cells in the blood is defined as: Correct answer- Cytopenia
A facility coder: Correct answer- Must understand the complete revenue cycle process. Rationale: A facility coder must understand the complete revenue cycle process and the
impact the coder's role in the overall success.
A gonioscopy is an examination of what part of the eye: Correct answer- Anterior chamber of the eye
A hospital CDM contains the following information: Correct answer- Department number, CPT®/HCPCS Level II code(s), charge, revenue code, inventory number, description of service Rationale: Typically, a CDM includes the department number/internal control/inventory number, description of services, revenue center (UB revenue code), CPT ®/HCPCS Level II (procedure codes), and charge for service.
A hospital has an obligation to provide emergency services to a patient under what federal act? Correct answer- Emergency Medical Treatment and Active Labor Act
A Medicare patient is scheduled for a procedure Medicare deemed as statutorily excluded. The facility asks the patient to sign the ABN, but the patient refuses. The facility bills the patient for the service and the patient refuses to pay. Is the patient liable in this situation? Correct answer- Yes If yes, why is the patient liable for the bill? When the statute excludes the service, an ABN is not necessary and refusal to sign the ABN does not exempt the patient from payment responsibility.
A Medicare patient was to undergo a procedure based on a diagnosis that was not medically necessary for Medicare reimbursement. The surgery technician presented the
ABN appropriately to the patient, but the patient refused to sign the ABN. The surgery technician documented on the ABN that the patient refused to sign. The technician asked the nurse to witness the patient's refusal to sign. The patient insisted on undergoing the procedure and the surgeon agreed to perform the service. Medicare denied the claim because the diagnosis did not support medical necessity for the service. What is the most appropriate action? Correct answer- The hospital may bill the patient and collect the full amount of the bill.
A Medicare secondary payer ensures: Correct answer- Medicare payment for items or services is prohibited if payment can be paid by another payer under certain conditions.
A meningioma is defined as: Correct answer- Tumor of the meninges
A part of the male genital system sitting below the urinary bladder and surrounding the urethra is called the: Correct answer- Prostate
A patient arrives at the ED after being involved in an automobile accident. She has multiple lacerations, a contusion on her head, and a sprained ankle. The laceration repair and a level 3 ED visit are reported. Is a modifier necessary? If yes, why? Correct answer- Yes. Modifier 25 is required on the ED visit to indicate it was separately identifiable from the laceration repair.
A patient presented to the hospital outpatient pulmonary clinic for asthma follow-up. During the encounter, the physician performed an expanded problem focused history and exam with moderate decision making for this established patient. The documentation supported a low-level E/M for the facility. Later in the evening, the patient suffered an acute asthma attack and went to the ER in the same hospital for treatment. What modifier is used to indicate multiple E/M services occurred on the same
date? Correct answer- 27
A choledochal cyst is a cyst originating from which structure? Correct answer- Common bile duct
A character's position can be understood as which type of classification that allows different specific values to be inserted into that space, and whose physical position remains stable? Correct answer- Semi-independent
A code from categories Q00-Q99 can be used until the patient reaches what age? Refer
to ICD-10-CM guideline I.C.17. Correct answer- • They can be used throughout the life of the patient unless it has been corrected .
A condition where the thyroid is overactive is called: Correct answer- Thyrotoxicosis
A critical access hospital is: Correct answer- Answer:A facility in a rural area used for hospital inpatient stays, inpatient rehabilitation and psychiatric services, which also offers emergency services Rationale: Medicare beneficiaries in rural areas can receive services from critical access hospitals. CAHs offer 24-hour emergency services seven days a week, hospital inpatient stays, inpatient rehabilitation, and psychiatric services.
A cystourethroscopy is examination of what structures? Correct answer- Bladder and urethra
A dacryocystectomy describes: Correct answer- Excision of the lacrimal sac
A deficiency of cells in the blood is defined as: Correct answer- Cytopenia
A facility coder: Correct answer- Must understand the complete revenue cycle process. Rationale: A facility coder must understand the complete revenue cycle process and the
impact the coder's role in the overall success.
A gonioscopy is an examination of what part of the eye: Correct answer- Anterior chamber of the eye
A hospital CDM contains the following information: Correct answer- Department number, CPT®/HCPCS Level II code(s), charge, revenue code, inventory number, description of service Rationale: Typically, a CDM includes the department number/internal control/inventory number, description of services, revenue center (UB revenue code), CPT ®/HCPCS Level II (procedure codes), and charge for service.
A hospital has an obligation to provide emergency services to a patient under what federal act? Correct answer- Emergency Medical Treatment and Active Labor Act
A Medicare patient is scheduled for a procedure Medicare deemed as statutorily excluded. The facility asks the patient to sign the ABN, but the patient refuses. The facility bills the patient for the service and the patient refuses to pay. Is the patient liable in this situation? Correct answer- Yes If yes, why is the patient liable for the bill? When the statute excludes the service, an ABN is not necessary and refusal to sign the ABN does not exempt the patient from payment responsibility.
A Medicare patient was to undergo a procedure based on a diagnosis that was not medically necessary for Medicare reimbursement. The surgery technician presented the
ABN appropriately to the patient, but the patient refused to sign the ABN. The surgery technician documented on the ABN that the patient refused to sign. The technician asked the nurse to witness the patient's refusal to sign. The patient insisted on undergoing the procedure and the surgeon agreed to perform the service. Medicare denied the claim because the diagnosis did not support medical necessity for the service. What is the most appropriate action? Correct answer- The hospital may bill the patient and collect the full amount of the bill.
A Medicare secondary payer ensures: Correct answer- Medicare payment for items or services is prohibited if payment can be paid by another payer under certain conditions.
A meningioma is defined as: Correct answer- Tumor of the meninges
A part of the male genital system sitting below the urinary bladder and surrounding the urethra is called the: Correct answer- Prostate
A patient arrives at the ED after being involved in an automobile accident. She has multiple lacerations, a contusion on her head, and a sprained ankle. The laceration repair and a level 3 ED visit are reported. Is a modifier necessary? If yes, why? Correct answer- Yes. Modifier 25 is required on the ED visit to indicate it was separately identifiable from the laceration repair.
A patient presented to the hospital outpatient pulmonary clinic for asthma follow-up. During the encounter, the physician performed an expanded problem focused history and exam with moderate decision making for this established patient. The documentation supported a low-level E/M for the facility. Later in the evening, the patient suffered an acute asthma attack and went to the ER in the same hospital for treatment. What modifier is used to indicate multiple E/M services occurred on the same
date? Correct answer- 27
