CCA EXAM PRACTICE TEST QUESTIONS AND ANSWERS 100% PASS

CCA EXAM PRACTICE TEST QUESTIONS AND ANSWERS 100% PASS The concept of "minimum necessary" included in the HIPAA means that healthcare providers must Limit use, access, and disclosure to the minimum necessary to accomplish the intended purpose Code assignment for stage three decubitis ulcers of the hip and heel require how many codes? 2 The diagnostic statement indicates the patient has metastatic carcinoma to the bone. This site is considered to be Osseous Origin A revenue code is A four digit number used for billing What are the two partitions that each major diagnostic category is divided into based on the patient's treatment Medical and Surgical What is the purpose of fee schedule Reimburse physicians and/or other providers on a fee-for-service basis Current Procedure terminology CPT was originally designed for reporting Physician services How many APCs may be assigned to a Medicare beneficiary who is treated during an outpatient encounter at the hospital Unlimited number of APCs per encounter The basic formula for the calculation of an inpatient PPS payment is the multiplication of Hospital base payment rate and relative weight for DRG What does APC stand for Ambulatory Payment Clasification What does LCD stand for Local coverage determination The primary purpose of the chargemaster is to List all updates and services provided to patients and the corresponding changes for items The Medicare Prospective Payment System reimburses facilities for treatment of Medicare beneficiaries who are Admitted to inpatient status in an acute care facility Would change the DRG assignment for patient with principal diagnosis of pneumonia from a medical DRG to a surgical DRG Tracheostomy A Medicare beneficiary who is treated during an outpatient encounter at a hospital may have a combination of payments paid to the facility including Ambulatory Payment Classification (APC) system and Payment based on various fee schedules, such as laboratory fee schedule Medicare- Severity Diagnostics Related Groups (MS-DRG) are defined as A reimbursement system that categorizes patient's with related diagnosis, treatment, and length of stay The principal diagnosis is defined as The condition after study that is determined to be chiefly responsible for admission of the patient to the hospital for care Where would an electroencephalography report be located in the source-oriented health record Neurology report According to the UHDDS, it is the "condition established after study to be chiefly responsible" for admission to the hospital for care is Principal diagnosis A HIM employee finds inconsistency in the health documentation related to a patient's surgical procedure. The history and physical notes the patient is scheduled to have a right knee replacement. The operative report states the patient had a left knee replacement. Which type of analysis is being performed by the employee Qualitative The Uniform Discharge Data Set (UHDDS) was developed to Improve consistency and comparability of health care data Following a surgical biopsy for a breast mass the final diagnosis on a patient's record reveals adenocarcinoma of the breast. What form in the health record would confirm that the breast tissue was indeed cancerous Pathology report A patient with bradycardia has a heartbeat that is Slow When reporting privacy violations an employee should first Speak with the immediate supervisor An example of an unethical coding practice is Selecting codes that will bypass billing edits According to the Joint Commission standards for documentation what is the surgeon's time frame for dictating an operative report Immediately following surgery Elements of coding reliability include reliability, completeness, timeliness and Validity Which of the following is and important data component of an operative report Reason for procedure What is the purpose of the query process To provide a clear picture of specific diagnoses when the existing documentation is not clear Organization that grants accreditation to acute care hospitals when they are found to be in compliance with published standards? The Joint Commission What is purpose of quantitative analysis performed by HIM professionals Review record for completeness Unacceptable documentation practice in a patient's health record Backdating progress notes after patient discharge Which of the following is a reviewable sentinel event according to the Joint Commission An operation on the wrong side of the body The master program that resides in RAM while the computer is on and manages the basic operations of the computer is the Operating system Computer peripheral that is an input device Scanner Storage device utilized in information systems Hard disk drive The portion of the health record that is disclosed upon request to parties outside the organization is known as the Legal Health Record Federal regulations which govern the form and content of acute care health records are known as Conditions of Participation According to AHIMA's Standards of Ethical coding, which of the following activities is the responsibility of an ethical coding professional Refuse to change codes on claim forms to misrepresent the patient's condition Not considered sensitive health info that requires special attention concerning the considerability of the health info Alcohol and drug treatment HIM professionals should not disclose personal health information without Signed authorization from patient Would not be packaged into the ambulatory payment classification (APC) for a patient who had an outpatient day surgery at the hospital Pathology services