CCA Mock Exam Timed

You are conducting an educational session on benchmarking. You tell your audience that the key to benchmarking is to use the comparison to - correct answer improve your department's processes. Your facility would like to improve physician documentation in order to allow improved coding. As coding supervisor, you have found it very effective to provide the physicians with - correct answer feedback on specific instances when improved documentation would improve coding. Which of the following procedures can be identified as "destruction" of lesions? - correct answer laser removal of condylomata The practice of using a code that results in a higher payment to the provider than the code that more accurately reflects the service provided is known as - correct answer upcoding A ________ is a collection of information or data that is organized in such a way that its contents can be queried and relationships created. - correct answer database The use of radioactive sources placed into a tumor-bearing area to generate high-intensity radiation is termed - correct answer brachytherapy. Which of the following procedures would NOT be coded to "resection" when using ICD-10-PCS? - correct answer partial resection of upper left lobe The definition of resection is "cutting out or off, without replacement, all of a body part." During these procedures, the entire body part is removed, such as a complete cholecystectomy or a complete appendectomy. During her hospitalization for her third delivery, Janet had a sterilization procedure performed. When the record is coded, the code for sterilization, Z30.2, is - correct answer used and sequenced as a secondary diagnosis. See ICD-10-CM Official Guidelines 2018, Section III. Reporting Additional Diagnoses. Some ICD-10-CM codes are exempt from POA reporting because they - correct answer are always present on admission and represent circumstances regarding the health care encounter or factors influencing health status that do not represent a current disease or injury. CMS delegates its daily operations of the Medicare and Medicaid programs to - correct answer Medicare administrative contractor (MAC). Which diagnosis should be listed first when sequencing inpatient codes using the UHDDS? - correct answer principal diagnosis As part of a concurrent record review, you need to locate the initial plan of action based on the attending physician's initial assessment of the patient. You can expect to find this documentation either within the body of the history and physical or in the - correct answer doctor's admitting progress note. The _______________ are the organizations that contract with Medicare to perform reviews of medical records with the corresponding Medicare claims to detect and correct improper payments. - correct answer recovery audit contractors (RACs) Which of the following could influence a facility's case mix? - correct answer changes in DRG weights changes in the services offered by a facility accuracy of coding The Joint Commission requires that all medical records be completed within ___________ following patient discharge. - correct answer 30 days If the same condition is described as both acute and chronic and separate subentries exist in the ICD-10-CM alphabetic index at the same indentation level - correct answer they should both be coded, acute sequenced first. What legal term is used in describing sexual harassment in reference to unwelcome sexual advances, request for sexual favors, and verbal or physical conduct of a sexual nature made in return for job benefits? - correct answer quid pro quo Staging - correct answer is a system for documenting the extent or spread of cancer. Which of these conditions are always considered "present on admission" (POA)? - correct answer congenital conditions Robert Thompson was seen in the outpatient department with a chronic cough and the record states "rule out lung cancer." What should be coded as the patient's diagnosis? - correct answer lung cancer When a patient is admitted because of a primary neoplasm with metastasis and treatment is directed toward the secondary neoplasm only - correct answer the secondary neoplasm is coded as the principal diagnosis, and the primary neoplasm is coded as an additional diagnosis. A document that acknowledges patient responsibility for payment if Medicare denies the claim is a(n) - correct answer advance beneficiary notice. A final progress note is appropriate as a discharge summary for a hospitalization in which the patient - correct answer was an obstetric admission with a normal delivery and no complications. When coding multiple wound repairs in CPT - correct answer all wound repairs are grouped and coded with the most complex reported first. You would expect to find documentation regarding the assessment of an obstetric patient's lochia, fundus, and perineum on the - correct answer postpartum record.