Mock CCA exam

____________________ sums up the patients hospital course and confirms conditions or complications. A. Discharge summary B. Physician orders C. History and Physical D. Progress notes - correct answer A The ________________ may indicate chronic or acute conditions for which the patient is receiving treatment. A. Discharge summary B. Physician orders C. History and Physical D. Progress notes - correct answer B The _____________ to complete the clinical picture, includes social and family history as well as past and present illnesses, may have clinical implications. A. Discharge summary B. Physician orders C. History and Physical D. Progress notes - correct answer C The ____________ to track the course of hospitalization concerning daily status, reactions, or post-operative complications. A. Discharge summary B. Operative reports C. History and Physical D. Progress notes - correct answer D Any additional procedures may be identified in the body of the _____________. A. Discharge summary B. Operative reports C. History and Physical D. Progress notes - correct answer B _________ reports may show evidence of conditions such as anemia, renal failure, infections, and metabolic imbalances. A. Laboratory B. Radiology C. Medication administration reports (MARs) D. Respiratory therapy notes - correct answer A ________ reports may confirm, or deny, diagnosis of pneumonia, COPD, CHF, degenerative joint diseases, and traumatic injuries. A. Laboratory B. Radiology C. Medication administration reports (MARs) D. Respiratory therapy notes - correct answer B ______________ indicate all drugs that were adminstered to the patient. A. Laboratory B. Radiology C. Medication administration reports (MARs) D. Respiratory therapy notes - correct answer C _____________ document the use of mechanical ventilation and describe the severity of respiratory disorders. A. Dietary B. Speech pathology C. Medication administration reports (MARs) D. Respiratory therapy notes - correct answer D _______________ reports detail useful information for coding musculoskeletal dysfunctions. A. Dietary B. Speech pathology C. Medication administration reports (MARs) D. Physical therapy notes - correct answer D ____________ reports describe nutritional deficiencies. A. Dietary B. Speech pathology C. Medication administration reports (MARs) D. Physical therapy notes - correct answer A ______________ reports give information on dysphasia, aphasia, and other speech-related conditions. A. Dietary B. Speech pathology C. Medication administration reports (MARs) D. Physical therapy notes - correct answer B ___________ reports are essential for accurate coding of conditions where excised tissue has been submitted for examination and interpretation. A. Dietary B. Speech pathology C. Pathology D. Physical therapy notes - correct answer C This data is printed on the UB-04 claim form to represent the cost center ( e.g. lab, radiology, cardiology, and respiratory) for the department in which the item is provided. It is used for Medicare billing A. general ledger key B. charge/service code C. HCPCS D. revenue code - correct answer D All of the following statement are true of MS-DRGs EXCEPT A. there are several types of hospitals that are excluded from the Medicare inpatient PPS B. the MS-DRG payment received by the hospital may be lower than the actual cost of providing the services C. special circumstance can result in a sot outlier payment to the hospital D. a patient claim may have multiple MS-DRGs - correct answer D The Recovery Audit Contractor ( RAC) program was developed to identify and reduce improper payments for A. collection of overpayments B. Medicare claims C. Medicare claims and collection of overpayments D. Medicaid claims - correct answer B Under the Inpatient Prospective Payment System (IPPS), there is a 3-day payment window (formerly reffered to as then 72-hour rule). This rule requires that outpatient preadmission services that are provided by a hospital up to three calendar days prior to a patient's inpatient admission be covered by IPPS MS-DR payment for. A. diagnostic services B. diagnosis and therapeutic services whereby the inpatient principal diagnosis code (ICD-10-CM) exactly matches the code used for or) preadmission services. C. therapeutic (or nondiagnostic services whereby the inpatient principal diagnosis codes (ICD-10-CM) does not match the code used for preadmission services. D. therapeutic ( or nondiagnostic) services whereby the inpatient principal diagnosis code (ICD-10-CM) exactly matches the code used for preadmission services - correct answer B In calculation the fee for a physican's reimbursement, the relative value units are each mutliplied by the A. cost of living index for the particular region. B. usual and customary fees for the service C. National conversion factor D. Geographic practice cost indices - correct answer APCs are groups of services that the OPPS will reimburse, which of the following services is not included in APC's A. preventative services B. screening exams C. radiation therapy D. organ transplantation - correct answer D The prospective payment system used to reimburse home health agencies for patients with Medicare utilizes data from the A. UACDS ( Uniform Ambulatory Core Data Set) B. MDS (Minimum Data Set) C. UHDDS ( Uniform Hospital Discharge Data Set) D. OASIS (Outcome and Assessment Information Set) - correct answer D Under APCs, the payment status indicator "N" means that the payment. A. is the ancillary services B. is discounted at 50% C. is package into the payment for other services D. is for a clinic or an emergency visit. - correct answer C 62 - correct answer When coding the phrase " nonobstructive reflux associated chronic pyelonephritis" the main term to reference in the index is ____________ A. Reflux B. pyelonephritis C. chronic D. nonobstructive - correct answer B