LUTIONS
MaryioSmith,ioRHIA,iohasiobeeniochargediowithiotheioresponsibilityioofiodesigningioaiodataiocollectionioformio
toiobeiousedioonioadmissionioofioaiopatientiotoiotheioacute-
careiohospitalioiniowhichiosheioworks.ioTheiofirstioresourceiothatiosheioshouldiouseiois:
UHDDS
UACDS
MDS
ORYXio-ioPreciseioAnswerio✔✔a
WheniotheioCCIioeditorioflagsiothatioaiocomprehensiveiocodeioandioaiocomponentiocodeioareiobillediotogethe
rioforiotheiosameiobeneficiaryiooniotheiosameiodateioofioservice,ioMedicareiowilliopayiofor:
Theiocomponentiocodeiobutionotiotheiocomprehensiveiocode
Theiocomprehensiveiobutionotiotheiocomponentiocode
Theiocomprehensiveioandiotheiocomponentiocodes
Neitheriotheiocomprehensiveionoriotheiocomponentiocodesio-ioPreciseioAnswerio✔✔b
Wheniocleanioclaimsioareiosubmitted,iotheyiocaniobeioadjudicatedioiniomanyiowaysiothroughiocomputeriosoft
wareioautomatically.ioWhichiostatementioisionotiooneioofiotheiooutcomesiothatiocaniooccurioasiopartioofioaut
o-adjudication?
Auto-pay
,Auto-suspend
Auto-calculate
Auto-denyio-ioPreciseioAnswerio✔✔c
WhichioofiotheiofollowingioisionotioaiowayiothatioICD-10-CMioimprovesiocodingioaccuracy?
Reducesiosequencingioproblemsiobyiocombiningioconditionsiointoiooneiocode
Providesiolateralityiooptions
Capturesiomoreiodetailsioforioinjuries,iodiabetes,ioandiopostoperativeiocomplications
Increasesiocross-referencingio-ioPreciseioAnswerio✔✔d
WhichioofiotheiofollowingioorganizationsioisioresponsibleioforioupdatingiotheioprocedureioclassificationioofioI
CD-10-PCS?
CentersioforioDiseaseioControlio(CDC)
CentersioforioMedicareioandioMedicaidioServicesio(CMS)
NationalioCenterioforioHealthioStatisticsio(NCHS)
WorldioHealthioOrganizationio(WHO)io-ioPreciseioAnswerio✔✔b
ThisioprogramiowasioinitiatediobyiotheioBalancedioBudgetioActioofio1997ioandioallowsiostatesiotoioexpandioexi
stingioinsuranceioprogramsiotoiocoveriochildrenioupiotoioageio19.
Children'sioStateioMedicareioProgramio(CSMP)
,StateioChildren'sioHealthioInsuranceioProgramio(SCHIP)
Children'sioStateioHealthcareioAllianceio(CSHA)
Children'sioAidiotoioHealthcareio(CAH)io-ioPreciseioAnswerio✔✔b
WhichioofiotheiofollowingioprovidesioaiocompleteiodescriptioniotoiopatientsioaboutiohowioPHIioisiousedioinioai
ohealthcareiofacility?
NoticeioofioPrivacyioPractices
Authorization
Consentioforiotreatment
Minimumionecessaryio-ioPreciseioAnswerio✔✔a
TheioNationalioCorrectioCodingioInitiativeiowasiodevelopediotoiocontrolioimproperiocodingioleadingiotoioinap
propriateiopaymentiofor:
PartioAioMedicareioclaims
PartioBioMedicareioclaims
Medicaidioclaims
MedicareioandioMedicaidioclaimsio-ioPreciseioAnswerio✔✔b
TheioNationalioCorrectioCodingioInitiativeiowasiodevelopediotoiocontrolioimproperiocodingioleadingiotoioinap
propriateiopaymentiofor:
PartioAioMedicareioclaims
, PartioBioMedicareioclaims
Medicaidioclaims
MedicareioandioMedicaidioclaimsio-ioPreciseioAnswerio✔✔b
Whichioofiotheiofollowingiosoftwareioapplicationsiowouldiobeiousediotoioaidioiniotheiocodingiofunctionioinioaio
physician'siooffice?
Grouper
Encoder
Pricer
Diagnosisiocalculatorio-ioPreciseioAnswerio✔✔b
WhatioisiotheiomaximumionumberioofiodiagnosisiocodesiothatiocanioappeariooniotheioUB-
04iopaperioclaimioformiolocatorio67ioforioaiohospitalioinpatientioprincipalioandiosecondaryiodiagnoses?
35
25
18
9io-ioPreciseioAnswerio✔✔b
CMSioidentifiedioconditionsiothatioareionotiopresentioonioadmissionioandiocouldiobeio"reasonablyiopreventa
ble."ioHospitalsioareionotioallowediotoioreceiveioadditionaliopaymentioforiotheseioconditionsiowheniotheioco
nditionioisiopresentioonioadmission.ioWhatioareiotheseioconditionsiocalled?