Mock CCA Exam
comprehensive questions and answer latest upload
2024/ 2025 with 100% verified solutions
63005 Laminectomy with exploration and/or decompression of spinal cord and /or cauda
equina, without facetectomy, foraminotomy, or diskectomy (e.g., spinal stenosis), one or two
vertebral segments; lumbar except for spondylolisthesis
Phacoemulsification of left cataract with IOL implant and subconjunctival injection (Code
ICD-9-CM for diagnosis and CPT for procedures).
366.9 Unspecified cataract
66940 Removal of lens material; extracapsular
66983 Intracapsular cataract extraction with insertion of intraocular lens prosthesis (one-stage
procedure)
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis (one-stage
procedure) manual or mechanical technique (e.g., irrigation and aspiration or
phacoemulsification)
68200 Subconjunctival injection
a. 366.9, 66940-LT c. 366.9, 66984-LT
b. 366.9, 66983, 68200 d. 366.9, 66984-LT, 68200-LT - ANSWER-d. 366.9, 66984-LT,
68200-LT
366.9 Unspecified cataract
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis (one-stage
procedure) manual or mechanical technique (e.g., irrigation and aspiration or
phacoemulsification)
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,68200 Subconjunctival injection
When a patient is admitted because of a primary neoplasm with metastasis and treatment is
directed toward the secondary neoplasm only,
a. code only the primary neoplasm as the principal diagnosis.
b. the primary neoplasm is coded as the principal diagnosis and the secondary neoplasm is
coded as an additional diagnosis.
c. the secondary neoplasm is coded as the principal diagnosis, and the primary neoplasm is
coded as an additional diagnosis.
d. code only the secondary neoplasm as the principal diagnosis. - ANSWER-c. 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)
a. explaination of benefits
b. remittance advice
c. advance beneficiary notice
d. CMS-1500 claim form - ANSWER-c. advance beneficiary notice
The patient sees a participating (PAR) provider and has a procedure performed after meeting
the annual deductible. If the Medicare-approved amount is $200, how much is the patient's
out-of-pocket expense?
a. $0
b. $20
c. $40
d. $100 - ANSWER-c. $40
The purpose of the Correct Coding Initiative is to
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, a. increase fines and penalties for bundling services into comprehensive CPT codes.
b. restrict Medicare reimbursement to hospitals for ancillary services.
c. teach coders how to unbundle codes.
d. detect and prevent payment for improperly coded services. - ANSWER-d. detect and
prevent payment for improperly coded services.
CMS delegates its daily operations of the Medicare and Medicaid programs to
a. the office of Inspector General.
b. The PRO in each state.
c. National Center for Vital and Health Statistics.
d. Medicare administrative contractor (MAC) - ANSWER-d. Medicare administrative
contractor (MAC)
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.
a. Atlas Systems
b. medical outcomes study
c. recovery audit contractors (RACs)
d. adjusted clinical groups (ACGs) system - ANSWER-c. recovery audit contractors (RACs)
Which of the following could influence a facility's case mix?
a. changes in DRG weights
b. changes in the services offered by a facillity
c. accuracy of coding
d. all of the above - ANSWER-d. all of the above
The chargemaster relieves the coders from coding repetitive services that require little, if any,
formal documentation analysis. This is called
3|Page
comprehensive questions and answer latest upload
2024/ 2025 with 100% verified solutions
63005 Laminectomy with exploration and/or decompression of spinal cord and /or cauda
equina, without facetectomy, foraminotomy, or diskectomy (e.g., spinal stenosis), one or two
vertebral segments; lumbar except for spondylolisthesis
Phacoemulsification of left cataract with IOL implant and subconjunctival injection (Code
ICD-9-CM for diagnosis and CPT for procedures).
366.9 Unspecified cataract
66940 Removal of lens material; extracapsular
66983 Intracapsular cataract extraction with insertion of intraocular lens prosthesis (one-stage
procedure)
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis (one-stage
procedure) manual or mechanical technique (e.g., irrigation and aspiration or
phacoemulsification)
68200 Subconjunctival injection
a. 366.9, 66940-LT c. 366.9, 66984-LT
b. 366.9, 66983, 68200 d. 366.9, 66984-LT, 68200-LT - ANSWER-d. 366.9, 66984-LT,
68200-LT
366.9 Unspecified cataract
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis (one-stage
procedure) manual or mechanical technique (e.g., irrigation and aspiration or
phacoemulsification)
1|Page
,68200 Subconjunctival injection
When a patient is admitted because of a primary neoplasm with metastasis and treatment is
directed toward the secondary neoplasm only,
a. code only the primary neoplasm as the principal diagnosis.
b. the primary neoplasm is coded as the principal diagnosis and the secondary neoplasm is
coded as an additional diagnosis.
c. the secondary neoplasm is coded as the principal diagnosis, and the primary neoplasm is
coded as an additional diagnosis.
d. code only the secondary neoplasm as the principal diagnosis. - ANSWER-c. 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)
a. explaination of benefits
b. remittance advice
c. advance beneficiary notice
d. CMS-1500 claim form - ANSWER-c. advance beneficiary notice
The patient sees a participating (PAR) provider and has a procedure performed after meeting
the annual deductible. If the Medicare-approved amount is $200, how much is the patient's
out-of-pocket expense?
a. $0
b. $20
c. $40
d. $100 - ANSWER-c. $40
The purpose of the Correct Coding Initiative is to
2|Page
, a. increase fines and penalties for bundling services into comprehensive CPT codes.
b. restrict Medicare reimbursement to hospitals for ancillary services.
c. teach coders how to unbundle codes.
d. detect and prevent payment for improperly coded services. - ANSWER-d. detect and
prevent payment for improperly coded services.
CMS delegates its daily operations of the Medicare and Medicaid programs to
a. the office of Inspector General.
b. The PRO in each state.
c. National Center for Vital and Health Statistics.
d. Medicare administrative contractor (MAC) - ANSWER-d. Medicare administrative
contractor (MAC)
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.
a. Atlas Systems
b. medical outcomes study
c. recovery audit contractors (RACs)
d. adjusted clinical groups (ACGs) system - ANSWER-c. recovery audit contractors (RACs)
Which of the following could influence a facility's case mix?
a. changes in DRG weights
b. changes in the services offered by a facillity
c. accuracy of coding
d. all of the above - ANSWER-d. all of the above
The chargemaster relieves the coders from coding repetitive services that require little, if any,
formal documentation analysis. This is called
3|Page
