CCA EXAM PREP FROM AHIMA WITH
COMPLETE SOLUTIONS
Mary mSmith, mRHIA, mhas mbeen mcharged mwith mthe mresponsibility mof mdesigning ma
mdata mcollection mform mto mbe mused mon madmission mof ma mpatient mto mthe macute-
care mhospital min mwhich mshe mworks. mThe mfirst mresource mthat mshe mshould muse
mis:
UHDDS
UACDS
MDS
ORYX m- mcorrect manswers m-a
When mthe mCCI meditor mflags mthat ma mcomprehensive mcode mand ma mcomponent
mcode mare mbilled mtogether mfor mthe msame mbeneficiary mon mthe msame mdate mof
mservice, mMedicare mwill mpay mfor:
,The mcomponent mcode mbut mnot mthe mcomprehensive mcode
The mcomprehensive mbut mnot mthe mcomponent mcode
The mcomprehensive mand mthe mcomponent mcodes
Neither mthe mcomprehensive mnor mthe mcomponent mcodes m- mcorrect manswers m-b
When mclean mclaims mare msubmitted, mthey mcan mbe madjudicated min mmany mways
mthrough mcomputer msoftware mautomatically. mWhich mstatement mis mnot mone mof
mthe moutcomes mthat mcan moccur mas mpart mof mauto-adjudication?
Auto-pay
Auto-suspend
Auto-calculate
Auto-deny m- mcorrect manswers m-c
Which mof mthe mfollowing mis mnot ma mway mthat mICD-10-CM mimproves mcoding
maccuracy?
Reduces msequencing mproblems mby mcombining mconditions minto mone mcode
Provides mlaterality moptions
Captures mmore mdetails mfor minjuries, mdiabetes, mand mpostoperative mcomplications
Increases mcross-referencing m- mcorrect manswers m-d
Which mof mthe mfollowing morganizations mis mresponsible mfor mupdating mthe
mprocedure mclassification mof mICD-10-PCS?
Centers mfor mDisease mControl m(CDC)
Centers mfor mMedicare mand mMedicaid mServices m(CMS)
National mCenter mfor mHealth mStatistics m(NCHS)
World mHealth mOrganization m(WHO) m- mcorrect manswers m-b
This mprogram mwas minitiated mby mthe mBalanced mBudget mAct mof m1997 mand
mallows mstates mto mexpand mexisting minsurance mprograms mto mcover mchildren mup
mto mage m19.
Children's mState mMedicare mProgram m(CSMP)
State mChildren's mHealth mInsurance mProgram m(SCHIP)
,Children's mState mHealthcare mAlliance m(CSHA)
Children's mAid mto mHealthcare m(CAH) m- mcorrect manswers m-b
Which mof mthe mfollowing mprovides ma mcomplete mdescription mto mpatients mabout
mhow mPHI mis mused min ma mhealthcare mfacility?
Notice mof mPrivacy mPractices
Authorization
Consent mfor mtreatment
Minimum mnecessary m- mcorrect manswers m-a
The mNational mCorrect mCoding mInitiative mwas mdeveloped mto mcontrol mimproper
mcoding mleading mto minappropriate mpayment mfor:
Part mA mMedicare mclaims
Part mB mMedicare mclaims
Medicaid mclaims
Medicare mand mMedicaid mclaims m- mcorrect manswers m-b
The mNational mCorrect mCoding mInitiative mwas mdeveloped mto mcontrol mimproper
mcoding mleading mto minappropriate mpayment mfor:
Part mA mMedicare mclaims
Part mB mMedicare mclaims
Medicaid mclaims
Medicare mand mMedicaid mclaims m- mcorrect manswers m-b
Which mof mthe mfollowing msoftware mapplications mwould mbe mused mto maid min mthe
mcoding mfunction min ma mphysician's moffice?
Grouper
Encoder
Pricer
Diagnosis mcalculator m- mcorrect manswers m-b
, What mis mthe mmaximum mnumber mof mdiagnosis mcodes mthat mcan mappear mon mthe
mUB-04 mpaper mclaim mform mlocator m67 mfor ma mhospital minpatient mprincipal mand
msecondary mdiagnoses?
35
25
18
9 m- mcorrect manswers m-b
CMS midentified mconditions mthat mare mnot mpresent mon madmission mand mcould mbe
m"reasonably mpreventable." mHospitals mare mnot mallowed mto mreceive madditional
mpayment mfor mthese mconditions mwhen mthe mcondition mis mpresent mon madmission.
mWhat mare mthese mconditions mcalled?
Conditions mof mParticipation
Present mon madmission
Hospital-acquired mconditions
Hospital-acquired minfection m- mcorrect manswers m-c
Which mof mthe mfollowing mmaterials mis mnot mdocumented min man memergency mcare
mrecord?
Patient's minstructions mat mdischarge
Time mand mmeans mof mthe mpatient's marrival
Patient's mcomplete mmedical mhistory
Emergency mcare madministered mbefore marrival mat mthe mfacility m- mcorrect manswers
m-c
Using muniform mterminology mis ma mway mto mimprove:
Validity
Data mtimeliness
Audit mtrails
Data mreliability m- mcorrect manswers m-d
When mthe mphysician mdoes mnot mspecify mthe mmethod mused mto mremove ma
mlesion mduring man mendoscopy, mwhat mis mthe mappropriate mprocedure?
Assign mthe mremoval mby msnare mtechnique mcode.
COMPLETE SOLUTIONS
Mary mSmith, mRHIA, mhas mbeen mcharged mwith mthe mresponsibility mof mdesigning ma
mdata mcollection mform mto mbe mused mon madmission mof ma mpatient mto mthe macute-
care mhospital min mwhich mshe mworks. mThe mfirst mresource mthat mshe mshould muse
mis:
UHDDS
UACDS
MDS
ORYX m- mcorrect manswers m-a
When mthe mCCI meditor mflags mthat ma mcomprehensive mcode mand ma mcomponent
mcode mare mbilled mtogether mfor mthe msame mbeneficiary mon mthe msame mdate mof
mservice, mMedicare mwill mpay mfor:
,The mcomponent mcode mbut mnot mthe mcomprehensive mcode
The mcomprehensive mbut mnot mthe mcomponent mcode
The mcomprehensive mand mthe mcomponent mcodes
Neither mthe mcomprehensive mnor mthe mcomponent mcodes m- mcorrect manswers m-b
When mclean mclaims mare msubmitted, mthey mcan mbe madjudicated min mmany mways
mthrough mcomputer msoftware mautomatically. mWhich mstatement mis mnot mone mof
mthe moutcomes mthat mcan moccur mas mpart mof mauto-adjudication?
Auto-pay
Auto-suspend
Auto-calculate
Auto-deny m- mcorrect manswers m-c
Which mof mthe mfollowing mis mnot ma mway mthat mICD-10-CM mimproves mcoding
maccuracy?
Reduces msequencing mproblems mby mcombining mconditions minto mone mcode
Provides mlaterality moptions
Captures mmore mdetails mfor minjuries, mdiabetes, mand mpostoperative mcomplications
Increases mcross-referencing m- mcorrect manswers m-d
Which mof mthe mfollowing morganizations mis mresponsible mfor mupdating mthe
mprocedure mclassification mof mICD-10-PCS?
Centers mfor mDisease mControl m(CDC)
Centers mfor mMedicare mand mMedicaid mServices m(CMS)
National mCenter mfor mHealth mStatistics m(NCHS)
World mHealth mOrganization m(WHO) m- mcorrect manswers m-b
This mprogram mwas minitiated mby mthe mBalanced mBudget mAct mof m1997 mand
mallows mstates mto mexpand mexisting minsurance mprograms mto mcover mchildren mup
mto mage m19.
Children's mState mMedicare mProgram m(CSMP)
State mChildren's mHealth mInsurance mProgram m(SCHIP)
,Children's mState mHealthcare mAlliance m(CSHA)
Children's mAid mto mHealthcare m(CAH) m- mcorrect manswers m-b
Which mof mthe mfollowing mprovides ma mcomplete mdescription mto mpatients mabout
mhow mPHI mis mused min ma mhealthcare mfacility?
Notice mof mPrivacy mPractices
Authorization
Consent mfor mtreatment
Minimum mnecessary m- mcorrect manswers m-a
The mNational mCorrect mCoding mInitiative mwas mdeveloped mto mcontrol mimproper
mcoding mleading mto minappropriate mpayment mfor:
Part mA mMedicare mclaims
Part mB mMedicare mclaims
Medicaid mclaims
Medicare mand mMedicaid mclaims m- mcorrect manswers m-b
The mNational mCorrect mCoding mInitiative mwas mdeveloped mto mcontrol mimproper
mcoding mleading mto minappropriate mpayment mfor:
Part mA mMedicare mclaims
Part mB mMedicare mclaims
Medicaid mclaims
Medicare mand mMedicaid mclaims m- mcorrect manswers m-b
Which mof mthe mfollowing msoftware mapplications mwould mbe mused mto maid min mthe
mcoding mfunction min ma mphysician's moffice?
Grouper
Encoder
Pricer
Diagnosis mcalculator m- mcorrect manswers m-b
, What mis mthe mmaximum mnumber mof mdiagnosis mcodes mthat mcan mappear mon mthe
mUB-04 mpaper mclaim mform mlocator m67 mfor ma mhospital minpatient mprincipal mand
msecondary mdiagnoses?
35
25
18
9 m- mcorrect manswers m-b
CMS midentified mconditions mthat mare mnot mpresent mon madmission mand mcould mbe
m"reasonably mpreventable." mHospitals mare mnot mallowed mto mreceive madditional
mpayment mfor mthese mconditions mwhen mthe mcondition mis mpresent mon madmission.
mWhat mare mthese mconditions mcalled?
Conditions mof mParticipation
Present mon madmission
Hospital-acquired mconditions
Hospital-acquired minfection m- mcorrect manswers m-c
Which mof mthe mfollowing mmaterials mis mnot mdocumented min man memergency mcare
mrecord?
Patient's minstructions mat mdischarge
Time mand mmeans mof mthe mpatient's marrival
Patient's mcomplete mmedical mhistory
Emergency mcare madministered mbefore marrival mat mthe mfacility m- mcorrect manswers
m-c
Using muniform mterminology mis ma mway mto mimprove:
Validity
Data mtimeliness
Audit mtrails
Data mreliability m- mcorrect manswers m-d
When mthe mphysician mdoes mnot mspecify mthe mmethod mused mto mremove ma
mlesion mduring man mendoscopy, mwhat mis mthe mappropriate mprocedure?
Assign mthe mremoval mby msnare mtechnique mcode.
