CCA Exam 1 Multiple Choices Questions And Verified Accurate Answers.

What are two partitions that each major diagnostic category is divided into based on the patient's treatment. - correct answer Medical and Surgical Medicare-Severity Diagnosis-Related groups (ms-DRGs) are defined as - correct answer A reimbursement system that categorizes patients with related diagnoses treatment, and length of stay. code assignment for stage three decubitus ulcers of the hip and heel require how many codes - correct answer 2 The basic fomula for the calculation of an inpatient PPS payment is the multiplcation of the - correct answer Hospital base payjment rate and the relative weight for the DRG A Medicare beneficiary who is treated during an outpatien encounter at a hospital jay have a combination of payments paid to the facility including ambulatory payment classification (APC) system and - correct answer Payments based on various fee schedules, such as laboratory fee schedule A Revenue code is - correct answer a four digit number used for Medicare billing Which service would not be packaged into the ambulatory payment classification (APC) for a patient who had an outpatient day surgery at the hospital. - correct answer Pathology services According th UHDDS guidelines, the condition establised after study to be chiefly responsible for admission of the patient to the hospital is the - correct answer principal diagnosis The uniform hospital Discharge Data Set (UHDDS) was develped to - correct answer Improve the consistency and comparability of health care data. LCD stands for - correct answer Local Coverage Determinations The portion of the health record that is disclosed upon request to parties outside the organization is known as the - correct answer Legal health record Elements of coding quality include reliability completeness timeliness and - correct answer Validity APC stands for - correct answer Ambulatory Payment classifications How many APCs may be assigned to a Medicare beneficiary who is treated during an outpatient encounter at a hospital - correct answer an unlimited number According to the Joint commission standards for documentation, what is the surgeon's timeframe for dictating an operative report? - correct answer Immediately following surgery. What services is reimbursed under the outpatient prospective payment system? - correct answer Radiology examinations A coding audit shows that an inpatient coder is using multiple codes that describe the individual components of a procedure rather than using a single code that describes all the steps of the procedure performed. What should be done in this case. - correct answer Counsel the coder and stop the practice immediately Prospective payment systems were developed by the federal fovernment to: - correct answer Manage medicare and medicaid costs. Given NCCI edits, if the placement of a catheter is billed along with the performance of an infusion procedure for the same date of service for an outpatient beneficiary, Medicare will pay for: - correct answer The infusion procedure. the goal of coding compliance progrms is to prevent: - correct answer Accusations of fraud and abuse. Which hospitals are excluded from Medicare inpatient prospective - correct answer Children's Diagnosis-rlated groups are organized into: - correct answer Major diagnostic categories