CRC Exam With Complete Questions And Answers 2024

CRC Exam With Complete Questions And
Answers 2024



Which .Medicare .Part .is .Reimbursed .based .on .the .risk .adjustment .models?
A. .Part .A
B. .Part .B
C. .Part .C
D. .Part .D .- .correct .answer.C. .Part .C

Who .typically .employs .risk .adjustment .coders?
A.Physician .offices
B. .Hospitals
C. .Ambulatory .surgical .centers
D. .Health .plans .- .correct .answer.D. .Health .Plans

Is .a .health .plan .required .to .follow .the .minimum .necessary .rule?
A. .Yes, .health .plans .are .covered .entities .and .are .required .to .follow .the .rule
B. .Yes, .health .plans .are .not .covered .entities .but .as .business .associates .are .required .to
.follow .the .rule

C. .No, .health .plans .are .not .covered .entities .and .are .not .required .to .follow .the .rule
D. .No, .health .plans .are .covered .entities .but .are .not .requried .to .follow .the .rule .- .correct
.answer.A. .Health .plans .are .covered .entities .and .are .required .to .follow .the .minimum

.necessary .rule




Which .examples .is .considered .fraud?
A. .Reporting .a .diagnosis .or .co-morbidity .that .does .not .exist .to .obtain .higher
.reimbursement

B. .Reporting .an .additional .diagnosis .for .a .patient .that .is .documented .in .the .medical
.record

C. .Reporting .a .diagnosis .that .only .relates .to .documentation
D. .Reporting .additional .diagnoses .that .affect .the .care .of .the .patient. .- .correct .answer.A.
.Reporting .a .diagnosis .or .co-morbidity .to .obtain .a .higher .reimbursement




Which .part .of .Medicare .is .also .called .Medicare .Advantage?
A. .Part .A
B. .Bart .B
C. .Part .C

, D. .Part .D .- .correct .answer.C. .Part .C .this .combines .the .benefits .from .Medicare .A, .B .and
.sometimes .D.




Which .Health .insurance .assistance .program .is .sponsored .by .federal .and .state
.governments?

A. .Medicare
B. .Medicaid
C. .Commercial .Carriers
D. .Private .payers .- .correct .answer.B. .Medicaid

What .OIG .Document .should .a .Medicare .Advantage .participant .review .for .potential
.problem .areas .that .will .receive .special .scrutiny .in .the .upcoming .year?

A. .Compliance .program .Guideance
B. .Safe .Harbor .Regulations
C. .Red .Flag .Rules
.D. .OIG .Work .Plan .- .correct .answer.D. .OIG .Work .plan




Which .code .set .is .used .by .risk .adjustment .coders?
A.CPT
B. .ICD-10-CM
C. .ICD-10-PCS
D. .HCPCS .LEVEL .II .- .correct .answer.B. .ICD-10-CM

Which .regulation .strengthens .HIPAA .rules .by .addressing .privacy .and .security .concerns
.associated .with .the .electronic .transmission .of .health .information?

A. .Social .Security .Act .(SSA)
B. .Deficit .Reduction .Act .(DRA)
C. .Health .Information .Techology .for .Economic .and .Clinical .Health .Act .(HITECH)
D. .Medicare .Access .and .CHIP .Reauthorization .Act .(MACRA) .- .correct .answer.C. .Health
.Information .Technology .for .Economic .and .Clinical .Health .Act .(HITECH)




What .is .coding?
A. .Running .data .reports .to .pull .diagnostic .codes .reported
B. .Translating .written .or .dictated .medical .records .into .a .series .of .alphanumeric .codes
C. .Creating .an .electronic .file .for .transmission
D. .Creating .process .to .follow .within .the .health .plan .- .correct .answer.B. .Translating .written
.or .dictated .medical .records .into .a .series .of .alphanumeric .codes




What .Organ .is .in .the .Thoracic .Cavity?
A. .Gallbladder
B. .Kidneys
C. .Spleen
D. .Lungs .- .correct .answer.D. .Lungs

What .does .the .term .distal .indicate?
A. .Front .or .toward .the .front