CRC Test with all Correct & 100% Verified Answers |
Actual Complete Exam |Already Graded A+
91. Which of the following is TRUE regarding the past, family, and social histories? ✔Correct
Answer-PFSH may contain diagnoses that risk adjust in the HHS model
92. Which of the following is TRUE regarding the review ofsymptoms? ✔Correct Answer-A
physician may inquire about all of the systems but only document the positive and pertinent negative
findings related to the CC, along with an additional comment that "all other systems
are negative."
93. Your practice just implemented an EHR to replace the traditional paper medical record files. You
also just hired a new physician straight out of a residency program who has only used electronic
documentation and is eager to begin. On the first day of use of the new system, the young doctor
should?... ✔Correct Answer-Insist that chronic conditions need to be documented on each visit
regardless of reason for visit.
94. Dr. N, is engaging with the medical assistant (MA) regarding proper use of the new EHR in the
office for recording Review of Systems (ROS) and Past, Family, and Social History (PFSH) obtained
during an earlier encounter, What is/are the appropriate recommendation(s)?
I. It is acceptable for Dr. N. to verbally review the ROS and PFSH and note no changes.
II. The MA advises Dr. N. to update and document the changes to the ROS and/or PFSH.
Ill. Dr. N notes that there has been no change in the previous information which is already
documented.
IV. The MA suggests to Dr. N to document the date and location of the earlier ROS and PFSH.
A. I and II
B. I, 'II, and III
C. II, III, and IV
D. I, II, III, and IV ✔Correct Answer-D. I, II, III, and IV
96. The use of "copy and paste" functions in Electronic Health Records (EHR) can lead to fraudulent
medical claims. Which of the scenarios below represent examples of fraud caused by the copy and
paste functions?
I. The physician copies and pastes a previous progress note written by another physician into the
current progress note without giving the original author credit or updating the disease progress or
new problems.
II. The.physician copies and pastes portions of a patient's previous History and Physical into the
current record, only using the portions which still apply to the patient.
Ill. The physi ian copies and pastes information from Patient A:s record into Patient B's record as a
result the risk adjustment score is affected.
IV. The physician copies and pastes the patient's past social history from the H&P into current
progress note.
A. I and II
B. II and IV
C. I and III
,D. All of the above ✔Correct Answer-C. I and III
102. What a missed abortion indicate? ✔Correct Answer-Indicates the miscarriage has not
completely emptied the uterus of products of conception
103. A coder encounters the acronyms R/O PE when reviewing the medical record for a male patient
presenting for evaluation of a cough. Based on this documentation, the coder would: ✔Correct
Answer-Look for additional documentation of the longs
104. The pulmonary arteries carry: ✔Correct Answer-Carry ... Deoxygentated blood from the right
ventricle to the lungs.
105. What are the bones of the arm? ✔Correct Answer-The humerus, the radius and ulna, the
carpals (wrist bones), the metatarsals (bones of the hand), and the phalanges (bones of the fingers).
105. What are the bones of the legs? ✔Correct Answer-femur, patella, tibia, fibula, tarsals,
metatarsals, phalanges
106. Which of the following regarding decubiti, also known as pressure ulcers or bed sores is TRUE?
A. Bed and wheelchair bound or immobile individuals are not at risk of developing the condition.
·B. A common site for development is the sacrum (tailbone). .
C. Even if a site has a good blood supply, necrotic (or dead skin and tissue) should be left over he
wound to help it heal.
D. Not effected by turning the bed-ridden patient frequently on a schedule every two hours.
✔Correct Answer-It's B. A common site for development is the sacrum (tailbone).
107. Fat embolism is a type of embolism (lodging of fat globule in the bloodstream) that is often
caused by physical trauma such as fracture of the long bones, with injury to soft (non-muscle, non-
bone) tissue and from burns. Which of the following is NOT true?
A. Code with ICD-10-CM code 088.811 or T79.1XXA, depending on where it arose.
B. Usually small and multiple and can have widespread effects in the body.
C. Can cause sudden death if they are large and lodge in the lungs.
D. Can be prevented by taking drugs like statins or niacin that are used for disorders of lipid
metabolism. ✔Correct Answer-Can be prevented by taking drugs like statins or niacin that are used
for disorders of lipid metabolism.
108. What organ is housed in the upper portion of the abdominopelvic cavity? ✔Correct Answer-
The upper portion is the abdominal cavity, and it contains...
the stomach, liver, pancreas, spleen, gallbladder, kidneys, small intestine, and most of the large
intestine
109. What does the term proximal indicate? ✔Correct Answer-Nearer to the point of attachment.
11l. Which statement is TRUE?
I. Hierarchies are only used in the CMS Medicare reimbursement model to determine payments
and/or forecasting.
II. Hierarchies are used in the CMS Medicare reimbursement model, some Medicaid models and
some commercial payment models to determine payments and/or forecasting.
III. Hierarchies are not used in any CMS payment models. ✔Correct Answer-It,s only the number II.
, Hierarchies are used in the CMS Medicare reimbursement model, some Medicaid models and some
commercial payment models to determine payments and/or forecasting.
113. Data mining is performed to:
A. Look for opportunities for clinical dqcumentation improvement.
B. Make sure that high performing providers are compensated appropriately.
C. To evaluate the effectiveness of EMR systems.
D. To review all potential data that might give additional information on a patient as it relates to risk
scores. ✔Correct Answer-D. To review all potential data that might give additional information on a
patient as it relates to risk scores.
114. Various types of data pulled for data mining might include:
I. Prescription drug information
II. DME (Equipment... Ex: wheelchair blue texting stripes
Ill. Lab values
A. I
B. I and III
C. II and III.
D. I, II, and III ✔Correct Answer-D. I, II, and III
I. Prescription drug information
II. DME (Equipment... Ex: wheelchair blue texting stripes
Ill. Lab values
115. Are CPT" and HCPCS Level II codes helpful in data mining?
A. No., procedure codes are not reported.
B. No, procedure codes are only evaluated if it is a fee forservice plan.
C. Yes, the codes indicate services performed as well as supplies used/ordered.
D. Yes, surgical procedures are paid an additional rate in addition to the risk adjustment factor.
✔Correct Answer-It's C - Yes, the codes indicate services performed as well as supplies used/ordered.
116. Predictive Modeling can use many data elements. Which are beneficial for identifying a person
with diabetes?
I. DME claims
II. Rx claims
Ill. Medical claims ✔Correct Answer-I, II and III (The three)
117. Why would an insurance company use predictive modeling?
I. To determine if a member has a certain diagnosis that has not been reported to them.
II. To determine the future cost of covering members with certain diagnoses.
III. To determine potential diagnoses that a member might have.
IV. To decide which members to enroll. ✔Correct Answer-I, II, III
I. To determine if a member has a certain diagnosis that has not been reported to them.
II. To determine the future cost of covering members with certain diagnoses.
Actual Complete Exam |Already Graded A+
91. Which of the following is TRUE regarding the past, family, and social histories? ✔Correct
Answer-PFSH may contain diagnoses that risk adjust in the HHS model
92. Which of the following is TRUE regarding the review ofsymptoms? ✔Correct Answer-A
physician may inquire about all of the systems but only document the positive and pertinent negative
findings related to the CC, along with an additional comment that "all other systems
are negative."
93. Your practice just implemented an EHR to replace the traditional paper medical record files. You
also just hired a new physician straight out of a residency program who has only used electronic
documentation and is eager to begin. On the first day of use of the new system, the young doctor
should?... ✔Correct Answer-Insist that chronic conditions need to be documented on each visit
regardless of reason for visit.
94. Dr. N, is engaging with the medical assistant (MA) regarding proper use of the new EHR in the
office for recording Review of Systems (ROS) and Past, Family, and Social History (PFSH) obtained
during an earlier encounter, What is/are the appropriate recommendation(s)?
I. It is acceptable for Dr. N. to verbally review the ROS and PFSH and note no changes.
II. The MA advises Dr. N. to update and document the changes to the ROS and/or PFSH.
Ill. Dr. N notes that there has been no change in the previous information which is already
documented.
IV. The MA suggests to Dr. N to document the date and location of the earlier ROS and PFSH.
A. I and II
B. I, 'II, and III
C. II, III, and IV
D. I, II, III, and IV ✔Correct Answer-D. I, II, III, and IV
96. The use of "copy and paste" functions in Electronic Health Records (EHR) can lead to fraudulent
medical claims. Which of the scenarios below represent examples of fraud caused by the copy and
paste functions?
I. The physician copies and pastes a previous progress note written by another physician into the
current progress note without giving the original author credit or updating the disease progress or
new problems.
II. The.physician copies and pastes portions of a patient's previous History and Physical into the
current record, only using the portions which still apply to the patient.
Ill. The physi ian copies and pastes information from Patient A:s record into Patient B's record as a
result the risk adjustment score is affected.
IV. The physician copies and pastes the patient's past social history from the H&P into current
progress note.
A. I and II
B. II and IV
C. I and III
,D. All of the above ✔Correct Answer-C. I and III
102. What a missed abortion indicate? ✔Correct Answer-Indicates the miscarriage has not
completely emptied the uterus of products of conception
103. A coder encounters the acronyms R/O PE when reviewing the medical record for a male patient
presenting for evaluation of a cough. Based on this documentation, the coder would: ✔Correct
Answer-Look for additional documentation of the longs
104. The pulmonary arteries carry: ✔Correct Answer-Carry ... Deoxygentated blood from the right
ventricle to the lungs.
105. What are the bones of the arm? ✔Correct Answer-The humerus, the radius and ulna, the
carpals (wrist bones), the metatarsals (bones of the hand), and the phalanges (bones of the fingers).
105. What are the bones of the legs? ✔Correct Answer-femur, patella, tibia, fibula, tarsals,
metatarsals, phalanges
106. Which of the following regarding decubiti, also known as pressure ulcers or bed sores is TRUE?
A. Bed and wheelchair bound or immobile individuals are not at risk of developing the condition.
·B. A common site for development is the sacrum (tailbone). .
C. Even if a site has a good blood supply, necrotic (or dead skin and tissue) should be left over he
wound to help it heal.
D. Not effected by turning the bed-ridden patient frequently on a schedule every two hours.
✔Correct Answer-It's B. A common site for development is the sacrum (tailbone).
107. Fat embolism is a type of embolism (lodging of fat globule in the bloodstream) that is often
caused by physical trauma such as fracture of the long bones, with injury to soft (non-muscle, non-
bone) tissue and from burns. Which of the following is NOT true?
A. Code with ICD-10-CM code 088.811 or T79.1XXA, depending on where it arose.
B. Usually small and multiple and can have widespread effects in the body.
C. Can cause sudden death if they are large and lodge in the lungs.
D. Can be prevented by taking drugs like statins or niacin that are used for disorders of lipid
metabolism. ✔Correct Answer-Can be prevented by taking drugs like statins or niacin that are used
for disorders of lipid metabolism.
108. What organ is housed in the upper portion of the abdominopelvic cavity? ✔Correct Answer-
The upper portion is the abdominal cavity, and it contains...
the stomach, liver, pancreas, spleen, gallbladder, kidneys, small intestine, and most of the large
intestine
109. What does the term proximal indicate? ✔Correct Answer-Nearer to the point of attachment.
11l. Which statement is TRUE?
I. Hierarchies are only used in the CMS Medicare reimbursement model to determine payments
and/or forecasting.
II. Hierarchies are used in the CMS Medicare reimbursement model, some Medicaid models and
some commercial payment models to determine payments and/or forecasting.
III. Hierarchies are not used in any CMS payment models. ✔Correct Answer-It,s only the number II.
, Hierarchies are used in the CMS Medicare reimbursement model, some Medicaid models and some
commercial payment models to determine payments and/or forecasting.
113. Data mining is performed to:
A. Look for opportunities for clinical dqcumentation improvement.
B. Make sure that high performing providers are compensated appropriately.
C. To evaluate the effectiveness of EMR systems.
D. To review all potential data that might give additional information on a patient as it relates to risk
scores. ✔Correct Answer-D. To review all potential data that might give additional information on a
patient as it relates to risk scores.
114. Various types of data pulled for data mining might include:
I. Prescription drug information
II. DME (Equipment... Ex: wheelchair blue texting stripes
Ill. Lab values
A. I
B. I and III
C. II and III.
D. I, II, and III ✔Correct Answer-D. I, II, and III
I. Prescription drug information
II. DME (Equipment... Ex: wheelchair blue texting stripes
Ill. Lab values
115. Are CPT" and HCPCS Level II codes helpful in data mining?
A. No., procedure codes are not reported.
B. No, procedure codes are only evaluated if it is a fee forservice plan.
C. Yes, the codes indicate services performed as well as supplies used/ordered.
D. Yes, surgical procedures are paid an additional rate in addition to the risk adjustment factor.
✔Correct Answer-It's C - Yes, the codes indicate services performed as well as supplies used/ordered.
116. Predictive Modeling can use many data elements. Which are beneficial for identifying a person
with diabetes?
I. DME claims
II. Rx claims
Ill. Medical claims ✔Correct Answer-I, II and III (The three)
117. Why would an insurance company use predictive modeling?
I. To determine if a member has a certain diagnosis that has not been reported to them.
II. To determine the future cost of covering members with certain diagnoses.
III. To determine potential diagnoses that a member might have.
IV. To decide which members to enroll. ✔Correct Answer-I, II, III
I. To determine if a member has a certain diagnosis that has not been reported to them.
II. To determine the future cost of covering members with certain diagnoses.
