CCA EXAMS BUNDLE FULLY SOLVED EXAM
PAPER GRADED A+
◉ Adjudication.
Answer: The determination of the reimbursement payment based
upon the member's insurance benefits
◉ Adverse selection.
Answer: Enrollment of excessive proportion of persons with poor
health status in a healthcare plan or healthcare organization
◉ RBRVS.
Answer: The federal government's payment system for physicians. It
is a system of classifying health services based on the cost of
furnishing physicians' services in different settings, the skill and
training levels required to perform the services, and the time and
risk involved
◉ Clustering.
Answer: Coding or charging one or two middle levels of service
codes exclusively
◉ AHA's Coding Clinic for ICD-10 CM/PCS.
, Answer: It allows coders to submit a request for coding advice
through the coding publication. It is the only official publication for
ICD-10-CM/PCS
◉ Major diagnostic categories.
Answer: MS diagnostic-related groups are organized into this
◉ Clinical Risk Group.
Answer: Capitated, prospective payment system that predicts future
healthcare expenditures for populations
◉ Code range.
Answer: Applicable set of diagnosis or procedure codes
◉ Coding Compliance plan.
Answer: A component of an HIM compliance plan or a corporate
compliance plan that focuses on the unique regulations and
guidelines with which coding professionals must comply
◉ Cognitive.
Answer: Related to mental abilities, such as talking, memory, and
problem solving
PAPER GRADED A+
◉ Adjudication.
Answer: The determination of the reimbursement payment based
upon the member's insurance benefits
◉ Adverse selection.
Answer: Enrollment of excessive proportion of persons with poor
health status in a healthcare plan or healthcare organization
◉ RBRVS.
Answer: The federal government's payment system for physicians. It
is a system of classifying health services based on the cost of
furnishing physicians' services in different settings, the skill and
training levels required to perform the services, and the time and
risk involved
◉ Clustering.
Answer: Coding or charging one or two middle levels of service
codes exclusively
◉ AHA's Coding Clinic for ICD-10 CM/PCS.
, Answer: It allows coders to submit a request for coding advice
through the coding publication. It is the only official publication for
ICD-10-CM/PCS
◉ Major diagnostic categories.
Answer: MS diagnostic-related groups are organized into this
◉ Clinical Risk Group.
Answer: Capitated, prospective payment system that predicts future
healthcare expenditures for populations
◉ Code range.
Answer: Applicable set of diagnosis or procedure codes
◉ Coding Compliance plan.
Answer: A component of an HIM compliance plan or a corporate
compliance plan that focuses on the unique regulations and
guidelines with which coding professionals must comply
◉ Cognitive.
Answer: Related to mental abilities, such as talking, memory, and
problem solving
