CCA Mock Exam

The chargemaster relieves the coders from coding repetitive services that require little, if any, formal documentation analysis. This is called - correct answer hard coding. The _______ has the duty to adjust the MS-DRGs if necessary at the beginning of every fiscal year beginning _____________. - correct answer CMS, October 1 You are conducting an educational session on benchmarking. You tell your audience that the key to benchmarking is to use the comparison to - correct answer improve your department's processes. If the same condition is described as both acute and chronic and separate subentries exist in the ICD-10-CM alphabetic index at the same indentation level - correct answer they should both be coded, acute sequenced first. Lumbar laminectomy (one segment) for decompression of spinal cord. (Code CPT for procedures.) - correct answer 63005 The purpose of the Correct Coding Initiative is to - correct answer detect and prevent payment for improperly coded services A document that acknowledges patient responsibility for payment if Medicare denies the claim is a(n) - correct answer advance beneficiary notice. A patient with lung cancer and bone metastasis is seen for complex treatment planning by a radiation oncologist. - correct answer 77263 Patient was seen in the emergency department with lacerations on the left arm. Two lacerations, one 7 cm and one 9 cm, were closed with layered sutures. - correct answer 12035 CMS delegates its daily operations of the Medicare and Medicaid programs to - correct answer Medicare administrative contractor (MAC). The practice of using a code that results in a higher payment to the provider than the code that more accurately reflects the service provided is known as - correct answer upcoding Male patient has been diagnosed with benign prostatic hypertrophy and undergoes a transurethral destruction of the prostate by radiofrequency thermotherapy. (Code ICD-10-CM for diagnoses and CPT for procedures.) - correct answer N40.0, 53852 Excision 2 cm subcutaneous soft tissue lipoma of the back. (Code for diagnoses using ICD-10-CM. Code for procedure using CPT.) - correct answer D17.1, 21930 Your organization is sending confidential patient information across the Internet using technology that will transform the original data into unintelligible code that can be re-created by authorized users. This technique is called - correct answer data encryption. Which of the following are considered sequela regardless of time? - correct answer nonunion A 4-year-old had a repair of an incarcerated inguinal hernia. This is the first time this child has been treated for this condition. - correct answer 49501 The APC payment system is based on what coding system(s)? - correct answer CPT/HCPCS codes Employing the SOAP style of progress notes, choose the "assessment" statement from the following: - correct answer sciatica unimproved with hot pack therapy. Cesarean delivery with antepartum and postpartum care. (Code CPT for procedures.) - correct answer 59510 Security devices that form barriers between routers of a public network and a private network to protect access by unauthorized users are called - correct answer firewalls Your facility would like to improve physician documentation in order to allow improved coding. As coding supervisor, you have found it very effective to provide the physicians with - correct answer feedback on specific instances when improved documentation would improve coding. The performance standard for coders is 28-33 workload units per day. Workload units are calculated as follows:One week's productivity information is shown in the table above. What percentage of the coders is meeting the productivity standards? - correct answer 100% Female with 6 months of stress incontinence. Laparoscopic urethral suspension was completed. Choose the appropriate ICD-10-CM and CPT codes. - correct answer N39.3, 51990 Based on the sample MS-DRG report above, what is the case-mix index for this facility? - correct answer 2.965807 The special form that plays the central role in planning and providing care at nursing, psychiatric, and rehabilitation facilities is the - correct answer interdisciplinary patient care plan. Patient was seen today for regular hemodialysis. No problems reported; patient tolerated procedure well. - correct answer 90935 A ________ is a collection of information or data that is organized in such a way that its contents can be queried and relationships created. - correct answer database You have been hired to work with a computer-assisted coding initiative. The technology that you will be working with is - correct answer natural language processing. Provide the CPT code for anesthesia services for the transvenous insertion of a pacemaker. - correct answer 00530 Single lung transplant without cardiopulmonary bypass. (Code for physician using CPT procedure codes only.) - correct answer 32851 Patient with carpal tunnel comes in for an open carpal tunnel release, right hand. (Code ICD-10-CM for diagnoses and CPT for procedures.) - correct answer Which of the following contains a list of coding edits developed by CMS in an effort to promote correct coding nationwide and to prevent the inappropriate unbundling of related services? - correct answer National Correct Coding Initiative (NCCI) As part of a concurrent record review, you need to locate the initial plan of action based on the attending physician's initial assessment of the patient. You can expect to find this documentation either within the body of the history and physical or in the - correct answer doctor's admitting progress note. Ensuring that data have been modified or accessed only by individuals who are authorized to do so is a function of data - correct answer integrity. A patient has a total abdominal hysterectomy with bilateral salpingectomy. The coder selected the following codes: - correct answer unbundling. Phacoemulsification of left cataract with IOL implant and subconjunctival injection. (Code ICD-10-CM for diagnosis and CPT for procedures.) - correct answer H26.9, 66984-LT Office visit for 43-year-old male, new patient, with no complaints. Patient is applying for life insurance and requests a physical examination. A detailed health and family history was obtained, and a basic physical was done. Physician completed life insurance physical form at patient's request. Blood and urine were collected. - correct answer 99450 Patient presents with a diabetic ulcer that needs to be debrided. The patient was taken to the operating room where debridement of the muscle took place. - correct answer 11043 Which of the following is classified as a poisoning in ICD-10-CM? - correct answer syncope due to Contac pills and a three-martini lunch The patient had a thrombectomy, without catheter, of the peroneal artery, by leg incision. - correct answer 34203 Patient has tear of the medial meniscus with loose bodies in the medial compartment of the left knee that was repaired by arthroscopic medial meniscectomy, shaving and trimming of meniscal rim, resection of synovium, and removal of the loose bodies. (Code using CPT procedure codes.) - correct answer 29881-LT The _______________ are the organizations that contract with Medicare to perform reviews of medical records with the corresponding Medicare claims to detect and correct improper payments. - correct answer recovery audit contractors (RACs) The Joint Commission requires that all medical records be completed within ___________ following patient discharge. - correct answer 30 days A final progress note is appropriate as a discharge summary for a hospitalization in which the patient - correct answer was an obstetric admission with a normal delivery and no complications. You would expect to find documentation regarding the assessment of an obstetric patient's lochia, fundus, and perineum on the - correct answer postpartum record. Patient presents to the GI lab for a colonoscopy. During the colonoscopy, polyps were discovered in the ascending colon and in the transverse colon. Polyps in the ascending colon were removed via hot biopsy forceps, and the polyps in the transverse colon were removed by snare technique. - correct answer