Certified Coding Specialist - Accurate Solutions For
All Questions
A condition is considered present on admission when it is:
a. the principle diagnosis
b. in accordance with medical staff bylaws
c. a condition that occurs prior to an inpatient admission
d. present within three days after admission Correct Answer - c. a
condition that occurs prior to an inpatient admission
A newborn is diagnosed with meconium aspiration at birth. What is the
appropriate POA indicator for the meconium aspiration?
a. Y
b. N
c. U
d. W Correct Answer - a. Y
A woman is admitted to the hospital for an exacerbation of COPD and
mentions a lump she has noticed in her right breast. While she is in the
hospital, a biopsy is done of the breast lump and a diagnosis of ductal
carcinoma is made. What is the POA assignment for the carcinoma?
a. Y
b. N
c. U
d. W Correct Answer - a. Y
The use of the outpatient code editor (OCE) is designed to:
a. Correct documentation of home health visits
b. Facilitate reporting of adverse drug events
c. Reduce the use of computer assisted coding
d. Identify incomplete or incorrect claims Correct Answer - d. Identify
incomplete or incorrect claims
Medicare's identification of medically necessary services is outlined in:
a. Program transmittals
b. Claims processing manual
, c. Local coverage determinations
d. National Correct Coding Initiative Correct Answer - c. Local coverage
determinations
Medically unlikely edits are used to identify:
a. Pairs of procedure codes that should not be billed together
b. Maximum units of service for a HCPCS code
c. Diagnoses that don't meet medical necessity
d. Procedure and gender discrepancies Correct Answer - b. Maximum
units of service for a HCPCS code
National Correct Coding Initiative Edits are released how often?
a. Monthly
b. Quarterly
c. Semi-annually
d. Annually Correct Answer - b. Quarterly
In 2000 the Centers for Medicare and Medicaid Services (CMS) issued the final
rule on the outpatient prospective payment system (OPPS). The final rule: a.
Identified the payment structure for long-term care. Correct Answer -
Diagnostic-related groups (DRGs_ and ambulatory patient classifications
(APCs) are similar in that they are both:
a. Determined by HCPCS codes
b. Focused on hospital based outpatients
c. Focused on hospital inpatients
d. Prospective payment systems Correct Answer - d. Prospective
payment systems
Medicare exerts control of provider reimbursement through adjustment of
this component of the resource-based relative value scale (RBRVS).
Correct Answer - a. Conversion factor
The process of collecting data elements from a source document is known as:
a. Extracting
b. Mining
c. Abstracting
d. Drilling Correct Answer - c. Abstracting
All Questions
A condition is considered present on admission when it is:
a. the principle diagnosis
b. in accordance with medical staff bylaws
c. a condition that occurs prior to an inpatient admission
d. present within three days after admission Correct Answer - c. a
condition that occurs prior to an inpatient admission
A newborn is diagnosed with meconium aspiration at birth. What is the
appropriate POA indicator for the meconium aspiration?
a. Y
b. N
c. U
d. W Correct Answer - a. Y
A woman is admitted to the hospital for an exacerbation of COPD and
mentions a lump she has noticed in her right breast. While she is in the
hospital, a biopsy is done of the breast lump and a diagnosis of ductal
carcinoma is made. What is the POA assignment for the carcinoma?
a. Y
b. N
c. U
d. W Correct Answer - a. Y
The use of the outpatient code editor (OCE) is designed to:
a. Correct documentation of home health visits
b. Facilitate reporting of adverse drug events
c. Reduce the use of computer assisted coding
d. Identify incomplete or incorrect claims Correct Answer - d. Identify
incomplete or incorrect claims
Medicare's identification of medically necessary services is outlined in:
a. Program transmittals
b. Claims processing manual
, c. Local coverage determinations
d. National Correct Coding Initiative Correct Answer - c. Local coverage
determinations
Medically unlikely edits are used to identify:
a. Pairs of procedure codes that should not be billed together
b. Maximum units of service for a HCPCS code
c. Diagnoses that don't meet medical necessity
d. Procedure and gender discrepancies Correct Answer - b. Maximum
units of service for a HCPCS code
National Correct Coding Initiative Edits are released how often?
a. Monthly
b. Quarterly
c. Semi-annually
d. Annually Correct Answer - b. Quarterly
In 2000 the Centers for Medicare and Medicaid Services (CMS) issued the final
rule on the outpatient prospective payment system (OPPS). The final rule: a.
Identified the payment structure for long-term care. Correct Answer -
Diagnostic-related groups (DRGs_ and ambulatory patient classifications
(APCs) are similar in that they are both:
a. Determined by HCPCS codes
b. Focused on hospital based outpatients
c. Focused on hospital inpatients
d. Prospective payment systems Correct Answer - d. Prospective
payment systems
Medicare exerts control of provider reimbursement through adjustment of
this component of the resource-based relative value scale (RBRVS).
Correct Answer - a. Conversion factor
The process of collecting data elements from a source document is known as:
a. Extracting
b. Mining
c. Abstracting
d. Drilling Correct Answer - c. Abstracting
