CCA Exam Prep AHIMA Questions With Complete Solutions (Verified And Updated)

CCA Exam Prep AHIMA Questions With Complete Solutions (Verified And Updated) Mary Smith, RHIA, has been charged with the responsibility of designing a data collection form to be used on admission of a patient to the acute-care hospital in which she works. The first resource that she should use is: UHDDS UACDS MDS ORYX - answera When the CCI editor flags that a comprehensive code and a component code are billed together for the same beneficiary on the same date of service, Medicare will pay for: The component code but not the comprehensive code The comprehensive but not the component code The comprehensive and the component codes Neither the comprehensive nor the component codes - answerb When clean claims are submitted, they can be adjudicated in many ways through computer software automatically. Which statement is not one of the outcomes that can occur as part of auto-adjudication? Auto-pay Auto-suspend Auto-calculate Auto-deny - answerc Which of the following is not a way that ICD-10-CM improves coding accuracy? Reduces sequencing problems by combining conditions into one code Provides laterality options Captures more details for injuries, diabetes, and postoperative complications Increases cross-referencing - answerd Which of the following organizations is responsible for updating the procedure classification of ICD-10-PCS? Centers for Disease Control (CDC) Centers for Medicare and Medicaid Services (CMS) National Center for Health Statistics (NCHS) World Health Organization (WHO) - answerb This program was initiated by the Balanced Budget Act of 1997 and allows states to expand existing insurance programs to cover children up to age 19. Children's State Medicare Program (CSMP) State Children's Health Insurance Program (SCHIP) Children's State Healthcare Alliance (CSHA) Children's Aid to Healthcare (CAH) - answerb Which of the following provides a complete description to patients about how PHI is used in a healthcare facility? Notice of Privacy Practices Authorization Consent for treatment Minimum necessary - answera The National Correct Coding Initiative was developed to control improper coding leading to inappropriate payment for: Part A Medicare claims Part B Medicare claims Medicaid claims Medicare and Medicaid claims - answerb The National Correct Coding Initiative was developed to control improper coding leading to inappropriate payment for: Part A Medicare claims Part B Medicare claims Medicaid claims Medicare and Medicaid claims - answerb Which of the following software applications would be used to aid in the coding function in a physician's office? Grouper Encoder Pricer Diagnosis calculator - answerb What is the maximum number of diagnosis codes that can appear on the UB-04 paper claim form locator 67 for a hospital inpatient principal and secondary diagnoses? 35 25 18 9 - answerb CMS identified conditions that are not present on admission and could be "reasonably preventable." Hospitals are not allowed to receive additional payment for these conditions when the condition is present on admission. What are these conditions called? Conditions of Participation Present on admission Hospital-acquired conditions