CCA Exam Prep CORRECT QUESTIONS &
ANSWERS (2024 LATEST UPDATE)
Resource based relative value scale system - ANSWER This system is 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. It was introduced in 1992 and replaced Medicare's customary, prevailing, and
reasonable (CPR) payment system
Transfer or referral form - ANSWER This form provides document communication between caregivers in
multiple healthcare settings. It is important that a patient's treatment plan be consistent as the patient
moves through the healthcare delivery system
Coding guideline for pressure ulcer - ANSWER If a patient is admitted with a pressure ulcer at one stage
and it progresses to a higher stage, two separate codes should be assigned: one code for the site and
stage on admission and a second code for the same site at the highest stage
24 - ANSWER A physical examination should be completed within this amount of hours from admission
Yes - ANSWER If two patients have the same DRG but different length of stays does the facility receive
the same reimbursement for both
Focus charting, or charting by exception - ANSWER A method of documenting only abnormal or unusual
findings or deviations from the patient's plan of care
Coding guideline for ulcers - ANSWER Coding Guideline I.C.12.a.5 notes that pressure ulcers present on
admission but healed at the time of discharge are assigned the code for site and stage at time of
admission
Report of history and physical examination - ANSWER According to the Joint Commission, except in
emergency situations, every surgical patient's chart must include a report of a complete history and
physical conducted no more than seven days before the surgery is to be performed
, CIA of security - ANSWER Confidentiality, integrity and availability
Clustering - ANSWER A term used when coding or charging one or two middle levels of service codes
exclusively
What should be done when the HIM department's error or accuracy rate is deemed unacceptable? -
ANSWER A corrective action should be taken
25 - ANSWER 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?
United Network of Organ Sharing (UNOS) - ANSWER The Joint Commission and CMS require hospitals to
inform families of the opportunity to donate organs, tissue, or eyes. The name of the criteria that
potential donors must meet is __________.
Medicare Supplement - ANSWER This plan is offered by private insurance companies and can take care
of certain health care costs not covered by Original Medicare, like deductibles, premiums, and
copayments
R-ADT - ANSWER Automated systems for registering patients and tracking their encounters
State licensure agencies - ANSWER What type of organization works under contract with the CMS to
conduct Medicare and Medicaid certification surveys for hospitals? These agencies have regulations that
are modeled after the Medicare Conditions of Participation and Joint Commission standards. States
conduct annual surveys to determine the hospital's continued compliance with licensure standards
50 percent; counseling and coordination - ANSWER Time may be considered the key or controlling factor
to qualify for a particular level of Evaluation and Management services when __________ percent of the
service is ___________.
ANSWERS (2024 LATEST UPDATE)
Resource based relative value scale system - ANSWER This system is 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. It was introduced in 1992 and replaced Medicare's customary, prevailing, and
reasonable (CPR) payment system
Transfer or referral form - ANSWER This form provides document communication between caregivers in
multiple healthcare settings. It is important that a patient's treatment plan be consistent as the patient
moves through the healthcare delivery system
Coding guideline for pressure ulcer - ANSWER If a patient is admitted with a pressure ulcer at one stage
and it progresses to a higher stage, two separate codes should be assigned: one code for the site and
stage on admission and a second code for the same site at the highest stage
24 - ANSWER A physical examination should be completed within this amount of hours from admission
Yes - ANSWER If two patients have the same DRG but different length of stays does the facility receive
the same reimbursement for both
Focus charting, or charting by exception - ANSWER A method of documenting only abnormal or unusual
findings or deviations from the patient's plan of care
Coding guideline for ulcers - ANSWER Coding Guideline I.C.12.a.5 notes that pressure ulcers present on
admission but healed at the time of discharge are assigned the code for site and stage at time of
admission
Report of history and physical examination - ANSWER According to the Joint Commission, except in
emergency situations, every surgical patient's chart must include a report of a complete history and
physical conducted no more than seven days before the surgery is to be performed
, CIA of security - ANSWER Confidentiality, integrity and availability
Clustering - ANSWER A term used when coding or charging one or two middle levels of service codes
exclusively
What should be done when the HIM department's error or accuracy rate is deemed unacceptable? -
ANSWER A corrective action should be taken
25 - ANSWER 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?
United Network of Organ Sharing (UNOS) - ANSWER The Joint Commission and CMS require hospitals to
inform families of the opportunity to donate organs, tissue, or eyes. The name of the criteria that
potential donors must meet is __________.
Medicare Supplement - ANSWER This plan is offered by private insurance companies and can take care
of certain health care costs not covered by Original Medicare, like deductibles, premiums, and
copayments
R-ADT - ANSWER Automated systems for registering patients and tracking their encounters
State licensure agencies - ANSWER What type of organization works under contract with the CMS to
conduct Medicare and Medicaid certification surveys for hospitals? These agencies have regulations that
are modeled after the Medicare Conditions of Participation and Joint Commission standards. States
conduct annual surveys to determine the hospital's continued compliance with licensure standards
50 percent; counseling and coordination - ANSWER Time may be considered the key or controlling factor
to qualify for a particular level of Evaluation and Management services when __________ percent of the
service is ___________.
