CCA EXAM PREP
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Coronary arteriography serves as a diagnostic tool in detecting obstruction within the coronary arteries. Identify the technique using two catheters inserted percutaneously through the femoral artery. | show 🗑
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For pressure ulcers that were present on admission but healed at the time of discharge, the code for the ulcer would be assigned according to which of the following? | show 🗑
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show | Chapter 14: Diseases of the Genitourinary System
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show | They are not assigned in the ICD-10-PCS sixth character.
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show | Assign two separate codes—one code for the site and stage of the ulcer on admission and a second code for the same ulcer site and the highest stage reported during the stay.
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show | American Medical Association's CPT Assistant newsletter
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Which of the following software applications would be used to aid in the coding function in a physician’s office? | show 🗑
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show | MS-DRGs
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show | Tricare
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show | Unbundling
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In the Laboratory section of CPT, if a group of tests overlaps two or more panels, report the panel that incorporates the greatest number of tests to fulfill the code definition. What would a coding professional do with the remaining test codes that are n | show 🗑
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show | Establish a compliance committee.
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The front end of the revenue cycle management process includes which of the following? | show 🗑
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show | AHA's Coding Clinic for ICD-10-CM/PCS
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show | HCPCS/CPT codes
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show | The rationale for ordering diagnostic and other ancillary services should be documented or easily inferred.
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show | The date of the encounter and the identity of the observer
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show | The hospital will receive the same reimbursement regardless of the length of stay.
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Which payment system is in place to reimburse home health agencies? | show 🗑
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show | Hospital Readmissions Reduction Program
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The CMS-HHC model indicates the cost of treating the individual relative to the average beneficiary through a measure identified as which of the following? | show 🗑
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Which of the following types of hospitals are excluded from the Medicare Acute-Care Inpatient Prospective Payment System? | show 🗑
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show | Hospital-acquired conditions
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Which of the following fails to meet the CMS classification of a hospital-acquired condition? | show 🗑
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The focus on the delivery, measurement, and provision of quality patient care led to several initiatives that link reimbursement to quality care. These initiatives are referred to as which of the following? | show 🗑
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show | No maximum number
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Each HCPCS code is assigned a qualifier that establishes how a service, procedure, or item is paid under the Outpatient Prospective Payment System (OPPS). What is the name of this qualifier? | show 🗑
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show | The day the addendum was created
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show | Timeliness
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show | Auto-authentication
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When creating documentation requirements for hospital bylaws, which of the following should be evaluated? | show 🗑
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Which of the following is a function of the discharge summary? | show 🗑
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Under HIPAA, at the time of admission to the facility or prior to treatment by the provider, patients must be informed about the use of individually identifiable health information by signing which of the following? | show 🗑
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show | Abdominal pain
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All documentation entered in the medical record relating to the patient’s diagnosis and treatment is considered what type of data? | show 🗑
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What type of data is exemplified by the insured party’s member identification number? | show 🗑
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show | Rules-based
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show | Overlay
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show | Transfer or referral form
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According to the Joint Commission Accreditation Standards, which document must be placed in the patient’s record before a surgical procedure may be performed? | show 🗑
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Bob Smith was admitted to Mercy Hospital on June 21. The physical examination was completed on June 23. According to Medicare Conditions of Participation, which statement applies to this situation? | show 🗑
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show | Delinquent record
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The coding of clinical diagnoses and healthcare procedures and services after the patient is discharged is what type of review? | show 🗑
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To comply with Joint Commission standards, the HIM director wants to ensure that history and physical examinations are documented in the patient’s health record no later than 24 hours after admission. Which of the following would be the best way to ensure | show 🗑
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show | Contact other hospitals to see what methods they use to ensure compliance.
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show | Quantitative
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How do accreditation organizations such as the Joint Commission use the health record? | show 🗑
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Valley High, a skilled nursing facility, wants to become certified to take part in federal government reimbursement programs such as Medicare. What standards must the facility meet in order to become certified for these programs? | show 🗑
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show | Penalties for noncompliance of standards
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show | Stark Law
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show | Implementation of regular and effective education and training programs for all employees
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Which of the following programs is required by the Medicare and Medicaid programs and accreditation standards? | show 🗑
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show | Omit codes that reflect negatively on quality and patient safety measurement.
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Which of the following are two types of physician queries? | show 🗑
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show | Billing regulations
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show | Identify item pricing
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Standardizing medical terminology to avoid differences in naming various medical conditions and procedures (such as the synonyms bunionectomy, McBride procedure, and repair of hallux valgus) is one purpose of which of the following? | show 🗑
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show | Record review
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Which of the following is exemplified by performing one’s job functions with integrity, according to the laws, regulations, and guidelines set forth by Medicare and other third-party payers? | show 🗑
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show | Interoperability
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show | Logic-based encoder
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show | Electronic data interchange
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show | Unstructured data
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show | Clinical documentation integrity
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show | Front-end
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show | Semantic
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show | An expiration date or event
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show | Passwords
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The right of an individual to keep his or her personal information from being disclosed to anyone is a definition of which of the following? | show 🗑
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show | Section 4004 of the 21st Century Cures Act
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Which of the following statements is true of the HIPAA Notice of Privacy Practices? | show 🗑
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show | Identification and prevention of criminal and unethical conduct
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show | Storage capabilities
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What does an audit trail check for? | show 🗑
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show | Role-based
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show | Consolidated federated
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