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Cca Exam Prep Domain 2 Questions And Answers With Verified Solutions Already Passed!!! Latest Updated 2024
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Cca Exam Prep Domain 2 Questions And Answers With Verified Solutions Already Passed!!! Latest Updated 2024

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  • September 25, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • cca exam prep domain 2 questions and answers with
  • in a managed fee for service arrangement which of
  • the government sponsored supplemental medical insu
  • what is one way that physicians can prevent or mi

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  • Cca
  • Cca

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Cca Exam Prep Domain 2 Questions And
Answers With Verified Solutions Already
Passed!!! Latest Updated 2024
In a managed fee-for-service arrangement, which of the following would be used
as a cost-control process for inpatient surgical services?
a. Prospectively pre-certify the necessity of inpatient services
b. Determine what services can be bundled
c. Pay only 80% of the inpatient bill
d. Require the patient to pay 20% of the inpatient bill - ANSWER✔✔a.
Prospectively pre-certify the necessity of inpatient services

The government sponsored supplemental medical insurance that covers
physicians and surgeons services, emergency department, outpatient clinic, labs
and physical therapy is:
a. Medicaid
b. Medicare Part B
c. Medicare Part A
d. Medicare Part D - ANSWER✔✔b. Medicare Part B

What is one way that physicians can prevent or minimize potentially abusive or
fraudulent activities?
a. Developing a compliance plan
b. Upcoding
c. Unbundling
d. Billing for noncovered services - ANSWER✔✔a. Developing a compliance plan

Who is the guarantor?
a. The patient who is an inpatient
b. The person responsible for the bill, such as a parent
c. The person who bills the patient, such as the Medicare biller
d. The patient who is an outpatient - ANSWER✔✔b. The person responsible for
the bill, such as a parent

A coding audit shows that an inpatient coder is using multiple codes that describe
the individual components of a procedure rather than using a single code that

, describes all the steps of the procedure performed. Which of the following should
be done in this case?
a. Require all coders to implement this practice
b. Report the practice to the OIG
c. Counsel the coder and stop the practice immediately
d. Put the coder on unpaid leave of absence - ANSWER✔✔c. Counsel the coder
and stop the practice immediately

Which of the following types of hospitals are excluded from the Medicare
inpatient prospective payment system?
a. Children's
b. Rural
c. State supported
d. Tertiary - ANSWER✔✔a. Children's

Which of the following would a health record technician use to perform the billing
function for a physician's office?
a. CMS-1500
b. UB-04
c. UB-92
d. CMS 1450 - ANSWER✔✔a. CMS-1500

Medicare's newest claims processing payment contract entities are referred to as
________.
a. Recovery audit contractors (RACs)
b. Medicare administrative contractors (MACs)
c. Fiscal intermediaries (FIs)
d. Office of Inspector General contractors (OIGCs) - ANSWER✔✔b. Medicare
administrative contractors (MACs)

What statement is not reflective of meeting medical necessity requirements?
a. A service or supply provided for the diagnosis, treatment, cure, or relief of a
health condition, illness, injury, or disease.
b. A service or supply provided that is not experimental, investigational, or
cosmetic in purpose.

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