CCA Exam Preparation CORRECT QUESTIONS & ANSWERS(RATED A)EXAM BUNDLE

The assignment of a diagnosis code is based on ________. - ANSWER The provider's statement that the patient has a particular condition The assignment of a diagnosis code is based on the provider's diagnostic statement that the condition exists (CMS 2018). Identify the diagnosis code(s) for...

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 ________. a. United Network of Organ Sharing (UNOS) b. Conditions of Participation c. Personal Health Record (PHR) d...

PPS - ANSWER Prospective Payment System What is prospective payment system? - ANSWER Payment for all care delivered during an episode of care based on pre-determined fixed amount (DRGs). Influenced by care setting. What are the 4 types of Prospective Payment Systems? - ANSWER Capitation, globa...

Type of organization and federal/state laws - ANSWER What two main factors does the retention of health records depend on The period specified by the state statute of limitations - ANSWER How long should health records be retained for malpractice, and other claims five years - ANSWER The Medic...

Code assignment - ANSWER 2nd step in reimbursement process Documentation - medical/ financial record - ANSWER 1st step in reimbursement process Claim preparation - ANSWER 3rd step in reimbursement process Claim to payer(s) - ANSWER 4th step in reimbursement process Claim review - ANSWER ...

147. The state of balance or normality that the human body continuously tries to attain is referred to as - ANSWER hemeostasis 148. The progress of a disease, including initiating factors, signs and symptoms, physical manifestations, residual sequela, prognosis, and finally, the end result, is te...

which organization is responsible for updating the procedure classification of ICD-10-PCS? - ANSWER CMS "Code, if applicable, on causal condition first" note indicates that this code may be assigned as a first listed or principal diagnosis when - ANSWER the causal condition is unknown or no...

During an audit of health records, the HIM director finds that transcribed reports are being changed by the author up to a week after initial transcription. The director is concerned that changes occurring this long after transcription jeopardize the legal principle that documentation must occur nea...

Which of the following organizations is responsible for updating the procedure classification of ICD-10-PCS? - ANSWER Centers for Medicare and Medicaid Services (CMS) is responsible for updating ICD-10-PCS Coding accuracy is anticipated to improve due to which ICD-10-CM enhancement? - ANSWER Expa...

Allowable fee - ANSWER Average or maximum amount the third-party payer will reimburse providers for the service Block grant - ANSWER It is a fixed amount of money given or allocated for a specific purpose. Ex. Medicare's payment system for home health services are consolidated into the single ...

Limit use, access, and disclosure to the minimum necessary to accomplish the intended purpose - ANSWER The concept of "minimum necessary" included in the HIPAA means that healthcare providers must 2 - ANSWER Code assignment for stage three decubitis ulcers of the hip and heel require how ma...

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...

identify one of the Nova Scotia external certificates required for certification - ANSWER Standard First Aid, CPR LEVEL - C the CCA Certification Exam is - ANSWER A requirement for CCA Certification The CCA is responsible to - ANSWER continue her education throughout their career

Which of the following software applications would be used to aid in the coding function in a physician's office? 1. Grouper 2. Encoder 3. Pricer 4. Diagnosis calculator - ANSWER Encoder In fiscal year 2008, Medicare revamped the inpatient payment system to incorporate three severity level...