CCA Exam Prep from AHIMA 339 Actual

CCA Exam Prep from AHIMA | 339 Actual Questions and Answers 100% Correct | {Latest Update }

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 - Answer a

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 - Answer b

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

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Auto-calculate

Auto-deny - Answer c

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 - Answer d

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) - Answer b

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) - Answer b

Which of the following provides a complete description to patients about how PHI is used in a healthcare facility?Notice of Privacy Practices

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Authorization

Consent for treatment

Minimum necessary - Answer a

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 - Answer b

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 - Answer b

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 - Answer b

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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

• - Answer b

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

Hospital-acquired infection - Answer c

Which of the following materials is not documented in an emergency care record?Patient's instructions at discharge

Time and means of the patient's arrival

Patient's complete medical history

Emergency care administered before arrival at the facility - Answer c

Using uniform terminology is a way to improve:

Validity

Data timeliness

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