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Mock CRC Exam Questions & Answers
1.1. regulations determine the coding requirements for Medicare
Ad- vantage plans.
A.FEHB
B.HIAA
C.CMS
D.ERISA
ANS D. ERISA
2.2. Medicare Advantage combines the benefits of which of the
following plans?A.Medicare Part A and Part B B.Medicare Part A and Part D C.Medicare Part B and Part D D.Medicare Part A and Part B, and sometimes Part D ANS D. Medicare Part A and Part B, and sometimes Part D
3.3. The medical coding classification known as ICD-10-CM
communicates information that is key to which aspect of the healthcare system?A.Medical necessity B.Reimbursement 1 / 3
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C.Resource allocation D.All of the above ANS D. All of the above
4.4. It is fraudulent for a coder to knowingly
A.Code for services not rendered B.Change the date of service C.Upcode D.All of the above ANS D. All of the above
5.5. All risk-adjustment models employ diagnosis codes to assess the
poten- tial risks associated with individual patients. Other factors taken into consideration when calculating risks include all of the following except A.Gender B.Socioeconomic status C.Family history D.Procedure codes ANS D. Procedure codes 2 / 3
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6.6. The definition of dysphasia is
A.The absence of swallowing B.Painful or difficult speech C.The absence of speech D.Painful or difficult swallowing ANS C. The absence of speech
7.7. MAC
A.Make a Change B.Medicare Administrative Contractor C.Maximum Allowable Copay D.Money Access Center ANS B. Medicare Administrative Contractor
8.8. DRG refers to
A.Digital-related graph B.Defense research group C.Diagnosis-related group D.Direct resources group ANS C. Diagnosis-related group
9.9. are a type of episodic care payment plan used by Medicare to
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