FREE AND STUDY GAMES ABOUT CRC CERTIFICATION

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FREE AND STUDY GAMES ABOUT CRC CERTIFICATION

EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -137 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: which act was enacted a part of the american recovery and reninvestment acot of 2009

Answer:

HITECH

Question 2: a peg tube is

Answer:

percutaneous endoscopic gastrostromy, g tube, gastrostomy Question 3: Retrospective audits provide companies ability to scrub/correct data what does this accomplish

Answer:

opportunity to increase revenue, compare claims to documentation submit deletions if not supported

Question 4: how is predictive modeling used in risk adjustment

Answer:

determine suspected dx based on data elements

Question 5: how often should a provider see and assess a pt in a calendar year to validate amputation status

Answer:

once a year Question 6: what is the impact on reimbursement under the risk adjustment model if chronic conditions are not coded

Answer:

failure to code for chronic conditions the pt has may result in inaccurate RAF Question 7: which medicare program part is affected by centers for medicare and Medicaid services

Answer:

part C

Question 8: sentinel vs lymp nodes

Answer:

sential first lymph node to be reached by mets CA cells

Question 9: in order starting with innermost layer for walls of digestive tract

Answer:

mucosa, submucosa, muscle, serosa

Question 10: when do you code for coexisting conditions

Answer:

at the time of the encounter

Question 11: what type of audit evaluates appropriate risk score of pts

Answer:

RADV

Question 12: RADV means

Answer:

risk adjustment data validation

Question 13: when are cancer dx's coded as current

Answer:

when receiving treatment Question 14: what risk adjustment model incorporates high, medium and low risk in the numeric value

Answer:

CDPS Question 15: and addendum is used to include info about what was done to pt and should be added in a reasonable time frame, which is usually capped at a mx of X days

Answer:

60 days

Question 16: what risk adjustment model is used by medicaid

Answer:

CDPS

Question 17: what can affect RAF score

Answer:

disease interactions, age, manifestations of chronic illness Question 18: a covered entity may obtain consent from an individual to use or disclose protected health info except for

Answer:

reasearch

Question 19: when in outpatient setting would you code an uncertain dx

Answer:

code as sign or symptom

Question 20: what is reported when the provider documents arrow up HTN

Answer:

query physician

Question 21: what fx is considered traumatic

Answer:

compound Question 22: what is the guidelines for probable, suspected, possible, questionable, in inpatient setting

Answer:

code the condition as if it was established Question 23: Chronic and acute conditions from the prev year that risk adjust are used to establish reimbursement for pt care provided by the MA plan.

Answer:

health reisk is redetermined every year/document all clinical findings in the medical record/HCCs must be captured every 12 months

Question 24: in Star program which measure is given the highest weight

Answer:

outcomes

Question 25: pneumomediastinum

Answer:

presence of air in mediastinum Question 26: what document assists provider offices with development of compliance manuals

Answer:

OIG compliance Plan guidance

Question 27: what information is not maintained in medical record

Answer:

financial record

Question 28: what is not considered a covered entity under HIPAA

Answer:

patients