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CCA Quiz
| Question | Answer |
|---|---|
| A Document that acknowledges patient responsibility for payment if Medicare denies the claim is a (an) | advanced beneficiary notice |
| The patient sees a PAR provider and has a procedure performed after meeting the annual deductible. If the Medicare-approved amount is $200, how much is the patient's out-of-pocket expense? | $40 |
| The physician's office note states: "Counseling visit, 15 minutes counseling in follow-up with a patient newly diagnosed with diabetes." If the physician reports code 99214, which piece of documentation is missing to substantiate this code? | total length of visit |
| A PAR physician is one who | signs an agreement to participate in the Medicare program and agrees to accept whatever Medicare pays for a provider or service. |
| The purpose of the Correct Coding Initiative is to | detect and prevent payment for improperly coded services. |
| Additional visits to a Dr.'s office for continuing care would be assigned from which E&M section? | office and other outpatient services, established patient. |
| In order to correctly code a hernia repair, the coder needs to know all of the following except: a) type, b)strangulated or incarcerated, c)age of patient, d) whether patient is obese or not. | d) whether patient is obese or not |
| A PEG procedure would most likely be done to facilitate | eating |
| a 35-y/o non-medicare patient hyperextends his right thumb while at work, the physician provides a splint for the thumb. How is the splint coded? | 29075-F5 |
| CMS delegates its daily operation of the Medicare and Medicaid programs to: | Medicare administrative contractor (MAC) |
| The discharge diagnosis for thisinpatient encounter is "rule out myocardial infarction." The coder would assign | A code for a myocardial infarction |
| The________ is the most commonly used severity-of-illness system in the U.S. | Atlas System |
| _______________ is a defect characterized by four anatomical abnormalities within the heart that result in poorly oxygenated blood being pumped to the body. | Tetralogy of Fallot |
| Urinary frequency, urgency, nocturia, incontinence, and hesitancy are all symptoms of | BPH |
| Down syndrome, Edwards' syndrome, and Patau syndrome are all examples of _________ defects. | chromosomal |
| The type of anemia caused by a failure of the bone marrow to produce red blood cells is | aplastic anemia |
| Which of the following could influence a facility's case mix? | changes in DRG weights, changes in the services offered by a facility, accuracy of coding |
| The process of attaching an HCPCS code to a procedure so that the code will automatically be included on the patient's bill is known as | hard coding |
| The practice of using a code that results in a higher payment to the provider than the code that more accurately reflects the service provided is known as | upcoding |
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mh