Cca Exam 1

Front 1

Identify the CPT Code for the following patient: A 2-year old boy presented to the hospital to have his gastrostromy tube changed under fluroscopic guidance?

Back 1

A. 43752
B. 43761, 76000
C. 43760
D. 49450

Front 2

What reimbursement system uses the Medicare Fee Schedule?

Back 2

RBRVS

Front 3

An outpatient clinic is reviewing the functionality of a computer system it is considering purchasing. Which of the following datasets should the clinic consult to ensure all the federally required data elements for Medicare and Medicaid outpatient clinical encounters are collected by the system?

Back 3

Uniform Ambulatory Care Data Set

Front 4

How do accreditation organizations such as the Joint Commission use the health record?

Back 4

To determine whether standards are being met.

Front 5

Which of the following is the correct ICD-10-PCS code for a Mayo operation known as a bunionectomy? An incision was made in the right foot and a portion of the first metatarsal head was removed.

Back 5

0QBN0ZZ

Front 6

In what form of health information exchange are data centrally located but physically separated?

Back 6

Consolidated Federated

Front 7

The CIA of security includes confidentiality, data integrity and data _______.

Back 7

Availability.

Front 8

What type of data is exemplified by the insured party’s member identification number?

Back 8

Financial data

Front 9

A system that provides alerts and reminders to clinicians is a(n):

Back 9

Clinical decision support system.

Front 10

CMS developed medically unlikely edits (MUEs) to prevent providers from billing units of services greater than the norm would indicate. These MUEs were implemented on January 1, 2007, and are applied to which code set?

Back 10

HCPCS/CPT Codes

Front 11

Which of the following programs has been in place in hospitals for years and has been required by the Medicare and Medicaid programs and accreditation standards?

Back 11

Quality improvement

Front 12

What is the best reference tool for ICD-10-CM/PCS coding advice?

Back 12

AHA's Coding Clinic for ICD-10-CM/PCS

Front 13

Which of the following is not a function of the discharge summary?

Back 13

Providing information about the patient's insurance coverage.

Front 14

What is the best source of documentation to determine the size of a removed malignant lesion?

Back 14

Operative report

Front 15

Identify the ICD-10-CM code(s) for infected ingrown toenail with paronychia of the first toe of the right foot.

Back 15

L60.0, L03.031

Front 16

What refers to the capacity of health record systems to provide electronic communication linkages and allow exchange of health record data among information systems?

Back 16

Connectivity

Front 17

What is the best reference tool to determine how CPT codes should be assigned?

Back 17

American Medical Association's CPT Assistant Newsletter

Front 18

Which of the following is (are) the correct ICD-10-PCS code(s) for laparoscopic cholecystectomy? The entire gallbladder was removed.

Back 18

0FT44ZZ

Front 19

Which classification system is in place to reimburse home health agencies?

Back 19

Home health resource groups

Front 20

Which of the following is (are) the correct ICD-10-PCS code(s) for cystoscopy with diagnostic biopsy of the bladder?

Back 20

0TBB8ZX

Front 21

Valley High, a skilled nursing facility, wants to become certified to take part in the federal government reimbursement programs such as Medicare. What standards must the facility meet in order to become certified for these programs?

Back 21

Conditions of Participation