CCA Mock Examination Questions with All Correct Answers

CCA Mock Examination Questions with All Correct Answers Your organization is sending confidential patient information across the internet using technology that will transform the original data into unintelligible code that can be re-created by authorized users. This technique is called? - ANSWER Data Encryption As part of a concurrent record review, you need to locate the initial plan of action based on the attending physician's initial assessment of the patient. You can expect to find this documentation either within the body of the H&P or in the _______. - ANSWER Review of systems (ROS) Sciatica unimproved with hot pack therapy is an example of what in the SOAP style of progress notes? - ANSWER A-Assessment You have been hired to work with computer-assisted coding initiative. The technology that you will be working with is what? - ANSWER Natural language processing A final progress note is appropriate as a discharge summary for a hospitalization in which the patient ________. - ANSWER Was an obstetric admission with a normal delivery and no complications. In reviewing a medical record for coding purposes, the coder notes that the discharge summary has not yet been transcribed. In its absence, the best place to look for the patient's response to treatment and documentation of any complications that may have developed during this episode of care is in the _______. - ANSWER Doctors' progress note section You would expect to find documentation regarding the assessment of an obstetric patient's lochia, fundus, and perineum on what type of record? - ANSWER Postpartum record A patient is admitted through the emergency department with diabetes mellitus. Three days after admission, the physician documents uncontrolled DM. What is the "Present on Admission" (POA)? - ANSWER N-No, the DM wasn't considered uncontrolled until 3 days after admission How do you figure out the Case-mix index for a facility? (CMI) - ANSWER multiply relative weight by # of patients with this MS-DRG (in the row) and then add up all the numbers and divide by the total number of patients. The special form that plays the central role in planning providing care at nursing, psychiatric, and rehabilitation facilities is the ________. - ANSWER Interdisciplinary patient care plan What legal term is used in describing sexual harassment in reference to unwelcome sexual advances, the request for sexual favors, and verbal or physical conduct of a sexual nature made in return for job benefits? - ANSWER Quid pro quo Your facility would like to improve physician documentation in order to allow improved coding. As a coding supervisor, you have found it very effective to provide the physicians with what? - ANSWER Feedback on specific instances when improved documentation would improve coding. Using the chart on page 279: One week's productivity information is shown in the table. What percentage of the coders is meeting the productivity standards? - ANSWER 100% Which diagnosis or procedure would prevent the normal delivery code (O80) from being assisgned? - ANSWER Low forceps