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RHIA Domain 4 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified
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RHIA Domain 4 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified
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RHIA Domain 4 Exam | Questions And Answers Latest {2024- 2025} A+ Graded | 100%Verified
Which of the following statements about new technology items included on the charge description
master (CDM) is false?
A. The CDM maintenance committee should review new technology items for FDA approval.
B. The CDM maintenance committee should review new technology items for OPPS pass-through
assignment.
C. The CDM maintenance committee should have a professional coder review code assignments even if
codes are suggested by the manufacturer.
D. The codes for new technology should not be included in the CDM until coverage has been
determined. - D. The codes for new technology should not be included in the CDM until coverage has
been determined.
Patient accounting is reporting an increase in national coverage decisions (NCDs), and local coverage
determinations (LCDs) failed edits in observation accounts. Which of the following departments will be
tasked to resolve this issue?
A. Utilization management
B. Patient access
C. HIM
D. Patient accounts - C. HIM
The discharged, not final billed report (also known as discharged, no final bill or accounts not selected
for billing or DNFB) includes what type of accounts?
A. Accounts that have been discharged and not billed for a variety of reasons
B. Only discharged inpatient accounts awaiting regeneration of the bill
C. Only uncoded patient records
D. Accounts that are within the system hold days & not eligible to be billed - A. Accounts that have been
discharged and not billed for a variety of reasons
, Patient accounts has submitted a report to the revenue cycle team detailing $100,000 of outpatient
accounts that are failing NCD edits. All attempts to clear the edits have failed. There are no ABNs on file
for these accounts. Based only this information, the revenue cycle team should:
A. Bill the patients for these accounts
B. Contact the patients to obtain an ABN
C. Write off the accounts to contractual allowances
D. Write off the failed charges to bad debt & bill Medicare for the clean charges - D. Write off the failed
charges to bad debt & bill Medicare for the clean charges
Under RBRVS, which elements are used to calculate a Medicare payment?
A. Work value & extent of the physical exam
B. Malpractice expenses & detail of the patient history
C. Work value & practice expenses
D. Practice expenses & review of systems - C. Work value & practice expenses
In reviewing a patient's chart, the coder finds that the patient's chest xray is suggestive of COPD. The
attending physician mentions the x-ray finding in one progress note, but no medication, treatment, or
further evaluation is provided. Which of the following actions should the coder take in this case?
A. Query the attending physician & ask him to validate a diagnosis based on the chest x-ray results
B. Code COPD because the documentation substantiates it
C. Query the radiologist to determine whether the patient has COPD
D. Assign a code from the abnormal findings to reflect the condition - A. Query the attending physician &
ask him to validate a diagnosis based on the chest x-ray results
The following are the most common reasons for claim denials except
A. Billing noncovered services
B. Lack of medical necessity
C. Beneficiary not covered
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