CCA Questions with Solutions| All with
Verified Updated Questions
1. The computer-to-computer transfer of data between providers and third-party
payers in a data format agreed upon by both parties is called
a. HIPAA
b. electronic data interchange (EDI)
c. health information exchange (HIE)
d. health data exchange (HDE) - ✔✔B
2. A computer software program that assigns appropriate MS-DRGs according to
the information provided for each episode of care is called a(n)
a. encoder
c. grouper
b. case-mix analyzer
d. scrubber - ✔✔C
, 3. The standard claim form used by hospitals to request reimbursement for
inpatient and outpatient procedures performed or services provided is called the
a. UB-04
c. CMS-1491
b. CMS-1500
d. CMS-1600 - ✔✔A
4. Under ASC PPS, when multiple procedures are performed during the same
surgical session, a payment reduction is applied. The procedure in the highest-
level group is reimbursed at __________and all remaining procedures are
reimbursed at _______.
a. 50%, 25%
c. 100%, 25%
b. 100%, 50%
d. 100%, 75% - ✔✔B
Verified Updated Questions
1. The computer-to-computer transfer of data between providers and third-party
payers in a data format agreed upon by both parties is called
a. HIPAA
b. electronic data interchange (EDI)
c. health information exchange (HIE)
d. health data exchange (HDE) - ✔✔B
2. A computer software program that assigns appropriate MS-DRGs according to
the information provided for each episode of care is called a(n)
a. encoder
c. grouper
b. case-mix analyzer
d. scrubber - ✔✔C
, 3. The standard claim form used by hospitals to request reimbursement for
inpatient and outpatient procedures performed or services provided is called the
a. UB-04
c. CMS-1491
b. CMS-1500
d. CMS-1600 - ✔✔A
4. Under ASC PPS, when multiple procedures are performed during the same
surgical session, a payment reduction is applied. The procedure in the highest-
level group is reimbursed at __________and all remaining procedures are
reimbursed at _______.
a. 50%, 25%
c. 100%, 25%
b. 100%, 50%
d. 100%, 75% - ✔✔B
