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CCA Exam Domain 2 Questions And Answers With Verified Solutions 100% Correct!!!
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CCA Exam Domain 2 Questions And Answers With Verified Solutions 100% Correct!!!
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CCA Exam Domain 2 Questions AndAnswers With Verified Solutions 100%
Correct!!!
Medical necessity for impatient services does not always include? A..LCDS -
ANSWER✔✔LCD's
Which of the following types of hospitals are excluded from the medicare
inpatient prospective payment systems? - ANSWER✔✔Children's Hospitals
Diagnosis-related groups (DRGS) are organized into? - ANSWER✔✔Major
diagnostic categories
The medicare program pays for health care services social security benefits for
those age 65 and older, permanently disabled people and those with____? -
ANSWER✔✔End Stage renal disease
Which of the following is not reimbursed according to the medicare outpatient
prospective payment system? - ANSWER✔✔Critical access hospitals
Fee schedules are updated by third party payers? - ANSWER✔✔Annually
Which of the following would a health record technician use to perform the billing
function for a physician's office? - ANSWER✔✔CMS-1500
When a provider accepts assignment, this means the? - ANSWER✔✔Provider
agrees to accept as payment in full the allowed charge from the fee schedule
A coding audit shows that an impatient coder is using multiple codes that describe
the individuals components of a procedure rather than using a single code that
describes all the steps of the procedure performed. Which of the following should
be done in this case? - ANSWER✔✔Counsel the coder and stop the practice
immediately
Prospective payment systems were developed by the federal government to? -
ANSWER✔✔Manage medicare and medicaid costs
, Given NCCI edits if the placement of a catheter is billed along with the
performance of an infusion procedure for the same date of service for an
outpatient beneficiary, Medicare will pay for? - ANSWER✔✔The infusion
procedure
The goal of coding compliance programs is to reduce? - ANSWER✔✔Liability in
regards to fraud and abuse
Which of the following actions would be best to determine whether present on
admission POA indicators for the conditions selected by CMS are having a
negative impact on the hospital's medicare reimbursement? -
ANSWER✔✔Identify all records for a period having these indicators for these
conditions and determine if these conditions are the only secondary diagnoses
present on the claim that will lead to higher payment
If a patient's total outpatient bill is $500, and the patient's healthcare insurance
plan pays 80% of the allowable charges, what is the amount for which the patient
is responsible?
a. $10
b. $40
c. $100
d. $400 - ANSWER✔✔$100
In a managed fee-for-service arrangement, which of the following would be used
as a cost-control process for inpatient surgical services?
a. Prospectively precertify the necessity of inpatient services
b. Determine what services can be bundled
c. Pay only 80% of the inpatient bill
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