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Cca Practice Exam Questions And Answers With Verified Solutions Already Passed!!!
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Cca Practice Exam Questions And Answers With Verified Solutions Already Passed!!!
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Cca Practice Exam Questions AndAnswers With Verified Solutions Already
Passed!!!
according to CPT, a repair of a laceration that includes retention sutures would be
considered what type of closure? - ANSWER✔✔complex closure
identify the 2 digit modifier that may be reported to indicate a doctor performed
the postoperative management of a patient, but ANOTHER doctor performed the
surgical procedure: - ANSWER✔✔-55
according to the QHDDS, what is the definition of "other diagnoses"? -
ANSWER✔✔"other diagnoses" is interpreted as additional conditions that affect
patient care in terms of requiring..........
-clinical evaluation, therapeutic treatment, Dx procedures, extended length of
hospital stay, increasing nursing care, and monitoring
what organization's duty is updating the procedure classification of ICD-10-CM? -
ANSWER✔✔CMS and NCHS.
CMS- responsible for updating the procedure classification
NCHS (national center for health statistics)- is responsible for updating the
diagnosis classification
Which volume of ICD-10-CM contains the numerical listing of codes that
represent diseases and injury? - ANSWER✔✔vol. 1 AKA the Tabular List
which icd-10-cm code classifies environment events and circumstances as the
cause of an injury, poisoning, or other adverse effect? - ANSWER✔✔E codes
which ICD-10-CM codes are always alphanumeric? - ANSWER✔✔V codes
These codes are used to assign a diagnosis to a patient who is seeking health
services but is not necessarily sick: - ANSWER✔✔V codes
a denial of a claim is possible for the following reasons: - ANSWER✔✔-not
meeting medical necessity
, -billing too many units of a specific service
-unbundling
denials of outpatient claims are often generated from the following edits: -
ANSWER✔✔NCCI (national correct coding institute)
OCE (outpatient code editor)
National and local policies
a request for reconsideration of a denied claim for insurance coverage for
healthcare services is called a(n)? - ANSWER✔✔appeal
if a patients total outpatient bill is $500, insurance plan pays 80% of allowable
charges, what is the amount the patient is responsible for? - ANSWER✔✔$100
AKA the remaining 20%
processing a medicare payment for outpatient radiology exams, a hospital
outpatient services department would receive payment under which of these? -
ANSWER✔✔Radiology procedures are identified under the Outpatient
Prospective Payment System (OPPS) with a Status Indicator "X". Status Indicator
"X" identifies ancillary services that are separately paid
the goal of coding compliance programs is to prevent: - ANSWER✔✔prevent
accusations of fraud and abuse
what is the process that determines how a claim will be reimbursed based on the
insurance benefit? - ANSWER✔✔Adjudication
The NCCI editing system used in processing OPPS claims is referred to as: -
ANSWER✔✔OCE aka Outpatient Code Editor
what would a health record technician use to perform the billing function for a
physician's office? - ANSWER✔✔physicians submit claims via the electronic
format (screen 837P), which take the place of the CMS-1500 billing form
when a provider accepts assignment, this means: - ANSWER✔✔the provider
agrees to accept as payment in full the allowed charge from the fee schedule
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