Rhia domain 4 exam - Study guides, Class notes & Summaries

RHIA domain 4 Exam with Complete Solutions The coder assigned separate codes for individual tests when a combination code exists. This is an example of which of the following? a. Upcoding b. Complex coding c. Query d. Unbundling - Answer-d. Unbundling Community Hospital implemented a clinical document improvement (CDI) program six months ago. The goal of the program was to improve clinical documentation to support quality of care, data quality, and HIM coding accuracy. Which of the follo...

RHIA DOMAIN 4 EXAM QUESTIONS AND ANSWERS What 3 organizations does CMS recognize for accreditation? - Answer-Joint Commission DNV AOA This certification process is conducted by a state agency, usually the Department of Health and Human Services, on behalf of the Centers for Medicare and Medicaid Services (CMS).Some states and Medicare accept accreditation from specific accreditation organizations as the basis for partial or full licensure. This policy is called _____________ - Answer-deeme...

A patient is admitted to the hospital with shortness of breath and congestive heart failure. The patient undergoes intubation with mechanical ventilation. The final diagnoses documented by the attending physician are: Congestive heart failure, mechanical ventilation, and intubation. Which of the following actions should the coder take in this case? a. Code congestive heart failure, respiratory failure, mechanical ventilation, and intubation b. Query the attending physician as to the reaso...

RHIA Domain 4 Exam Questions with Complete Solutions Medicare administrative contractors - Answer-Multistate, regional, contractors responsible for administering both Medicare Part A & Part B claims Quality Improvement organization - Answer-Reviews inpatient hospital claims to prevent improper payment through DRG upcoming (Medicare) Outpatient code editor - Answer-A software program linked to the correct coding initiative that applies a set of logical rules to determine whether various ...

RHIA Domain 4 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified

RHIA Domain 4 Exam Questions with Correct Answers Which government-sponsored program provides coverage for active-duty service members of the armed forces (ADSM)? - Answer-TRICARE Dr. McGee is a primary care physician. Several of Dr. McGee's patients are insured by Super Payer. Super Payer reimburses Dr. McGee for each service she provides during a clinic visit. Which reimbursement methodology does Super Payer use to reimburse Dr. McGee? - Answer-Fee schedule Dayna is analyst at Communit...

RHIA Domain 4 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified

RHIA Domain 4 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified

what is the limiting charge amount? - Answer 115 The limiting charge does not apply to: (3) - Answer immunizations, supplies, or ambulance services Two main types of coverage plans in Medicare - Answer fee-for-service or managed care The Medicare fee-for-service plan - Answer Original Medicare Plan

RHIA DOMAIN 4 EXAM 2025 QUESTIONS AND CORRECT ANSWER