Cca exam stuvia - Study guides, Class notes & Summaries

During an audit of health records, the HIM director finds that transcribed reports are being changed by the author up to a week after initial transcription. The director is concerned that changes occurring this long after transcription jeopardize the legal principle that documentation must occur near the time of the event. To remedy this situation, the HIM director should recommend which of the following? - ANSWER-Develop a facility policy that defines the acceptable period of time allowed for a...

c - Answer What does the fourth character of an ICD-10-CM diagnosis code capture? a. anatomic site b. severity c. etiology d. supplemental information a - Answer Which of the following is a standard terminology used to code medical procedures and services? a. CPT b. HCPCS c. ICD-10-PCS d. SNOMED CT a - Answer A patient is admitted with spotting. She had been treated two weeks previously for a miscarriage with sepsis. The sepsis had resolved, and she is afebrile at this time. S...

per cpt guidelines a seperate procedure is - Answer considered to an integral part of another, larger service the codes in the musculoskeletal section of cpt may be used by - Answer any physician observastion e/m codes are used in physician billing when - Answer a patient is referred to a designated observation status documentation in the history of use of drugs, alcohol and or tacacco is considered part of the - Answer social history tissue transplanted from one individual to anoth...

In a joint effort of the Department of Health and Human Services, Office of Inspector General, Centers for Medicare and Medicaid Services, and Administration on Aging, which program was released in 1995 to target fraud and abuse among healthcare providers? - Answer Operation Restore Trust All of the following should be part of the core areas of a coding compliance plan except: - Physician query process - Correct use of encoder software - Coding diagnoses supported by medical record do...

A hospital is planning on allowing coding professionals to work at home. The hospital is in the process of identifying agencies to minimize the security risks associated with this practice. Which of the following would be best to ensure that data breaches are minimized when the home computer is unattended? - User name and password - Automatic session termination - Cable locks - Encryption - Answer Automatic session termination A coding analyst consistently enters the wrong code for patien...

Which organization updates the procedure classification of ICD-10-PCS - Answer CMS What does the 4th character of an ICD-10-CM diagnosis code capture? - Answer Etiology True or false: Critical access hospitals are reimbursed under Medicare's outpatient prospective payment system. - Answer False. They are paid based on a cost-based payment system. If the placement of a catheter is billed along with an infusion on the same day of service for an outpatient beneficiary, what will Medicare ...

Name the 4 Cooperating Parties for ICD-9-CM - Answer 1) AHIMA, 2) AHA-American Hospital Association, 3) CMS-Centers for Medicare and Medicaid, and 4) NCHS-National Center for Health Statistics What is a POA Indicator? - Answer The POA-Present on Admission Indicator is used to differentiate between conditins present at the time of admission and conditions that develop during an inpatient admission. The POA Indicator applies to diagnosis codes for claims involving inpatient admissions to acute ...

Look at book on page 14 question 65 Given the following information, which of the following statements is correct? A. In each MS-DRG the geometric mean is lower than the arithmetic mean. b. In each MS-DRG the arithmetic mean is lower than the geometric mean. c. The higher the number of patients in each MS-DRG, the greater the geometric mean for that MS-DRG. d. The geometric means are lower in MS-DRGs that are associated with a CC or MCC. - ANSWERSA The geometric mean LOS is defined as ...

Allowable fee - Answer Average or maximum amount the third-party payer will reimburse providers for the service Block grant - Answer It is a fixed amount of money given or allocated for a specific purpose. Ex. Medicare's payment system for home health services are consolidated into the single payment Capitated payment method - Answer It is a method of payment for health services in which the third-party payer reimburses providers a fixed, per capita amount for a period. "Per capita" mea...

The case-mix management system that utilizes information from the Minimum Data Set (MDS) in long term care settings is called - ANSWERResource Utilization Groups (RUGs) The prospective payment system used to reimburse home health agencies for patients with Medicare utilizes data from the - ANSWEROASIS (Outcome and Assessment Information Set Under APCs, the payment status indicator "N" means that the payment - ANSWERis packaged into the payment for other services All of the following i...