Cca exam stuvia - Study guides, Class notes & Summaries

1. A 65-year-old white male was admitted to the hospital on 1/15 complaining of abdominal pain. The attending physician requested an upper GI series and laboratory evaluation of CBC and UA. The x-ray revealed possible cholelithiasis, and the UA showed an increased white blood cell count. The patient was taken to surgery for an exploratory laparoscopy, and a ruptured appendix was discovered. The chief complaint was: a. Ruptured appendix b. Exploratory laparoscopy c. Abdominal pain d....

Encoder - ANSWERComputer software that helps the coding professional to assign codes. This software now includes assistance with other coding systems Computer Assisted Coding - ANSWERUtilizes natural language processing (NLP) and algorithmic software to electronically analyze entire medical charts to pre-code with both CPT procedure and ICD10 diagnostic nomenclatures Natural language processing - ANSWERConsidered a special form of data entry, it is the capability of a computer to apply ver...

Code assignment - ANSWER2nd step in reimbursement process Documentation - medical/ financial record - ANSWER1st step in reimbursement process Claim preparation - ANSWER3rd step in reimbursement process Claim to payer(s) - ANSWER4th step in reimbursement process Claim review - ANSWER5th step in reimbursement process Claim resolution - ANSWER6th step in reimbursement process 1. Coding for physicians 2. Coding for facilities - ANSWERWhat are the 2 types of outpatient coding situ...

Allowable fee - ANSWERAverage or maximum amount the third-party payer will reimburse providers for the service Block grant - ANSWERIt 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 - ANSWERIt 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" means ...

An encounter that prompts the coder to answer a series of questions and choices based on the documentation in the medical record is called a(n) - ANSWERlogic-based encoder The best resource for checking out specific voluntary accreditation standards and guidelines for a rehabilitation facility is the - ANSWERCARF Manual You have been asked to give an example of a clinical information system. Which one of the following would you cite? A. Financial information system B. Admission-dischar...

1. 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. She is treated with an aspiration dilation and curettage and products of conception are found. Which of the following should be the principal diagnosis? a. Miscarriage b. Complications of spontaneous abortion with sepsis c. Sepsis d. Spontaneous abortion with sepsis - ANSWERa. Miscarriage 2. If a patient has an excisi...

A 32-year-old patient has a colonoscopy with removal of three polyps by snare. Moderate sedation was used and provided by the physician. The intraservice time was 30 minutes. - ANSWER-45385, 99156, 99157 A code of 45385 should be used for the colonoscopy procedure with the removal of polpys. No additional codes needed for the colonscopy since it included the colonoscopy and removal of polyps. The moderate sedation also needs to be coded. A code of 99156 should be used to code the moderate sed...

Identify the diagnosis codes for carcinoma in situ of vocal cord - ANSWERD02.0 Identify the diagnosis codes for melanoma of skin of right shoulder - ANSWERC43.61 Which of the following organizations is responsible for updating the procedure classification of ICD-10-PCS? a) Centers for Disease Control (CDC) b) Centers for Medicare and Medicaid Services CMS c) National Center for Health Statistics NCHS d) World Health Organization WHO - ANSWERb) CMS (Centers for Medicare and Medicaid Ser...

Limit use, access, and disclosure to the minimum necessary to accomplish the intended purpose - ANSWER-The concept of "minimum necessary" included in the HIPAA means that healthcare providers must 2 - ANSWER-Code assignment for stage three decubitis ulcers of the hip and heel require how many codes? Osseous Origin - ANSWER-The diagnostic statement indicates the patient has metastatic carcinoma to the bone. This site is considered to be A four digit number used for billing - ANSWER-A r...

Which of the following organisations is responsible for updating the procedure classification of icd-10- pcs? - ANSWERCentres for medicaid and medicare services - CMS Which character in an icd-10-CM diagnosis code provides information regarding encounter of care? - ANSWERSeventh What is the 4th character of an icd-10-cm diagnosis code capture? - ANSWEREtiology ICD-10-CM codes must be a minimum length of how many characters? - ANSWER3 notes appearing under a 3 character code apply to ...