Sample/Practice/Free CCA Exam Questions
1.
A health insurance plan in which
providers give healthcare services to members of the plan at a discounted rate
is called _______
a.
ASO
b.
Medigap
c.
POS
d.
PPO
2.
The health plan that provides
coverage for the dependents of armed forces personnel and retirees receiving
care outside a military treatment facility is:
a.
ASO
b.
HIS
c.
PPO
d.
TRICARE
3.
Medicare coverage applies to:
a.
POS
b.
Individuals age 65 and over
c.
PPO
d.
TRICARE
4.
____ reimbursement methods issue
lump-sum payments to providers to compensate
them for all the healthcare services delivered to a patient for a specific
illness and/or over a specific period of time.
a.
Bundled treatments
b.
Bundled diagnosis
c.
Unbundled payments
d.
Bundled payments
5.
PPS system implemented in 1983:
a.
APC
b.
DRG
c.
OPPS
d.
URC
6.
There are ____ numbers of MDCs.
7.
_____ is a computer software program
that assigns appropriate DRGs.
8.
The instrument used to standardize
the collection of SNF patient data is __ _______
9.
SNF reimbursement rates are paid
according to _RUG______
10.
DRGs are organized into
a.
Case-mix classifications
b.
GPCI
c.
MDC
d.
RBRVS
11.
DRG PPS is based on the ____
diagnosis.
a.
Primary
b.
Principal
12.
The home health PPS uses the ____
data set for patient assessments
a.
HEDIS
b.
OASIS
c.
RAI
d.
UHDDS
13.
____ are associated with the
outpatient PPS
a.
APC
b.
DRG
c.
RBRVS
d.
RUG-III
14.
Resident assessment data are
collected from _____
a.
RAP
b.
RAVEN
c.
MDS
d.
RUG
15.
For inpatient claims, FL76
represents the
a.
Principal diagnosis
b.
Primary diagnosis
c.
Admitting diagnosis
d.
Principal procedure
16.
For outpatient claims, FL76
represents the
a.
Patient reason for visit
b.
Primary diagnosis
c.
Admitting diagnosis
d.
Maiden Name
17.
The act of limiting disclosure of
private matters is:
a.
Privacy
b.
Security
c.
Confidentiality
d.
Integrity
18.
____ means the data should be
complete, accurate, consistent, and up-to-date
a.
Date Integrity
b.
Data validity
c.
Data Integrity
d.
Timeliness
19.
___ is the practice of assigning
diagnosis or procedure code specifically for the purpose of obtaining higher
level of payment.
a.
Fraud
b.
Upcoding
c.
CCI edits
d.
PPS
20.
UB-92 claim form is used to
reimburse:
a.
Physicians
b.
Workers
c.
Security
d.
Hospitals
21.
CMS-1500 claim form is used to
reimburse:
a.
Hospitals
b.
Emergency departments
c.
Home health agencies
d.
Physicians
22.
UB-92 is also identified as:
a.
UB-43
b.
UB-29
c.
CMS-1430
d.
CMS-1450
23.
CMS implemented NCCI to develop
correct coding methodologies to improve the appropriate payment of _____
a.
TRICARE
b.
Medicare Part A
c.
Medicare Part B
d.
TRICARE Prime
24.
JCAHO specifies that H&Ps must
be completed in ___ seconds.
25.
The set of regulations (rules) that
healthcare institutions must follow to receive Medicare reimbursement ________
26.
___________ is used to measure the
outcomes of care
a.
JCAHO
b.
HEDIS
c.
HIPAA
d.
HIM
27.
______ is the process that allows
dictated reports to be automatically considered signed.
28.
The incident report should be added
to the patient record
a.
True
b.
False
29.
_____ is the data collected on long
term care patients
30.
_________ is the data set collected
on Home Health Agencies.
Answers:
1. D
2. D
3. B
4. D
5. B
6. 25
7. Grouper
8. RAI
9. RUG
10. A
11. B
12. B
13. A
14. C
15. C
16. A
17. C
18. C
19. B
20. D
21. D
22. D
23. C
24. 1440
25. Conditions
of participation
26. B
27. Autoauthentication
28. B
29. MDS
30. OASIS
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