RHIT PRACTICE EXAM

RHIT PRACTICE EXAM Fee-for -service is a healthcare payment method in which A. Physicians payments is determined B. Skilled nursing facilities reimbursed is Determined C. Providers received payment for services rende ...

RHIT PRACTICE EXAM Fee-for -service is a healthcare payment method in which A. Physicians payments is determined B. Skilled nursing facilities reimbursed is Determined C. Providers received payment for services rendered D. Claim denials are processed - ANS - C. Providers received payment for services rendered One of the purposes of the hospital payment monitoring program is to A. Measure the outpatient payment error rate B. Reduce necessary hospital admissions rate C. Reduce the physician fee for service payment rate D. Monitor and inpatient payment error rate - ANS - D. Monitor and inpatient payment error rate The UHDDS uses a minimum set of data elements based on: A. Principles of reimbursement management B. Hospital data collection C. Data collected for outpatient services D. Standard definitions used for consistent data - ANS - B. Hospital data collection One of the purposes for physician query is to clarify A. Conflicting documentation B. Discharge instructions C. Case management plans D. Nursing care - ANS - A. Conflicting documents One of the reasons the CMS developed the NCCI is to : A. Control improper coding practices B. Monitor medically unlike edits (MUE) C. Correct improper use of modifier 59 D. Circumvent coding guidelines - ANS - A. Code improper coding practices The UHDDS defines "other diagnoses " as A. All conditions that developed after the time of admission B. Conditions that should be reported based on hospital C. Diagnosis that have no bearing on the present on the present ho D. All conditions that coexist at the time of admission - ANS - C. Diagnosis that have no bearing on the present All general acute healthcare providers must report a Present on Admission (POA) indicator. The purpose of reporting POA is to indicate conditions: A. Reported as a chronic condition from a previous condition B. Ruled out during present admission C. Diagnosed three days into the present admission D. Ruled out from previous admission - ANS - A. Reported as a chronic condition from a previous condition Which of the following best describes the database used in every industry to store large amounts of information. A. Data Systems B. Data banks C. Data mining D. Data Repositories - ANS - D. Data Repositories What is the process of determining a users information needs and identifying relationships among the data? A. Data Repositories B. Data Modeling C. Data Mining D. Data Quality - ANS - C. Data Mining Healthcare common procedures coding systems (HCPCS) is divided into two levels of code sets. The first level of HCPCS consist of - ANS - Current procedural terminology codes CMS transfer policy generally results in: - ANS - Cost share In addition to promoting internationally comparability. International Classifications of Diseases was originally designed as a means for : - ANS - Processing mortality statistics According to CMS Hospital Conditions of Participation, a medical history and physicians examination must be completed for a patient no more than 30 days before or: - ANS - 24 hours after admission When a medical record analyst identifies an unsigned order, their first step should be to : - ANS - Flag the record for the physician The purpose of quantitative analysis is to - ANS - Determine the completeness of patient health records Demographics is the study of statistical information and : - ANS - Human Populations The UHDDS requires that all significant procedures be reported. A significant procedure is defined as - ANS - Surgical in nature Which agency is responsibility for the maintenance and distribution of HCPCS level II codes? - ANS - American Medical Association A classification systems is an arrangement of elements into groups according to established criteria. In ICD-9-CM, these elements are: - ANS - Complications, comorbidities, major comborbidities The UHDDS does not require the following items; - ANS - Family History The UHDDS applications of definitions was expanded to include which type of health care facilities: - ANS - Ambulatory surgery centers Current Procedure Terminology (CPT) was originally designed for reporting - ANS - Physician services A patient presents to a physician-owned clinic for a broken wrist, x-rays are taken in the office. The clinic will bill 73100 radiology examination, wrist, 2 views. With what modifier? - ANS - No modifier necessary CPT defines a diagnostic endoscopy as a "separate procedure". If a surgical endoscopy is performed in conjunction with the - ANS -