CCA EXAM Top Questions with accurate answers, 100% Approved. Name the 4 Cooperating Parti

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CCA EXAM Top Questions with accurate answers, 100% Approved. Name the 4 Cooperating Parties for ICD-9-CM - ✔✔-1) AHIMA, 2) AHA-American Hospital Association, 3) CMS-Centers for Medicare and M... edicaid, and 4) NCHS-National Center for Health Statistics What is a POA Indicator? - ✔✔-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 care hospitals and other facilities. POA - developed by the Cooperating Parties. What organization is responsible for updating the diagnosis classification (Volumes 1 & 2) for ICD-9-CM? - ✔✔-Volumes 1 & 2 of the ICD-9-CM are updated by NCHS-National Center for Health Statistics. What organization is responsible for updating the procedure classification (Volume 3) for ICD-9-CM? - ✔✔-Volume 3 of the ICD-9-CM is updated by CMS-Centers for Medicaid and Medicare. Which classification level of ICD-9-CM codes is the most specific? - ✔✔-The "sub-classification" level is the most specific level of coding in ICD-9-CM (5-digit codes). What are the levels of ICD-9-CM codes called? - ✔✔-Category>Subcategory (4-digit)>Sub-classification (5-digit) How many digits are in the Subcategory Level of ICD-9-CM codes? - ✔✔-There are 4 digits at the Subcategory Level of ICD-9-CM codes. Please describe E Codes. - ✔✔-E Codes classify environmental events and circumstances as the cause of an injury, poisoning, or other adverse effect. Please describe V Codes. - ✔✔-V Codes are diagnosis codes that indicate a REASON for the healthcare encounter. Please give brief description of Volume I of the ICD-9-CM Volumes. - ✔✔-Volume I of the ICD-9-CM contains the TABULAR INDEX - a numerical listing of codes that represent diseases and injuries. Please give a brief description of Volume 2 of the ICD-9-CM Volumes. - ✔✔-Volume 2 of the ICD-9-CM contains the ALPHABETIC INDEX to Diseases and Injuries (You should alwasy trust this index). Please give a brief description of Volume 3 of the ICD-9-CM Volumes. - ✔✔-Volume 3 of the ICD-9-CM contains the TABULAR and ALPHABETIC INDEX to Procedures. Which item is not a purpose of the ICD-9-CM: a-used in the evaluation of medical care planning for healthcare delivery systems, b-used in the collection of data about nursing care, c-used to facilitate data storage and retrieval, or d-used as the basis of epidemiological research - ✔✔-Collection of data about nursing care is not a purpose of the ICD-9-CM. Which item is not one of the purposes of ICD-9-CM: a-reporting of diagnoses by physicians, bclassification of mortality for statistical purposes, c-the identification of supplies, products & services provided to patients, or d-classification of morbidity for statistical purposes - ✔✔-The identification of supplies, products & services provided to patients is NOT on of the purposes of ICD-9-CM. Please define "complication". - ✔✔-A complication is a secondary condition that arises during hospitalization and is thought to increase the LOS-Length of Stay by at least one day for approximately 75% of patients. Please define "comorbidity". - ✔✔-Comorbidity is a pre-existing condition that because of its presence with a specific diagnosis will likely cause an increase in the patient's length of stay in the hospital. Please define "principal diagnosis". - ✔✔-Principal diagnosis is the condition establisdhed, after study, to be chiefly responsible for occasioning the admission to the patient for the hospital. The principal diagnosis is NOT the admitting diagnosis, but the diagnosis found after workup, or even after surgery that proves to the be reason for admission. State the criteria of a "Significant Procedure". - ✔✔-1- Surgical in Nature, 2-Carries a procedural risk, 3- Carries an anesthetic risk, 4- Requires specialized training Which volume of ICD-9-CM contains the numerical listing of codes that represent diseases and injuries? - ✔✔-Volume I - the Tablular List contains the numerical listing of codes that represent diseases and injuries. What ICD-9-CM codes are alwasy alphanumeric? - ✔✔-V Codes are always alphanumeric. Which volume of ICD-9-CM contains the Tabular and Alphabetic Index of Porcedures? - ✔✔-Volume 3 of the ICD-9-CM contains the Tabluar LIst and Alphabetic Index of Procedures. What is the standard terminology used to code medical procedures and services? - ✔✔-CPT is a comprehensive listing of terms and codes for reporting diagnostic and therapeutic procedures and medical services. According to CPT, a repair of a laceration that includes retention sutures would be considered what type of closure? - ✔✔-Complex Closure would describe the repair of wounds requiring more than layered closure, namely, scar revision, debridement, extensive undermining, stents, or retention sutures. A 7-year old patient was admitted to ER for treatment of shortness of breath. Patient was give epinephrine and nebulizer treatments. The shortness of breath and wheezing are unabated following treatment. What diagnosis should be suspected? [epineprhine-adrenaline hormone secreted by the medulla of the adrenal glands - when injected treats vasoldilation by increasing blood flow] - ✔✔-Status Asthmaticus: fails to respond to therapy administered during an asthmatic attack. This is a lifethreatening conditions that requires emergency care and likely hospitalization. (Schraffenberger) How is the CPT code determined for an excision of a malignant lesion of the skin? - ✔✔-The CPT code for an excision of a malignant lesion of the skin by the body area from which the excision occurs and by measuring the greatest clinical diameter of the apparent lesion plus that margin required for complete excision (lesion diameter + the most narrow margins required = the excised diameter). Patient admitted for spotting. Patient had been treated 2 weeks prior for a miscarriage with sepsis. Sepsis has resolved and she is afrebrile [having no fever] at this time. Patient is treated with an aspiration dilation and curettage. Products of conception are found. What is the principal diagnosis? - ✔✔-Miscarriage: subsequent [later] admissions for retained products of conception following a spontaneous or legally induced abortion [Show More]

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