CRC Compliance Certified Exam with
Correct Answers
carotid stenosis guideline (bilateral occlusion and stenosis of precerebral arteries -
CORRECT
... [Show More] ANSWER-***first-listed code for artery (i.e. basilar artery), carotid artery,
vertebral artery
***additional code reported for multiple and bilateral precerebral artery disease
bilateral occlusion and stenosis - CORRECT ANSWER-first listed code to identify artery
additional code to report it is bilateral
stroke and carotid artery disease - CORRECT ANSWER-Per coding clinic: do not report
433.1 for patient diagnosed with stroke and carotid artery disease unless documented
carotid artery caused the stroke
ICD 10 CM codes for occlusion and stenosis - CORRECT ANSWER-two codes not
required because code includes anatomic site and laterality
coronary artery disease (CAD) - CORRECT ANSWER-referred as atherosclerosis
CAD - CORRECT ANSWER-hardening and narrowing of arteries that supply blood to
the muscle of the heart
native artery (CAD) - CORRECT ANSWER-individual born with.
ICD 10 CM CAD - CORRECT ANSWER-combination codes with or without angina
pectoris.
CAD (atherosclerosis) and angina - CORRECT ANSWER-relationship maybe assumed
unless documented angina is due to another cause
hemiparesis - CORRECT ANSWER-weakness on one side of body.
Coding Clinic ICD 9 (hemiparesis) - CORRECT ANSWER-do not code if provider does
not state word "hemiparesis"
if late effect of stroke: must be documented clearly a cause and effect relationship
weakness - CORRECT ANSWER-documentation of weakness cannot be use to code
hemiparesis.
weakness is considered symptom code and maybe used for other conditions
ICD 10 hemiparesis - CORRECT ANSWER-**left side: default non-dominant
**right side: default is dominant
**ambidextrous: default is dominant
RA Coding Steps - CORRECT ANSWER-**face to face encounters
**approved provider
**provider signature/authentication
**provider printed name & credential
**date of service
**documentation supports diagnosis
**diagnosis part of medical decision making
medical decision making - CORRECT ANSWER-assessment and plan: information
contained that relates to medical decision making and diagnosis treatment and
management.
history and exam may also contain information
attestation form - CORRECT ANSWER-CMS only allows own specific attestation form
to be used where signatures or credentials are missing to attest treatment during RADV
process
Joint Commission - CORRECT ANSWER-requires signatures be dated and timed
prospective audit - CORRECT ANSWER-**done before chart submitted
**problems can be fixed before submitting
**coding errors can be identified
**can query provider
**identify missed HCC's
restrospective audit - CORRECT ANSWER-**done after chart submitted
**ID and submit additional codes
**ID and submit deleted codes
**conducted by the MAP or an organization on behalf of MAP
compliance plan - CORRECT ANSWER-written set of instructions outlining process for
coding and submitting accurate claims, and what to do if mistakes are found
compliance benefits - CORRECT ANSWER-**faster, more accurate payment of claims
**fewer billing mistakes
**diminished chances of a payer audit
**less chance of running afoul of self-referral and anti-kickback statutes
RADV - CORRECT ANSWER-risk adjustment data validation
RADV - CORRECT ANSWER-determines if diagnosis codes are supported by medical
documentation
IPERIA - CORRECT ANSWER-**improper elimination & recovery improvement act
**legislative act that requires the reporting of the error rate. [Show Less]