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FREE Certified Coding Associate Classification Questions and Answers

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Providing accurate coding for billing purposes

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DRGs are used to categorize and reimburse inpatient hospital stays based on diagnoses and procedures.

What is the purpose of the ICD-10-PCS coding system?

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ICD-10-PCS is used for coding procedures performed during inpatient care.

What does the acronym "HIPAA" stand for in the context of medical coding?

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HIPAA sets standards for the privacy and security of medical information.

What is the primary role of a Certified Coding Associate (CCA)?

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CCAs are responsible for accurately coding medical procedures and diagnoses using established coding systems.

Which of the following is a potential consequence of incorrect coding by a CCA?

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Incorrect coding can lead to legal and financial consequences, including fraud allegations.

Which coding system is commonly used by Certified Coding Associates for inpatient procedures and diagnoses?

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ICD-10-CM is used for coding diagnoses and conditions in inpatient settings.

What is the purpose of an audit in medical coding?

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Audits help identify inappropriate or excessive billing practices.

What does CCA stand for in the context of healthcare?

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CCA stands for Certified Coding Associate, which is a professional certification in the field of healthcare coding.

What is the role of a Clinical Documentation Improvement (CDI) specialist in the coding process?

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CDI specialists ensure that medical records accurately reflect patient conditions and procedures performed.

What is the significance of continuing education for a Certified Coding Associate?

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Continuing education is often required to keep the CCA certification current and up-to-date with industry changes.

What does the CPT coding system primarily focus on?

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CPT (Current Procedural Terminology) is used for coding outpatient procedures and services.

What is the main function of the CCA in relation to reimbursement and claims processing?

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Accurate coding by CCAs helps ensure correct billing and reimbursement.

What is the purpose of HCPCS Level II codes in the CCA's coding process?

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HCPCS Level II codes are used for reporting supplies, equipment, and services not covered by CPT codes.

Which organization offers the Certified Coding Associate (CCA) certification?

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CCAs are responsible for accurately coding medical procedures and diagnoses using established coding systems.

How does the CCA certification benefit healthcare organizations?

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CCAs help healthcare organizations maintain accurate and compliant coding practices.

Which of the following is an example of an external cause code in the ICD-10-CM coding system?

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External cause codes are used to describe the cause of injuries or health conditions, such as falls or accidents.