AHIMA AHIMA Certifications RHIA Questions & Answers

• Question 1471:

  A company that contracts with the Centers for Medicare and Medicaid Services (CMS) to pay Medicaid claims is called a

  A. carrier.

  B. fiscal intermediary.

  C. fiscal agent.

  D. preferred provider.

  Correct Answer: C

• Question 1472:

  This information indicates the most recent activity of an item.

  A. general ledge key

  B. charge code

  C. activity date

  D. activity code

  Correct Answer: C

• Question 1473:

  This information is used to assign each item to a particular section of the general ledger in a particular facility's accounting section. Reports can be generated from this information to include statistics related to volume in terms of numbers, dollars, and payer types.

  A. general ledger key

  B. charge code

  C. revenue code

  D. HCPCS code

  Correct Answer: A

• Question 1474:

  This information is the numerical identification of the service or supply. Each item has a unique number with a prefix that indicates the department number (the number assigned to a specific ancillary department) and an item number (the number assigned by the accounting department or the business officer) for a specific procedure or service represented on the chargemaster.

  A. charge code

  B. HCPCS code

  C. revenue code

  D. general ledger key

  Correct Answer: A

• Question 1475:

  This information provides a narrative name of the services provided. This information should be presented in a clear concise manner. When possible, the narratives from the HCPCS/CPT book should be utilized.

  A. general ledger key

  B. charge code

  C. item description

  D. revenue code

  Correct Answer: C

• Question 1476:

  This information is used because it provides a uniform system of identifying procedures, services, or supplies. Multiple columns can be available for various financial classes.

  A. HCPCS code

  B. revenue code

  C. general ledger key

  D. charge code

  Correct Answer: A

• Question 1477:

  This information is printed on the UB-04 claim form to represent the cost center (e.g, lab, radiology, cardiology, respiratory, etc.) for the department in which the item is provided. It is used for Medicare billing.

  A. modifier

  B. revenue code

  C. charge code

  D. general ledger key

  Correct Answer: B

• Question 1478:

  LCDs and NCDs are review policies that describe the circumstances of coverage for various types of medical treatment. They advise physicians which services Medicare considers reasonable and necessary and may indicate the need for an advance beneficiary notice. They are developed by the Centers for Medicare and Medicaid Services (CMS), Medicare carriers, or fiscal intermediaries LCD and NCD are acronyms that stand for

  A. local covered determinations and non-covered determinations.

  B. local coverage determinations and national coverage determinations.

  C. list of covered decisions and non-covered decisions.

  D. local contractor's decisions and national contractor's decisions.

  Correct Answer: B

• Question 1479:

  These are financial protections to ensure that certain types of facilities (e.g., children's hospitals) recoup all of their losses due to the differences int heir APC payments and the pre-APC payments.

  A. limiting charge

  B. indemnity insurance

  C. hold harmless

  D. pass through

  Correct Answer: C

• Question 1480:

  The following type of hospital is considered excluded, which means that it does not participate in any type of prospective payment system (PPS).

  A. rehabilitation hospital

  B. long-term care hospital

  C. psychiatric hospital

  D. cancer hospital

  Correct Answer: D