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CCS exam test 1/73 Questions with Answers
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CCS exam test 1/73 Questions withAnswers 2024-2025
-Draw a single line through the error
-add a note explaining the error
-initial and date
- add the correct information in chronological order - -To correct an entry in
a paper-based medical record, the provider should
-. Relevant clinical indicators - -Compliant queries include which of the
following?
-22 modifier - -Modifier that indicates that it takes more time than originally
planned
-30 days - -Most hospitals require a medical record to be completed within
what time limit.
-59 modifier - -facilities may use X modifiers in place of which modifier?
-A 56-year-old woman is admitted to an acute-care facility from a skilled
nursing facility. The patient has multiple sclerosis and hypertension. During
the course of hospitalization, a decubitus ulcer is found and debrided at the
bedside by a physician. There is no typed operative report and no pathology
report. The coder should: - -Query the healthcare provider who performed
the procedure to determine if the debridement was excisional.
-a hospital-acquired condition - -When a catheter-associated urinary tract
infection is not present on admission, it is considered what?
-Acute bronchiolitis - -A toddler comes into the hospital admitted from the
ER with the following: shortness of breath, wheezing, runny nose, and
positive RSV test. The final diagnosis was viral infection upon discharge three
days later. What condition should the coder query for in this scenario?
-always considered present on admission - -Congenital
-Amendment - -A completed and signed operative report needs clarification
of the size of the skin lesions that were removed. What process is used for
that clarification?
-Assign codes for sepsis, pneumonia, and severe sepsis - -If a patient is
admitted with pneumococcal pneumonia and severe pnuemococcal sepsis,
the coder should do what?
, -Assign the codes for the instable angina and congestive heart failure,
sequence either first. - -a patient was admitted to the hospital with unstable
angina and congestive heat failure. The unstable angina is treated with
nitrates, and intravenous Lasix is given is given to manage the heart failure.
What is the appropriate coding action.
-Attending physician - -When creating a compliant query to clarify
conflicting information from the surgeon and the attending physician, to
whom should the query be directed
-Authorization - -The form that must be completed in order to permit a
specific disclosure of protected health information is called a(n) what?
-Based on information in a previous encounter - -It is unethical for a coder
to query
-Based on the AHIMA Code of Ethics, which of the following is not considered
an ethical activity? - -Reviewing the history and physical of a coworker when
not part of work assignment
-Breach - -What is the term used when protected health information has
been disclosed inappropriately?
-Business associate agreement - -Under HIPAA, what should be in place to
permit access and protect patient privacy?
-Case Mix Index - -case-mix index is a way for a facility to measure resource
consumption and cost of care
-Case-mix index - -Under the Inpatient Prospective Payment System (IPPS),
what can be used to measure the cost of care for inpatients
-Catheter-associated urinary tract infection - -Which of the following would
be considered a hospital-acquired condition when the POA indicator is N
-CHF and hypertension - -Which of the following condition combinations
would benefit from a query?
-Code based on the circumstances of admission and if both are equally
treated, code either as principal - -A patient admitted with shoulder pain has
an inpatient discharge with principal diagnosis of either peptic ulcer or
cholecystitis documented on the history and physical. Both are equally
treated and well documented. A coder should:
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