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CERTIFIED CODING SPECIALIST QUESTIONS WITH COMPLETE ANSWERS
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CERTIFIED CODING SPECIALIST QUESTIONS WITH COMPLETE ANSWERS
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CERTIFIED CODING SPECIALISTQUESTIONS WITH COMPLETE
ANSWERS
A llcondition llis llconsidered llpresent llon lladmission llwhen llit llis:
a. llthe llprinciple lldiagnosis
b. llin llaccordance llwith llmedical llstaff llbylaws
c. lla llcondition llthat lloccurs llprior llto llan llinpatient lladmission
d. llpresent llwithin llthree lldays llafter lladmission ll- llAnswer llc. lla llcondition llthat lloccurs
llprior llto llan llinpatient lladmission
A llnewborn llis lldiagnosed llwith llmeconium llaspiration llat llbirth. llWhat llis llthe llappropriate
llPOA llindicator llfor llthe llmeconium llaspiration? ll
a. llY
b. llN
c. llU
d. llW ll- llAnswer lla. llY
A llwoman llis lladmitted llto llthe llhospital llfor llan llexacerbation llof llCOPD lland llmentions lla
lllump llshe llhas llnoticed llin llher llright llbreast. llWhile llshe llis llin llthe llhospital, lla llbiopsy llis
lldone llof llthe llbreast lllump lland lla lldiagnosis llof llductal llcarcinoma llis llmade. llWhat llis
llthe llPOA llassignment llfor llthe llcarcinoma? ll
a. llY
b. llN
c. llU
d. llW ll- llAnswer lla. llY
The lluse llof llthe lloutpatient llcode lleditor ll(OCE) llis lldesigned llto:
a. llCorrect lldocumentation llof llhome llhealth llvisits
b. llFacilitate llreporting llof lladverse lldrug llevents
c. llReduce llthe lluse llof llcomputer llassisted llcoding
d. llIdentify llincomplete llor llincorrect llclaims ll- llAnswer lld. llIdentify llincomplete llor
llincorrect llclaims
, Medicare's llidentification llof llmedically llnecessary llservices llis lloutlined llin:
a. llProgram lltransmittals
b. llClaims llprocessing llmanual
c. llLocal llcoverage lldeterminations
d. llNational llCorrect llCoding llInitiative ll- llAnswer llc. llLocal llcoverage lldeterminations
Medically llunlikely lledits llare llused llto llidentify:
a. llPairs llof llprocedure llcodes llthat llshould llnot llbe llbilled lltogether
b. llMaximum llunits llof llservice llfor lla llHCPCS llcode
c. llDiagnoses llthat lldon't llmeet llmedical llnecessity
d. llProcedure lland llgender lldiscrepancies ll- llAnswer llb. llMaximum llunits llof llservice llfor
lla llHCPCS llcode
National llCorrect llCoding llInitiative llEdits llare llreleased llhow lloften? ll
a. llMonthly
b. llQuarterly
c. llSemi-annually
d. llAnnually ll- llAnswer llb. llQuarterly
In ll2000 llthe llCenters llfor llMedicare lland llMedicaid llServices ll(CMS) llissued llthe llfinal
llrule llon llthe lloutpatient llprospective llpayment llsystem ll(OPPS). llThe llfinal llrule: lla.
llIdentified llthe llpayment llstructure llfor lllong-term llcare. ll- llAnswer ll
Diagnostic-related llgroups ll(DRGs_ lland llambulatory llpatient llclassifications ll(APCs)
llare llsimilar llin llthat llthey llare llboth: ll
a. llDetermined llby llHCPCS llcodes
b. llFocused llon llhospital llbased lloutpatients
c. llFocused llon llhospital llinpatients
d. llProspective llpayment llsystems ll- llAnswer lld. llProspective llpayment llsystems
Medicare llexerts llcontrol llof llprovider llreimbursement llthrough lladjustment llof llthis
llcomponent llof llthe llresource-based llrelative llvalue llscale ll(RBRVS). ll- llAnswer lla.
llConversion llfactor
The llprocess llof llcollecting lldata llelements llfrom lla llsource lldocument llis llknown llas: ll
a. llExtracting
b. llMining
c. llAbstracting
d. llDrilling ll- llAnswer llc. llAbstracting
When lla llpatient llis lltransferred llfrom llan llacute-care llfacility llto lla llskilled llnursing
llfacility, llwhat llabstracted lldata llelement llcan llimpact llthe llDRG llassignment? ll
a. llAdmission llsource
b. llPatient's llblood lltype
c. llDischarge lldisposition
d. llPatient llage ll- llAnswer llc. llDischarge lldisposition
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