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CCS III - Final Exam Questions And Answers All Verified

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CCS III - Final Exam Questions And Answers All Verified Tools of the trade for coders include: a. code books b. groupers c. encoders d. A and B only e. all of the above - ANS e. all of the above T/F? The physician query process includes: documenting the physician's response - ANS Tr...

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  • September 2, 2024
  • 15
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Customs Certified Specialist
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CCS III - Final Exam

Tools of the trade for coders include:
a. code books
b. groupers
c. encoders
d. A and B only




K
e. all of the above - ANS e. all of the above

T/F? The physician query process includes: documenting the physician's response - ANS True




C
T/F? Third party payer requirements are not a "driver" of coding. - ANS False




LO
T/F? PPS in IP is MS-DRG - ANS True

ICD-10-CM codes contain a maximum of how many characters?
A. Three
B. Four
YC
C. Five
D. Seven - ANS D. Seven

T/F? It is appropriate to report separately a procedure that is not an integral part of another procedure. -
ANS True
D

Which of the following organizations was responsible for funding the development of ICD-10-PCS?
A. The Centers for Medicare & Medicaid Services
B. World Health Organization
U


C. National Center for Health Statistics
D. American Hospital Association - ANS A. The Centers for Medicare & Medicaid Services
ST




Which of the following statements is true of the ICD-10-PCS code structure?
A. Codes are numeric.
B. Codes are made up of seven characters and no decimal points.
C. Codes are alphanumeric and made up of four characters.
D. Codes have a minimum of three characters, and up to four characters. - ANS B. Codes are made up of
seven characters and no decimal points.

T/F? Currently HCPCS includes three levels of codes - ANS False

Coding Clinics are:
a. CPT codes

, b. ICD codes
c. NCD codes
d. DSM IV codes - ANS a. CPT codes

T/F? UHDDS guidelines define principle diagnosis and principle procedure. - ANS True

What does the second character represent in the ICD-10-PCS code structure in the Medical and Surgical
Section?
A. Section
B. Body system




K
C. Root operation
D. Body part - ANS B. Body system




C
Carolyn works as a coder in a hospital inpatient department. She sees a lab report in a patient's health
record that is positive for staph infection. However, there is no mention of staph in the physician's
documentation. What should Carolyn do?




LO
a. tell her supervisor
b. query the physician
c. assign a code for the staph infection
d. put a note in the chart - ANS b. query the physician
YC
The determination of which code sets are to be utilized in a particular healthcare setting is determined by
___.
a. Prospective payment grouper systems
b. The type of facility or service line
c. Official coding and reporting guidelines
d. The Cooperating Parties - ANS b. The type of facility or service line
D

An alternative to the retrospective coding model is the ____________ coding model where records are
coded while the patient is still an inpatient in the hospital.
U


a. Prospective
b. Analytical
c. Concurrent
ST




d. Auxiliary - ANS c. Concurrent

T/F? The principal difference between DRGs and APCs is that whereas one DRG is assigned for each
inpatient admission, an outpatient encounter may be assigned multiple APCs. - ANS True

T/F? In addition to assigning ICD-10-CM, CPT and HCPCS codes, encoders contain validity edits and
other edits to help coders decide whether certain codes are correct or whether reporting requirements have
been met. - ANS True

T/F? The HIM department routinely receives a list of unbilled accounts referred to as "DNFB." "DNFB"
is an abbreviation for "do not final bill." - ANS False

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