Ccs exam prep stuvia - Study guides, Class notes & Summaries

Primary Data Source - ANSWER-Patient specific/identifiable data Related to a specific individual ex. The Health Record Secondary Data Source - ANSWER-Information on groups of people or patients without identifying any particular patient individually. Also called "Aggregate Data" Compiled from multiple health records Ex. Data taken from the health record and entered into registries and databases are considered secondary data. Confidentiality - ANSWER-... Security - ANSWER-... P...

7 yo pt admitted to ED for tx of shortness of breath and given epinephrine and nebulizer tx. Shortness of breath and wheezing are unabated following tx, so what dx should be suspected? - ANSWER-Asthma with status asthmaticus Pt admitted with high temp, lethargy, hypotension, tachycardia, oliguria, elevated WBC, and has more than 100K organisms of E. coli per cc of urine. Attending phys documents "urosepsis", so what is the next step for the coder? - ANSWER-Since PD is a nonspecific term and...

AHIMA CCS Exam Prep Questions and Answers 100% VerifiedAHIMA CCS Exam Prep Questions and Answers 100% VerifiedAHIMA CCS Exam Prep Questions and Answers 100% Verified CPT defines a separate procedure as - ANSWER-Procedure considered an integral part of a more major service No combination code available - ANSWER-Use separate codes for hypertension and acute renal failure Documentation from the nursing staff or other allied health professionals' notes can be used to provide specificity for ...

These ________________ are incorporated within the Alphabetic Index and Tabular List of the ICD--CM as instructional notes - ANSWER-conventions The conventions and instructions of the classification take precedence over ______________________ - ANSWER-guidelines The ______________ ___________________ is an alphabetical list of terms and their corresponding code. - ANSWER-Alphabetic Index The ________ ______________ is a structured list of codes divided into chapters based on body system...

CPT defines a separate procedure as - ANSWER-Procedure considered an integral part of a more major service No combination code available - ANSWER-Use separate codes for hypertension and acute renal failure Documentation from the nursing staff or other allied health professionals' notes can be used to provide specificity for code assignment for which of the following diagnoses? - ANSWER-Body Mass Index (BMI) POA Indicator - Y - ANSWER-Y-Yes, present at the time of inpatient admission ...

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CCS EXAM PREP-DOMAIN #8/COMPLIANCE WITH COMPLETE SOLUTIONSCCS EXAM PREP-DOMAIN #8/COMPLIANCE WITH COMPLETE SOLUTIONSCCS EXAM PREP-DOMAIN #8/COMPLIANCE WITH COMPLETE SOLUTIONS Operative report - ANSWER-A female patient is admitted for a second-degree cystocele. A repair is performed. In order to code this accurately, what document

CCS Exam Prep Questions and Answers 100% AccurateCCS Exam Prep Questions and Answers 100% AccurateCCS Exam Prep Questions and Answers 100% AccurateCCS Exam Prep Questions and Answers 100% Accurate The three key elements of evaluation and management code assignment are - ANSWER-History, Examination, Medical Decision Making

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CCS Exam Prep Domain V (Data Quality and Management) Questions and AnswersCCS Exam Prep Domain V (Data Quality and Management) Questions and AnswersCCS Exam Prep Domain V (Data Quality and Management) Questions and Answers There is no combo code for these two conditions: - ANSWER-Acute renal failure and hypertension Synonym for fulguration - ANSWER-Removal