CCS exam test 1 questions with correct
answers
-Draw a single line through the error
-add a note explaining the error
-initial and date
- add the correct information in chronological order - CORRECT ANSWERS-To correct
an entry in a paper-based medical record, the provider should
. Relevant clinical indicators - CORRECT ANSWERS-Compliant queries include which
of the following?
22 modifier - CORRECT ANSWERS-Modifier that indicates that it takes more time than
originally planned
30 days - CORRECT ANSWERS-Most hospitals require a medical record to be
completed within what time limit.
59 modifier - CORRECT ANSWERS-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: -
CORRECT ANSWERS-Query the healthcare provider who performed the procedure to
determine if the debridement was excisional.
a hospital-acquired condition - CORRECT ANSWERS-When a catheter-associated
urinary tract infection is not present on admission, it is considered what?
Acute bronchiolitis - CORRECT ANSWERS-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 - CORRECT ANSWERS-Congenital
Amendment - CORRECT ANSWERS-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 - CORRECT ANSWERS-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. - CORRECT ANSWERS-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 - CORRECT ANSWERS-When creating a compliant query to clarify
conflicting information from the surgeon and the attending physician, to whom should
the query be directed
Authorization - CORRECT ANSWERS-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 - CORRECT ANSWERS-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? - CORRECT ANSWERS-Reviewing the history and physical of a coworker
when not part of work assignment
Breach - CORRECT ANSWERS-What is the term used when protected health
information has been disclosed inappropriately?
Business associate agreement - CORRECT ANSWERS-Under HIPAA, what should be
in place to permit access and protect patient privacy?
Case Mix Index - CORRECT ANSWERS-case-mix index is a way for a facility to
measure resource consumption and cost of care
Case-mix index - CORRECT ANSWERS-Under the Inpatient Prospective Payment
System (IPPS), what can be used to measure the cost of care for inpatients
Catheter-associated urinary tract infection - CORRECT ANSWERS-Which of the
following would be considered a hospital-acquired condition when the POA indicator is
N
answers
-Draw a single line through the error
-add a note explaining the error
-initial and date
- add the correct information in chronological order - CORRECT ANSWERS-To correct
an entry in a paper-based medical record, the provider should
. Relevant clinical indicators - CORRECT ANSWERS-Compliant queries include which
of the following?
22 modifier - CORRECT ANSWERS-Modifier that indicates that it takes more time than
originally planned
30 days - CORRECT ANSWERS-Most hospitals require a medical record to be
completed within what time limit.
59 modifier - CORRECT ANSWERS-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: -
CORRECT ANSWERS-Query the healthcare provider who performed the procedure to
determine if the debridement was excisional.
a hospital-acquired condition - CORRECT ANSWERS-When a catheter-associated
urinary tract infection is not present on admission, it is considered what?
Acute bronchiolitis - CORRECT ANSWERS-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 - CORRECT ANSWERS-Congenital
Amendment - CORRECT ANSWERS-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 - CORRECT ANSWERS-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. - CORRECT ANSWERS-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 - CORRECT ANSWERS-When creating a compliant query to clarify
conflicting information from the surgeon and the attending physician, to whom should
the query be directed
Authorization - CORRECT ANSWERS-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 - CORRECT ANSWERS-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? - CORRECT ANSWERS-Reviewing the history and physical of a coworker
when not part of work assignment
Breach - CORRECT ANSWERS-What is the term used when protected health
information has been disclosed inappropriately?
Business associate agreement - CORRECT ANSWERS-Under HIPAA, what should be
in place to permit access and protect patient privacy?
Case Mix Index - CORRECT ANSWERS-case-mix index is a way for a facility to
measure resource consumption and cost of care
Case-mix index - CORRECT ANSWERS-Under the Inpatient Prospective Payment
System (IPPS), what can be used to measure the cost of care for inpatients
Catheter-associated urinary tract infection - CORRECT ANSWERS-Which of the
following would be considered a hospital-acquired condition when the POA indicator is
N
