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1. ‘CPT defines a separate
Procedure considered an integral part of a more major serv
pro- cedure as
2. No combination code
avail- able Use separate codes for hypertension and acute renal failure
3. Documentation from
the nursing staff or Body Mass Index (BMI)
other allied health
professionals' notes
can be used to provide
specificity for code
assign- ment for which of
the follow- ing
diagnoses?
4. POA Indicator - Y Y-Yes, present at the time of inpatient admission
5. POA Indicator - N N-No, not present at the time of inpatient admission
6. POA Indicator - U U-Unknown, documentation is insuflcient to determine if co
dition is present on admission and you cannot speak to
the physician to figure it out
7. POA Indicator - W W-Clinically undetermined, provider is unable to clinically
deter-
mine whether condition was present on admission or not
8. POA Indicator - E E-Exempt, unreported/not used, some facilities will leave the
blank, others will use the letter "E"
9. Present on Admission A Present On Admission (POA) indicator is required on
Indi- cator (POA) all di- agnosis codes for the inpatient setting except for
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,AHIMA CCS Exam Prep questions with 100%
complete solutions A+ rated
admission. The indicator should be
reported for principal diagnosis codes,
secondary diagnosis codes, Z-codes,
and External cause injury codes.
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,AHIMA CCS Exam Prep questions with 100%
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10. The use of the Identify incomplete and incorrect claims
outpatient code editor
(OCE) is de- signed
to:
Local Coverage Determinations (LCDs)
11. Medicare's
identification of
medically necessary
ser- vices is outlined Maximum units of service for a HCPCS code
in:
12. Medically unlikely edits
Quarterly
are used to identify:
13. National Correct Coding
Ini- tiative (NCCI) Edits
are re- leased how Divided outpatient services into fixed payment groups
often?
14. In 2000, CMS issued
the fi- nal rule on the
outpatient prospective Prospective payment systems
payment sys- tem
(OPPS). The final rule:
15. Diagnostic-related
groups (DRGs) and
ambulatory pa- tient
classifications (APCs)
are similar in that they
are both:
16. What are APCs? APCs or "Ambulatory Payment Classifications" are the gover
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