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CCDS WRITTEN EXAM QUESTIONS AND ANSWERS.

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CCDS WRITTEN EXAM QUESTIONS AND ANSWERS. 1. A. Bleeding gas- tric ulcer 2. B. Neoplasm of occipital region 3. C. 1,2, and 3 1. Calculated an- nually 2. Dependent upon indirect costs for gradu- ate medical ed- ucation and new technology 3. Adjusted A patient is admitted from the emergency department (ED) with a diagnosis of weakness and anemia. After admission and further treatment with packed red blood cells (PRBC), GI consult, and endoscopy, the physician includes the fol- lowing diagnoses in the discharge summary: anemia, suspected bleeding gastric ulcer, and GERD. What would be the most appropriate principle diagnosis? A. Bleeding gastric ulcer B. Anemia C. GERD D. Weakness A patient is admitted with new-onset seizures. Head CT reveals a mass in the occipital region. The physician documents possible brain tumor, and the patient is transferred to another hospital for further workup. What would be the most appropriate principal diagnosis based upon this documentation? A. Seizure B. Neoplasm of occipital region C. Head mass D. Head tumor A hospital's base rate or blended rate is: 1. Calculated annually 2. Dependent upon indirect costs for graduate medical education and new tech- nology 3. Adjusted based upon number of low-income patients cared for 4. Not adjusted based upon capital expenses A. 1 and 2 B. 2 and 3 based upon number of low-income pa- tients cared for 4. D. Reflect the severity of ill- C. 1,2, and 3 D. 1,2,3, and 4 The final MS-DRG assigned to a patient's medical record should:

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CCDS WRITTEN EXAM QUESTIONS AND ANSWERS.

1. A. Bleeding 3. Adjusted
gas- tric ulcer




2. B. Neoplasm
of occipital
region




3. C. 1,2, and 3

1. Calculated
an- nually
2. Dependent
upon indirect
costs for
gradu- ate
medical ed-
ucation and
new
technology
1/
63

, CCDS WRITTEN EXAM QUESTIONS AND ANSWERS.

A patient is admitted from appropriate principal diagnosis based upon this documentation?
the emergency
department (ED) with a A. Seizure
diagnosis of weakness and B. Neoplasm of occipital region
anemia. After admission C. Head mass
and further treatment with D. Head tumor
packed red blood cells
(PRBC), GI consult, and A hospital's base rate or blended rate is:
endoscopy, the physician
includes the fol- lowing 1. Calculated annually
diagnoses in the discharge 2. Dependent upon indirect costs for graduate medical education
summary: anemia, and new tech- nology
suspected bleeding gastric 3. Adjusted based upon number of low-income patients cared for
ulcer, and GERD. What 4. Not adjusted based upon capital expenses
would be the most
appropriate principle A. 1 and 2
diagnosis? B. 2 and 3

A. Bleeding gastric ulcer
B. Anemia
C. GERD
D. Weakness

A patient is admitted with
new-onset seizures. Head
CT reveals a mass in the
occipital region. The
physician documents
possible brain tumor, and
the patient is transferred
to another hospital for
further workup. What
would be the most
2/
63

, CCDS WRITTEN EXAM QUESTIONS AND ANSWERS.

based upon C. 1,2, and 3
number of D. 1,2,3, and 4
low-income
pa- tients
cared for
The final MS-DRG assigned to a patient's medical record should:
4. D. Reflect
the
severity of
ill-
ness (SOI) and re- A. Reflect the amount of time the physician spent with the patient
source B. Depend upon the patient's length of stay
consump- tion C. Be assigned by the physician
of the pa- D. Reflect the severity of illness (SOI) and resource consumption of the
tient's care patient's care

5. C. Poisoning A patient is admitted from the emergency department with the diagnosis
of
acute respiratory failure due to overdose of pain medication and an
aspiration pneumonia. What is the principal diagnosis?

A. Acute respiratory failure
B. Aspiration pneumonia
C. Poisoning
D. Adverse ettect of medication

6. D. All of the
con- ditions
should be
coded 7. D. Fractured ulna




3/
63

, CCDS WRITTEN EXAM QUESTIONS AND ANSWERS.

A patient is admitted with
pneumonia, stage 1 chronic
renal failure, chronic
anemia, and COPD, While
hospitalized the patient
receives IV antibiotics,
inhalers, oxygen, IV fluids at
50mL/hr, and iron tablets.
Keeping the guidelines for
coding of secondary
diagnoses in mind, which
condition should be coded?

A. Pneumonia only
B. Pneumonia and COPD
only
C. Pneumonia, COPD,
and anemia
D. All of the conditions
should be coded




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63

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