CCS EXAM QUESTIONS AND
ANSWERS
Relational database structures - Correct Answers -An entity relationship diagram was
developed to depict
A data map or crosswalk consists of: - Correct Answers -Terms used to describe paths
between classifications and vocabularies
An object-oriented database contains: - Correct Answers -Data and their relationships
within a single structure
Structured query language - Correct Answers -The most common language used for
both data defintion language and data manipulation language
Manipulation CPT - Correct Answers -Is the same as "Reduction" in ICD9
Outpatient Prospective Payment System (OPPS) began - Correct Answers -To be used
for Medicare in August 2000.
Contradictiory documentation may be remedied proactively by using: - Correct Answers
-Communication tools
A condition is present on admission when: - Correct Answers -A condition that occurs
prior to an inpatient admission
The UHDDS definition of principal diagnosis does not apply to the coding of outpatient
encounters because: - Correct Answers -No after study element is involved as
continued evaluation cannot occur
Ambulatory Payment Classification (APCs) - Correct Answers -Reimbursement for
hospital-based outpatient services such as outpatient surgery, emergency department
visits, outpatient clinic visits, and outpatient ancillary tests.
How are APCs similar to MS-DRGs? - Correct Answers -They are both prospective
payment methodologies and both have relative weights
How are APCs different from MS-DRGs? - Correct Answers -Outpatients can have
multiple APCs for a given encounter, whereas an inpatient can have only one MS-DRG.
, What services are generated with APCs? - Correct Answers -X-rays, medical tests,
clinic or emergency visits, surgical procedures, devices, drugs and biologicals, and
parital hospitalizations.
What is the billing number in APCs? - Correct Answers -The billing number is the
connecting identifier for a given patients encounter that results in multiple APCs.
Case Mix - Correct Answers -A description of patient population based on any number
of specific characteristics, including age, gender, type of insurance, diagnosis, risk
factors, treatment received, and resources used.
Case-mix index - Correct Answers -The average relative weight of all cases treated at a
given facility or by a physician,
Case Mix Index - Correct Answers -Is the average of all weight together with highest
sum. Ex: 3.7533÷3=1.2511
Case Mix - Correct Answers -Is all the weights add together. Ex: 0.7870 + 1.1510
+1.4653= 3.7533
Medical Staffbylaws - Correct Answers -The requirements for documentation and record
completion (documents such as history and physicals, discharge summaries, and
consultations) as well as penalties for nonaherence must be specified.
Data Quality - Correct Answers -Ensuring the accuracy and completeness of an
organization's data.
A method of checking the accuracy of data is to: - Correct Answers -Ensure that each
record or entry within the database is correct.
When applying AHIMA's 10 data characteristics to a patient encounter, a data quality
checkpoint for data timeliness during medication reconciliation would be: - Correct
Answers -Ensuring a standardized formulary.
Before an organization can measure the quality of information it produces it must: -
Correct Answers -Establish data standards within the organization.
E/M example for hospital acuity points assignment? - Correct Answers -Number of test
ordered, supplies used, medication given.
Most Hospitals require a medical record is completed within - Correct Answers -30 days
To correct an entry in the record, the provider should: - 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.
ANSWERS
Relational database structures - Correct Answers -An entity relationship diagram was
developed to depict
A data map or crosswalk consists of: - Correct Answers -Terms used to describe paths
between classifications and vocabularies
An object-oriented database contains: - Correct Answers -Data and their relationships
within a single structure
Structured query language - Correct Answers -The most common language used for
both data defintion language and data manipulation language
Manipulation CPT - Correct Answers -Is the same as "Reduction" in ICD9
Outpatient Prospective Payment System (OPPS) began - Correct Answers -To be used
for Medicare in August 2000.
Contradictiory documentation may be remedied proactively by using: - Correct Answers
-Communication tools
A condition is present on admission when: - Correct Answers -A condition that occurs
prior to an inpatient admission
The UHDDS definition of principal diagnosis does not apply to the coding of outpatient
encounters because: - Correct Answers -No after study element is involved as
continued evaluation cannot occur
Ambulatory Payment Classification (APCs) - Correct Answers -Reimbursement for
hospital-based outpatient services such as outpatient surgery, emergency department
visits, outpatient clinic visits, and outpatient ancillary tests.
How are APCs similar to MS-DRGs? - Correct Answers -They are both prospective
payment methodologies and both have relative weights
How are APCs different from MS-DRGs? - Correct Answers -Outpatients can have
multiple APCs for a given encounter, whereas an inpatient can have only one MS-DRG.
, What services are generated with APCs? - Correct Answers -X-rays, medical tests,
clinic or emergency visits, surgical procedures, devices, drugs and biologicals, and
parital hospitalizations.
What is the billing number in APCs? - Correct Answers -The billing number is the
connecting identifier for a given patients encounter that results in multiple APCs.
Case Mix - Correct Answers -A description of patient population based on any number
of specific characteristics, including age, gender, type of insurance, diagnosis, risk
factors, treatment received, and resources used.
Case-mix index - Correct Answers -The average relative weight of all cases treated at a
given facility or by a physician,
Case Mix Index - Correct Answers -Is the average of all weight together with highest
sum. Ex: 3.7533÷3=1.2511
Case Mix - Correct Answers -Is all the weights add together. Ex: 0.7870 + 1.1510
+1.4653= 3.7533
Medical Staffbylaws - Correct Answers -The requirements for documentation and record
completion (documents such as history and physicals, discharge summaries, and
consultations) as well as penalties for nonaherence must be specified.
Data Quality - Correct Answers -Ensuring the accuracy and completeness of an
organization's data.
A method of checking the accuracy of data is to: - Correct Answers -Ensure that each
record or entry within the database is correct.
When applying AHIMA's 10 data characteristics to a patient encounter, a data quality
checkpoint for data timeliness during medication reconciliation would be: - Correct
Answers -Ensuring a standardized formulary.
Before an organization can measure the quality of information it produces it must: -
Correct Answers -Establish data standards within the organization.
E/M example for hospital acuity points assignment? - Correct Answers -Number of test
ordered, supplies used, medication given.
Most Hospitals require a medical record is completed within - Correct Answers -30 days
To correct an entry in the record, the provider should: - 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.
