CCS-P EXAM QUESTIONS AND
ANSWERS
HIPAA - Correct Answers -What Act provides for criminal penalties for healthcare
professional who "knowingly and willingly" attempt to defraud any health program
What information is necessary to assign the correct Evaluation and Management (E/M)
code for preventive medicine services? - Correct Answers -Preventive medicine
services category codes are assigned based on the age of the patient
Which of the following data elements is needed to accurately assign a CPT preventive
medicine code? - Correct Answers -The age of the patient
Stark legislation - Correct Answers -limits referrals when the provider has a financial
interest
Where might a coder find information on whether a specific medication has been
administered to the patient? - Correct Answers -Medication administration records
(MAR)
A coder has a question about how to use a newly created ICD-10-CM code. What would
be the best reference? - Correct Answers -CODING CLINIC
The amount that a nonparticipating (nonPAR) physician who does not accept
assignment can bill a Medicare beneficiary is called the: - Correct Answers -For
Medicare, a nonparticipating physician who does not accept assignment may not bill the
patient more than the Medicare limiting charge, which is 115% of the Medicare
approved amount
The conventional or traditional method of maintaining paper-based health records
whereby records are organized according to the source, or originating department that
rendered the service refers to a(n): - Correct Answers -By definition, the source-oriented
health record is the conventional or traditional method of maintaining paper-based
health records. In this method, health records are organized according to the source, or
originating, department
Sometimes referred to as a "superbug," this organism is a major cause of hospital-
acquired infection: - Correct Answers -Methicillin-resistant Staphylococcus aureus
( MRSA )
ANSWERS
HIPAA - Correct Answers -What Act provides for criminal penalties for healthcare
professional who "knowingly and willingly" attempt to defraud any health program
What information is necessary to assign the correct Evaluation and Management (E/M)
code for preventive medicine services? - Correct Answers -Preventive medicine
services category codes are assigned based on the age of the patient
Which of the following data elements is needed to accurately assign a CPT preventive
medicine code? - Correct Answers -The age of the patient
Stark legislation - Correct Answers -limits referrals when the provider has a financial
interest
Where might a coder find information on whether a specific medication has been
administered to the patient? - Correct Answers -Medication administration records
(MAR)
A coder has a question about how to use a newly created ICD-10-CM code. What would
be the best reference? - Correct Answers -CODING CLINIC
The amount that a nonparticipating (nonPAR) physician who does not accept
assignment can bill a Medicare beneficiary is called the: - Correct Answers -For
Medicare, a nonparticipating physician who does not accept assignment may not bill the
patient more than the Medicare limiting charge, which is 115% of the Medicare
approved amount
The conventional or traditional method of maintaining paper-based health records
whereby records are organized according to the source, or originating department that
rendered the service refers to a(n): - Correct Answers -By definition, the source-oriented
health record is the conventional or traditional method of maintaining paper-based
health records. In this method, health records are organized according to the source, or
originating, department
Sometimes referred to as a "superbug," this organism is a major cause of hospital-
acquired infection: - Correct Answers -Methicillin-resistant Staphylococcus aureus
( MRSA )
