AHIMA CCS Exam Complete Study Guide Test.

AHIMA CCS Exam Complete Study Guide Test. 1. CPT defines a separate pro- cedure as 2. No combination code avail- able 3. Documentation from the nursing staff or other allied health professionals' notes can be used to provide specificity for code assign- ment for which of the follow- ing diagnoses? Procedure considered an integral part of a more major service Use separate codes for hypertension and acute renal failure Body Mass Index (BMI) 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 con- 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 these blank, others will use the letter "E" 9. Present on Admission Indi- cator (POA) A Present On Admission (POA) indicator is required on all di- agnosis codes for the inpatient setting except for admission. The indicator should be reported for principal diagnosis codes, secondary diagnosis codes, Z-codes, and External cause injury codes. 10. The use of the outpatient code editor (OCE) is de- signed to: 11. Medicare's identification of medically necessary ser- vices is outlined in: 12. Medically unlikely edits are used to identify: 13. National Correct Coding Ini- tiative (NCCI) Edits are re- leased how often? 14. In 2000, CMS issued the fi- nal rule on the outpatient prospective 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: Identify incomplete and incorrect claims Local Coverage Determinations (LCDs) Maximum units of service for a HCPCS code Quarterly Divided outpatient services into fixed payment groups Prospective payment systems 16. What are APCs? APCs or "Ambulatory Payment Classifications" are the govern- ment's method of paying facilities for outpatient services for the Medicare program. 17. How do APCs work? The payments are calculated by multiplying the APCs relative weight by the OPPS conversion factor and then there is a minor adjustment for geographic location. 18. APC Status Indicator - C Inpatient Procedures, not paid under OPPS 19. APC Status Indicator - N Items and Services Packaged into APC Rates 20. APC Status Indicator - S Significant Procedure, Not Discounted When Multiple 21. APC Status Indicator - T Significant Procedure, Multiple Reduction Applies 22. APC Status Indicator - V Clinic or Emergency Department Visit 23. APC Status Indicator - X Ancillary Services 24. APC Status Indicator - Y Non-Implantable Durable Medical Equipment