AHIMA CCS EXAM PREP 2025 QUESTIONS
AND CORRECT ANSWERS
CPT defines a separate procedure as ANSWER- Procedure considered
an integral part of a more major service
No combination code available ANSWER- Use separate codes for
hypertension and acute renal failure
Documentation from the nursing staff or other allied health professionals'
notes can be used to provide specificity for code assignment for which of
the following diagnoses? ANSWER- Body Mass Index (BMI)
Under the Inpatient Prospective Payment System (IPPS), what can be
used to measure the cost of care for inpatients? ANSWER- Case-mix
index
The abstracting of this data element has an impact on the DRG
reimbursement ANSWER- Discharge disposition
Which of the following is a data element that coders typically are tasked
with abstracting? ANSWER- Date of surgery
,When a patient goes home with an order for home health to start one week
after an inpatient admission, this is categorized as a ANSWER- discharge
Major complications & comorbidities (MCCs) are determined to
require the greatest degree of resources with a payment group and
also reflect the greatest ANSWER- SOI - Severity of Illness
Major complications & comorbidities (MCCs) ANSWER- Type 2
Myocardial Infarction
Asthma with status asthmaticus ANSWER- An acute asthmatic attack
in which the degree of bronchial obstruction is not relieved by the usual
treatment, such as epinephrine and aminophylline
Patient discharged with Dx acute pulmonary edema due to congestive heart
failure ANSWER- Code: Congestive Heart Failure
Diagnosis listed as "possible" or "rule out" ANSWER- Outpatient
coding does not permit the use of "possible" or "rule out" diagnoses.
The most challenging type of provider query is issued for ANSWER-
Establishing clinical validation
When creating a compliant query to clarify conflicting
, information from the surgeon and the attending physician, to
whom should the query be directed ANSWER- attending
physician
Verbal queries ANSWER- Must have a written response in the record for
coding purposes
Most hospitals require a medical record to be completed within
ANSWER- 30 days
A completed and signed operative report needs clarification of the size
of the skin lesions that were removed. What process is used for that
clarification? ANSWER- Amendment
Conditions on the hospital-acquired condition list: ANSWER- Stage 3
& 4 pressure ulcers are on the HAC list
What is the term used for applying the HIPAA privacy rule over state
rule(s) which are less strict? ANSWER- Preemption
According to the UHDDS, section 3, the definition of other
diagnoses is all conditions that: ANSWER- Coexist at the time
of admission, that develop subsequently, or that affect the
treatment received or the length of stay
AND CORRECT ANSWERS
CPT defines a separate procedure as ANSWER- Procedure considered
an integral part of a more major service
No combination code available ANSWER- Use separate codes for
hypertension and acute renal failure
Documentation from the nursing staff or other allied health professionals'
notes can be used to provide specificity for code assignment for which of
the following diagnoses? ANSWER- Body Mass Index (BMI)
Under the Inpatient Prospective Payment System (IPPS), what can be
used to measure the cost of care for inpatients? ANSWER- Case-mix
index
The abstracting of this data element has an impact on the DRG
reimbursement ANSWER- Discharge disposition
Which of the following is a data element that coders typically are tasked
with abstracting? ANSWER- Date of surgery
,When a patient goes home with an order for home health to start one week
after an inpatient admission, this is categorized as a ANSWER- discharge
Major complications & comorbidities (MCCs) are determined to
require the greatest degree of resources with a payment group and
also reflect the greatest ANSWER- SOI - Severity of Illness
Major complications & comorbidities (MCCs) ANSWER- Type 2
Myocardial Infarction
Asthma with status asthmaticus ANSWER- An acute asthmatic attack
in which the degree of bronchial obstruction is not relieved by the usual
treatment, such as epinephrine and aminophylline
Patient discharged with Dx acute pulmonary edema due to congestive heart
failure ANSWER- Code: Congestive Heart Failure
Diagnosis listed as "possible" or "rule out" ANSWER- Outpatient
coding does not permit the use of "possible" or "rule out" diagnoses.
The most challenging type of provider query is issued for ANSWER-
Establishing clinical validation
When creating a compliant query to clarify conflicting
, information from the surgeon and the attending physician, to
whom should the query be directed ANSWER- attending
physician
Verbal queries ANSWER- Must have a written response in the record for
coding purposes
Most hospitals require a medical record to be completed within
ANSWER- 30 days
A completed and signed operative report needs clarification of the size
of the skin lesions that were removed. What process is used for that
clarification? ANSWER- Amendment
Conditions on the hospital-acquired condition list: ANSWER- Stage 3
& 4 pressure ulcers are on the HAC list
What is the term used for applying the HIPAA privacy rule over state
rule(s) which are less strict? ANSWER- Preemption
According to the UHDDS, section 3, the definition of other
diagnoses is all conditions that: ANSWER- Coexist at the time
of admission, that develop subsequently, or that affect the
treatment received or the length of stay
