AHIMA CCS Exam Prep-108 Questions with Complete Answers

AHIMA CCS Exam Prep-108 Questions with Complete Answers CPT defines a separate procedure as - CORRECT ANSWER Procedure considered an integral part of a more major service No combination code available - CORRECT 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? - CORRECT ANSWER Body Mass Index (BMI) POA Indicator - Y - CORRECT ANSWER Y-Yes, present at the time of inpatient admission POA Indicator - N - CORRECT ANSWER N-No, not present at the time of inpatient admission POA Indicator - U - CORRECT ANSWER U-Unknown, documentation is insufficient to determine if condition is present on admission and you cannot speak to the physician to figure it out POA Indicator - W - CORRECT ANSWER W-Clinically undetermined, provider is unable to clinically determine whether condition was present on admission or not POA Indicator - E - CORRECT ANSWER E-Exempt, unreported/not used, some facilities will leave these blank, others will use the letter "E" Present on Admission Indicator (POA) - CORRECT ANSWER A Present On Admission (POA) indicator is required on all diagnosis 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. The use of the outpatient code editor (OCE) is designed to: - CORRECT ANSWER Identify incomplete and incorrect claims Medicare's identification of medically necessary services is outlined in: - CORRECT ANSWER Local Coverage Determinations (LCDs) Medically unlikely edits are used to identify: - CORRECT ANSWER Maximum units of service for a HCPCS code