CCS Mock Exam 1 Section 1| 100 QUESTIONS WITH COMPLETE SOLUTIONS

As part of a concurrent record review, you need to locate the initial plan of action based on he attending physician's initial assessment of the patient. You can expect to find this documentation either within the body of the history and physical or in the? Correct Answer: doctor's admitting progress note Employing the SOAP style of progress notes, choose the "assessment" statement. Correct Answer: Sciatica unimproved with hot pack therapy You have been hired to work with a computer-assisted coding initiative. The technology that you will be working with is? Correct Answer: Natural language processing A final progress note is appropriate as a discharge summary for a hospitalization in which the patient... Correct Answer: Was an obstetric admission with a normal delivery and no complications You would expect to find documentation regarding the assessment of an obstetric patient's loch, funds, and perineum on the... Correct Answer: postpartum record The special form that plays the central role in planning and providing care at nursing, psychiatric, and rehabilitation facilities is the Correct Answer: interdisciplinary patient care plan Which of the following diagnoses or procedures would prevent the normal delivery code, 650 from being assigned? Correct Answer: low forceps Which of the following are considered late effects regardless of time? Correct Answer: nonunion Patient is admitted for elective cholecystectomy for treatment of chronic cholecystitis with cholelithiasis. Prior to admisinstation of general anesthesia, patient suffers cerebral thrombosis. Surgery is subsequently canceled. Code and sequence. Correct Answer: 434.00 Cerebral thrombosis without cerebral infarction V64.1 Some ICD-9-CM Codes are exempt from POA reporting because they... Correct Answer: Represent circumstances regarding the health care encounter or factors influencing health status that do not represent a current disease or injury. Are always present on admission. What is a condition that is always considered "Present on Admission" (POA)? Correct Answer: Congenital conditions How is coding multiple wound repairs in CPT done? Correct Answer: All wound repairs are coded with the most complex reported first.