CCS Exam Study Questions (2023/ 2024 New Update) |Complete Guide with Questions and

CCS Exam Study Questions (2023/ 2024 New Update) |Complete Guide with Questions and QUESTION Verified Answers Before making recommendations to the Executive Committee regarding new physicians who have applied for active membership, the Credentials Committee must query the Answer: National Practitioner Data Bank QUESTION When developing a data collection system, the most effective approach first considers Answer: the end user's needs QUESTION As part of Joint Commission's National Patient Safety Goal initiative, acute care hospitals are now required to use a preoperative verification process to confirm the patient's true identity and to confirm that necessary documents such as X-rays or medical records are available. They must also develop and use a process for Answer: marking the surgical site QUESTION Under ASC-PPS, the patient is responsible for paying the coinsurance amount based upon ____ of the national median charge for the services rendered Answer: 20% QUESTION There are times when documentation is incomplete or insufficient to support the diagnoses found in the chart. The most common way of communicating with the physician for answers is by Answer: using established physician query protocols QUESTION Your job description includes working with agents who have been charged with detecting and correcting overpayments made to your hospital in the Medicare Fee for Service program. You will need to develop a professional relationship with Answer: recovery audit contractors QUESTION During a retrospective review of Rose Hunter's inpatient health record, the health information clerk notes that on day 4 of hospitalization, there was one missed dose of insulin. What type of review is this clerk performing? Answer: qualitative review QUESTION The hospital implemented an electronic query system to allow more effective communication with physicians and other health practitioners to improve clinical documentation in the patient record. This query system was implemented as part of a __________________________program. Answer: clinical documentation improvement (CDI) QUESTION Ultimate responsibility for the quality and completion of entries in patient health records belongs to the Answer: attending physician QUESTION Joint Commission does not approve of auto authentication of entries in a health record. The primary objection to this practice is that Answer: evidence cannot be provided that the physician actually reviewed and approved each report QUESTION Currently, the enforcement of HIPAA Privacy and Security Rules is the responsibility of the Answer: Office for Civil Rights QUESTION The patient sees a participating (PAR) provider and has a procedure performed after meeting the annual deductible. If the Medicare-approved amount is $200, how much is the patient's out-of- pocket expense? Answer: $40 QUESTION The committee that is responsible for establishing the quality improvement priorities of the cancer program and for monitoring the effectiveness of quality improvement activities is the Answer: Cancer Committee QUESTION To monitor timely claims processing in a hospital, a summary report of "patient receivables" is generated frequently. Aged receivables can negatively affect a facility's cash flow; therefore, to maintain the facility's fiscal integrity, the HIM manager must routinely analyze this report. Though this report has no standard title, it is often called the Answer: DNFB (discharged, not final billed) QUESTION The health care providers at your hospital do a very thorough job of periodic open record review to ensure the completeness of record documentation. A qualitative review of surgical records would likely include checking for documentation regarding Answer: the presence or absence of such items as preoperative and postoperative diagnosis, description of findings, and specimens removed QUESTION The Correct Coding Initiative (CCI) edits contain a listing of codes under two columns titled "comprehensive codes" and "component codes." According to the CCI edits, when a provider bills Medicare for a procedure that appears in both columns for the same beneficiary on the same date of service they should Answer: code only the comprehensive code QUESTION