CCS-P Study Set with 100% Verified Questions and Answers

CCS-P Study Set with 100% Verified Questions and Answers According to AMA medical decision making is measured by - CORRECT ANSWER 1. number of dx or management options 2. amount and complexity of data review 3. risk of complications CPT Assistant - CORRECT ANSWER provides official guidance in CPT coding published by the AMA A barrier to wide spread use of automated code assignments is - CORRECT ANSWER poor quality of documentation When should coders assign codes from lab reports alone - CORRECT ANSWER Never. If findings are out of normal range and the physician has ordered additional testing or treatment; consult with the physician as to whether the Dx should be added or if an abnormal finding should be listed. 4 cooperating parties of ICD-9 and responsibilities of each - CORRECT ANSWER NCHS (national center for health statistics): maintaines dx classifications in Vol 1&2 CMS: maintains procedural classification in Vol 3 AHIMA & AHA: give advice & assistance on coding guidelines in conjunction with health information management practitioners, physicians, & other users of ICD-9 When can code 99291 (E/M critical care) be used in place of a medical visit or ER code - CORRECT ANSWER When the patient meets the definition of critical care and receives outpatient care on the same day limiting charge - CORRECT ANSWER this is the amount a NON PAR Medicare provider can collect from a patient in excess of 15% over the NON PAR Medicare approved amount. When does CMS send the payment directly to the patient - CORRECT ANSWER when a NON PAR provider does not accept assignment hard coding - CORRECT ANSWER refers to CPT/HCPCS codes that appear in the hospitals chargemaster and will be included automatically on the patient's bill. CAC- computer assisted coding - CORRECT ANSWER AHIMA defines as the use of computer software that automatically generates a set of medical codes for review , validation, and use based upon the documentation provided by the various providers of healthcare