CCS-P Study Set questions with correct
answers
4 cooperating parties of ICD-9 and responsibilities of each - CORRECT ANSWERS-
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
A barrier to wide spread use of automated code assignments is - CORRECT
ANSWERS-poor quality of documentation
ABN: advanced beneficiary notice - CORRECT ANSWERS-waiver required by
Medicare for all physician office procedures when there is a question as to whether or
not the service will be paid for by Medicare
issued each time each questionable service is provided
abnormal laboratory findings - CORRECT ANSWERS-are not coded unless indicated
there clinical significance by the physician
According to AMA medical decision making is measured by - CORRECT ANSWERS-1.
number of dx or management options
2. amount and complexity of data review
3. risk of complications
adverse effect - CORRECT ANSWERS-hypersensitivities or allergic reactions that
occur as qualitatively different responses to a drug, which are acquired only after re-
exposure to the drug is the definition of an adverse effect
aspiration pneumonia - CORRECT ANSWERS-caused by inhaled food, liquid, or oil by
a patient with pneumonia
benefits of email - CORRECT ANSWERS-to clarify treatment instructions or medication
administration for patients and healthcare providers
, best report to use in determination of the size of a removed malignant lesion -
CORRECT ANSWERS-operative report
CAC- computer assisted coding - CORRECT ANSWERS-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.
charge summary - CORRECT ANSWERS-aka office service report
contains summary of all billing data entered for the practice each day
claim redetermination - CORRECT ANSWERS-first step in claims appeal process
claims are reviewed by an individual who was not involved in the initial claim review
determination
request must be make within 120 days of receiving the initial claim determination
clinical data - CORRECT ANSWERS-relates to diagnosis and treatment documentation
in the health record
clustering - CORRECT ANSWERS-practice of coding/charging one or two middle levels
of service exclusively for all patient encounters
Coding Clinic - CORRECT ANSWERS-Published quarterly by the Central Office on
ICD-9-CM Coding of the American Hospital Association-AHA providing office ICD-9
coding guidelines
coding guideline for late effects is - CORRECT ANSWERS-residual condition is
sequenced first, followed by the cause of the late effect
common bacterial diseases - CORRECT ANSWERS-staphylococcus aureus
staphylococci
streptococci
streptococcus pyogenes
streptococcus pneumonia
gonorrhea
meningitis
salmonella
E. coli
cholera
mycoplasma
bacillus
C. perfringens
chlamydia trachomatius
answers
4 cooperating parties of ICD-9 and responsibilities of each - CORRECT ANSWERS-
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
A barrier to wide spread use of automated code assignments is - CORRECT
ANSWERS-poor quality of documentation
ABN: advanced beneficiary notice - CORRECT ANSWERS-waiver required by
Medicare for all physician office procedures when there is a question as to whether or
not the service will be paid for by Medicare
issued each time each questionable service is provided
abnormal laboratory findings - CORRECT ANSWERS-are not coded unless indicated
there clinical significance by the physician
According to AMA medical decision making is measured by - CORRECT ANSWERS-1.
number of dx or management options
2. amount and complexity of data review
3. risk of complications
adverse effect - CORRECT ANSWERS-hypersensitivities or allergic reactions that
occur as qualitatively different responses to a drug, which are acquired only after re-
exposure to the drug is the definition of an adverse effect
aspiration pneumonia - CORRECT ANSWERS-caused by inhaled food, liquid, or oil by
a patient with pneumonia
benefits of email - CORRECT ANSWERS-to clarify treatment instructions or medication
administration for patients and healthcare providers
, best report to use in determination of the size of a removed malignant lesion -
CORRECT ANSWERS-operative report
CAC- computer assisted coding - CORRECT ANSWERS-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.
charge summary - CORRECT ANSWERS-aka office service report
contains summary of all billing data entered for the practice each day
claim redetermination - CORRECT ANSWERS-first step in claims appeal process
claims are reviewed by an individual who was not involved in the initial claim review
determination
request must be make within 120 days of receiving the initial claim determination
clinical data - CORRECT ANSWERS-relates to diagnosis and treatment documentation
in the health record
clustering - CORRECT ANSWERS-practice of coding/charging one or two middle levels
of service exclusively for all patient encounters
Coding Clinic - CORRECT ANSWERS-Published quarterly by the Central Office on
ICD-9-CM Coding of the American Hospital Association-AHA providing office ICD-9
coding guidelines
coding guideline for late effects is - CORRECT ANSWERS-residual condition is
sequenced first, followed by the cause of the late effect
common bacterial diseases - CORRECT ANSWERS-staphylococcus aureus
staphylococci
streptococci
streptococcus pyogenes
streptococcus pneumonia
gonorrhea
meningitis
salmonella
E. coli
cholera
mycoplasma
bacillus
C. perfringens
chlamydia trachomatius
