AHIMA CCS Exam Prep with correct
answers
A completed and signed operative report needs clarification of the size of the skin
lesions that were removed. What process is used for that clarification? - CORRECT
ANSWERS-Amendment
A complication or comorbidity - CORRECT ANSWERS-Hypernatremia - A high
concentration of sodium in the blood. Hypernatremia most often occurs in people who
don't drink enough water.
A discrepancy in the record while the patient is still on the floor - who is responsible for
obtaining clarity on the information? - CORRECT ANSWERS-Clinical document
specialist
A major complication comorbidity: - CORRECT ANSWERS-Acute diastolic congestive
heart failure
A patient admitted with pneumococcal pneumonia and severe pneumococcal sepsis -
CORRECT ANSWERS-Assign codes for sepsis, pneumonia and severe sepsis
Code three codes
A code for the systemic infection is sequenced first followed by the code for the
localized infection and a code from category R65.2
According to Medicare requirements, a history and physical must: - CORRECT
ANSWERS-Be completed for each patient no more than 30 days before or 24 hours
after admission or registration, but prior to surgery
According to the UHDDS, section 3, the definition of other diagnoses is all conditions
that: - CORRECT ANSWERS-Coexist at the time of admission, that develop
subsequently, or that affect the treatment received or the length of stay
According to the UHDDS, the definition of a secondary diagnosis is a condition that: -
CORRECT ANSWERS-Receives clinical evaluation, therapeutic treatment, further
evaluation, extends the length of stay, increases nursing monitoring and care
, Acute Bronchiolitis - CORRECT ANSWERS-Bronchiolitis is a common lung infection in
young children and infants. It causes inflammation and congestion in the small airways
(bronchioles) of the lung. Bronchiolitis is almost always caused by a virus.
Admission source code used to identify a patient admitted to the facility from home: -
CORRECT ANSWERS-Non-Healthcare Facility
Admission source code used to identify a patient admitted to the facility from hospice
care: - CORRECT ANSWERS-Transfer from hospice
All Patient DRGs (AP-DRGs) - CORRECT ANSWERS-an expansion of the basic DRGs
to be more representative of Non-Medicare populations such as pediatric patients. The
All Patient Refined DRGs (APR-DRG) incorporate severity of illness subclasses into the
AP-DRGs.
All Patients Refined Diagnosis Related Groups (APR DRG) - CORRECT ANSWERS-a
classification system that classifies patients according to their reason of admission,
severity of illness and risk of mortality.
All APR DRGs have 4 severity levels.
APC Codes (Ambulatory Payment Classifications) - CORRECT ANSWERS-APCs or
Ambulatory Payment Classifications are the United States government's method of
paying for facility outpatient services for the Medicare (United States) program. APCs
are an outpatient prospective payment system applicable only to hospitals.
APC Status Indicator - C - CORRECT ANSWERS-Inpatient Procedures, not paid under
OPPS
APC Status Indicator - N - CORRECT ANSWERS-Items and Services Packaged into
APC Rates
APC Status Indicator - S - CORRECT ANSWERS-Significant Procedure, Not
Discounted When Multiple
APC Status Indicator - T - CORRECT ANSWERS-Significant Procedure, Multiple
Reduction Applies
APC Status Indicator - V - CORRECT ANSWERS-Clinic or Emergency Department Visit
APC Status Indicator - X - CORRECT ANSWERS-Ancillary Services
APC Status Indicator - Y - CORRECT ANSWERS-Non-Implantable Durable Medical
Equipment
answers
A completed and signed operative report needs clarification of the size of the skin
lesions that were removed. What process is used for that clarification? - CORRECT
ANSWERS-Amendment
A complication or comorbidity - CORRECT ANSWERS-Hypernatremia - A high
concentration of sodium in the blood. Hypernatremia most often occurs in people who
don't drink enough water.
A discrepancy in the record while the patient is still on the floor - who is responsible for
obtaining clarity on the information? - CORRECT ANSWERS-Clinical document
specialist
A major complication comorbidity: - CORRECT ANSWERS-Acute diastolic congestive
heart failure
A patient admitted with pneumococcal pneumonia and severe pneumococcal sepsis -
CORRECT ANSWERS-Assign codes for sepsis, pneumonia and severe sepsis
Code three codes
A code for the systemic infection is sequenced first followed by the code for the
localized infection and a code from category R65.2
According to Medicare requirements, a history and physical must: - CORRECT
ANSWERS-Be completed for each patient no more than 30 days before or 24 hours
after admission or registration, but prior to surgery
According to the UHDDS, section 3, the definition of other diagnoses is all conditions
that: - CORRECT ANSWERS-Coexist at the time of admission, that develop
subsequently, or that affect the treatment received or the length of stay
According to the UHDDS, the definition of a secondary diagnosis is a condition that: -
CORRECT ANSWERS-Receives clinical evaluation, therapeutic treatment, further
evaluation, extends the length of stay, increases nursing monitoring and care
, Acute Bronchiolitis - CORRECT ANSWERS-Bronchiolitis is a common lung infection in
young children and infants. It causes inflammation and congestion in the small airways
(bronchioles) of the lung. Bronchiolitis is almost always caused by a virus.
Admission source code used to identify a patient admitted to the facility from home: -
CORRECT ANSWERS-Non-Healthcare Facility
Admission source code used to identify a patient admitted to the facility from hospice
care: - CORRECT ANSWERS-Transfer from hospice
All Patient DRGs (AP-DRGs) - CORRECT ANSWERS-an expansion of the basic DRGs
to be more representative of Non-Medicare populations such as pediatric patients. The
All Patient Refined DRGs (APR-DRG) incorporate severity of illness subclasses into the
AP-DRGs.
All Patients Refined Diagnosis Related Groups (APR DRG) - CORRECT ANSWERS-a
classification system that classifies patients according to their reason of admission,
severity of illness and risk of mortality.
All APR DRGs have 4 severity levels.
APC Codes (Ambulatory Payment Classifications) - CORRECT ANSWERS-APCs or
Ambulatory Payment Classifications are the United States government's method of
paying for facility outpatient services for the Medicare (United States) program. APCs
are an outpatient prospective payment system applicable only to hospitals.
APC Status Indicator - C - CORRECT ANSWERS-Inpatient Procedures, not paid under
OPPS
APC Status Indicator - N - CORRECT ANSWERS-Items and Services Packaged into
APC Rates
APC Status Indicator - S - CORRECT ANSWERS-Significant Procedure, Not
Discounted When Multiple
APC Status Indicator - T - CORRECT ANSWERS-Significant Procedure, Multiple
Reduction Applies
APC Status Indicator - V - CORRECT ANSWERS-Clinic or Emergency Department Visit
APC Status Indicator - X - CORRECT ANSWERS-Ancillary Services
APC Status Indicator - Y - CORRECT ANSWERS-Non-Implantable Durable Medical
Equipment
