Medical Technology
l
CCS
Certified Coding Specialist Examination
l l l
, Latest Version: 6.0
l l
Question: 1 l
Which lof lthe lfollowing lwas ladopted lby lthe lfederal lgovernment las lthe lstandard lfor linpatient lhealthcare
ldata?
A. POA
B. OPPS
C. UHDDS
D. RBRVS
Answer: C l
Explanation:
The lUniform lHospital lDischarge lData lSet l(UHDDS) lwas ladopted lby lthe lfederal lgovernment las lthe
lstandard lfor lcollecting lhealthcare ldata. lBy lproviding la llist lof ldata lelements lthat lare lrequired lwhen
lsubmitting la lclaim, lthe lquality land lefficiency lof lhealthcare lservices lbeing lrendered lcan lmore leasily lbe
levaluated land lthe lcosts lfor lwhich lthose lservices lshould lbe lpaid lcan lbe lstandardized. lPresent lon
ladmission l(POA) lis la ltype lof lguideline lused lto ldifferentiate lillnesses land/or linjuries lthat la lpatient
lpresented lwith lupon ltheir ladmission lfrom lthose lthat ldeveloped llater lduring ltheir linpatient lstay. lThe
lresource-based lrelative lvalue lscale l(RBRVS) lis la lpayment lsystem lcalculated lby lfactoring lthe lcost lof lthe
lphysician's lwork, lpractice lexpense, lprofessional lliability linsurance, land lgeographical llocation. lThe
loutpatient lprospective lpayment lsystem l(OPPS) lis la lpayment lsystem ldesigned lto lpromote lthe
lpredictability lof lpayment, lpromote lconsistency, land lencourage lthe lquality lof lcare lgiven lto lMedicare
lpatients lreceiving loutpatient lservices lin la lhospital lsetting.
Question: 2 l
How lis ldata lfor lthe lUHDDS lcollected?
A. By lsubmitting lstatistical ldata lthrough lCMS.gov
B. By lreviewing linpatient lclaim lsubmissions
C. Through lannual laudits
D. By lsubmitting lstatistical ldata lto lthe lDepartment lof lHealth land lHuman lServices
Answer: B l
Explanation:
All lof lthe ldata lrequired lby lUHDDS lthat lshould lbe ldocumented lin lan lindividual's lmedical lrecord lis
lreviewed land lreported lby lthe lcoding lstaff land lmatched lwith lthe lappropriate lICD-IO-CM land lCPT lcodes.
lEach lCPT lcode lshould lhave la lcost lassociated lwith lit, lthus lcreating la ltotal lcharge lfor lthe lservices
lprovided. lAll lof lthis linformation lis lthen lentered lon lan linsurance lclaim lform land lis lsubmitted lto lthe
lhealthcare lpayer lfor levaluation land l review. lThis l information lis lnext lcollected l by lUHDDS lto l evaluate lthe
l
CCS
Certified Coding Specialist Examination
l l l
, Latest Version: 6.0
l l
Question: 1 l
Which lof lthe lfollowing lwas ladopted lby lthe lfederal lgovernment las lthe lstandard lfor linpatient lhealthcare
ldata?
A. POA
B. OPPS
C. UHDDS
D. RBRVS
Answer: C l
Explanation:
The lUniform lHospital lDischarge lData lSet l(UHDDS) lwas ladopted lby lthe lfederal lgovernment las lthe
lstandard lfor lcollecting lhealthcare ldata. lBy lproviding la llist lof ldata lelements lthat lare lrequired lwhen
lsubmitting la lclaim, lthe lquality land lefficiency lof lhealthcare lservices lbeing lrendered lcan lmore leasily lbe
levaluated land lthe lcosts lfor lwhich lthose lservices lshould lbe lpaid lcan lbe lstandardized. lPresent lon
ladmission l(POA) lis la ltype lof lguideline lused lto ldifferentiate lillnesses land/or linjuries lthat la lpatient
lpresented lwith lupon ltheir ladmission lfrom lthose lthat ldeveloped llater lduring ltheir linpatient lstay. lThe
lresource-based lrelative lvalue lscale l(RBRVS) lis la lpayment lsystem lcalculated lby lfactoring lthe lcost lof lthe
lphysician's lwork, lpractice lexpense, lprofessional lliability linsurance, land lgeographical llocation. lThe
loutpatient lprospective lpayment lsystem l(OPPS) lis la lpayment lsystem ldesigned lto lpromote lthe
lpredictability lof lpayment, lpromote lconsistency, land lencourage lthe lquality lof lcare lgiven lto lMedicare
lpatients lreceiving loutpatient lservices lin la lhospital lsetting.
Question: 2 l
How lis ldata lfor lthe lUHDDS lcollected?
A. By lsubmitting lstatistical ldata lthrough lCMS.gov
B. By lreviewing linpatient lclaim lsubmissions
C. Through lannual laudits
D. By lsubmitting lstatistical ldata lto lthe lDepartment lof lHealth land lHuman lServices
Answer: B l
Explanation:
All lof lthe ldata lrequired lby lUHDDS lthat lshould lbe ldocumented lin lan lindividual's lmedical lrecord lis
lreviewed land lreported lby lthe lcoding lstaff land lmatched lwith lthe lappropriate lICD-IO-CM land lCPT lcodes.
lEach lCPT lcode lshould lhave la lcost lassociated lwith lit, lthus lcreating la ltotal lcharge lfor lthe lservices
lprovided. lAll lof lthis linformation lis lthen lentered lon lan linsurance lclaim lform land lis lsubmitted lto lthe
lhealthcare lpayer lfor levaluation land l review. lThis l information lis lnext lcollected l by lUHDDS lto l evaluate lthe
