Ahima CCS-P Exam Questions with
complete solutions 2025
A jphysician's joffice jcan jimprove jtheir jcopayment jcollections jand jincrease
jrevenue jby jusing jan jelectronic jhealth jrecord jto jassist jthem jin: j- jANS✓✓-
Benefits jand jeligibility jchecking
Under jRBRVS, jall jof jthe jfollowing jare jseparate jrelative jvalue junits j(RVUs)
jassigned jfor jeach jCPT/HCPCS jcode, jexcept jfor: j- jANS✓✓-Geographic jpractice
jcost jindices: jEach jof jthe jthree jRVUs jis jadjusted jthrough jthe jGPCIs jto jadjust
jfor jcosts jin jdifferent jareas jof jthe jcountry. jGPCIs jare jnot jrelative jvalue junits
The jclinical jdocumentation jintegrity j(CDI) jperformance jmeasure jthat jindicates
jthe jnumber jof jtimes ja jphysician jresponds jto ja jCDI jintervention jdivided jby jthe
jnumber jof jCDI jinterventions jissued jis jthe: j- jANS✓✓-Physician jresponse jto
jCDI jspecialist jrate: jThe jphysician jresponse jrate jis jhow jlong jit jtakes jfor ja
jphysician jto jrespond jto ja jCDI jquery. jThe jphysician jclarification jrate jis jthe
jnumber jof jclarifications jplaced jby ja jCDI jintervention jthat jhad jan jimpact jon jthe
jcode jand jthe jphysician jagreement jwith jCDI jspecialist jrate jis jthe jnumber jof
jtimes ja jphysician jagrees jwith ja jCDI jintervention jdivided jby jthe jnumber jof jCDI
jinterventions jissued
A jmeasure jthat jassesses jthe jability jto jcomply jwith jbilling jedits jis jthe: j- jANS✓
✓-Clean jclaim jrate: jThe jclean jclaim jrate jassesses jthe jability jto jcomply jwith
jbilling jedits. jThe jdenial jrate jis jthe jmeasure jthat jassesses jthe jability jto jcomply
jwith jdocumentation, jcoding, jand jbilling jrequirements. jThe jPEPPER jmetric jis
jused jto jidentify jbilling jpatterns jdifferent jfrom jthe jmajority jof jother jproviders jin
jthe jnation. jThe jcapture jrate jis jthe jmetric jused jto jidentify jcoding jof jsecondary
jdiagnoses
The jphysician jhas jordered jan jesophagogastroduodenoscopy j(43235) jfor jhis
jpatient. jWhich jof jthe jfollowing jICD-10-CM jcodes jwould jmost jlikely jjustify jthe
, jmedical jnecessity jof jthe jexamination? j- jANS✓✓-K26.3, jAcute jduodenal julcer
jwithout jhemorrhage jor jperforation
What jis jthe jpurpose jof jlinking jon ja jphysician jclaim? j- jANS✓✓-Explain jmedical
jnecessity jof ja jprocedure
Which jof jthe jfollowing jis jconsidered ja jnonfacility jsetting jin jrelation jto jthe
jRBRVS j(Resource-based jRelative jValue jScale)? j- jANS✓✓-Dialysis jcenter
In jRBRVS, jthis jis jan jacross-the-board jnational jmultiplier jthat jis jdetermined jby
jCMS jeach jyear. jIt jis jthe jdollar jamount jthat jconverts jthe jrelative jvalue junits
jinto ja jpayment jamount: j- jANS✓✓-Conversion jfactor: jThe jconversion jfactor jis
jan jacross-the-board jmultiplier jthat jis jdetermined jeach jyear. jIt jtransforms jthe
jtotal jof jthe jRVUs jinto ja jpayment jamount
A jmetric jused jto jidentify jcoding jof jsecondary jdiagnoses jis jthe: j- jANS✓✓-
Capture jrate: jThe jdenial jrate jis jthe jmeasure jthat jassesses jthe jability jto jcomply
jwith jdocumentation, jcoding jand jbilling jrequirements. jThe jPEPPER jmetric jis
jused jto jidentify jbilling jpatterns jdifferent jfrom jthe jmajority jof jother jproviders jin
jthe jnation. jThe jcapture jrate jis jthe jmetric jused jto jidentify jcoding jof jsecondary
jdiagnoses. jThe jclean jclaim jrate jassesses jthe jability jto jcomply jwith jbilling
jedits
A jcoding jmanager jreviewed jthe jfollowing jinformation jbefore jthe jclaim jwas
jsubmitted. jWhat jchange jwould jbe jrequired jto jensure jproper jpayment? jJohn
jDoe j30300 jRemoval jforeign jbody, jintranasal; joffice jtype jprocedure
H44.701 jUnspecified jretained j(old) jintraocular jforeign jbody, jnonmagnetic, jright
jeye j- jANS✓✓-The jdiagnosis jmust jbe jcorrectly jlinked jto jthe jprocedure.
Medicare's jallowed jfee jfor jan jin-office jprocedure jis j$200. jDr. jSmith jis ja jPAR
jphysician, jand jDr. jJones jis ja jnonPAR jphysician jwho jdoes jnot jaccept
jassignment. jHow jmuch jwill jDr. jSmith jand jDr. jJones, jrespectively, jreceive jfrom
jCMS? j- jANS✓✓-$160, j$0 jDr. jSmith jreceives j80 jpercent jof jthe jMedicare
jallowed jamount, jwhich jis j$160. jDr. jJones jreceives jnothing jfrom jCMS jbecause
jhe jdoes jnot jaccept jassignment. jThe jpatient jreceives jthe jbenefits
In jcalculating jthe jfee jfor ja jprovider's jservice, jeach jof jthe jthree jrelative jvalue
junits jis jmultiplied jby jthe: j- jANS✓✓-Geographic jpractice jcost jindices. jEach jof
jthe jthree jRVUs jis jadjusted jthrough jthe jGPCIs jto jadjust jfor jcosts jin jdifferent
jareas jof jthe jcountry. jThe jnational jconversion jfactor jis jan jacross-the-board
complete solutions 2025
A jphysician's joffice jcan jimprove jtheir jcopayment jcollections jand jincrease
jrevenue jby jusing jan jelectronic jhealth jrecord jto jassist jthem jin: j- jANS✓✓-
Benefits jand jeligibility jchecking
Under jRBRVS, jall jof jthe jfollowing jare jseparate jrelative jvalue junits j(RVUs)
jassigned jfor jeach jCPT/HCPCS jcode, jexcept jfor: j- jANS✓✓-Geographic jpractice
jcost jindices: jEach jof jthe jthree jRVUs jis jadjusted jthrough jthe jGPCIs jto jadjust
jfor jcosts jin jdifferent jareas jof jthe jcountry. jGPCIs jare jnot jrelative jvalue junits
The jclinical jdocumentation jintegrity j(CDI) jperformance jmeasure jthat jindicates
jthe jnumber jof jtimes ja jphysician jresponds jto ja jCDI jintervention jdivided jby jthe
jnumber jof jCDI jinterventions jissued jis jthe: j- jANS✓✓-Physician jresponse jto
jCDI jspecialist jrate: jThe jphysician jresponse jrate jis jhow jlong jit jtakes jfor ja
jphysician jto jrespond jto ja jCDI jquery. jThe jphysician jclarification jrate jis jthe
jnumber jof jclarifications jplaced jby ja jCDI jintervention jthat jhad jan jimpact jon jthe
jcode jand jthe jphysician jagreement jwith jCDI jspecialist jrate jis jthe jnumber jof
jtimes ja jphysician jagrees jwith ja jCDI jintervention jdivided jby jthe jnumber jof jCDI
jinterventions jissued
A jmeasure jthat jassesses jthe jability jto jcomply jwith jbilling jedits jis jthe: j- jANS✓
✓-Clean jclaim jrate: jThe jclean jclaim jrate jassesses jthe jability jto jcomply jwith
jbilling jedits. jThe jdenial jrate jis jthe jmeasure jthat jassesses jthe jability jto jcomply
jwith jdocumentation, jcoding, jand jbilling jrequirements. jThe jPEPPER jmetric jis
jused jto jidentify jbilling jpatterns jdifferent jfrom jthe jmajority jof jother jproviders jin
jthe jnation. jThe jcapture jrate jis jthe jmetric jused jto jidentify jcoding jof jsecondary
jdiagnoses
The jphysician jhas jordered jan jesophagogastroduodenoscopy j(43235) jfor jhis
jpatient. jWhich jof jthe jfollowing jICD-10-CM jcodes jwould jmost jlikely jjustify jthe
, jmedical jnecessity jof jthe jexamination? j- jANS✓✓-K26.3, jAcute jduodenal julcer
jwithout jhemorrhage jor jperforation
What jis jthe jpurpose jof jlinking jon ja jphysician jclaim? j- jANS✓✓-Explain jmedical
jnecessity jof ja jprocedure
Which jof jthe jfollowing jis jconsidered ja jnonfacility jsetting jin jrelation jto jthe
jRBRVS j(Resource-based jRelative jValue jScale)? j- jANS✓✓-Dialysis jcenter
In jRBRVS, jthis jis jan jacross-the-board jnational jmultiplier jthat jis jdetermined jby
jCMS jeach jyear. jIt jis jthe jdollar jamount jthat jconverts jthe jrelative jvalue junits
jinto ja jpayment jamount: j- jANS✓✓-Conversion jfactor: jThe jconversion jfactor jis
jan jacross-the-board jmultiplier jthat jis jdetermined jeach jyear. jIt jtransforms jthe
jtotal jof jthe jRVUs jinto ja jpayment jamount
A jmetric jused jto jidentify jcoding jof jsecondary jdiagnoses jis jthe: j- jANS✓✓-
Capture jrate: jThe jdenial jrate jis jthe jmeasure jthat jassesses jthe jability jto jcomply
jwith jdocumentation, jcoding jand jbilling jrequirements. jThe jPEPPER jmetric jis
jused jto jidentify jbilling jpatterns jdifferent jfrom jthe jmajority jof jother jproviders jin
jthe jnation. jThe jcapture jrate jis jthe jmetric jused jto jidentify jcoding jof jsecondary
jdiagnoses. jThe jclean jclaim jrate jassesses jthe jability jto jcomply jwith jbilling
jedits
A jcoding jmanager jreviewed jthe jfollowing jinformation jbefore jthe jclaim jwas
jsubmitted. jWhat jchange jwould jbe jrequired jto jensure jproper jpayment? jJohn
jDoe j30300 jRemoval jforeign jbody, jintranasal; joffice jtype jprocedure
H44.701 jUnspecified jretained j(old) jintraocular jforeign jbody, jnonmagnetic, jright
jeye j- jANS✓✓-The jdiagnosis jmust jbe jcorrectly jlinked jto jthe jprocedure.
Medicare's jallowed jfee jfor jan jin-office jprocedure jis j$200. jDr. jSmith jis ja jPAR
jphysician, jand jDr. jJones jis ja jnonPAR jphysician jwho jdoes jnot jaccept
jassignment. jHow jmuch jwill jDr. jSmith jand jDr. jJones, jrespectively, jreceive jfrom
jCMS? j- jANS✓✓-$160, j$0 jDr. jSmith jreceives j80 jpercent jof jthe jMedicare
jallowed jamount, jwhich jis j$160. jDr. jJones jreceives jnothing jfrom jCMS jbecause
jhe jdoes jnot jaccept jassignment. jThe jpatient jreceives jthe jbenefits
In jcalculating jthe jfee jfor ja jprovider's jservice, jeach jof jthe jthree jrelative jvalue
junits jis jmultiplied jby jthe: j- jANS✓✓-Geographic jpractice jcost jindices. jEach jof
jthe jthree jRVUs jis jadjusted jthrough jthe jGPCIs jto jadjust jfor jcosts jin jdifferent
jareas jof jthe jcountry. jThe jnational jconversion jfactor jis jan jacross-the-board
