CCS-P Study Exam Questions with
complete solutions 2025
According jto jAMA jmedical jdecision jmaking jis jmeasured jby j- jANS✓✓-1.
jnumber jof jdx jor jmanagement joptions
2. jamount jand jcomplexity jof jdata jreview
3. jrisk jof jcomplications
CPT jAssistant j- jANS✓✓-provides jofficial jguidance jin jCPT jcoding
published jby jthe jAMA
A jbarrier jto jwide jspread juse jof jautomated jcode jassignments jis j- jANS✓✓-poor
jquality jof jdocumentation
When jshould jcoders jassign jcodes jfrom jlab jreports jalone j- jANS✓✓-Never. jIf
jfindings jare jout jof jnormal jrange jand jthe jphysician jhas jordered jadditional
jtesting jor jtreatment; jconsult jwith jthe jphysician jas jto jwhether jthe jDx jshould jbe
jadded jor jif jan jabnormal jfinding jshould jbe jlisted.
4 jcooperating jparties jof jICD-9 jand jresponsibilities jof jeach j- jANS✓✓-NCHS
j(national jcenter jfor jhealth jstatistics): jmaintaines jdx jclassifications jin jVol j1&2
CMS: jmaintains jprocedural jclassification jin jVol j3
AHIMA j& jAHA: jgive jadvice j& jassistance jon jcoding jguidelines jin jconjunction
jwith jhealth jinformation jmanagement jpractitioners, jphysicians, j& jother jusers jof
jICD-9
When jcan jcode j99291 j(E/M jcritical jcare) jbe jused jin jplace jof ja jmedical jvisit jor
jER jcode j- jANS✓✓-When jthe jpatient jmeets jthe jdefinition jof jcritical jcare jand
jreceives joutpatient jcare jon jthe jsame jday
, limiting jcharge j- jANS✓✓-this jis jthe jamount ja jNON jPAR jMedicare jprovider jcan
jcollect jfrom ja jpatient jin jexcess jof j15% jover jthe jNON jPAR jMedicare japproved
jamount.
When jdoes jCMS jsend jthe jpayment jdirectly jto jthe jpatient j- jANS✓✓-when ja
jNON jPAR jprovider jdoes jnot jaccept jassignment
hard jcoding j- jANS✓✓-refers jto jCPT/HCPCS jcodes jthat jappear jin jthe jhospitals
jchargemaster jand jwill jbe jincluded jautomatically jon jthe jpatient's jbill.
CAC- jcomputer jassisted jcoding j- jANS✓✓-AHIMA jdefines jas jthe juse jof
jcomputer jsoftware jthat jautomatically jgenerates ja jset jof jmedical jcodes jfor
jreview j, jvalidation, jand juse jbased jupon jthe jdocumentation jprovided jby jthe
jvarious jproviders jof jhealthcare.
modifier: jA1-principle jphysical jof jrecord j- jANS✓✓-required jfor jpatients
jcovered jby jMedicare jwhen jreporting jInitial jHospital jService jcodes
POMR- jPROBLEM jORIENTED jMEDICAL jRECORD j- jANS✓✓-Organized jby
jproblem jnumber
Database: jhistory jand jphysical
Problem jList: jtitles, jnumbers, jdates jof jproblems..."Table jof jContents" jof jthe
jrecord
Initial jPlan: jdescribes jdiagnostic, jtherapeutic, jand jpatient jeducation jplans
Progress jNote: jdocuments jthe jprogress jof ja jpatient jthroughout jthe jepisode jof
jcare
Discharge jNote/ jTransfer jNote: jsummarizes jepisode jof jcare jand jcurrent jstatus
jof jpatient
Cost jSharing jProvision jof jHealth jIns. j- jANS✓✓-formulary jfor jdrugs
co-pay
benefit jlimitations
complete solutions 2025
According jto jAMA jmedical jdecision jmaking jis jmeasured jby j- jANS✓✓-1.
jnumber jof jdx jor jmanagement joptions
2. jamount jand jcomplexity jof jdata jreview
3. jrisk jof jcomplications
CPT jAssistant j- jANS✓✓-provides jofficial jguidance jin jCPT jcoding
published jby jthe jAMA
A jbarrier jto jwide jspread juse jof jautomated jcode jassignments jis j- jANS✓✓-poor
jquality jof jdocumentation
When jshould jcoders jassign jcodes jfrom jlab jreports jalone j- jANS✓✓-Never. jIf
jfindings jare jout jof jnormal jrange jand jthe jphysician jhas jordered jadditional
jtesting jor jtreatment; jconsult jwith jthe jphysician jas jto jwhether jthe jDx jshould jbe
jadded jor jif jan jabnormal jfinding jshould jbe jlisted.
4 jcooperating jparties jof jICD-9 jand jresponsibilities jof jeach j- jANS✓✓-NCHS
j(national jcenter jfor jhealth jstatistics): jmaintaines jdx jclassifications jin jVol j1&2
CMS: jmaintains jprocedural jclassification jin jVol j3
AHIMA j& jAHA: jgive jadvice j& jassistance jon jcoding jguidelines jin jconjunction
jwith jhealth jinformation jmanagement jpractitioners, jphysicians, j& jother jusers jof
jICD-9
When jcan jcode j99291 j(E/M jcritical jcare) jbe jused jin jplace jof ja jmedical jvisit jor
jER jcode j- jANS✓✓-When jthe jpatient jmeets jthe jdefinition jof jcritical jcare jand
jreceives joutpatient jcare jon jthe jsame jday
, limiting jcharge j- jANS✓✓-this jis jthe jamount ja jNON jPAR jMedicare jprovider jcan
jcollect jfrom ja jpatient jin jexcess jof j15% jover jthe jNON jPAR jMedicare japproved
jamount.
When jdoes jCMS jsend jthe jpayment jdirectly jto jthe jpatient j- jANS✓✓-when ja
jNON jPAR jprovider jdoes jnot jaccept jassignment
hard jcoding j- jANS✓✓-refers jto jCPT/HCPCS jcodes jthat jappear jin jthe jhospitals
jchargemaster jand jwill jbe jincluded jautomatically jon jthe jpatient's jbill.
CAC- jcomputer jassisted jcoding j- jANS✓✓-AHIMA jdefines jas jthe juse jof
jcomputer jsoftware jthat jautomatically jgenerates ja jset jof jmedical jcodes jfor
jreview j, jvalidation, jand juse jbased jupon jthe jdocumentation jprovided jby jthe
jvarious jproviders jof jhealthcare.
modifier: jA1-principle jphysical jof jrecord j- jANS✓✓-required jfor jpatients
jcovered jby jMedicare jwhen jreporting jInitial jHospital jService jcodes
POMR- jPROBLEM jORIENTED jMEDICAL jRECORD j- jANS✓✓-Organized jby
jproblem jnumber
Database: jhistory jand jphysical
Problem jList: jtitles, jnumbers, jdates jof jproblems..."Table jof jContents" jof jthe
jrecord
Initial jPlan: jdescribes jdiagnostic, jtherapeutic, jand jpatient jeducation jplans
Progress jNote: jdocuments jthe jprogress jof ja jpatient jthroughout jthe jepisode jof
jcare
Discharge jNote/ jTransfer jNote: jsummarizes jepisode jof jcare jand jcurrent jstatus
jof jpatient
Cost jSharing jProvision jof jHealth jIns. j- jANS✓✓-formulary jfor jdrugs
co-pay
benefit jlimitations
