CCS EXAM ACTUAL QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) | NEW UPDATE 2025
Current Procedural Terminology (CPT) - ANSWERS✅ the standardized
classification system for reporting medical procedures and services
Local coverage determinations - ANSWERS✅ Medicares identification of
medically necessary services is outlined in:
Maximum units of service for a HCPCS code - ANSWERS✅ Medically unlikely
edits are used to identify:
Prospective Payment System - ANSWERS✅ Diagnostic-related groups(DRGs) and
ambulatory patient classifications ( APCs) are similar in that they are both:
Conversion factor - ANSWERS✅ Medicare exerts control of provider
reimbursement through adjustment of this component of the resource-based
relative value scale (RBRVS)
Abstracting - ANSWERS✅ The process of collecting data elements from a source
document is known as:
Assign only a code for pneumococcal pneumonia - ANSWERS✅ If patient is
admitted with pneumococcal pneumonia and severe pneumococcal sepsis, the
coder should:
, 59 - ANSWERS✅ Facilities may use X modifiers in place of which modifier?
Congenital - ANSWERS✅ What type of conditions are always considered present
on admission
Valid diagnosis code edits - ANSWERS✅ The outpatient code editor has all of the
following types of edits except:
The same provider, for same beneficiary, on same date of service - ANSWERS✅
The national correct coding initiative(NCCI) edits apply to services billed by:
Resource-Based Relative Value Scale (RBRVS) - ANSWERS✅ Medicare payment
to physicians for services rendered is made under the:
ICD-10-PCS - ANSWERS✅ Inpatient procedures are coded with:
Case Mix Index - ANSWERS✅ Under the inpatient prospective payment
system(IPPS), what can be used to measure the cost of care for inpatients?
Discharge disposition - ANSWERS✅ The abstracting of this data element has an
impact on the DRG reimbursement
Date of surgery - ANSWERS✅ A data element that coders typically are tasked
with abstracting
AND CORRECT ANSWERS (VERIFIED
ANSWERS) | NEW UPDATE 2025
Current Procedural Terminology (CPT) - ANSWERS✅ the standardized
classification system for reporting medical procedures and services
Local coverage determinations - ANSWERS✅ Medicares identification of
medically necessary services is outlined in:
Maximum units of service for a HCPCS code - ANSWERS✅ Medically unlikely
edits are used to identify:
Prospective Payment System - ANSWERS✅ Diagnostic-related groups(DRGs) and
ambulatory patient classifications ( APCs) are similar in that they are both:
Conversion factor - ANSWERS✅ Medicare exerts control of provider
reimbursement through adjustment of this component of the resource-based
relative value scale (RBRVS)
Abstracting - ANSWERS✅ The process of collecting data elements from a source
document is known as:
Assign only a code for pneumococcal pneumonia - ANSWERS✅ If patient is
admitted with pneumococcal pneumonia and severe pneumococcal sepsis, the
coder should:
, 59 - ANSWERS✅ Facilities may use X modifiers in place of which modifier?
Congenital - ANSWERS✅ What type of conditions are always considered present
on admission
Valid diagnosis code edits - ANSWERS✅ The outpatient code editor has all of the
following types of edits except:
The same provider, for same beneficiary, on same date of service - ANSWERS✅
The national correct coding initiative(NCCI) edits apply to services billed by:
Resource-Based Relative Value Scale (RBRVS) - ANSWERS✅ Medicare payment
to physicians for services rendered is made under the:
ICD-10-PCS - ANSWERS✅ Inpatient procedures are coded with:
Case Mix Index - ANSWERS✅ Under the inpatient prospective payment
system(IPPS), what can be used to measure the cost of care for inpatients?
Discharge disposition - ANSWERS✅ The abstracting of this data element has an
impact on the DRG reimbursement
Date of surgery - ANSWERS✅ A data element that coders typically are tasked
with abstracting
