1
AHIMA CCS Exam Prep Questions and
Correct Detailed Answers (Verified
Answers)
Q: CPT defines a separate procedure as
Ans: Procedure considered an integral part of a more major service
Q: No combination code available
Ans: Use separate codes for hypertension and acute renal failure
Q: Documentation from the nursing staff or other allied health
professionals' notes can be used to provide specificity for code
assignment for which of the following diagnoses?
Ans: Body Mass Index (BMI)
Q: POA Indicator - Y
Ans: Y-Yes, present at the time of inpatient admission
Master01 | 2025/2026 | Latest update
, 2
Q: POA Indicator - N
Ans: N-No, not present at the time of inpatient admission
Q: POA Indicator - U
Ans: U-Unknown, documentation is insufficient to determine if condition is
present on admission and you cannot speak to the physician to figure it out
Q: POA Indicator - W
Ans: W-Clinically undetermined, provider is unable to clinically determine
whether condition was present on admission or not
Q: POA Indicator - E
Ans: E-Exempt, unreported/not used, some facilities will leave these blank,
others will use the letter "E"
Q: Present on Admission Indicator (POA)
Ans: A Present On Admission (POA) indicator is required on all diagnosis codes
for the inpatient setting except for admission. The indicator should be reported
for principal diagnosis codes, secondary diagnosis codes, Z-codes, and External
cause injury codes.
Master01 | 2025/2026 | Latest update
, 3
Q: The use of the outpatient code editor (OCE) is designed to:
Ans: Identify incomplete and incorrect claims
Q: Medicare's identification of medically necessary services is
outlined in:
Ans: Local Coverage Determinations (LCDs)
Q: Medically unlikely edits are used to identify:
Ans: Maximum units of service for a HCPCS code
Q: National Correct Coding Initiative (NCCI) Edits are released
how often?
Ans: Quarterly
Q: In 2000, CMS issued the final rule on the outpatient
prospective payment system (OPPS). The final rule:
Ans: Divided outpatient services into fixed payment groups
Master01 | 2025/2026 | Latest update
AHIMA CCS Exam Prep Questions and
Correct Detailed Answers (Verified
Answers)
Q: CPT defines a separate procedure as
Ans: Procedure considered an integral part of a more major service
Q: No combination code available
Ans: Use separate codes for hypertension and acute renal failure
Q: Documentation from the nursing staff or other allied health
professionals' notes can be used to provide specificity for code
assignment for which of the following diagnoses?
Ans: Body Mass Index (BMI)
Q: POA Indicator - Y
Ans: Y-Yes, present at the time of inpatient admission
Master01 | 2025/2026 | Latest update
, 2
Q: POA Indicator - N
Ans: N-No, not present at the time of inpatient admission
Q: POA Indicator - U
Ans: U-Unknown, documentation is insufficient to determine if condition is
present on admission and you cannot speak to the physician to figure it out
Q: POA Indicator - W
Ans: W-Clinically undetermined, provider is unable to clinically determine
whether condition was present on admission or not
Q: POA Indicator - E
Ans: E-Exempt, unreported/not used, some facilities will leave these blank,
others will use the letter "E"
Q: Present on Admission Indicator (POA)
Ans: A Present On Admission (POA) indicator is required on all diagnosis codes
for the inpatient setting except for admission. The indicator should be reported
for principal diagnosis codes, secondary diagnosis codes, Z-codes, and External
cause injury codes.
Master01 | 2025/2026 | Latest update
, 3
Q: The use of the outpatient code editor (OCE) is designed to:
Ans: Identify incomplete and incorrect claims
Q: Medicare's identification of medically necessary services is
outlined in:
Ans: Local Coverage Determinations (LCDs)
Q: Medically unlikely edits are used to identify:
Ans: Maximum units of service for a HCPCS code
Q: National Correct Coding Initiative (NCCI) Edits are released
how often?
Ans: Quarterly
Q: In 2000, CMS issued the final rule on the outpatient
prospective payment system (OPPS). The final rule:
Ans: Divided outpatient services into fixed payment groups
Master01 | 2025/2026 | Latest update
