AHIMA CCS Exam
AHIMA CCS Exam Prep Review 2025
CPT defines a separate procedure as -Correct Answer ✔Procedure considered an integral
part of a more major service
No combination code available -Correct Answer ✔Use separate codes for hypertension
and acute renal failure
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? -
Correct Answer ✔Body Mass Index (BMI)
POA Indicator - Y -Correct Answer ✔Y-Yes, present at the time of inpatient admission
POA Indicator - N -Correct Answer ✔N-No, not present at the time of inpatient
admission
POA Indicator - U -Correct Answer ✔U-Unknown, documentation is insufficient to
determine if condition is present on admission and you cannot speak to the physician to
figure it out
POA Indicator - W -Correct Answer ✔W-Clinically undetermined, provider is unable to
clinically determine whether condition was present on admission or not
POA Indicator - E -Correct Answer ✔E-Exempt, unreported/not used, some facilities will
leave these blank, others will use the letter "E"
AHIMA CCS Exam
, AHIMA CCS Exam
Present on Admission Indicator (POA) -Correct Answer ✔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.
The use of the outpatient code editor (OCE) is designed to: -Correct Answer ✔Identify
incomplete and incorrect claims
Medicare's identification of medically necessary services is outlined in: -Correct Answer
✔Local Coverage Determinations (LCDs)
Medically unlikely edits are used to identify: -Correct Answer ✔Maximum units of
service for a HCPCS code
National Correct Coding Initiative (NCCI) Edits are released how often? -Correct Answer
✔Quarterly
In 2000, CMS issued the final rule on the outpatient prospective payment system (OPPS).
The final rule: -Correct Answer ✔Divided outpatient services into fixed payment groups
Diagnostic-related groups (DRGs) and ambulatory patient classifications (APCs) are
similar in that they are both: -Correct Answer ✔Prospective payment systems
What are APCs? -Correct Answer ✔APCs or "Ambulatory Payment Classifications" are
the government's method of paying facilities for outpatient services for the Medicare
program.
AHIMA CCS Exam
AHIMA CCS Exam Prep Review 2025
CPT defines a separate procedure as -Correct Answer ✔Procedure considered an integral
part of a more major service
No combination code available -Correct Answer ✔Use separate codes for hypertension
and acute renal failure
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? -
Correct Answer ✔Body Mass Index (BMI)
POA Indicator - Y -Correct Answer ✔Y-Yes, present at the time of inpatient admission
POA Indicator - N -Correct Answer ✔N-No, not present at the time of inpatient
admission
POA Indicator - U -Correct Answer ✔U-Unknown, documentation is insufficient to
determine if condition is present on admission and you cannot speak to the physician to
figure it out
POA Indicator - W -Correct Answer ✔W-Clinically undetermined, provider is unable to
clinically determine whether condition was present on admission or not
POA Indicator - E -Correct Answer ✔E-Exempt, unreported/not used, some facilities will
leave these blank, others will use the letter "E"
AHIMA CCS Exam
, AHIMA CCS Exam
Present on Admission Indicator (POA) -Correct Answer ✔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.
The use of the outpatient code editor (OCE) is designed to: -Correct Answer ✔Identify
incomplete and incorrect claims
Medicare's identification of medically necessary services is outlined in: -Correct Answer
✔Local Coverage Determinations (LCDs)
Medically unlikely edits are used to identify: -Correct Answer ✔Maximum units of
service for a HCPCS code
National Correct Coding Initiative (NCCI) Edits are released how often? -Correct Answer
✔Quarterly
In 2000, CMS issued the final rule on the outpatient prospective payment system (OPPS).
The final rule: -Correct Answer ✔Divided outpatient services into fixed payment groups
Diagnostic-related groups (DRGs) and ambulatory patient classifications (APCs) are
similar in that they are both: -Correct Answer ✔Prospective payment systems
What are APCs? -Correct Answer ✔APCs or "Ambulatory Payment Classifications" are
the government's method of paying facilities for outpatient services for the Medicare
program.
AHIMA CCS Exam
