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Exam (elaborations)

CCS EXAM PREPARATION, DOMAIN 4 REGULATORY COMPLIANCE QUESTIONS WITH COMPLETE ANSWERS

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CCS EXAM PREPARATION, DOMAIN 4 REGULATORY COMPLIANCE QUESTIONS WITH COMPLETE ANSWERS

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Uploaded on
April 5, 2025
Number of pages
30
Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers

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A contract coding professional works for a hospital and, in the course of daily work,
routinely accesses protected patient health information. Under HIPAA, what should be in
place to permit access and protect patient privacy?
A. AHIMA credential
B. Business associate agreement
C. Vendor license
D. Patient authorization


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, B. Business associate agreement


A business associate agreement should be in place with vendors, including
contract coding professionals, to protect patient privacy (Brodnik 2017, 346).




A patient is admitted with abdominal pain and is found to have a perforation due to large
intestine diverticulitis. A colectomy is performed. Following the procedure, there was
fever, and elevated white count with peritonitis suspected. An x-ray shows a metallic
object in the area of the previous surgery. A return to the OR with reopening of the
wound shows that a piece of a surgical blade had broken off and been left in the wound.
Which of the following diagnoses is a hospital-acquired condition and will bear the POA
indicator of N?


A. R50.9
B. K57.20
C. D72.829
D. T81.590A


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D. T81.590A

The foreign body complication was a hospital-acquired condition and should
be assigned the POA indicator of N (Casto and White 2021, 86).




According to the AHIMA Standards of Ethical Coding, coding professionals are
expected to protect the confidentiality of the health record, accessing protected health
information only for performance of their duties including coding-related activities.
Which of the following is not considered a coding-related activity?

, A. Coding quality evaluation
B. Review of records assigned each day
C. Risk analysis of medical record documentation
D. Completion of abstracting


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C. Risk analysis of medical record documentation

Coding tasks include review of records assigned, completion of abstracting,
and evaluation of coding quality but do not include risk analysis for health
record documentation (AHIMA House of Delegates 2016).




It is unethical for a coding professional to query:
A. Retrospectively
B. When the response will impact reimbursement
C. Based on information in a previous encounter
D. Multiple times on the same patient record


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C. Based on information in a previous encounter

AHIMA's Standards of Ethical Coding state in guideline 4.5 that information
from previous encounters should not be used to generate a query (AHIMA
House of Delegates 2016).




Which of the following conditions is on the hospital-acquired condition list?
A. Diabetic foot ulcer
B. Stage 2 coccyx pressure ulcer

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