CCS EXAM PREP QUESTIONS AND
ACCURATE SOLUTIONS
Including ICD-10-CM/PCS codes, code details, or coding guidelines ✅✅ANSW-Before submitting a
query, stop and consider the appropriateness. Which of the following would be considered
inappropriate in a query?
Always provide the provider with multiple answer options
Being direct in what is being asking without being leading
Always include an "out" such as "unable to be determined"
Including ICD-10-CM/PCS codes, code details, or coding guidelines
using established physician query protocols. ✅✅ANSW-There are times when documentation is
incomplete or insufficient to support the diagnoses found in the chart. The most common way of
communicating with the physician for answers is by
using established physician query protocols.
leaving notes in the chart.
e-mailing physicians.
calling the physician's office.
Data accuracy ✅✅ANSW-The health record states that the patient is a female, but the
registration record has the patient listed as male. Which of the following characteristics of data
quality has been compromised in this case?
,data precision
data accuracy
data granularity
data comprehensiveness
Missing detail: left or right arm ✅✅ANSW-"The patient was brought to the operating room and
placed supine on the operating table and given an upper extremity IV bier block and a gram of Ancef
IV. Once anesthetized, the upper extremity was prepped and draped in the usual manner to proceed
with a carpal tunnel release." The coder must query the physician to ask for:
Contradictory detail: which type of anesthesia: bier block or IV
No query is necessary
Missing detail: left or right arm
Missing detail: on which portion of the arm was the procedure performed
precise language that will be understood. ✅✅ANSW-A legal query must be written using
Financial details ✅✅ANSW-Which of the following categories of information would NOT prompt
the coder to send a query to the provider?
Ambiguous details
Contradictory details
, Financial details
Missing detail
query the physician about the contradiction. ✅✅ANSW-The documentation under History of
Present Illness [HPI] states, "The patient denies any sore throat or coughing." In the last paragraph,
under Plan, it states "The patient was given a prescription for Tessalon." Tessalon is a cough
suppressant. The coder should:
code a chronic cough.
query the physician to amend the notes to include report of a cough.
query the physician about the contradiction.
code an adverse reaction to Tessalon.
CHF Type ✅✅ANSW-Titles of queries should not ask questions or offer options. Which of the
following is a good example of a query title?
CHF Type
CHF active or acute
CHF active or inactive
CHF systolic or diastolic
directly deposited into the provider's bank account. ✅✅ANSW-When payments can be made to
the provider by EFT, this means that the reimbursement is
sent to the provider by check.
ACCURATE SOLUTIONS
Including ICD-10-CM/PCS codes, code details, or coding guidelines ✅✅ANSW-Before submitting a
query, stop and consider the appropriateness. Which of the following would be considered
inappropriate in a query?
Always provide the provider with multiple answer options
Being direct in what is being asking without being leading
Always include an "out" such as "unable to be determined"
Including ICD-10-CM/PCS codes, code details, or coding guidelines
using established physician query protocols. ✅✅ANSW-There are times when documentation is
incomplete or insufficient to support the diagnoses found in the chart. The most common way of
communicating with the physician for answers is by
using established physician query protocols.
leaving notes in the chart.
e-mailing physicians.
calling the physician's office.
Data accuracy ✅✅ANSW-The health record states that the patient is a female, but the
registration record has the patient listed as male. Which of the following characteristics of data
quality has been compromised in this case?
,data precision
data accuracy
data granularity
data comprehensiveness
Missing detail: left or right arm ✅✅ANSW-"The patient was brought to the operating room and
placed supine on the operating table and given an upper extremity IV bier block and a gram of Ancef
IV. Once anesthetized, the upper extremity was prepped and draped in the usual manner to proceed
with a carpal tunnel release." The coder must query the physician to ask for:
Contradictory detail: which type of anesthesia: bier block or IV
No query is necessary
Missing detail: left or right arm
Missing detail: on which portion of the arm was the procedure performed
precise language that will be understood. ✅✅ANSW-A legal query must be written using
Financial details ✅✅ANSW-Which of the following categories of information would NOT prompt
the coder to send a query to the provider?
Ambiguous details
Contradictory details
, Financial details
Missing detail
query the physician about the contradiction. ✅✅ANSW-The documentation under History of
Present Illness [HPI] states, "The patient denies any sore throat or coughing." In the last paragraph,
under Plan, it states "The patient was given a prescription for Tessalon." Tessalon is a cough
suppressant. The coder should:
code a chronic cough.
query the physician to amend the notes to include report of a cough.
query the physician about the contradiction.
code an adverse reaction to Tessalon.
CHF Type ✅✅ANSW-Titles of queries should not ask questions or offer options. Which of the
following is a good example of a query title?
CHF Type
CHF active or acute
CHF active or inactive
CHF systolic or diastolic
directly deposited into the provider's bank account. ✅✅ANSW-When payments can be made to
the provider by EFT, this means that the reimbursement is
sent to the provider by check.
