AHIMA CCS Exam Prep with Questions
and Correct Answers 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"
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.
How ,do ,APCs ,work? ,- ,CORRECT ,ANSWER-The ,payments ,are ,calculated ,by
,multiplying ,the ,APCs ,relative ,weight ,by ,the ,OPPS ,conversion ,factor ,and ,then ,there ,is
,a ,minor ,adjustment ,for ,geographic ,location.
APC ,Status ,Indicator ,- ,C ,- ,CORRECT ,ANSWER-Inpatient ,Procedures, ,not ,paid ,under
,OPPS
APC ,Status ,Indicator ,- ,N ,- ,CORRECT ,ANSWER-Items ,and ,Services ,Packaged ,into
,APC ,Rates
APC ,Status ,Indicator ,- ,S ,- ,CORRECT ,ANSWER-Significant ,Procedure, ,Not
,Discounted ,When ,Multiple
APC ,Status ,Indicator ,- ,T ,- ,CORRECT ,ANSWER-Significant ,Procedure, ,Multiple
,Reduction ,Applies
APC ,Status ,Indicator ,- ,V ,- ,CORRECT ,ANSWER-Clinic ,or ,Emergency ,Department
,Visit
APC ,Status ,Indicator ,- ,X ,- ,CORRECT ,ANSWER-Ancillary ,Services
APC ,Status ,Indicator ,- ,Y ,- ,CORRECT ,ANSWER-Non-Implantable ,Durable ,Medical
,Equipment
Medicare ,exerts ,control ,of ,provider ,reimbursement ,through ,adjustment ,of ,this
,component ,of ,the ,resource-based ,relative ,value ,scale ,(RBRVS) ,- ,CORRECT
,ANSWER-Conversion ,factor
and Correct Answers 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"
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.
How ,do ,APCs ,work? ,- ,CORRECT ,ANSWER-The ,payments ,are ,calculated ,by
,multiplying ,the ,APCs ,relative ,weight ,by ,the ,OPPS ,conversion ,factor ,and ,then ,there ,is
,a ,minor ,adjustment ,for ,geographic ,location.
APC ,Status ,Indicator ,- ,C ,- ,CORRECT ,ANSWER-Inpatient ,Procedures, ,not ,paid ,under
,OPPS
APC ,Status ,Indicator ,- ,N ,- ,CORRECT ,ANSWER-Items ,and ,Services ,Packaged ,into
,APC ,Rates
APC ,Status ,Indicator ,- ,S ,- ,CORRECT ,ANSWER-Significant ,Procedure, ,Not
,Discounted ,When ,Multiple
APC ,Status ,Indicator ,- ,T ,- ,CORRECT ,ANSWER-Significant ,Procedure, ,Multiple
,Reduction ,Applies
APC ,Status ,Indicator ,- ,V ,- ,CORRECT ,ANSWER-Clinic ,or ,Emergency ,Department
,Visit
APC ,Status ,Indicator ,- ,X ,- ,CORRECT ,ANSWER-Ancillary ,Services
APC ,Status ,Indicator ,- ,Y ,- ,CORRECT ,ANSWER-Non-Implantable ,Durable ,Medical
,Equipment
Medicare ,exerts ,control ,of ,provider ,reimbursement ,through ,adjustment ,of ,this
,component ,of ,the ,resource-based ,relative ,value ,scale ,(RBRVS) ,- ,CORRECT
,ANSWER-Conversion ,factor
