CCS DOMAIN 4 EXAM QUESTIONS
AND ANSWERS
The physician listed the diagnoses as congestive heart failure with acute pulmonary
edema. You will code?
-Both the CHF and the edema; sequence the CHF first.
-The edema only.
-The CHF only.
-Both the CHF and the edema; sequence the edema first. - Correct Answers -The CHF
only. (Acute pulmonary edema is included in the code for congestive heart failure
(CHF).
A patient is seen in the emergency department following an accident. The physician
documents that the wound required multiple layers and extensive undermining.
According to CPT definitions, this type of repair would be classified as?
intermediate.
advancement flap.
complex.
simple. - Correct Answers -complex
The Centers for Medicare and Medicaid Services (CMS) will make an adjustment to the
MS-DRG payment for certain conditions that the patient was not admitted with, but were
acquired during the hospital stay. Therefore, hospitals are required to report an indicator
for each diagnosis. This indicator is referred to as?
a sentinel event.
a hospital acquired condition.
present on admission.
a payment status indicator. - Correct Answers -present on admission.
ICD-10-PCS codes have a unique structure. An example of a valid code in the ICD-10-
PCS system is?
B2151.
L03.311.
2W3FX1Z.
013.2. - Correct Answers -2W3FX1Z
, According to the UHDDS, a procedure that is surgical in nature, carries a procedural or
anesthetic risk, or requires special training is defined as a?
significant procedure.
therapeutic procedure.
principal procedure.
operating room procedure. - Correct Answers -significant procedure.
In a global payment methodology, which is sometimes applied to radiological and
similar types of procedures that involve professional and technical components, all of
the following are part of the "technical" components EXCEPT
physician's services
radiological equipment.
radiologic technicians.
radiological supplies. - Correct Answers -physician's services
Jane believes new equipment will make her staff more efficient. The board has asked
for an analysis of the cost of the equipment to be compared with the benefit to the
facility. This mathematical process is known as a ________?
Pareto
force field analysis
cost-benefit analysis
performance improvement plan - Correct Answers -cost-benefit analysis
In assigning E/M codes, three key components are used. These are?
-History, nature of presenting problem, and time.
-History, examination, and counseling.
-History, examination, and medical decision making.
-History, examination, and time. - Correct Answers -history, examination, and medical
decision making
When coding multiple wound repairs in CPT?
-All wound repairs are grouped and coded, with the most complex reported first.
-Only the least complex repair is reported.
-Up to nine individual repair codes may be reported.
-Only the most complex repair is reported. - Correct Answers -All wound repairs are
grouped and coded, with the most complex reported first.
During a risk management strategy session, the HIM director states that policies and
procedures must be created to prevent specific opportunities for an adverse outcome,
as well as those that will function to diminish any that might not be preventable. This
type of strategy is known as a _____________?
reactive strategy
prevention quality indicator
proactive strategy
cost-benefit analysis - Correct Answers -proactive strategy
AND ANSWERS
The physician listed the diagnoses as congestive heart failure with acute pulmonary
edema. You will code?
-Both the CHF and the edema; sequence the CHF first.
-The edema only.
-The CHF only.
-Both the CHF and the edema; sequence the edema first. - Correct Answers -The CHF
only. (Acute pulmonary edema is included in the code for congestive heart failure
(CHF).
A patient is seen in the emergency department following an accident. The physician
documents that the wound required multiple layers and extensive undermining.
According to CPT definitions, this type of repair would be classified as?
intermediate.
advancement flap.
complex.
simple. - Correct Answers -complex
The Centers for Medicare and Medicaid Services (CMS) will make an adjustment to the
MS-DRG payment for certain conditions that the patient was not admitted with, but were
acquired during the hospital stay. Therefore, hospitals are required to report an indicator
for each diagnosis. This indicator is referred to as?
a sentinel event.
a hospital acquired condition.
present on admission.
a payment status indicator. - Correct Answers -present on admission.
ICD-10-PCS codes have a unique structure. An example of a valid code in the ICD-10-
PCS system is?
B2151.
L03.311.
2W3FX1Z.
013.2. - Correct Answers -2W3FX1Z
, According to the UHDDS, a procedure that is surgical in nature, carries a procedural or
anesthetic risk, or requires special training is defined as a?
significant procedure.
therapeutic procedure.
principal procedure.
operating room procedure. - Correct Answers -significant procedure.
In a global payment methodology, which is sometimes applied to radiological and
similar types of procedures that involve professional and technical components, all of
the following are part of the "technical" components EXCEPT
physician's services
radiological equipment.
radiologic technicians.
radiological supplies. - Correct Answers -physician's services
Jane believes new equipment will make her staff more efficient. The board has asked
for an analysis of the cost of the equipment to be compared with the benefit to the
facility. This mathematical process is known as a ________?
Pareto
force field analysis
cost-benefit analysis
performance improvement plan - Correct Answers -cost-benefit analysis
In assigning E/M codes, three key components are used. These are?
-History, nature of presenting problem, and time.
-History, examination, and counseling.
-History, examination, and medical decision making.
-History, examination, and time. - Correct Answers -history, examination, and medical
decision making
When coding multiple wound repairs in CPT?
-All wound repairs are grouped and coded, with the most complex reported first.
-Only the least complex repair is reported.
-Up to nine individual repair codes may be reported.
-Only the most complex repair is reported. - Correct Answers -All wound repairs are
grouped and coded, with the most complex reported first.
During a risk management strategy session, the HIM director states that policies and
procedures must be created to prevent specific opportunities for an adverse outcome,
as well as those that will function to diminish any that might not be preventable. This
type of strategy is known as a _____________?
reactive strategy
prevention quality indicator
proactive strategy
cost-benefit analysis - Correct Answers -proactive strategy
