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MO Metrix CCS Exam Practice Test
Questions with Detailed Verified Answers
Question: Which of the following is not a covered entity in the HIPAA
Privacy rule?
a. The Centers for Disease Control and Prevention
b. Employer-sponsored health plan
c. Third-party billing agency
d. Healthcare provider
Ans✅ ✅: a. The Centers for Disease Control and Prevention
Question: Which of the following is a risk adjustment model used by
Medicare to predict health care costs and resource consumption of
specific patient populations over time?
a. Risk adjustment factor (RAF)
b. Diagnosis-related groups
c. Outcome and Assessment information set
d. Hierarchical condition category (HCC) coding
Ans✅ ✅: d. Hierarchical condition category (HCC) coding
Question: CPT cod 20650 is a column 2 code that has a National Correct
Coding Initiative (NCCI) edit of 1 when paired with CPT code 21813. How
would this be interpreted?
a. The two codes are inclusive of each other and can never be billed
together.
b. If being billed together, only report one unit of each
c. The two codes are exclusive of each other and can never be billed
together
d. The two codes can be billed together with an appropriate modifier
Ans✅ ✅: d. The two codes can be billed together with an appropriate modifier
Question: Based on the following documentation, what would the
overall medical decision-making be?
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Numbered of diagnosis or management options: Minimal
Amount and complexity of data: Moderate
Level of risk: Moderate
a. Straightforward
b. Low complexity
c. Moderate complexity
d. High complexity
Ans✅ ✅: c. Moderate complexity
Question: A patient was seen by her gynecologist to remove her
intrauterine device. The removal was attempted but terminated due to
excessive bleeding. How should the gynecologist report the encounter?
a. 58301-53
b. 58301-52
c. 99212-25, 58301
d. 99212, 58301-59
Ans✅ ✅: a. 58301-53
Question: A technician performs an ultrasound of a patient's thyroid at
a privately owned family practice immediately following her annual health
screening. The primary care physician determines that the images are
normal and advises the patient to return in one year. How should the
primary care physician report the ultrasound?
a. 76536-26
b. 76536-TC
c. 76536
d. 76536-TC, 26
Ans✅ ✅: c. 76536
no modifier
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Question: Which type of edit identifies the maximum number of units
that may be reported for a CPT/HCPCS code that relates to an individual
patient?
a. Medically unlikely edits
b. Add-on-code edits
c. Correspondence edits
d. Procedure-to-procedure coding edits
Ans✅ ✅: a. Medically unlikely edits
Question: Which statement best describes a comorbidity?
a. Two or more life-threatening illnesses occurring at the same time
b. Three or more minor injuries occurring at the same time
c. Three or more chronic illness occurring at the same time
d. Two or more unrelated diseases occurring at the same time.
Ans✅ ✅: d. Two or more unrelated diseases occurring at the same time.
Question: A healthcare employee happens to meet a well-known actor
during a lunch break. Unknown to the employee, the actor is currently
admitted in the hospital and has chosen to eat in the cafeteria to not feel
cooped up any longer. The employee takes a photo and shares it with his
co-workers and social media. Which AHIMA standard(s) of Ethical Coding
has been violated?
a. Protect privacy and confidentiality; protect personal health
information; and use technology, data, and information resources in the
way they are intended.
b. Respect the dignity of every person, put the welfare of persons before
self-interest.
c. Refuse to participate in unethical practices, privacy and confidentiality,
respect the dignity of every person
d. None, the act was unintentional
Ans✅ ✅: a. Protect privacy and confidentiality; protect personal health information;
and use technology, data, and information resources in the way they are intended.
Question: The smoking status of a patient should generally be found in
which section of a medical record?
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a. Chief complaint
b. Plan
c. Examination
d. Social history
Ans✅ ✅: d. Social history
Question: Which of the following is not a data element required by the
uniform Hospital Discharge Data set (UHDDS)
a. Location of residence
b. Provider name
c. Family history
d. Total charges for services rendered.
Ans✅ ✅: c. Family history
Question: A hospital director repeatedly refuses to accept residents due
to a tight budget that limits training time for students. Which AHIMA
Standard(s) of ethical Coding has been violated?
a. Put the welfare of persons before self-interest
b. Mentor colleagues to strengthen the professional workforce
c. Respect the worth of every person.
d. Represent the profession to the public in a positive manner.
Ans✅ ✅: b. Mentor colleagues to strengthen the professional workforce
Question: A physician performs a coronary artery bypass grafting using
the left internal mammary artery to the right coronary, and a saphenous
vein graft to the circumflex. Which CPT code(s)
a. 33533, 33510
b. 33534
c. 33533, 33517
d. 35600, 33517
Ans✅ ✅: c. 33533, 33517
Question: A patient is seen in the emergency room with second- and
third-degree burns on the right hand, and second-degree burns on the
left hand after being exposed to paint thinner. After a comprehensive
MO Metrix CCS Exam Practice Test
Questions with Detailed Verified Answers
Question: Which of the following is not a covered entity in the HIPAA
Privacy rule?
a. The Centers for Disease Control and Prevention
b. Employer-sponsored health plan
c. Third-party billing agency
d. Healthcare provider
Ans✅ ✅: a. The Centers for Disease Control and Prevention
Question: Which of the following is a risk adjustment model used by
Medicare to predict health care costs and resource consumption of
specific patient populations over time?
a. Risk adjustment factor (RAF)
b. Diagnosis-related groups
c. Outcome and Assessment information set
d. Hierarchical condition category (HCC) coding
Ans✅ ✅: d. Hierarchical condition category (HCC) coding
Question: CPT cod 20650 is a column 2 code that has a National Correct
Coding Initiative (NCCI) edit of 1 when paired with CPT code 21813. How
would this be interpreted?
a. The two codes are inclusive of each other and can never be billed
together.
b. If being billed together, only report one unit of each
c. The two codes are exclusive of each other and can never be billed
together
d. The two codes can be billed together with an appropriate modifier
Ans✅ ✅: d. The two codes can be billed together with an appropriate modifier
Question: Based on the following documentation, what would the
overall medical decision-making be?
, Page | 2
Numbered of diagnosis or management options: Minimal
Amount and complexity of data: Moderate
Level of risk: Moderate
a. Straightforward
b. Low complexity
c. Moderate complexity
d. High complexity
Ans✅ ✅: c. Moderate complexity
Question: A patient was seen by her gynecologist to remove her
intrauterine device. The removal was attempted but terminated due to
excessive bleeding. How should the gynecologist report the encounter?
a. 58301-53
b. 58301-52
c. 99212-25, 58301
d. 99212, 58301-59
Ans✅ ✅: a. 58301-53
Question: A technician performs an ultrasound of a patient's thyroid at
a privately owned family practice immediately following her annual health
screening. The primary care physician determines that the images are
normal and advises the patient to return in one year. How should the
primary care physician report the ultrasound?
a. 76536-26
b. 76536-TC
c. 76536
d. 76536-TC, 26
Ans✅ ✅: c. 76536
no modifier
, Page | 3
Question: Which type of edit identifies the maximum number of units
that may be reported for a CPT/HCPCS code that relates to an individual
patient?
a. Medically unlikely edits
b. Add-on-code edits
c. Correspondence edits
d. Procedure-to-procedure coding edits
Ans✅ ✅: a. Medically unlikely edits
Question: Which statement best describes a comorbidity?
a. Two or more life-threatening illnesses occurring at the same time
b. Three or more minor injuries occurring at the same time
c. Three or more chronic illness occurring at the same time
d. Two or more unrelated diseases occurring at the same time.
Ans✅ ✅: d. Two or more unrelated diseases occurring at the same time.
Question: A healthcare employee happens to meet a well-known actor
during a lunch break. Unknown to the employee, the actor is currently
admitted in the hospital and has chosen to eat in the cafeteria to not feel
cooped up any longer. The employee takes a photo and shares it with his
co-workers and social media. Which AHIMA standard(s) of Ethical Coding
has been violated?
a. Protect privacy and confidentiality; protect personal health
information; and use technology, data, and information resources in the
way they are intended.
b. Respect the dignity of every person, put the welfare of persons before
self-interest.
c. Refuse to participate in unethical practices, privacy and confidentiality,
respect the dignity of every person
d. None, the act was unintentional
Ans✅ ✅: a. Protect privacy and confidentiality; protect personal health information;
and use technology, data, and information resources in the way they are intended.
Question: The smoking status of a patient should generally be found in
which section of a medical record?
, Page | 4
a. Chief complaint
b. Plan
c. Examination
d. Social history
Ans✅ ✅: d. Social history
Question: Which of the following is not a data element required by the
uniform Hospital Discharge Data set (UHDDS)
a. Location of residence
b. Provider name
c. Family history
d. Total charges for services rendered.
Ans✅ ✅: c. Family history
Question: A hospital director repeatedly refuses to accept residents due
to a tight budget that limits training time for students. Which AHIMA
Standard(s) of ethical Coding has been violated?
a. Put the welfare of persons before self-interest
b. Mentor colleagues to strengthen the professional workforce
c. Respect the worth of every person.
d. Represent the profession to the public in a positive manner.
Ans✅ ✅: b. Mentor colleagues to strengthen the professional workforce
Question: A physician performs a coronary artery bypass grafting using
the left internal mammary artery to the right coronary, and a saphenous
vein graft to the circumflex. Which CPT code(s)
a. 33533, 33510
b. 33534
c. 33533, 33517
d. 35600, 33517
Ans✅ ✅: c. 33533, 33517
Question: A patient is seen in the emergency room with second- and
third-degree burns on the right hand, and second-degree burns on the
left hand after being exposed to paint thinner. After a comprehensive
