CCS: Domain 1 content | Study Guide
Questions & Expertly Verified Answers,
Quiz_________________?
A 65 year old patient, with a history of lung cancer, is admitted to a healthcare facility with
ataxia and syncope and a fractured arm as a result of falling. The patient undergoes a closed
reduction of the fracture in the emergency department and undergoes a complete workup
for metastatic carcinoma of the brain. The patient is found to have metastatic carcinoma of
the lung to the brain and undergoes radiation therapy to the brain. Which of the following
would be the principle diagnosis in this case?
A ataxia
B. Fracture arm
C. Metastatic carcinoma of the brain
D. Carcinoma of the lung -
Answer✅
C. Metastatic carcinoma of the brain
Quiz_________________?
A coder notes that the patient is taking prescribed Haldol. The final diagnoses on the
progress notes include diabetes mellitus, acute pharyngitis, and malnutrition. What condition
might the coder suspect the patient has and should query the physician?
A. Insomnia
B. Hypertension
C. Mental or behavior problems -
Answer✅
C. Mental or behavior problems
1
, Quiz_________________?
A coding audit shows that an inpatient coder is using multiple codes that describe the
individual components of a procedure rather than using a single code that describes all the
steps of the procedure performed. Which of the following should be done in this case?
A. Require all coders to implement this practice
B. Report the practice to the OIG
C. Counsel the coder and stop the practice immediately
D. Put the coder on unpaid leave of absence -
Answer✅
C. Counsel the coder and stop the practice immediately
Quiz_________________?
A core data set developed by ASTM (American Society Testing and Material) to
communicate a patient's past and current health information as the patient transitions from
one care setting to another is ______
A. Continuity of Care Record
B. Minimum Data Set
C. Ambulatory Care Data Set
D. Uniform Hospital Discharge Data Set -
Answer✅
A. Continuity of Care Record
Quiz_________________?
A corporation is evaluating several health plans for its benefits package. The data set that
provides comparison information about health plan performance is _____.
A. ORYX
B. HEDIS
C. UHDDS
D. MDS -
2
, Answer✅
B. HEDIS
Quiz_________________?
A critical early step in designing an EHR is to develop a (n)______________in which the
characteristics of each data element are defined.
A. accreditation manual
B. core content
C. continuity of care record
D. data dictionary -
Answer✅
D. data dictionary
Quiz_________________?
A health information technician has been charged with the responsibility of designing a data
collection form to be used on admission of a patient to the acute are hospital in which she
works. The firs resource that she should use is________
A UHDDS
B. UACDS
C. MDS
D. HEDIS -
Answer✅
A UHDDS
Quiz_________________?
A health information technician is hired as the chief compliance officer for a large group
practice In evaluating the current program the HIT learns that there are written standards
of conduct and policies and procedures that address specific areas of potential fraud as well
as audits in place to monitor compliance. Which of the following should the compliance
officer also ensure are in place?
3
, A. Compliance program education and training programs for all employees in the
organization
B. Establishment of a hotline or receive complaints and adoption of procedures to protect
whistle blowers from retaliation
C. Adopt procedures to adequately identify individuals who make complaints so that
appropriate follow up can be conducted
D. Establish a corporate compliance committee who report directly to the CFO -
Answer✅
B. Establishment of a hotline or receive complaints and adoption of procedures to protect
whistle blowers from retaliation
Quiz_________________?
A health information technician is processing payments for hospital outpatient services to be
reimbursed by Medicare for a patient who had two physician visits, underwent radiology
examinations, clinical laboratory tests, and who received take home surgical dressings.
Which of the following would be considered a co-morbidity in this case?
A. Clinical laboratory tests
B. Physician office visits
C. Radiology examinations
D. Take home surgical dressings -
Answer✅
C. Radiology examinations
Quiz_________________?
A notation for a diabetic patient in a physician progress note reads:
"FBS 110 mg%, urine sugar, no acetone"
In which part of a POMR progress note would this notation be written?
A. Subjective
B. Objective
C. Assessment
D. Plan -
4
Questions & Expertly Verified Answers,
Quiz_________________?
A 65 year old patient, with a history of lung cancer, is admitted to a healthcare facility with
ataxia and syncope and a fractured arm as a result of falling. The patient undergoes a closed
reduction of the fracture in the emergency department and undergoes a complete workup
for metastatic carcinoma of the brain. The patient is found to have metastatic carcinoma of
the lung to the brain and undergoes radiation therapy to the brain. Which of the following
would be the principle diagnosis in this case?
A ataxia
B. Fracture arm
C. Metastatic carcinoma of the brain
D. Carcinoma of the lung -
Answer✅
C. Metastatic carcinoma of the brain
Quiz_________________?
A coder notes that the patient is taking prescribed Haldol. The final diagnoses on the
progress notes include diabetes mellitus, acute pharyngitis, and malnutrition. What condition
might the coder suspect the patient has and should query the physician?
A. Insomnia
B. Hypertension
C. Mental or behavior problems -
Answer✅
C. Mental or behavior problems
1
, Quiz_________________?
A coding audit shows that an inpatient coder is using multiple codes that describe the
individual components of a procedure rather than using a single code that describes all the
steps of the procedure performed. Which of the following should be done in this case?
A. Require all coders to implement this practice
B. Report the practice to the OIG
C. Counsel the coder and stop the practice immediately
D. Put the coder on unpaid leave of absence -
Answer✅
C. Counsel the coder and stop the practice immediately
Quiz_________________?
A core data set developed by ASTM (American Society Testing and Material) to
communicate a patient's past and current health information as the patient transitions from
one care setting to another is ______
A. Continuity of Care Record
B. Minimum Data Set
C. Ambulatory Care Data Set
D. Uniform Hospital Discharge Data Set -
Answer✅
A. Continuity of Care Record
Quiz_________________?
A corporation is evaluating several health plans for its benefits package. The data set that
provides comparison information about health plan performance is _____.
A. ORYX
B. HEDIS
C. UHDDS
D. MDS -
2
, Answer✅
B. HEDIS
Quiz_________________?
A critical early step in designing an EHR is to develop a (n)______________in which the
characteristics of each data element are defined.
A. accreditation manual
B. core content
C. continuity of care record
D. data dictionary -
Answer✅
D. data dictionary
Quiz_________________?
A health information technician has been charged with the responsibility of designing a data
collection form to be used on admission of a patient to the acute are hospital in which she
works. The firs resource that she should use is________
A UHDDS
B. UACDS
C. MDS
D. HEDIS -
Answer✅
A UHDDS
Quiz_________________?
A health information technician is hired as the chief compliance officer for a large group
practice In evaluating the current program the HIT learns that there are written standards
of conduct and policies and procedures that address specific areas of potential fraud as well
as audits in place to monitor compliance. Which of the following should the compliance
officer also ensure are in place?
3
, A. Compliance program education and training programs for all employees in the
organization
B. Establishment of a hotline or receive complaints and adoption of procedures to protect
whistle blowers from retaliation
C. Adopt procedures to adequately identify individuals who make complaints so that
appropriate follow up can be conducted
D. Establish a corporate compliance committee who report directly to the CFO -
Answer✅
B. Establishment of a hotline or receive complaints and adoption of procedures to protect
whistle blowers from retaliation
Quiz_________________?
A health information technician is processing payments for hospital outpatient services to be
reimbursed by Medicare for a patient who had two physician visits, underwent radiology
examinations, clinical laboratory tests, and who received take home surgical dressings.
Which of the following would be considered a co-morbidity in this case?
A. Clinical laboratory tests
B. Physician office visits
C. Radiology examinations
D. Take home surgical dressings -
Answer✅
C. Radiology examinations
Quiz_________________?
A notation for a diabetic patient in a physician progress note reads:
"FBS 110 mg%, urine sugar, no acetone"
In which part of a POMR progress note would this notation be written?
A. Subjective
B. Objective
C. Assessment
D. Plan -
4
