CCS Exam Prep NEW UPDATE QUESTIONS AND DETAILED SOLUTIONS

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CCS Exam Prep NEW UPDATE 2026-2027
QUESTIONS AND DETAILED SOLUTIONS

Question: What services are paid under the outpatient prospective payment system (OPPS)? -

CORRECT ANSWER✔✔Outpatient hospital services




Question: What is assigned to CPT codes to indicate whether serv or procedure will be reimb

under the OPPS? - CORRECT ANSWER✔✔Payment status indicators




Question: DRGs and APCs are dissimilar in that: - CORRECT ANSWER✔✔There is only one MS-

DRG per inpatient visit with one or more APCs per outpatient visit




Question: Case mix is determined by - CORRECT ANSWER✔✔(MS-DRG x number of pts) then

add those number together




Question: Data accuracy is also referred to as: - CORRECT ANSWER✔✔Validity

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Question: A method that can be used to ensure validity of data in the database is: - CORRECT

ANSWER✔✔Edits




Question: Data consistency means that the data is: - CORRECT ANSWER✔✔Reliable




Question: 64yo female discharged w/final dx of acute renal failure and hypertension, so what

coding rule applies? - CORRECT ANSWER✔✔Use separate codes codes for hypertension and

acute renal failure since acute kidney failure is not the same as chronic kidney failure




Question: Quality Mgmt Director is working on phys reappt reports and needs to focus on all

phys who attended pts w/pneumonia during last quarter. She asks coder to get list of all

pneumonia pts who did not have an x-ray done during their stay. To perform this task efficiently,

the coder should do the following: - CORRECT ANSWER✔✔Obtain list of all pts who were dx'd

w/pneumonia, retrieve list of all pts who had an x-ray from charge master, compare both lists, id

pts who did not have an x-ray along w/phys responsible




Question: Blood usage review committee is trying to id phys who have ordered blood tranx

w/o following predetermined criteria during last quarter. How is this done most efficiently? -

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CORRECT ANSWER✔✔Obtain list of all blood transfusions given in facility during designated

quarter along w/ordering phys and lab values for RBC, import list into spreadsheet and filter

data using RBC predetermined values or lower in facility criteria for blood transfusions




Question: QI study showed maternity cases not being coded w/correct procedure code for

manually assisted vaginal delivery codes associated. What HIM software could be used to eval

this? - CORRECT ANSWER✔✔Billing and reimbursement abstracting system




Question: HIT for Economic and Clinical Health (HITECH) Act is providing incentives for: -

CORRECT ANSWER✔✔Meaningful use of certified EHR technology




Question: The use of standard protocols to enable different computer systems to communicate

is referred to as: - CORRECT ANSWER✔✔Interoperability




Question: Coding spvr concerned that pts dx'd w/carcinoid colon tumors were miscoded as

malignant during last 6mo. To address this situation, what work processes could be undertaken?

- CORRECT ANSWER✔✔Obtain case of malignant colon tumors from both cancer registry and

billing system, import both lists into spreadsheet and compare them. ID cases that are not in the

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tumor registry that are in the billing system and then manually review to ensure they are not

carcinoid tumors




Question: According to AHIMA Standards of Ethical Coding, "A coder should protect the

confidentiality of the health record at all time and refuse to access PHI not required for coding-

related activities." What is not considered coding-related activity? - CORRECT ANSWER✔✔Risk

analysis of medical record documentation




Question: According to AHIMA Standards of Ethical Coding, "A coder should protect the

confidentiality of the health record at all time and refuse to access PHI not required for coding-

related activities." What is considered coding-related activity? - CORRECT ANSWER✔✔Coding

quality evaluation, review of records assigned each day, completion of abstracting




Question: Routine computer back-up procedure is an example of security program that ensure

data loss does not occur and this type of control is: - CORRECT ANSWER✔✔Preventative