Certified Coding Specialist 2025 QUESTIONS AND
CORRECT ANSWERS(100% CORRECT VERIFIED
ANSWERS)ALREADY GRADED A+
A condition is considered present on admission when it is:
a. the principle diagnosis
b. in accordance with medical staff bylaws
c. a condition that occurs prior to an inpatient admission
d. present within three days after admission Resolution Result Verified
Answers c. a condition that occurs prior to an inpatient admission
A newborn is diagnosed with meconium aspiration at birth. What is
the
appropriate POA indicator for the meconium
aspiration?
a. Y
b. N
c. U
d. W
Resolution
Result Verified
Answers a. Y
A woman is admitted to the hospital for an exacerbation of COPD
and mentions a lump she has noticed in her right breast. While she
is in the hospital, a biopsy is done of the breast lump and a diagnosis
of ductal carcinoma is made. What is the POA assignment for the
carcinoma? a. Y
, b. N
c. U
d. W Resolution Result Verified Answers a. Y
The use of the outpatient code editor (OCE) is designed
to:
a. Correct documentation of home health
visits
b. Facilitate reporting of adverse drug
events
c. Reduce the use of computer assisted coding
d. Identify incomplete or incorrect claims Resolution Result Verified
Answers d. Identify incomplete or incorrect claims
Medicare's identification of medically necessary services is outlined
in:
a. Program transmittals
b. Claims processing manual
c. Local coverage determinations
d. National Correct Coding Initiative Resolution Result
Verified Answers c. Local coverage
determinations
Medically unlikely edits are used to identify:
a. Pairs of procedure codes that should not be billed together
b. Maximum units of service for a HCPCS code
c. Diagnoses that don't meet medical necessity
d. Procedure and gender discrepancies Resolution Result Verified
Answers b. Maximum units of service for a HCPCS code
CORRECT ANSWERS(100% CORRECT VERIFIED
ANSWERS)ALREADY GRADED A+
A condition is considered present on admission when it is:
a. the principle diagnosis
b. in accordance with medical staff bylaws
c. a condition that occurs prior to an inpatient admission
d. present within three days after admission Resolution Result Verified
Answers c. a condition that occurs prior to an inpatient admission
A newborn is diagnosed with meconium aspiration at birth. What is
the
appropriate POA indicator for the meconium
aspiration?
a. Y
b. N
c. U
d. W
Resolution
Result Verified
Answers a. Y
A woman is admitted to the hospital for an exacerbation of COPD
and mentions a lump she has noticed in her right breast. While she
is in the hospital, a biopsy is done of the breast lump and a diagnosis
of ductal carcinoma is made. What is the POA assignment for the
carcinoma? a. Y
, b. N
c. U
d. W Resolution Result Verified Answers a. Y
The use of the outpatient code editor (OCE) is designed
to:
a. Correct documentation of home health
visits
b. Facilitate reporting of adverse drug
events
c. Reduce the use of computer assisted coding
d. Identify incomplete or incorrect claims Resolution Result Verified
Answers d. Identify incomplete or incorrect claims
Medicare's identification of medically necessary services is outlined
in:
a. Program transmittals
b. Claims processing manual
c. Local coverage determinations
d. National Correct Coding Initiative Resolution Result
Verified Answers c. Local coverage
determinations
Medically unlikely edits are used to identify:
a. Pairs of procedure codes that should not be billed together
b. Maximum units of service for a HCPCS code
c. Diagnoses that don't meet medical necessity
d. Procedure and gender discrepancies Resolution Result Verified
Answers b. Maximum units of service for a HCPCS code
