CCS Exam Study Questions | Questions with 100% Correct Answers | Verified | Updated 2023

What factors of the APR-DRG system allow for capturing the extent of the patient's conditions and expected loss of life while an inpatient? a. Severity of illness and risk of mortality b. Severity of diagnosis and risk of morbidity c. Complications and comorbidities d. Hospital acquired conditions and present on admission - a. Which of the following heart failure codes is considered an MCC? a. I50.9 Heart failure, unspecified b. I50.43 Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure c. I50.32 Chronic diastolic (congestive) heart failure d. I50.20 Unspecified systolic (congestive) heart failure - b. Medically unlikely edits are used to identify: a. Pairs of procedure codes that should not be billed together b. Maximum units of services for a HCPCS code c. Diagnoses that don't meet medical necessity d. Procedure and gender discrepancies - b.