CCS PRACTICE EXAM QUESTIONS WITH COMPLETE ANSWERS

The process of collecting data elements from a source document is known as: a. Extracting b. Mining c. Abstracting d. Drilling - Answer-Correct Answer: C Abstracting is the process of taking data elements from a source document to enter into an automated system (Sayles 2020, 70). What piece of claims data from Hospital A alerts a payer that the patient was transferred to Hospital B? a. Admission source b. Admit diagnosis c. Discharge disposition d. Discharge diagnosis - Answer-Correct Answer: C The discharge disposition that is assigned to a patient's record will indicate to the payer whether the patient was discharged or transferred (Casto 2018, 125). When a patient is transferred from an acute-care facility to a skilled nursing facility, what abstracted data element can impact the DRG assignment? a. Admission source b. Patient's blood type c. Discharge disposition d. Patient's age - Answer-Correct Answer: C The patient's discharge disposition can impact the DRG assignment when a transfer takes place from acute care to skilled care (Casto 2018, 125). For a patient with a principal diagnosis of septicemia, reporting which of the following procedures will have the greatest impact on the MS-DRG? a. Excision of left main bronchus, percutaneous endoscopic approach, diagnostic (0BB74ZX) b. Excision of toe nail, external approach (0HBRXZZ) c. Extraction of perineum skin, external approach (0HD9XZZ) d. Respiratory ventilation, greater than 96 consecutive hours (5A1955Z) - Answer-Correct Answer: D The ventilator management is the procedure that will impact the MS-DRG to provide appropriate reimbursement. The MS-DRG with the highest weight is 870 (CMS 2019b). Respiratory Ventilation, Greater than 96 Consecutive Hours (5A1955Z). Medicare DRG