CCS EXAM REVIEW QUESTIONS WITH
CORRECT VERIFIED ANSWERS
Subjective - Answer-Dependent on the mind or on an individual's perception for
existence
Objective - Answer-Factual or not influenced by personal feelings or opinions
Uniform Hospital Discharge Data Set (UHDDS) - Answer-A series of definitions
collected on all hospital inpatients. Examples include the principle diagnosis, principal
procedure, discharge data, etc.
Master Patient Index (MPI) - Answer-A list or database created and maintained by a
healthcare facility to record the name and identification number of every patient who has
ever been admitted or treated in the facility
Enterprise Wide Master Patient Index (EMPI) - Answer-An index that provides access to
multiple repositories of information from overlapping patient populations that are
maintained in separate systems and databases. References all patients in multiple
facilities
Quantitative Analysis - Answer-Review of the medical record to determine its
completeness and accuracy
Qualitative analysis - Answer-Review of the medical record to ensure that standards are
met and to determine the accuracy of record documentation
Abstracting - Answer-When someone reviews a patient's health record and enters the
appropriate pieces into the database
Integrated Delivery System (IDS) - Answer-A network of organizations that provides or
arranges to provide a coordinated continuum of services to a defined population and is
willing to be held clinically and fiscally accountable for the outcomes and health status
of the population serviced.
Integrated network systems (IDN) - Answer-Systems comprised of providers, acute care
hospitals, specialty clinics, home health services, and an owner insurance plan. The
goal is for the patient to be able to move among the continuum of care without
fragmentation.
Accountable Care Organization (ACO) - Answer-Defined by CMS as a group of doctors,
hospitals, and other healthcare providers who come together voluntarily to give
coordinated high quality care to Medicare patients.
, Department of Health and Human Services (DHHS) - Answer-the federal agency tasked
with governing and regulating healthcare in the United States
Centers for Medicare and Medicaid Services (CMS) - Answer-a federal agency within
the U.S. Department of Health and Human Services that is responsible for Medicare
and Medicaid, among many other responsibilities.
Office of the Inspector General (OIG) - Answer-Monitors and tracks the use of taxpayer
dollars through audits, inspections, evaluations and investigations. They are under the
US Department of Commerce. They publish a yearly work plan that outlines the
initiatives for the upcoming year.
Conditions of Participation - Answer-Standards developed by the Department of Health
and Human Services (DHHS) that a facility must comply with in order to participate in
the Medicare and Medicaid programs.
Medical records must be retained for - Answer-5 years
Medical records must be completed by - Answer-No more than 7 days prior to
admission or within 48 hours after admission
The Joint Comission - Answer-A private, nonprofit organization that establishes
guidelines and standards for the operation and management of healthcare facilities.
American Osteopathic Association (AOA) - Answer-The professional association of
osteopathic physicians, surgeons, and graduates of approved colleges of osteopathic
medicine that inspects and accredits osteopathic colleges and hospitals
Accreditation Association for Ambulatory Health Care (AAAHC) - Answer-An
organization committed to developing Standards that advance and promote patient
safety, quality healthcare, and value in ambulatory healthcare settings.
Comission on Accreditation of Rehabilitation Facilities (CARF) - Answer-An accrediting
organization for rehabilitation facilities
National Committee for Quality Assurance (NCQA) - Answer-An organization that
provides an assessment of the quality of managed care plans. Developed the Health
Plan Employer Data and Information Set (HEDIS) that is a tool for measuring quality of
care. Example of a HEDIS measure: cancer screening and prenatal care.
Registries - Answer-An organized system for collection, storage, retrieval, analysis, and
dissemination of information on individual persons who have either a particular disease
or condition.
CORRECT VERIFIED ANSWERS
Subjective - Answer-Dependent on the mind or on an individual's perception for
existence
Objective - Answer-Factual or not influenced by personal feelings or opinions
Uniform Hospital Discharge Data Set (UHDDS) - Answer-A series of definitions
collected on all hospital inpatients. Examples include the principle diagnosis, principal
procedure, discharge data, etc.
Master Patient Index (MPI) - Answer-A list or database created and maintained by a
healthcare facility to record the name and identification number of every patient who has
ever been admitted or treated in the facility
Enterprise Wide Master Patient Index (EMPI) - Answer-An index that provides access to
multiple repositories of information from overlapping patient populations that are
maintained in separate systems and databases. References all patients in multiple
facilities
Quantitative Analysis - Answer-Review of the medical record to determine its
completeness and accuracy
Qualitative analysis - Answer-Review of the medical record to ensure that standards are
met and to determine the accuracy of record documentation
Abstracting - Answer-When someone reviews a patient's health record and enters the
appropriate pieces into the database
Integrated Delivery System (IDS) - Answer-A network of organizations that provides or
arranges to provide a coordinated continuum of services to a defined population and is
willing to be held clinically and fiscally accountable for the outcomes and health status
of the population serviced.
Integrated network systems (IDN) - Answer-Systems comprised of providers, acute care
hospitals, specialty clinics, home health services, and an owner insurance plan. The
goal is for the patient to be able to move among the continuum of care without
fragmentation.
Accountable Care Organization (ACO) - Answer-Defined by CMS as a group of doctors,
hospitals, and other healthcare providers who come together voluntarily to give
coordinated high quality care to Medicare patients.
, Department of Health and Human Services (DHHS) - Answer-the federal agency tasked
with governing and regulating healthcare in the United States
Centers for Medicare and Medicaid Services (CMS) - Answer-a federal agency within
the U.S. Department of Health and Human Services that is responsible for Medicare
and Medicaid, among many other responsibilities.
Office of the Inspector General (OIG) - Answer-Monitors and tracks the use of taxpayer
dollars through audits, inspections, evaluations and investigations. They are under the
US Department of Commerce. They publish a yearly work plan that outlines the
initiatives for the upcoming year.
Conditions of Participation - Answer-Standards developed by the Department of Health
and Human Services (DHHS) that a facility must comply with in order to participate in
the Medicare and Medicaid programs.
Medical records must be retained for - Answer-5 years
Medical records must be completed by - Answer-No more than 7 days prior to
admission or within 48 hours after admission
The Joint Comission - Answer-A private, nonprofit organization that establishes
guidelines and standards for the operation and management of healthcare facilities.
American Osteopathic Association (AOA) - Answer-The professional association of
osteopathic physicians, surgeons, and graduates of approved colleges of osteopathic
medicine that inspects and accredits osteopathic colleges and hospitals
Accreditation Association for Ambulatory Health Care (AAAHC) - Answer-An
organization committed to developing Standards that advance and promote patient
safety, quality healthcare, and value in ambulatory healthcare settings.
Comission on Accreditation of Rehabilitation Facilities (CARF) - Answer-An accrediting
organization for rehabilitation facilities
National Committee for Quality Assurance (NCQA) - Answer-An organization that
provides an assessment of the quality of managed care plans. Developed the Health
Plan Employer Data and Information Set (HEDIS) that is a tool for measuring quality of
care. Example of a HEDIS measure: cancer screening and prenatal care.
Registries - Answer-An organized system for collection, storage, retrieval, analysis, and
dissemination of information on individual persons who have either a particular disease
or condition.
