CIC Test Practice Questions With
Answers
Which procedure code describes this bedside procedure?
Diagnosis: Hypotension with sepsis
Consent: Emergent
Procedure: Left femoral arterial line placement for infusion treatment with antibiotics and vasopressors.
Description: The left groin was cleansed and draped in a sterile fashion. An 18 gauge needle was then
advanced into the left femoral artery. Good blood flow was obtained. Using a Seldinger technique, a
catheter was advanced over the wire into the left femoral artery. It was sewn in place with 2-0 silk. Good
waveform was seen on the monitor. No immediate complications were noted with this procedure -
Answer - 04HL33Z
Your hospital uses an EHR for all documentation of all services, including coding and billing. Your town is
hit with a tornado and your hospital is badly damaged including the servers, network connections and
computers. How do you provide medical records for patients transferred to other facilities for their care?
- Answer - You obtain copies from your disaster recovery server
Which of the following describes a violation of HIPAA's privacy rule? - Answer - A nurse and an orderly
at a state hospital discussed the HIV/AIDS status of a patient in earshot of other patients
Which of the following diseases is a malignancy of the lymphatic system? - Answer - Hodgkin's disease
A drug which ends in the suffix, -pril , is considered a(n): - Answer - ACE inhibitor
A patient is admitted with neck pain following a collision with another softball player at a community
baseball field. The diagnosis at the time of discharge is right internal carotid artery dissection likely
secondary to trauma. The diagnoses coded for this injury are: - Answer - I77.71, W51.XXXA, Y93.64,
Y92.320
How many Major Diagnostic Categories (MDCs) are in the MS-DRG system? - Answer - 25
, What POA indicator would you use for the following scenario?
A 45 year old female presents to the ER with shortness of breath, cough and a high fever. The ER doctor
gets a chest x-ray which indicates pneumonia so he admits the patient. Shortly after admission the
patient deteriorates and develops sepsis. In his discharge summary the doctor indicates the patient's
diagnoses as sepsis secondary to pneumonia, organism unknown. A query of the physician indicates it is
unknown if the patient was septic prior to admission. What POA indicator would you assign for sepsis? -
Answer - W
What is the correct CMS definition for POA indicator W? - Answer - Clinically undetermined. Provider
unable to clinically determine whether the condition was present at the time of inpatient admission
The inpatient admission certification form must be signed by whom? - Answer - The admitting or
attending physician
A 74 year-old Medicare patient is seen in the outpatient cardiac catheterization department of the
hospital for atypical chest pain. The left heart catheterization reveals that the patient has 3-vessel
coronary artery disease. The patient returns to the hospital two days later with a Non-STEMI and is taken
to the operating room for a 3-vessel CABG. Under what Medicare rule will the left heart catheterization
technical component be bundled into the inpatient stay? - Answer - Three day payment window
Which type of DRG system uses degrees of Severity of Illness and Risk of Mortality to determine the
DRG? - Answer - APR-DRG
Under the OPPS, ________ is a term that refers to an item that will not receive separate payment
because it is considered an integral part of another service that is paid under the OPPS. - Answer -
Packaging/Bundling
Under APCs payment status indicator C indicates: - Answer - Inpatient only procedure
If a patient is admitted for surgery, The Joint Commission requires that a history and physical be
available for review in the patient's medical record: - Answer - No more than 30 days prior to surgery, or
within 24 hours after admission, but, prior to the surgery
Answers
Which procedure code describes this bedside procedure?
Diagnosis: Hypotension with sepsis
Consent: Emergent
Procedure: Left femoral arterial line placement for infusion treatment with antibiotics and vasopressors.
Description: The left groin was cleansed and draped in a sterile fashion. An 18 gauge needle was then
advanced into the left femoral artery. Good blood flow was obtained. Using a Seldinger technique, a
catheter was advanced over the wire into the left femoral artery. It was sewn in place with 2-0 silk. Good
waveform was seen on the monitor. No immediate complications were noted with this procedure -
Answer - 04HL33Z
Your hospital uses an EHR for all documentation of all services, including coding and billing. Your town is
hit with a tornado and your hospital is badly damaged including the servers, network connections and
computers. How do you provide medical records for patients transferred to other facilities for their care?
- Answer - You obtain copies from your disaster recovery server
Which of the following describes a violation of HIPAA's privacy rule? - Answer - A nurse and an orderly
at a state hospital discussed the HIV/AIDS status of a patient in earshot of other patients
Which of the following diseases is a malignancy of the lymphatic system? - Answer - Hodgkin's disease
A drug which ends in the suffix, -pril , is considered a(n): - Answer - ACE inhibitor
A patient is admitted with neck pain following a collision with another softball player at a community
baseball field. The diagnosis at the time of discharge is right internal carotid artery dissection likely
secondary to trauma. The diagnoses coded for this injury are: - Answer - I77.71, W51.XXXA, Y93.64,
Y92.320
How many Major Diagnostic Categories (MDCs) are in the MS-DRG system? - Answer - 25
, What POA indicator would you use for the following scenario?
A 45 year old female presents to the ER with shortness of breath, cough and a high fever. The ER doctor
gets a chest x-ray which indicates pneumonia so he admits the patient. Shortly after admission the
patient deteriorates and develops sepsis. In his discharge summary the doctor indicates the patient's
diagnoses as sepsis secondary to pneumonia, organism unknown. A query of the physician indicates it is
unknown if the patient was septic prior to admission. What POA indicator would you assign for sepsis? -
Answer - W
What is the correct CMS definition for POA indicator W? - Answer - Clinically undetermined. Provider
unable to clinically determine whether the condition was present at the time of inpatient admission
The inpatient admission certification form must be signed by whom? - Answer - The admitting or
attending physician
A 74 year-old Medicare patient is seen in the outpatient cardiac catheterization department of the
hospital for atypical chest pain. The left heart catheterization reveals that the patient has 3-vessel
coronary artery disease. The patient returns to the hospital two days later with a Non-STEMI and is taken
to the operating room for a 3-vessel CABG. Under what Medicare rule will the left heart catheterization
technical component be bundled into the inpatient stay? - Answer - Three day payment window
Which type of DRG system uses degrees of Severity of Illness and Risk of Mortality to determine the
DRG? - Answer - APR-DRG
Under the OPPS, ________ is a term that refers to an item that will not receive separate payment
because it is considered an integral part of another service that is paid under the OPPS. - Answer -
Packaging/Bundling
Under APCs payment status indicator C indicates: - Answer - Inpatient only procedure
If a patient is admitted for surgery, The Joint Commission requires that a history and physical be
available for review in the patient's medical record: - Answer - No more than 30 days prior to surgery, or
within 24 hours after admission, but, prior to the surgery
