CCS WEEK 8 FINAL EXAM 2025 QUESTIONS
AND ANSWERS GRADED A+
A 43-year-old female went to the clinic complaining of fever, and dyspnea and is
sent for a chest x-ray to rule out pneumonia. After examination, the physician
documents pneumonia, confirmed. The query sent to the attending physician read,
"What type of pneumonia does this patient have: bacterial, viral, fungal, or other?"
This query is:
-not compliant because it is too direct.
-not valid. There is no such diagnosis as pneumonia.
-not compliant. Queries must be written as Yes or No.
-compliant. It can be answered from multiple choice.
compliant. It can be answered from multiple choice.
A participating (PAR) physician is one who
-can bill 115% above the Medicare Fee Schedule.
-signs an agreement to participate in the Medicare program and agrees to ----accept
whatever Medicare pays for a provider or service.
receives 5% less than other non-PAR physicians.
-submits claim forms using ICD-10-CM procedure codes.
signs an agreement to participate in the Medicare program and agrees to accept
whatever Medicare pays for a provider or service.
,Aunt Elsie is brought to the emergency department for increased confusion. She is
subsequently diagnosed with Alzheimer's disease with dementia and cerebral
atherosclerosis. She is also treated for hypertension and hypothyroidism. (Code the
ICD-10-CM diagnoses.)
-G30.9, E03.9, I10, E03.91
-I67.2, F03.90, E03.9, I10
-F03.90, I10, E03.9
-G30.9, F03.90, I67.2, E03.9, I10
G30.9, F03.90, I67.2, E03.9, I10
The diagnosis reads "first-, second-, and third-degree burns of the right arm." You
would code
-the third degree only.
-each degree of burn separately.
-the second degree only.
-the first degree only.
the third degree only.
Rachel, a 17-year-old female, was brought into the emergency department (ED)
after a motor vehicle accident (MVA) between a car and the motorcycle on which
she was riding. She needed additional blood, and the nurse grabbed A+ blood,
,which was immediately administered. However, Rachel is actually B+. The danger
to the patient is a result of blood incompatibility, a nonreimbursable _____.
-component of the surgical package
-ethical violation
-hospital-acquired condition
-patient out-of-pocket expense
hospital-acquired condition
Your organization is sending confidential patient information across the Internet
using technology that will transform the original data into unintelligible code that
can be re-created by authorized users. This technique is called
-a firewall.
-encryption.
-validity processing.
-A call-back process.
encryption
The patient is admitted for elective cholecystectomy for treatment of chronic
cholecystitis with cholelithiasis. Prior to the administration of general anesthesia,
the patient suffers cerebral thrombosis. Surgery is subsequently canceled. Code
and sequence the coding using the following codes.
-I66.9, Z53.09
, -I97.821, K80.10, 0FT40ZZ
-K80.10, I66.9, Z53.09
-I97.821, I66.9, Z53.09
K80.10, I66.9, Z53.09
Patient presents to the hospital for a three-view X-ray of the right shoulder. The
diagnosis is shoulder pain and the radiology report states the patient has a
dislocated shoulder. What would be the correct codes to report to the insurance
company?
-S43.014A; 73030-RT
-S43.004A; 73030-RT
-S43.004A; 73060-RT
-M25.511; 73020-RT
S43.004A; 73030-RT
A patient was sent to the surgeon's office (as requested by the patient), because the
insurance company requires a second opinion regarding surgery. The patient has
been complaining of lower back pain for over a year due to a herniated disk. The
patient presents to the surgeon's office where a detailed history and physical
examination was performed. Medical records from the primary care physician and
the physical therapist were reviewed along with the tests performed in the office.
Low medical decision-making was made. A copy of the surgeon's reports was sent
to the insurance company.
-99243
AND ANSWERS GRADED A+
A 43-year-old female went to the clinic complaining of fever, and dyspnea and is
sent for a chest x-ray to rule out pneumonia. After examination, the physician
documents pneumonia, confirmed. The query sent to the attending physician read,
"What type of pneumonia does this patient have: bacterial, viral, fungal, or other?"
This query is:
-not compliant because it is too direct.
-not valid. There is no such diagnosis as pneumonia.
-not compliant. Queries must be written as Yes or No.
-compliant. It can be answered from multiple choice.
compliant. It can be answered from multiple choice.
A participating (PAR) physician is one who
-can bill 115% above the Medicare Fee Schedule.
-signs an agreement to participate in the Medicare program and agrees to ----accept
whatever Medicare pays for a provider or service.
receives 5% less than other non-PAR physicians.
-submits claim forms using ICD-10-CM procedure codes.
signs an agreement to participate in the Medicare program and agrees to accept
whatever Medicare pays for a provider or service.
,Aunt Elsie is brought to the emergency department for increased confusion. She is
subsequently diagnosed with Alzheimer's disease with dementia and cerebral
atherosclerosis. She is also treated for hypertension and hypothyroidism. (Code the
ICD-10-CM diagnoses.)
-G30.9, E03.9, I10, E03.91
-I67.2, F03.90, E03.9, I10
-F03.90, I10, E03.9
-G30.9, F03.90, I67.2, E03.9, I10
G30.9, F03.90, I67.2, E03.9, I10
The diagnosis reads "first-, second-, and third-degree burns of the right arm." You
would code
-the third degree only.
-each degree of burn separately.
-the second degree only.
-the first degree only.
the third degree only.
Rachel, a 17-year-old female, was brought into the emergency department (ED)
after a motor vehicle accident (MVA) between a car and the motorcycle on which
she was riding. She needed additional blood, and the nurse grabbed A+ blood,
,which was immediately administered. However, Rachel is actually B+. The danger
to the patient is a result of blood incompatibility, a nonreimbursable _____.
-component of the surgical package
-ethical violation
-hospital-acquired condition
-patient out-of-pocket expense
hospital-acquired condition
Your organization is sending confidential patient information across the Internet
using technology that will transform the original data into unintelligible code that
can be re-created by authorized users. This technique is called
-a firewall.
-encryption.
-validity processing.
-A call-back process.
encryption
The patient is admitted for elective cholecystectomy for treatment of chronic
cholecystitis with cholelithiasis. Prior to the administration of general anesthesia,
the patient suffers cerebral thrombosis. Surgery is subsequently canceled. Code
and sequence the coding using the following codes.
-I66.9, Z53.09
, -I97.821, K80.10, 0FT40ZZ
-K80.10, I66.9, Z53.09
-I97.821, I66.9, Z53.09
K80.10, I66.9, Z53.09
Patient presents to the hospital for a three-view X-ray of the right shoulder. The
diagnosis is shoulder pain and the radiology report states the patient has a
dislocated shoulder. What would be the correct codes to report to the insurance
company?
-S43.014A; 73030-RT
-S43.004A; 73030-RT
-S43.004A; 73060-RT
-M25.511; 73020-RT
S43.004A; 73030-RT
A patient was sent to the surgeon's office (as requested by the patient), because the
insurance company requires a second opinion regarding surgery. The patient has
been complaining of lower back pain for over a year due to a herniated disk. The
patient presents to the surgeon's office where a detailed history and physical
examination was performed. Medical records from the primary care physician and
the physical therapist were reviewed along with the tests performed in the office.
Low medical decision-making was made. A copy of the surgeon's reports was sent
to the insurance company.
-99243
