CCS EXAM PREP DOMAIN 5 QUESTIONS AND ANSWERS

CCS EXAM PREP DOMAIN 5
QUESTIONS AND ANSWERS



CMS defines an Electronic Health Record (EHR) as - Correct Answers -"an electronic
version of a patients medical history, that is maintained by the provider over time, and
may include all of the key administrative clinical data relevant to that persons care under
a particular provider, including demographics, progress notes, problems, medications,
vital signs, past medical history, immunizations, laboratory data and radiology reports".

Cloud based EHR - Correct Answers -Data is stored and accessed online

Grouper software - Correct Answers -used in revenue cycle management to assign
DRG's for billing and reimbursement.

Grouper software Grouping is based on - Correct Answers -clinical conditions and any
procedures performed

Grouper software Algorithms are designed for - Correct Answers -compliance with
regulatory guidelines and coding standard

Physician hosted EHR - Correct Answers -Data is stored on physician or organization
servers

Remotely hosted EHR - Correct Answers -Data is stored on vendor's servers

Examples of grouper software - Correct Answers -MS-DRG and APR-DRG

Encoder software - Correct Answers -used for assigning appropriate codes to
diagnoses (ICD‐10‐CM) and procedures (ICD‐10‐PCS and CPT).

It can
-provide suggestions
-instructional notes
-guidelines
-edits

Encoder software examples - Correct Answers -3M
TruCode
Clintegrity