CCS-P EXAM Guide with Questions and
Answers/100% Correct/ Grade A+
HIPAA - Answer ✔What Act provides for criminal penalties for healthcare professional who
"knowingly and willingly" attempt to defraud any health program
What information is necessary to assign the correct Evaluation and Management (E/M) code
for preventive medicine services? - Answer ✔Preventive medicine services category codes
are assigned based on the age of the patient
Which of the following data elements is needed to accurately assign a CPT preventive
medicine code? - Answer ✔The age of the patient
Stark legislation - Answer ✔limits referrals when the provider has a financial interest
Where might a coder find information on whether a specific medication has been
administered to the patient? - Answer ✔Medication administration records (MAR)
A coder has a question about how to use a newly created ICD-10-CM code. What would be
the best reference? - Answer ✔CODING CLINIC
, .A program unveiled by the Office of the Inspector General that expanded and simplified
methods for healthcare providers to voluntarily report fraudulent conduct affecting Medicare,
Medicaid, and other federal healthcare programs is the: - Answer ✔Providers who voluntarily
report fraudulent conduct need to use the Provider Self-Disclosure Protocol form
What organism would alert the coder to code it as a gram-negative pneumonia? - Answer
✔Klebsiella is gram negative
what is the best source of information on what should be included on a new encounter form?
- Answer ✔. Report of codes assigned in the past year (service distribution report)
This federal agency develops an annual healthcare "work plan": - Answer ✔OIG
The physician asks that a computerized record be kept of all his patients with basic
demographic and encounter data compiled. What software application would be used -
Answer ✔A database is a structure that allows for the storage of data about multiple entities
(in this example, patients) and the relationship among the entitie
In which HCPCS category would the coder find temporary codes for screening cytopathology
to code services provided to patients covered by Medicare? - Answer ✔Healthcare Common
Answers/100% Correct/ Grade A+
HIPAA - Answer ✔What Act provides for criminal penalties for healthcare professional who
"knowingly and willingly" attempt to defraud any health program
What information is necessary to assign the correct Evaluation and Management (E/M) code
for preventive medicine services? - Answer ✔Preventive medicine services category codes
are assigned based on the age of the patient
Which of the following data elements is needed to accurately assign a CPT preventive
medicine code? - Answer ✔The age of the patient
Stark legislation - Answer ✔limits referrals when the provider has a financial interest
Where might a coder find information on whether a specific medication has been
administered to the patient? - Answer ✔Medication administration records (MAR)
A coder has a question about how to use a newly created ICD-10-CM code. What would be
the best reference? - Answer ✔CODING CLINIC
, .A program unveiled by the Office of the Inspector General that expanded and simplified
methods for healthcare providers to voluntarily report fraudulent conduct affecting Medicare,
Medicaid, and other federal healthcare programs is the: - Answer ✔Providers who voluntarily
report fraudulent conduct need to use the Provider Self-Disclosure Protocol form
What organism would alert the coder to code it as a gram-negative pneumonia? - Answer
✔Klebsiella is gram negative
what is the best source of information on what should be included on a new encounter form?
- Answer ✔. Report of codes assigned in the past year (service distribution report)
This federal agency develops an annual healthcare "work plan": - Answer ✔OIG
The physician asks that a computerized record be kept of all his patients with basic
demographic and encounter data compiled. What software application would be used -
Answer ✔A database is a structure that allows for the storage of data about multiple entities
(in this example, patients) and the relationship among the entitie
In which HCPCS category would the coder find temporary codes for screening cytopathology
to code services provided to patients covered by Medicare? - Answer ✔Healthcare Common