AHIMA CCS Exam Prep QUESTIONS AND CORRECT DETAILED
ANSWERS WITH EXPLANATIONS (VERIFIED ANSWERS) A NEW
UPDATED VERSION LATEST| GUARANTEED A+
1) CPT defines a separate procedure Procedure considered an integral
as part of a more major service
2) No combination code available Use separate codes for
hypertension and acute renal failure
3) Documentation from the nursing Body Mass Index (BMI)
staff or other allied health
professionals' notes can be used to
provide specificity for code
assignment for which of the
following diagnoses?
4) POA Indicator - Y Y-Yes, present at the time of
inpatient admission
5) POA Indicator - N N-No, not present at the time of
inpatient admission
6) POA Indicator - U U-Unknown, documentation is
, insufficient to determine if condition
is present on admission and you
cannot speak to the physician to
figure it out
7) POA Indicator - W W-Clinically undetermined, provider
is unable to clinically determine
whether condition was present on
admission or not
8) POA Indicator - E E-Exempt, unreported/not used,
some facilities will leave these
blank, others will use the letter "E"
9) Present on Admission Indicator A Present On Admission (POA)
(POA) indicator is required on all diagnosis
codes for the inpatient setting
except for admission. The indicator
should be reported for principal
diagnosis codes, secondary
diagnosis codes, Z-codes, and
External cause injury codes.
10)The use of the outpatient code Identify incomplete and incorrect
editor (OCE) is designed to: claims
11)Medicare's identification of Local Coverage Determinations
medically necessary services is (LCDs)
, outlined in:
12)Medically unlikely edits are used to Maximum units of service for a
identify: HCPCS code
13)National Correct Coding Initiative Quarterly
(NCCI) Edits are released how
often?
14)In 2000, CMS issued the final rule Divided outpatient services into
on the outpatient prospective fixed payment groups
payment system (OPPS). The final
rule:
15)Diagnostic-related groups (DRGs) Prospective payment systems
and ambulatory patient
classifications (APCs) are similar in
that they are both:
16)What are APCs? APCs or "Ambulatory Payment
Classifications" are the
government's method of paying
facilities for outpatient services for
the Medicare program.
17)How do APCs work? The payments are calculated by
multiplying the APCs relative weight
by the OPPS conversion factor and
then there is a minor adjustment for
ANSWERS WITH EXPLANATIONS (VERIFIED ANSWERS) A NEW
UPDATED VERSION LATEST| GUARANTEED A+
1) CPT defines a separate procedure Procedure considered an integral
as part of a more major service
2) No combination code available Use separate codes for
hypertension and acute renal failure
3) Documentation from the nursing Body Mass Index (BMI)
staff or other allied health
professionals' notes can be used to
provide specificity for code
assignment for which of the
following diagnoses?
4) POA Indicator - Y Y-Yes, present at the time of
inpatient admission
5) POA Indicator - N N-No, not present at the time of
inpatient admission
6) POA Indicator - U U-Unknown, documentation is
, insufficient to determine if condition
is present on admission and you
cannot speak to the physician to
figure it out
7) POA Indicator - W W-Clinically undetermined, provider
is unable to clinically determine
whether condition was present on
admission or not
8) POA Indicator - E E-Exempt, unreported/not used,
some facilities will leave these
blank, others will use the letter "E"
9) Present on Admission Indicator A Present On Admission (POA)
(POA) indicator is required on all diagnosis
codes for the inpatient setting
except for admission. The indicator
should be reported for principal
diagnosis codes, secondary
diagnosis codes, Z-codes, and
External cause injury codes.
10)The use of the outpatient code Identify incomplete and incorrect
editor (OCE) is designed to: claims
11)Medicare's identification of Local Coverage Determinations
medically necessary services is (LCDs)
, outlined in:
12)Medically unlikely edits are used to Maximum units of service for a
identify: HCPCS code
13)National Correct Coding Initiative Quarterly
(NCCI) Edits are released how
often?
14)In 2000, CMS issued the final rule Divided outpatient services into
on the outpatient prospective fixed payment groups
payment system (OPPS). The final
rule:
15)Diagnostic-related groups (DRGs) Prospective payment systems
and ambulatory patient
classifications (APCs) are similar in
that they are both:
16)What are APCs? APCs or "Ambulatory Payment
Classifications" are the
government's method of paying
facilities for outpatient services for
the Medicare program.
17)How do APCs work? The payments are calculated by
multiplying the APCs relative weight
by the OPPS conversion factor and
then there is a minor adjustment for
