AHIMA CCS Exam Prep Questions and Answers
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Terms in this set (108)
CPT defines a separate Procedure considered an integral part of a more
procedure as major service
No combination code Use separate codes for hypertension and acute renal
available failure
Documentation from the Body Mass Index (BMI)
nursing staff or other
allied health professionals'
notes can be used to
provide specificity for
code assignment for
which of the following
diagnoses?
POA Indicator - Y Y-Yes, present at the time of inpatient admission
POA Indicator - N N-No, not present at the time of inpatient admission
U-Unknown, documentation is insufficient to
POA Indicator - U determine if condition is present on admission and
you cannot speak to the physician to figure it out
W-Clinically undetermined, provider is unable to
POA Indicator - W clinically determine whether condition was present on
admission or not
E-Exempt, unreported/not used, some facilities will
POA Indicator - E
leave these blank, others will use the letter "E"
, A Present On Admission (POA) indicator is required
on all diagnosis codes for the inpatient setting except
Present on Admission
for admission. The indicator should be reported for
Indicator (POA)
principal diagnosis codes, secondary diagnosis codes,
Z-codes, and External cause injury codes.
The use of the outpatient Identify incomplete and incorrect claims
code editor (OCE) is
designed to:
Medicare's identification Local Coverage Determinations (LCDs)
of medically necessary
services is outlined in:
Medically unlikely edits Maximum units of service for a HCPCS code
are used to identify:
National Correct Coding Quarterly
Initiative (NCCI) Edits are
released how often?
In 2000, CMS issued the Divided outpatient services into fixed payment
final rule on the outpatient groups
prospective payment
system (OPPS). The final
rule:
Diagnostic-related groups Prospective payment systems
(DRGs) and ambulatory
patient classifications
(APCs) are similar in that
they are both:
APCs or "Ambulatory Payment Classifications" are the
What are APCs? government's method of paying facilities for
outpatient services for the Medicare program.
The payments are calculated by multiplying the APCs
relative weight by the OPPS conversion factor and
How do APCs work?
then there is a minor adjustment for geographic
location.
Save
Terms in this set (108)
CPT defines a separate Procedure considered an integral part of a more
procedure as major service
No combination code Use separate codes for hypertension and acute renal
available failure
Documentation from the Body Mass Index (BMI)
nursing staff or other
allied health professionals'
notes can be used to
provide specificity for
code assignment for
which of the following
diagnoses?
POA Indicator - Y Y-Yes, present at the time of inpatient admission
POA Indicator - N N-No, not present at the time of inpatient admission
U-Unknown, documentation is insufficient to
POA Indicator - U determine if condition is present on admission and
you cannot speak to the physician to figure it out
W-Clinically undetermined, provider is unable to
POA Indicator - W clinically determine whether condition was present on
admission or not
E-Exempt, unreported/not used, some facilities will
POA Indicator - E
leave these blank, others will use the letter "E"
, A Present On Admission (POA) indicator is required
on all diagnosis codes for the inpatient setting except
Present on Admission
for admission. The indicator should be reported for
Indicator (POA)
principal diagnosis codes, secondary diagnosis codes,
Z-codes, and External cause injury codes.
The use of the outpatient Identify incomplete and incorrect claims
code editor (OCE) is
designed to:
Medicare's identification Local Coverage Determinations (LCDs)
of medically necessary
services is outlined in:
Medically unlikely edits Maximum units of service for a HCPCS code
are used to identify:
National Correct Coding Quarterly
Initiative (NCCI) Edits are
released how often?
In 2000, CMS issued the Divided outpatient services into fixed payment
final rule on the outpatient groups
prospective payment
system (OPPS). The final
rule:
Diagnostic-related groups Prospective payment systems
(DRGs) and ambulatory
patient classifications
(APCs) are similar in that
they are both:
APCs or "Ambulatory Payment Classifications" are the
What are APCs? government's method of paying facilities for
outpatient services for the Medicare program.
The payments are calculated by multiplying the APCs
relative weight by the OPPS conversion factor and
How do APCs work?
then there is a minor adjustment for geographic
location.
