CCS

CERTIFIED CODING SPECIALIST QUESTIONS AND ACCURATE OPTIONS What is the maximum number of APCs that may be assigned per encounter? ANSW-unlimited Each code in the HCPCS has been assigned a(n)________ that establishes how a service, procedure, or item is paid in OPPS.A. Payment Status Indicator (SI)B. Outpatient Code Editor (OCE)C. Medicare Summary Notice (MSN)D. Remittance advice (RA) ANSW-Payment status indicator (SI) Each code in the HCPCS has been assigned a payment status indi...

CERTIFIED CODING SPECIALIST PRACTICE EXAM QUESTIONS AND VERIFIED SOLUTIONS Gordon is an 83 year old male patient with type 2 diabetes. He present to the ED with complaints of increased thirst and blurred vision. Hs blood glucose is checked with a result of 300. His home meds shoe he has been prescribed 20 mg of Lantus insulin daily. When questioned about taking medication he responds he has been skipping doses because the cost of filling his too high and that he also sometimes forg...

CCS EXAM PREP QUESTIONS AND CORRECT ANSWERS Principal diagnosis is an initial episode of an anterior wall MI, so which procedure would increase DRG: ventilator, central venous catheter insertion, right heart cardiac cath, or transbronchial lung biopsy? ANSW-Transbronchial lung biopsy carries a DRG of 282, weight 00.7736, and the MI alone carries a DRG of 264, weight 02.6674 Modifier -50 is only used when? ANSW-When it pertains to paired organs only According to UHDDS, what is the...

CCS QUESTIONS AND VERIFIED ANSWERS 1. A 12-year-old boy was seen in an ambulatory surgical centre for pain in his right arm. The x-ray showed fracture of ulna. Patient underwent closed reduction of fracture right proximal ulna and an elbow-to-finger cast was applied. What diagnostic and procedure codes should be assigned? S52.101A Unspecified fracture of upper end of right radius, initial encounter for closed fracture S52.101B Unspecified fracture of upper end of right radius, in...

CCS QUESTIONS AND CORRECT ANSWERS which of the following is not a guideline for including elderly volunteers in a program ANSW keep roles of volunteers undefined reaching in a box and identifying objects ANSW-feeling having children identify items with distinct odors placed in small cups ANSW-smelling naming what is missing from a group ANSW-seeing matching a child's voice with the correct child ANSW-hearing

CCS EXAM 2 QUESTIONS AND VERIFIED ANSWERS Which of the following data elements would a coding professional likely be responsible to abstract from a patient's record? a. Comorbidity b. Race c. Ethnicity d. Admission date ANSW-Correct Answer: A While b, c, and d are data elements that are collected from each patient's record, they are generally entered via an ADT system and not abstracted by a coding professional. Comorbid conditions are the data elements that a coding p...

CERTIFIED CODING SPECIALIST QUESTIONS AND CORRECT SOLUTIONS Where are POA guidelines found in ICD-10-cm ANSW-Appendix 1 Which two forms are submitted to Medicare ANSW-UB-04, A37 institutional form a provider is considered a ANSW-physician or any qualified healthcare practitioner who legally is accountable for establishing the patients diagnosis POA - Y ANSW-Present at the time of inpatient admission POA - N ANSW-Not present at the time of inpatient admission

CCS EXAM PREP QUESTIONS AND ACCURATE SOLUTIONS Including ICD-10-CM/PCS codes, code details, or coding guidelines ANSW-Before submitting a query, stop and consider the appropriateness. Which of the following would be considered inappropriate in a query? Always provide the provider with multiple answer options Being direct in what is being asking without being leading Always include an "out" such as "unable to be determined" Including ICD-10-CM/PCS codes, code details,...

CCS EXAM PREP QUESTIONS AND CORRECT SOLUTIONS A patient is admitted with an acute inferior myocardial infarction and discharged alive. Which condition would increase the MS-DRG weight? ANSW-Respiratory failure A female patient is diagnosed with congestive heart failure. Which of the following will increase the MS-DRG weight if present on admission? ANSW-State III pressure ulcer of coccyx Major complications and comorbidities (MCCs) are determined to require the greatest degree of ...

CCS EXAM PREP QUESTIONS AND VERIFIED OPTIONS Impaired Glucose Tolerance ANSW-Dx given to people who have blood sugar levels higher than normal but not enough to be given the dx of diabetes Brittle Diabetic ANSW-Blood sugars quickly swing from high to low and from low to high (unstable) Extrinsic Asthma ANSW-patients with this type of asthma have a family hx of asthma Review Of Systems ANSW-Physician asks patient a series of questions about how they feel. Usually organized by ...