CCS-P Study Exam Questions &
Answers (Grade A+)
According to AMA medical decision making is measured by -
correct answer ✅1. number of dx or management options
2. amount and complexity of data review
3. risk of complications
CPT Assistant -
correct answer ✅provides official guidance in CPT coding
published by the AMA
A barrier to wide spread use of automated code assignments is -
correct answer ✅poor quality of documentation
When should coders assign codes from lab reports alone -
correct answer ✅Never. If findings are out of normal range and
the physician has ordered additional testing or treatment; consult
with the physician as to whether the Dx should be added or if an
abnormal finding should be listed.
4 cooperating parties of ICD-9 and responsibilities of each -
correct answer ✅NCHS (national center for health statistics):
maintaines dx classifications in Vol 1&2
,CCS-P Study Exam Questions &
Answers (Grade A+)
CMS: maintains procedural classification in Vol 3
AHIMA & AHA: give advice & assistance on coding guidelines in
conjunction with health information management practitioners,
physicians, & other users of ICD-9
When can code 99291 (E/M critical care) be used in place of a
medical visit or ER code -
correct answer ✅When the patient meets the definition of critical
care and receives outpatient care on the same day
limiting charge -
correct answer ✅this is the amount a NON PAR Medicare provider
can collect from a patient in excess of 15% over the NON PAR
Medicare approved amount.
When does CMS send the payment directly to the patient -
correct answer ✅when a NON PAR provider does not accept
assignment
hard coding -
correct answer ✅refers to CPT/HCPCS codes that appear in the
hospitals chargemaster and will be included automatically on the
patient's bill.
, CCS-P Study Exam Questions &
Answers (Grade A+)
CAC- computer assisted coding -
correct answer ✅AHIMA defines as the use of computer software
that automatically generates a set of medical codes for review ,
validation, and use based upon the documentation provided by the
various providers of healthcare.
modifier: A1-principle physical of record -
correct answer ✅required for patients covered by Medicare when
reporting Initial Hospital Service codes
POMR- PROBLEM ORIENTED MEDICAL RECORD -
correct answer ✅Organized by problem number
Database: history and physical
Problem List: titles, numbers, dates of problems..."Table of
Contents" of the record
Initial Plan: describes diagnostic, therapeutic, and patient education
plans
Answers (Grade A+)
According to AMA medical decision making is measured by -
correct answer ✅1. number of dx or management options
2. amount and complexity of data review
3. risk of complications
CPT Assistant -
correct answer ✅provides official guidance in CPT coding
published by the AMA
A barrier to wide spread use of automated code assignments is -
correct answer ✅poor quality of documentation
When should coders assign codes from lab reports alone -
correct answer ✅Never. If findings are out of normal range and
the physician has ordered additional testing or treatment; consult
with the physician as to whether the Dx should be added or if an
abnormal finding should be listed.
4 cooperating parties of ICD-9 and responsibilities of each -
correct answer ✅NCHS (national center for health statistics):
maintaines dx classifications in Vol 1&2
,CCS-P Study Exam Questions &
Answers (Grade A+)
CMS: maintains procedural classification in Vol 3
AHIMA & AHA: give advice & assistance on coding guidelines in
conjunction with health information management practitioners,
physicians, & other users of ICD-9
When can code 99291 (E/M critical care) be used in place of a
medical visit or ER code -
correct answer ✅When the patient meets the definition of critical
care and receives outpatient care on the same day
limiting charge -
correct answer ✅this is the amount a NON PAR Medicare provider
can collect from a patient in excess of 15% over the NON PAR
Medicare approved amount.
When does CMS send the payment directly to the patient -
correct answer ✅when a NON PAR provider does not accept
assignment
hard coding -
correct answer ✅refers to CPT/HCPCS codes that appear in the
hospitals chargemaster and will be included automatically on the
patient's bill.
, CCS-P Study Exam Questions &
Answers (Grade A+)
CAC- computer assisted coding -
correct answer ✅AHIMA defines as the use of computer software
that automatically generates a set of medical codes for review ,
validation, and use based upon the documentation provided by the
various providers of healthcare.
modifier: A1-principle physical of record -
correct answer ✅required for patients covered by Medicare when
reporting Initial Hospital Service codes
POMR- PROBLEM ORIENTED MEDICAL RECORD -
correct answer ✅Organized by problem number
Database: history and physical
Problem List: titles, numbers, dates of problems..."Table of
Contents" of the record
Initial Plan: describes diagnostic, therapeutic, and patient education
plans
