AHIMA CCS 2024 UPDATE OBJECTIVE ASSESSMENT
COMPREHENSIVE QUESTIONS AND VERIFIED
ANSWERS [GET IT 100% RIGHT] GRADE A+
How do you code an excisional debridement?
Do not code it unless there is documention that the excis debridement was performed. Check AHA CC.
When a dx of Gastrointestinal is aparent, what rule should you follow?
Use a combination code whenever available that incorporates a hemorrhage and the specific disorder.
Use the 578.x category as an additional code when no combo code has been created or when the cause
of the hemorrhage is unknown.
Delivery and Pregnancy Dx - what digit is only used for a postpartum complication?
The 5th digit of 4
What is the definition of a Normal Delivery?
Code 650; Delivery is entirely normal w/single liveborn outcome; No postpartum complications, and any
antepartum comp experienced during pregnancy must have been resolved before the time of delivery.
When assigning Diabetes Diagnosis remember what 2 things?
Review definition of 5th digits in category;
Understand the difference between type 1 & 2 and the patho of each type.
When coding Respiratory what things should you look for?
Specific type of Pneu
Know criteria for recognizing gram negative and other types of pneu;
review the various types of COPD and how ACUTE exacerbation of each is coded. (AHA coding Clinic);
Review criteria for coding respiratory failure and when it is sequenced.
What 3 codes do delivery patients always have to have?
Delivery Dx code (6xx)
Outcome of Delivery (V2x.xx)
Px code (73.59 if not other px was performed)
This type of Abortion occurs wo any instrument or chemical intervention.
Spontaneous (634)
, This type of Abortion performed for either therapeutic or elective termination of pregnancy (elective
abortion, induced, artificial, termination of pregnancy)
Legally induced (635)
This type of Abortion is not performed in a accordance w/provisions of state law or not meeting
regulartory requirements . Performed outside of the hospital.
Illegally Induced (636)
This type of Abortion is one in which an elective abortion px has failed to evacuate or expel the fetus
and the patient is sitll pregnant.
Failed (638)
What is the 5th digit sub classification used for when coding an abortion?
To indicate whether the abortion is complete or incomplete.
If a patient goes in for surgery and planned having a laparoscopic px but has to an open px, what type
of code would you assign?
V codes; ex: V64.41 ( Laparoscopic surgical procedure converted to open procedure )
.
A physician's office can improve their copayment collections and increase revenue by using an
electronic health record to assist them in:
Benefits and eligibility checking
Under RBRVS, all of the following are separate relative value units (RVUs) assigned for each
CPT/HCPCS code, except for:
Geographic practice cost indices: Each of the three RVUs is adjusted through the GPCIs to adjust for
costs in different areas of the country. GPCIs are not relative value units
The clinical documentation integrity (CDI) performance measure that indicates the number of times a
physician responds to a CDI intervention divided by the number of CDI interventions issued is the:
Physician response to CDI specialist rate: The physician response rate is how long it takes for a physician
to respond to a CDI query. The physician clarification rate is the number of clarifications placed by a CDI
intervention that had an impact on the code and the physician agreement with CDI specialist rate is the
number of times a physician agrees with a CDI intervention divided by the number of CDI interventions
issued
A measure that assesses the ability to comply with billing edits is the:
Clean claim rate: The clean claim rate assesses the ability to comply with billing edits. The denial rate is
the measure that assesses the ability to comply with documentation, coding, and billing requirements.
COMPREHENSIVE QUESTIONS AND VERIFIED
ANSWERS [GET IT 100% RIGHT] GRADE A+
How do you code an excisional debridement?
Do not code it unless there is documention that the excis debridement was performed. Check AHA CC.
When a dx of Gastrointestinal is aparent, what rule should you follow?
Use a combination code whenever available that incorporates a hemorrhage and the specific disorder.
Use the 578.x category as an additional code when no combo code has been created or when the cause
of the hemorrhage is unknown.
Delivery and Pregnancy Dx - what digit is only used for a postpartum complication?
The 5th digit of 4
What is the definition of a Normal Delivery?
Code 650; Delivery is entirely normal w/single liveborn outcome; No postpartum complications, and any
antepartum comp experienced during pregnancy must have been resolved before the time of delivery.
When assigning Diabetes Diagnosis remember what 2 things?
Review definition of 5th digits in category;
Understand the difference between type 1 & 2 and the patho of each type.
When coding Respiratory what things should you look for?
Specific type of Pneu
Know criteria for recognizing gram negative and other types of pneu;
review the various types of COPD and how ACUTE exacerbation of each is coded. (AHA coding Clinic);
Review criteria for coding respiratory failure and when it is sequenced.
What 3 codes do delivery patients always have to have?
Delivery Dx code (6xx)
Outcome of Delivery (V2x.xx)
Px code (73.59 if not other px was performed)
This type of Abortion occurs wo any instrument or chemical intervention.
Spontaneous (634)
, This type of Abortion performed for either therapeutic or elective termination of pregnancy (elective
abortion, induced, artificial, termination of pregnancy)
Legally induced (635)
This type of Abortion is not performed in a accordance w/provisions of state law or not meeting
regulartory requirements . Performed outside of the hospital.
Illegally Induced (636)
This type of Abortion is one in which an elective abortion px has failed to evacuate or expel the fetus
and the patient is sitll pregnant.
Failed (638)
What is the 5th digit sub classification used for when coding an abortion?
To indicate whether the abortion is complete or incomplete.
If a patient goes in for surgery and planned having a laparoscopic px but has to an open px, what type
of code would you assign?
V codes; ex: V64.41 ( Laparoscopic surgical procedure converted to open procedure )
.
A physician's office can improve their copayment collections and increase revenue by using an
electronic health record to assist them in:
Benefits and eligibility checking
Under RBRVS, all of the following are separate relative value units (RVUs) assigned for each
CPT/HCPCS code, except for:
Geographic practice cost indices: Each of the three RVUs is adjusted through the GPCIs to adjust for
costs in different areas of the country. GPCIs are not relative value units
The clinical documentation integrity (CDI) performance measure that indicates the number of times a
physician responds to a CDI intervention divided by the number of CDI interventions issued is the:
Physician response to CDI specialist rate: The physician response rate is how long it takes for a physician
to respond to a CDI query. The physician clarification rate is the number of clarifications placed by a CDI
intervention that had an impact on the code and the physician agreement with CDI specialist rate is the
number of times a physician agrees with a CDI intervention divided by the number of CDI interventions
issued
A measure that assesses the ability to comply with billing edits is the:
Clean claim rate: The clean claim rate assesses the ability to comply with billing edits. The denial rate is
the measure that assesses the ability to comply with documentation, coding, and billing requirements.
