AHIMA CCS EXAMS VERIFIED QUESTIONS AND CORRECT ANSWERS
A completed and signed operative report needs clarification of the size of the skin lesions that were
removed. What process is used for that clarification?
- ANSWERS-Amendment
A complication or comorbidity
- ANSWERS-Hypernatremia - A high concentration of sodium in the blood. Hypernatremia most often
occurs in people who don't drink enough water.
A discrepancy in the record while the patient is still on the floor - who is responsible for obtaining clarity on
the information?
- ANSWERS-Clinical document specialist
A major complication comorbidity:
- ANSWERS-Acute diastolic congestive heart failure
A patient admitted with pneumococcal pneumonia and severe pneumococcal sepsis
- ANSWERS-Assign codes for sepsis, pneumonia and severe sepsis
Code three codes
A code for the systemic infection is sequenced first followed by the code for the localized infection and a
code from category R65.2
According to Medicare requirements, a history and physical must:
- ANSWERS-Be completed for each patient no more than 30 days before or 24 hours after admission or
registration, but prior to surgery
According to the UHDDS, section 3, the definition of other diagnoses is all conditions that:
- ANSWERS-Coexist at the time of admission, that develop subsequently, or that affect the treatment
received or the length of stay
According to the UHDDS, the definition of a secondary diagnosis is a condition that:
- ANSWERS-Receives clinical evaluation, therapeutic treatment, further evaluation, extends the length of
stay, increases nursing monitoring and care
, Acute Bronchiolitis
- ANSWERS-Bronchiolitis is a common lung infection in young children and infants. It causes inflammation
and congestion in the small airways (bronchioles) of the lung. Bronchiolitis is almost always caused by a
virus.
Admission source code used to identify a patient admitted to the facility from home:
- ANSWERS-Non-Healthcare Facility
Admission source code used to identify a patient admitted to the facility from hospice care:
- ANSWERS-Transfer from hospice
All Patient DRGs (AP-DRGs)
- ANSWERS-an expansion of the basic DRGs to be more representative of Non-Medicare populations such
as pediatric patients. The All Patient Refined DRGs (APR-DRG) incorporate severity of illness subclasses
into the AP-DRGs.
All Patients Refined Diagnosis Related Groups (APR DRG)
- ANSWERS-a classification system that classifies patients according to their reason of admission, severity
of illness and risk of mortality.
All APR DRGs have 4 severity levels.
APC Codes (Ambulatory Payment Classifications)
- ANSWERS-APCs or Ambulatory Payment Classifications are the United States government's method of
paying for facility outpatient services for the Medicare (United States) program. APCs are an outpatient
prospective payment system applicable only to hospitals.
APC Status Indicator - C
- ANSWERS-Inpatient Procedures, not paid under OPPS
APC Status Indicator - N
- ANSWERS-Items and Services Packaged into APC Rates
APC Status Indicator - S
- ANSWERS-Significant Procedure, Not Discounted When Multiple
A completed and signed operative report needs clarification of the size of the skin lesions that were
removed. What process is used for that clarification?
- ANSWERS-Amendment
A complication or comorbidity
- ANSWERS-Hypernatremia - A high concentration of sodium in the blood. Hypernatremia most often
occurs in people who don't drink enough water.
A discrepancy in the record while the patient is still on the floor - who is responsible for obtaining clarity on
the information?
- ANSWERS-Clinical document specialist
A major complication comorbidity:
- ANSWERS-Acute diastolic congestive heart failure
A patient admitted with pneumococcal pneumonia and severe pneumococcal sepsis
- ANSWERS-Assign codes for sepsis, pneumonia and severe sepsis
Code three codes
A code for the systemic infection is sequenced first followed by the code for the localized infection and a
code from category R65.2
According to Medicare requirements, a history and physical must:
- ANSWERS-Be completed for each patient no more than 30 days before or 24 hours after admission or
registration, but prior to surgery
According to the UHDDS, section 3, the definition of other diagnoses is all conditions that:
- ANSWERS-Coexist at the time of admission, that develop subsequently, or that affect the treatment
received or the length of stay
According to the UHDDS, the definition of a secondary diagnosis is a condition that:
- ANSWERS-Receives clinical evaluation, therapeutic treatment, further evaluation, extends the length of
stay, increases nursing monitoring and care
, Acute Bronchiolitis
- ANSWERS-Bronchiolitis is a common lung infection in young children and infants. It causes inflammation
and congestion in the small airways (bronchioles) of the lung. Bronchiolitis is almost always caused by a
virus.
Admission source code used to identify a patient admitted to the facility from home:
- ANSWERS-Non-Healthcare Facility
Admission source code used to identify a patient admitted to the facility from hospice care:
- ANSWERS-Transfer from hospice
All Patient DRGs (AP-DRGs)
- ANSWERS-an expansion of the basic DRGs to be more representative of Non-Medicare populations such
as pediatric patients. The All Patient Refined DRGs (APR-DRG) incorporate severity of illness subclasses
into the AP-DRGs.
All Patients Refined Diagnosis Related Groups (APR DRG)
- ANSWERS-a classification system that classifies patients according to their reason of admission, severity
of illness and risk of mortality.
All APR DRGs have 4 severity levels.
APC Codes (Ambulatory Payment Classifications)
- ANSWERS-APCs or Ambulatory Payment Classifications are the United States government's method of
paying for facility outpatient services for the Medicare (United States) program. APCs are an outpatient
prospective payment system applicable only to hospitals.
APC Status Indicator - C
- ANSWERS-Inpatient Procedures, not paid under OPPS
APC Status Indicator - N
- ANSWERS-Items and Services Packaged into APC Rates
APC Status Indicator - S
- ANSWERS-Significant Procedure, Not Discounted When Multiple
