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