CCDS Questions and Correct Answers | Latest Update
A patient is admitted from the emergency department (ED) with a
diagnosis of weakness and anemia. After admission and further
treatment with packed red blood cells (PRBC), GI consult, and endoscopy,
the physician includes the following diagnoses in the discharge
summary: anemia, suspected bleeding gastric ulcer, and GERD. What
would be the most appropriate principle diagnosis?
A. Bleeding gastric ulcer
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B. Anemia
C. GERD
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D. Weakness
Ans: A. Bleeding gastric ulcer
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A patient is admitted with new-onset seizures. Head CT reveals a mass in
the occipital region. The physician documents possible brain tumor, and
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the patient is transferred to another hospital for further workup. What
would be the most appropriate principal diagnosis based upon this
documentation?
A. Seizure
B. Neoplasm of occipital region
C. Head mass
D. Head tumor
Ans: B. Neoplasm of occipital region
A hospital's base rate or blended rate is:
1. Calculated annually
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2. Dependent upon indirect costs for graduate medical education and
new technology
3. Adjusted based upon number of low-income patients cared for
4. Not adjusted based upon capital expenses
A. 1 and 2
B. 2 and 3
C. 1,2, and 3
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D. 1,2,3, and 4
Ans: C. 1,2, and 3
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1. Calculated annually
2. Dependent upon indirect costs for graduate medical education and
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new technology
3. Adjusted based upon number of low-income patients cared for
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The final MS-DRG assigned to a patient's medical record should:
A. Reflect the amount of time the physician spent with the patient
B. Depend upon the patient's length of stay
C. Be assigned by the physician
D. Reflect the severity of illness (SOI) and resource consumption of the
patient's care
Ans: D. Reflect the severity of illness (SOI) and resource consumption of
the patient's care
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A patient is admitted from the emergency department with the diagnosis
of acute respiratory failure due to overdose of pain medication and an
aspiration pneumonia. What is the principal diagnosis?
A. Acute respiratory failure
B. Aspiration pneumonia
C. Poisoning
D. Adverse effect of medication
Ans: C. Poisoning
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A patient is admitted with pneumonia, stage 1 chronic renal failure,
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chronic anemia, and COPD, While hospitalized the patient receives IV
antibiotics, inhalers, oxygen, IV fluids at 50mL/hr, and iron tablets.
Keeping the guidelines for coding of secondary diagnoses in mind, which
condition should be coded?
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A. Pneumonia only
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B. Pneumonia and COPD only
C. Pneumonia, COPD, and anemia
D. All of the conditions should be coded
Ans: D. All of the conditions should be coded
Which of the following is an example of a hospital-acquired condition?
A. Fat embolism
B. IV phlebitis
C. Pneumonia
D. Fractured ulna
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Ans: D. Fractured ulna
Which of the following is an example of documentation that would meet
the present on admission criteria for coding?
A. A diagnosis that is indicated in the history and physical and ruled out
in the discharge summary
B. A diagnosis found in a previous medical record
C. A diagnosis that is listed as possible in the history and physical
D. An acute condition identified on the third day of admission
Assignment Expert
Ans: C. A diagnosis that is listed as possible in the history and physical
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A patient is admitted with abdominal pain and the history and physical
indicated a diagnosis of probable colon cancer. On day two, the physician
documents acute renal failure in the progress notes and the patient
receives IV fluids. The discharge summary lists possible metastatic colon
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cancer and acute renal failure. The principal diagnosis would be:
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A. Colon cancer
B. Acute renal failure
C. Abdominal pain
D. Metastatic neoplasm of the colon
Ans: A. Colon cancer
Accurate documentation should:
1. Include identification of the patient's SOI
2. Identify conditions that are present on admission
3. Support medical necessity