CCS exam prep Questions and answers,
100% Accurate. Rated A
Objective - ✔✔-factual or not influenced by personal feelings or opinions
concurrent review - ✔✔-review of the medical record carried out while the patient
...
CCS exam prep Questions and answers,
100% Accurate. Rated A
Objective - ✔✔-factual or not influenced by personal feelings or opinions
concurrent review - ✔✔-review of the medical record carried out while the patient is actively receiving
care
possible, probably, suspected, likely, questionable - ✔✔-when a diagnosis for an inpatient admission is
qualified as "_________________", at the time of discharge, the condition should be coded and
reported as though the diagnosis were established.
Code unconfirmed diagnosis as if established - ✔✔-excludes: outpatient services, HIV infection/illness
and influenza due to certain identified influenza viruses, or physician services (regardless of setting)
acute and chronic conditions - ✔✔-if separate subterms for acute and chronic are listed at the same
indention level, both codes are assigned with the code for acute sequenced first
threatened or impending diagnosis - ✔✔-if condition actually occurred, threatened condition is coded as
a confirmed diagnosis
Example: Threatened preterm labor at 28 weeks. Record indicated stillborn was delivered during the
hospital stay.
Code: O60.14X0- preterm labor third trimester with preterm delivery third trimester
only once - ✔✔-How many times can each unique ICD-10-CM diagnosis code be reported for an
encounter?
True - ✔✔-T or F: Because many of the terms used to construct ICD-10-PCS codes are defined within the
system, the physician is NOT expected to use to the exact terms used in ICD-10_PCS code descriptions
retrospective review - ✔✔-audit or review that takes place after physician has completed care for
patient
- date and location inconsistencies
-missing physician signatures
-incorrect patient identification - ✔✔-Common documentation errors
Health information exchange - ✔✔-Electronically transferring medical records between facilities around
the country
A) Control of cost
B) Maintaining Confidentiality
C) Accessibility
D) Maintaining security of the healthcare record - ✔✔-Implementation of the electronic health record
offers many challenges. Which would NOT be considered a critical challenge
(c)
State agencies - ✔✔-organization responsible for tracking incidence of STD
[Show More]