Applied Science > QUESTIONS & ANSWERS > CCS exam prep Questions and answers, 100% Accurate. Rated A (All)

CCS exam prep Questions and answers, 100% Accurate. Rated A

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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 ca ... rried 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]

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