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Domain 3: Provider Queries CCS Exam 2024/2025 Questions With Completed & Verified Solutions.
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Domain 3: Provider Queries CCS Exam 2024/2025 Questions With Completed & Verified Solutions.
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Domain 3: Provider Queries CCSDr. Reynolds, is it possible that this patient has acute, post-operative blood loss anemia based
on the drop in hemoglobin and hematocrit that occurred after surgery as noted in the lab report?
Yes or no?
A. Yes, because the query provides clinical indicators for the additional diagnosis.
b. Yes, because the physician has the option to choose yes or no.
c. No, because the query is leading and inappropriately includes the term "possible" in the
question.
d. No, because yes and no queries are not acceptable.
c. No, because the query is leading and inappropriately includes the term "possible" in the
question.
This query leads the physician to only one specific diagnosis. Additionally, the term "possible"
should not be included in the query
A patient had a normal pregnancy and delivery with loose nuchal cord around the fetus' neck.
Delivery was accompanied by an episiotomy with repair with birth of liveborn male infant.
Delivery room record states "no evidence of fetal problem." What is the query opportunity for
this record?
a. Age of the patient
b. Weeks of gestation/trimester
c. If there was adequate prenatal care
d. If the pregnancy was high-risk
b. Weeks of gestation/trimester
Documentation of weeks of gestation or trimester is necessary in order to assign appropriate
pregnancy/delivery code
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Which of the following make a query compliant?
a. Keeping the question vague so the physician has an opportunity to use his discretion when
responding
b. Explaining why the requested diagnosis is necessary to achieve a higher reimbursement
c. Addressing the impact the query has on quality indicators
d. Providing a concise presentation of facts and clinical indicators
d. Providing a concise presentation of facts and clinical indicators.
Coders should give a concise, clear statement of the reason for the query and supply supporting
clinical indicators
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