Exam (elaborations)
CCS III - FINAL EXAM QUESTIONS AND ANSWERS
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CCS III - FINAL EXAM QUESTIONS AND ANSWERS
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CCS III - FINAL EXAM QUESTIONS AND ANSWERSTools of the trade for coders include:
a. code books
b. groupers
c. encoders
d. A and B only
e. all of the above - Answers -e. all of the above
T/F? The physician query process includes: documenting the physicians response -
Answers -True
T/F? Third party payer requirements are not a "driver" of coding. - Answers -False
T/F? PPS in IP is MS-DRG - Answers -True
ICD-10-CM codes contain a maximum of how many characters?
A. Three
B. Four
C. Five
D. Seven - Answers -D. Seven
T/F? It is appropriate to report separately a procedure that is not an integral part of
another procedure. - Answers -True
What does the second character represent in the ICD-10-PCS code structure in the
Medical and Surgical Section?
A. Section
B. Body system
C. Root operation
D. Body part - Answers -B. Body system
Carolyn works as a coder in a hospital inpatient department. She sees a lab report in a
patient's health record that is positive for staph infection. However, there is no mention
of staph in the physician's documentation. What should Carolyn do?
a. tell her supervisor
b. query the physician
c. assign a code for the staph infection
d. put a note in the chart - Answers -b. query the physician
The determination of which code sets are to be utilized in a particular healthcare setting
is determined by ___.
a. Prospective payment grouper systems
b. The type of facility or service line
c. Official coding and reporting guidelines
d. The Cooperating Parties - Answers -b. The type of facility or service line
, An alternative to the retrospective coding model is the ____________ coding model
where records are coded while the patient is still an inpatient in the hospital.
a. Prospective
b. Analytical
c. Concurrent
d. Auxiliary - Answers -c. Concurrent
T/F? The principal difference between DRGs and APCs is that whereas one DRG is
assigned for each inpatient admission, an outpatient encounter may be assigned
multiple APCs. - Answers -True
T/F? In addition to assigning ICD-10-CM, CPT and HCPCS codes, encoders contain
validity edits and other edits to help coders decide whether certain codes are correct or
whether reporting requirements have been met. - Answers -True
T/F? The HIM department routinely receives a list of unbilled accounts referred to as
"DNFB." "DNFB" is an abbreviation for "do not final bill." - Answers -False
The common coding specialties include:
a. Inpatient coders
b. Service-line coders
c. Outpatient coders
d. Coders/billers
e. a and c
f. all of the above - Answers -f. all of the above
The coding process includes:
a. Data access
b. Data assessment
c. Data analysis
d. Code assignment
e. c and d
f. all of the above - Answers -f. all of the above
Which of the following covers prescribed preventive benefits and is subject to a
deductible?
a. Medicare Part A
b. Medicare Part B
c. Medicare Part D
d. Medicare Prescription Drug, Improvement and Modernization Act - Answers -b.
Medicare Part B
Upon which criterion is Medicaid eligibility-based?
a. Income
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