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CCS EXAM 2 WITH COMPLETE QUESTIONS AND CORRECT ANSWERS RATED A+
CCS EXAM 2 WITH COMPLETE QUESTIONS AND CORRECT ANSWERS RATED A+
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CCS EXAM 2 WITH COMPLETE QUESTIONSAND CORRECT ANSWERS RATED A+
A 45 year old woman underwent a carotid bypass and
experienced a significant drop in blood pressure during the
surgery. The documentation suggested the patient may have had
a myocardial infarction. In accordance with coding guidelines,
what should the coder do?
a. Code complication of surgery NOS.
b. Query the physician to determine if the patient had
hypotension.
c. Query the physician to determine if there was a complication of
surgery.
d. Code preoperative shock. Correct Answer c. Query the
physician to determine if there was a complication of surgery.
If a patient's discharge summary does not contain a diagnosis
that is documented by the anesthesiologist in a preoperative
evaluation and that would impact MS-DRG assignment, the coder
should:
a. Code only from the discharge diagnosis
b. Code the diagnosis reflected on the anesthesia preoperative
evaluation
c. Code the most severe symptom
d. Query the attending physician regarding the clinical
significance of that diagnosis Correct Answer d. Query the
attending physician regarding the clinical significance of that
diagnosis
A patient has documentation of esophageal varices. What
condition may be related that may affect the coding?
a. Arthritis
b. Liver disease
c. Chronic obstructive pulmonary disease
,d. Erythema Correct Answer b. Liver disease
A patient admitted with acute abdominal pain, is fount to have
appendicitis, and has an appendectomy. The patient has a length
of stay for 2 days. What type of patient encounter is this?
a. Impatient
b. Outpatient
c. Long term care
d. Rehabilitation Correct Answer a. Inpatient
A patient was treated in the emergency department for a swollen
knee and an aspiration of the joint was performed. The patient
was then discharged home. It is important to make sure that
which of the following are documented and captured for billing
purposes?
a. X-ray and other types of radiology examination
b. Procedures performed including the aspiration of the joint
c. Examination and management in the emergency department
d. All services provided including diagnostic and treatment
procedures, as well as physician services Correct Answer d. All
services provided including diagnostic and treatment procedures,
as well as physician services.
A patient has documentation on the discharge summary of
urosepsis. The coding staff queries the attending physician about
the condition and is provided further information that the patient
has septicemia. This is in alignment with the laboratory test and
medication given but the diagnosis of septicemia was not
documented by the physician. How should the physician be
requested to document the septicemia?
a. A brand new history and physical should be dictated to replace
the one in the record.
b. An addendum to the chart should be written.
c. The new information should be squeezed in between lines
within the progress notes of the last day.
, d. The query sheet will be sufficient to document this information.
Correct Answer b. An addendum to the chart should be written.
The committee responsible for medical record completion reports
to which medical staff committee?
a. Chief executive officer of the facility
b. Medical Executive Committee
c. Discharge Planning Committee
d. Chief nursing officer Correct Answer b. Medical Executive
Committee
Two areas of documentation in the medial record that are
significant areas of focus of accrediting agencies are:
a. Incident reports notion in the medical record and attorney's
notes
b. Past medical reports and social worker notes
c. Timeliness and legibility of medical documents
d. Patient documentation and pastoral counseling Correct Answer
c. Timeliness and legibility of medical documents
In teaching facilities where electronic signatures are used for
residents and attending physicians:
a. Attending signature is all that is needed
b. Resident signature is all that is needed
c. Resident should co-sign after that attending signs the
document
d. Attending should co-sign after the resident signs the document
Correct Answer d. Attending should co-sign after the resident
signs the document
An 84 year old woman was admitted and discharged with
hemiplegia and aphasia. A CT scan of the brain was performed
that revealed an acute cerebral infarction and possible small brain
mass. After further testing, the patient was discharged with a final
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