10/4/24, 9:17 PM CCDS FINAL EXAM 2024 ACTUAL EXAM COMPLETE ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED ANSW…
CCDS FINAL EXAM 2024 ACTUAL EXAM
COMPLETE ACCURATE EXAM QUESTIONS
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CORRECT ANSWERS) /ALREADY GRADED A+
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Terms in this set (78)
A patient is admitted A. Bleeding gastric ulcer
from the ED with a
diagnosis of weakness Rationale: Although anemia is treated with PRBC, the
and anemia. After further anemia is d/t the ulcer. GERD is ancillary to the ulcer
treatment with PRBCs, GI and not the cause of symptoms. Weakness if a
consult and endoscopy, symptom likely d/t the blood loss.
the physician includes
the following diagnoses *Official Guidelines for Coding and Reporting,
in the d/c summary: Section I.A.15, and Coding clinic, Third Quarter 2017,
anemia, suspected p. 27
bleeding gastric ulcer,
and GERD. What is the
post appropriate Pdx?
A. Bleeding Gastric Ulcer
B. Anemia
C. GERD
D. Weakness
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A patient is admitted with B. Neoplasm of occipital region
new-onset seizures.
Head CT reveals a mass Rationale: Per the Official Guidelines for Coding and
in the occipital region. Reporting Section II.H Uncertain Diagnoses, the
The physician documents seizure is a symptom of the possible brain tumor.
possible brain tumor, and Head mass and head tumor are not as specific as
the patient is transferred neoplasm of occipital region.
to another hospital for
further workup. What is
the most appropriate
diagnosis?
A. Seizure
B. Neoplasm of occipital
region
C. Head mass
D. Head tumor
A hospital's base rate, or C. 1, 2, & 3
blended rate, is:
1. Calculated annually Rationale: According to CMS, base rates are
2. Dependent on indirect calculated annually and include adjustments for
costs for graduate operating expenses and capital expenses, including
medical education and graduate medical education and care for the
new technology indigent.
3. Adjusted based on
number of low-income
patients
4. Adjusted based on
capital profits
A. 1 & 2
B. 2 & 3
C. 1, 2, & 3
D. 1, 2, 3, and 4
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The final MS-DRG D. Reflect the patient's severity of illness (SOI) and
assigned to a patient's the resources used in the patient's care.
medical record should:
A. Reflect the amount of Rationale: Per CMS, based on documentation of
time the physician spent conditions being monitored and treated during the
with the patient inpatient admission, coding professionals translate
B. Depend on the the documentation into ICD-19-CM/PCS codes that
patient's length of stay group to the final MS-DRG regardless of the
C. Be assigned by the patient's length of stay or the amount of time a
physician provider spend providing care. The final MS-DRG is
D. Reflect the patient's assigned after discharge.
severity of illness (SOI)
and the resources used in
the patient's care
A patient is admitted C. Poisoning related to medication
from the ED with a
diagnosis of acute Rationale: When coding a poisoning or reaction to
respiratory failure and the improper use of a medication (ex. overdose,
aspiration pneumonia wrong substance given or taken in error, wrong rout
due to an overdose of of administration), first assign the appropriate code
pain medication. What is from categories T36-T50.
the most appropriate
Pdx?
A. Acute respiratory
failure
B. Aspiration pneumonia
C. Poisoning related to
medication
D. Reflect adverse effect
of medication
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A patient is admitted with D. PNA, CKD stage 1, anemia, COPD
pneumonia, stage 1
chronic renal failure, Rationale: Documentation and clinical indicators
chronic anemia, and support that the documented acute condition is
COPD. While PNA, which is being treated with abx, inhalers, and
hospitalized, the patient O2. CKD stage 1, COPD and anemia are chronic
received IV abx, inhalers, conditions that are documented and may influence
O2, IVFs at 50ml/hr., and treatment of PNA, but they would not be the Pdx.
iron tablets. Which See Official Guidelines for Coding and Reporting,
conditions should be Section II.
coded?
A. PNA only
B. PNA and COPD only
C. PNA, COPD, anemia
D. PNA, CKD stage 1,
anemia, COPD
Which of the following is D. Fractured ulna
an example of a CMS-
monitored hospital- Rationale: Per CMS, fractured ulna is the only CMS-
acquired condition monitored HAC on the most recent list.
(HAC)?
A. IV infiltration ICD-10 HAC List | CMS
B. Fat embolism
C. PNA
D. Fractured ulna
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