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Exam (elaborations)

CCDS-O Study Cards

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  • CCDS-O

CCDS-O Study Cards Morbid (server) Obesity - answerBMI of 40 or greater OR BMI of 35 + 1 weight related comorbid condition (diabetes, hypertension) CDI - answerClinical Documentation Integrity OPPS - answerOutpatient Prospective Payment System MPFS (Medicare Physician Fee Schedule) - answerthe...

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  • October 28, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CCDS-O
  • CCDS-O
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CCDS-O Study Cards


Morbid (server) Obesity - answer✔BMI of 40 or greater OR BMI of 35 + 1 weight related
comorbid condition (diabetes, hypertension)

CDI - answer✔Clinical Documentation Integrity

OPPS - answer✔Outpatient Prospective Payment System

MPFS (Medicare Physician Fee Schedule) - answer✔the RBRVS-based allowed fees

AHIMA - answer✔American Health Information Management Association

AHA - answer✔American Hospital Association

NCHS (National Center for Health Statistics) - answer✔One of the 4 cooperating parties for
developing and publishing ICD-10 CM in the USA

HCPCS - answer✔Healthcare Common Procedure Coding System

AHIP (America's Health Insurance Plans) - answer✔Contributes to HCPCS Level II codes

BCBSA (Blue Cross Blue Shield Association) - answer✔Contributes to HCPCS Level II codes

APC - answer✔Ambulatory Payment Classification

RVU (Relative Value Unit) - answer✔A number that quantifies the amount of physician labor,
resources, and expertise necessary to provide the service represented by a CPT code.

GPCI (Geographic Practice Cost Index) - answer✔Medicare factor used to adjust providers' fees
to reflect the cost of providing services in a particular geographic area relative to national
averages (RVUs to $$)

Fiscal Intermediary (FI) - answer✔A government contractor that processes claims for Medicare
Part A claims.

Medicare Audit Contractor (MAC) - answer✔Reviews prepayment and post payment, automated
and complex types of reviews to prevent future improper payment

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