Exam (elaborations)
CCS-P STUDY SET QUESTIONS WITH COMPLETE ANSWERS
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CCS-P STUDY SET QUESTIONS WITH COMPLETE ANSWERS
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CCS-P STUDY SET QUESTIONS WITHCOMPLETE ANSWERS
According nnto nnAMA nnmedical nndecision nnmaking nnis nnmeasured nnby nn- nnAnswer nn1.
nnnumber nnof nndx nnor nnmanagement nnoptions
2. nnamount nnand nncomplexity nnof nndata nnreview
3. nnrisk nnof nncomplications
CPT nnAssistant nn- nnAnswer nnprovides nnofficial nnguidance nnin nnCPT nncoding
published nnby nnthe nnAMA
A nnbarrier nnto nnwide nnspread nnuse nnof nnautomated nncode nnassignments nnis nn-
nnAnswer nnpoor nnquality nnof nndocumentation
When nnshould nncoders nnassign nncodes nnfrom nnlab nnreports nnalone nn- nnAnswer
nnNever. nnIf nnfindings nnare nnout nnof nnnormal nnrange nnand nnthe nnphysician nnhas
nnordered nnadditional nntesting nnor nntreatment; nnconsult nnwith nnthe nnphysician nnas nnto
nnwhether nnthe nnDx nnshould nnbe nnadded nnor nnif nnan nnabnormal nnfinding nnshould nnbe
nnlisted.
4 nncooperating nnparties nnof nnICD-9 nnand nnresponsibilities nnof nneach nn- nnAnswer
nnNCHS nn(national nncenter nnfor nnhealth nnstatistics): nnmaintaines nndx nnclassifications
nnin nnVol nn1&2
CMS: nnmaintains nnprocedural nnclassification nnin nnVol nn3
AHIMA nn& nnAHA: nngive nnadvice nn& nnassistance nnon nncoding nnguidelines nnin
nnconjunction nnwith nnhealth nninformation nnmanagement nnpractitioners, nnphysicians, nn&
nnother nnusers nnof nnICD-9
When nncan nncode nn99291 nn(E/M nncritical nncare) nnbe nnused nnin nnplace nnof nna
nnmedical nnvisit nnor nnER nncode nn- nnAnswer nnWhen nnthe nnpatient nnmeets nnthe
nndefinition nnof nncritical nncare nnand nnreceives nnoutpatient nncare nnon nnthe nnsame nnday
, limiting nncharge nn- nnAnswer nnthis nnis nnthe nnamount nna nnNON nnPAR nnMedicare
nnprovider nncan nncollect nnfrom nna nnpatient nnin nnexcess nnof nn15% nnover nnthe nnNON
nnPAR nnMedicare nnapproved nnamount.
When nndoes nnCMS nnsend nnthe nnpayment nndirectly nnto nnthe nnpatient nn- nnAnswer
nnwhen nna nnNON nnPAR nnprovider nndoes nnnot nnaccept nnassignment
hard nncoding nn- nnAnswer nnrefers nnto nnCPT/HCPCS nncodes nnthat nnappear nnin nnthe
nnhospitals nnchargemaster nnand nnwill nnbe nnincluded nnautomatically nnon nnthe
nnpatient's nnbill.
CAC- nncomputer nnassisted nncoding nn- nnAnswer nnAHIMA nndefines nnas nnthe nnuse nnof
nncomputer nnsoftware nnthat nnautomatically nngenerates nna nnset nnof nnmedical nncodes
nnfor nnreview nn, nnvalidation, nnand nnuse nnbased nnupon nnthe nndocumentation nnprovided
nnby nnthe nnvarious nnproviders nnof nnhealthcare.
modifier: nnA1-principle nnphysical nnof nnrecord nn- nnAnswer nnrequired nnfor nnpatients
nncovered nnby nnMedicare nnwhen nnreporting nnInitial nnHospital nnService nncodes
POMR- nnPROBLEM nnORIENTED nnMEDICAL nnRECORD nn- nnAnswer nnOrganized nnby
nnproblem nnnumber
Database: nnhistory nnand nnphysical
Problem nnList: nntitles, nnnumbers, nndates nnof nnproblems..."Table nnof nnContents" nnof
nnthe nnrecord
Initial nnPlan: nndescribes nndiagnostic, nntherapeutic, nnand nnpatient nneducation nnplans
Progress nnNote: nndocuments nnthe nnprogress nnof nna nnpatient nnthroughout nnthe
nnepisode nnof nncare
Discharge nnNote/ nnTransfer nnNote: nnsummarizes nnepisode nnof nncare nnand nncurrent
nnstatus nnof nnpatient
Cost nnSharing nnProvision nnof nnHealth nnIns. nn- nnAnswer nnformulary nnfor nndrugs
co-pay
benefit nnlimitations
Common nnComplication nnof nnLabor nnand nnDelivery nn- nnAnswer nnforceps nnor
nnvacuum nnextractor nndelivery nnwithout nnmention nnof nnindication
renal nnsphincter nntear, nnnot nnassociated nnwith nn3rd nndegree nnperitoneal nnlaceration
trauma nnto nnperineum nnand nnvulva nnduring nndelivery
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