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CCS-P Study Set Exam questions and Answers (AHIMA CCS-P review)
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CCS-P Study Set Exam questions andAnswers (AHIMA CCS-P review)
4 cooperating parties of ICD-9 and responsibilities of each - -NCHS (national
center for health statistics): maintaines dx classifications in Vol 1&2
CMS: maintains procedural classification in Vol 3
AHIMA & AHA: give advice & assistance on coding guidelines in conjunction
with health information management practitioners, physicians, & other users
of ICD-9
-A barrier to wide spread use of automated code assignments is - -poor
quality of documentation
-ABN: advanced beneficiary notice - -waiver required by Medicare for all
physician office procedures when there is a question as to whether or not the
service will be paid for by Medicare
issued each time each questionable service is provided
-abnormal laboratory findings - -are not coded unless indicated there
clinical significance by the physician
-According to AMA medical decision making is measured by - -1. number of
dx or management options
2. amount and complexity of data review
3. risk of complications
-adverse effect - -hypersensitivities or allergic reactions that occur as
qualitatively different responses to a drug, which are acquired only after re-
exposure to the drug is the definition of an adverse effect
-aspiration pneumonia - -caused by inhaled food, liquid, or oil by a patient
with pneumonia
-benefits of email - -to clarify treatment instructions or medication
administration for patients and healthcare providers
-best report to use in determination of the size of a removed malignant
lesion - -operative report
-CAC- computer assisted coding - -AHIMA defines as the use of computer
software that automatically generates a set of medical codes for review ,
validation, and use based upon the documentation provided by the various
providers of healthcare.
, -charge summary - -aka office service report
contains summary of all billing data entered for the practice each day
-claim redetermination - -first step in claims appeal process
claims are reviewed by an individual who was not involved in the initial claim
review determination
request must be make within 120 days of receiving the initial claim
determination
-clinical data - -relates to diagnosis and treatment documentation in the
health record
-clustering - -practice of coding/charging one or two middle levels of service
exclusively for all patient encounters
-Coding Clinic - -Published quarterly by the Central Office on ICD-9-CM
Coding of the American Hospital Association-AHA providing office ICD-9
coding guidelines
-coding guideline for late effects is - -residual condition is sequenced first,
followed by the cause of the late effect
-common bacterial diseases - -staphylococcus aureus
staphylococci
streptococci
streptococcus pyogenes
streptococcus pneumonia
gonorrhea
meningitis
salmonella
E. coli
cholera
mycoplasma
bacillus
C. perfringens
chlamydia trachomatius
bubonic plague
clostridium
tuberculosis
hansens disease
syphilis
lyme disease
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