CCDS Question & Answers 2024
A. Bleeding gastric ulcer - Correct Answers ✅A patient is admitted
from the emergency department (ED) with a diagnosis of weakness and
anemia. After admission and further treatment with packed red blood
cells (PRBC), GI consult, and endoscopy, the physician includes the
following diagnoses in the discharge summary: anemia, suspected
bleeding gastric ulcer, and GERD. What would be the most appropriate
principle diagnosis?
A. Bleeding gastric ulcer
B. Anemia
C. GERD
D. Weakness
B. Neoplasm of occipital region - Correct Answers ✅A patient is
admitted with new-onset seizures. Head CT reveals a mass in the
occipital region. The physician documents possible brain tumor, and the
patient is transferred to another hospital for further workup. What
would be the most appropriate principal diagnosis based upon this
documentation?
A. Seizure
B. Neoplasm of occipital region
C. Head mass
D. Head tumor
,CCDS Question & Answers 2024
C. 1,2, and 3
1. Calculated annually
2. Dependent upon indirect costs for graduate medical education and
new technology
3. Adjusted based upon number of low-income patients cared for -
Correct Answers ✅A hospital's base rate or blended rate is:
1. Calculated annually
2. Dependent upon indirect costs for graduate medical education and
new technology
3. Adjusted based upon number of low-income patients cared for
4. Not adjusted based upon capital expenses
A. 1 and 2
B. 2 and 3
C. 1,2, and 3
D. 1,2,3, and 4
D. Reflect the severity of illness (SOI) and resource consumption of the
patient's care - Correct Answers ✅The final MS-DRG assigned to a
patient's medical record should:
A. Reflect the amount of time the physician spent with the patient
,CCDS Question & Answers 2024
B. Depend upon the patient's length of stay
C. Be assigned by the physician
D. Reflect the severity of illness (SOI) and resource consumption of the
patient's care
C. Poisoning - Correct Answers ✅A patient is admitted from the
emergency department with the diagnosis of acute respiratory failure
due to overdose of pain medication and an aspiration pneumonia.
What is the principal diagnosis?
A. Acute respiratory failure
B. Aspiration pneumonia
C. Poisoning
D. Adverse effect of medication
D. All of the conditions should be coded - Correct Answers ✅A
patient is admitted with pneumonia, stage 1 chronic renal failure,
chronic anemia, and COPD, While hospitalized the patient receives IV
antibiotics, inhalers, oxygen, IV fluids at 50mL/hr, and iron tablets.
Keeping the guidelines for coding of secondary diagnoses in mind,
which condition should be coded?
A. Pneumonia only
B. Pneumonia and COPD only
, CCDS Question & Answers 2024
C. Pneumonia, COPD, and anemia
D. All of the conditions should be coded
D. Fractured ulna - Correct Answers ✅Which of the following is an
example of a hospital-acquired condition?
A. Fat embolism
B. IV phlebitis
C. Pneumonia
D. Fractured ulna
C. A diagnosis that is listed as possible in the history and physical -
Correct Answers ✅Which of the following is an example of
documentation that would meet the present on admission criteria for
coding?
A. A diagnosis that is indicated in the history and physical and ruled out
in the discharge summary
B. A diagnosis found in a previous medical record
C. A diagnosis that is listed as possible in the history and physical
D. An acute condition identified on the third day of admission
A. Colon cancer - Correct Answers ✅A patient is admitted with
abdominal pain and the history and physical indicated a diagnosis of
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