CCS Exam Prep 2023/ 2024 |Complete Guide
with Questions and Answers (Verified
Answers)
Q: A patient is admitted to the hospital for a coronary artery bypass surgery. Postoperatively, he
develops a pulmonary embolism. The present on admission (POA) indicator is
Answer:
N = not present at the time of inpatient admission
Q: In assigning E/M codes, three key components are used. These are
Answer:
history, examination, and medical decision making
Q: Under APCs, payment status indicator “X” means
Answer:
ancillary services
Q: A coworker complained of sudden onset of chest pain and went to the emergency room. A
myocardial infarction was ruled out. You would code
Answer:
only the chest pain
Q: The special form that plays the central role in planning and providing care at nursing,
psychiatric, and rehabilitation facilities is
Answer:
the interdisciplinary patient care plan
Q: The ___ are the organizations that contract with Medicare to perform reviews
of medical records with the corresponding Medicare claims to detect and correct improper
payments.
Answer:
recovery audit contractors (RACs)
Q: This document is published by the Office of Inspector General (OIG) every year. It details
the OIG’s focus for Medicare fraud and abuse for that year. It gives health care providers an
indication of general and specific areas that are targeted for review. It can be found on the
Internet on CMS’s website.
Answer:
the OIG’s Work Plan
Q: __ is knowingly making false statements or representation of material facts to obtain a
benefit or payment for which no entitlement would otherwise exist.
Answer:
Fraud
Q: Before a user is allowed to access protected health information, the system confirms that the
patient is who he or she says he or she is. This is known as
Answer:
authentication
Q: __ are errors in medical care that are clearly identifiable, preventable, and serious in their
consequences for patients.
Answer:
Never events or sentinel events
Q: Which of the following can be released without consent or authorization?
Answer:
de-identified health information
Q: Based on CMS’s DRG system, other systems have been developed for payment purposes.
The one that classifies the non-Medicare population, such as HIV patients, neonates, and
pediatric patients, is known as
Answer:
APR-DRGs
Q: Under which of the following conditions can an original paper-based patient health record
be physically removed from the hospital?
Answer:
when the director of health records is acting in response to a subpoena duces tecum and takes the
health record to court
Q: You want to review the one document in your facility that will spell out the documentation
requirements for patient records, designate the time frame for completion by the active medical
staff, and indicate the penalties for failure to comply with these record standards. Your best
resource will be
Answer:
medical staff rules and regulations
Q: The PQRS is a reporting system established by the federal government for physician
practices that participate in Medicare for
Answer:
quality measure reporting
Q: The best resource for checking out specific voluntary accreditation standards and guidelines
for a rehabilitation facility is the
Answer:
CARF manual
Q: What does CARF manual means?
Answer:
Commission on Accreditation of Rehabilitation Facilities
Q: When health care providers are found guilty under any of the civil false claims statutes, the
Office of Inspector General is responsible for negotiating these settlements and the provider is
placed under a
Answer:
Corporate Integrity Agreement
Q: What is ANSI ASC X12N 837 format?
Answer: