CCS-P Ahima CCS-P Exam Questions and Answers Latest New Update

According to AMA medical decision making is measured by - Answer -1. number of dx
or management options
3. risk of complications
CPT Assistant - Answer -provides official guidance in CPT coding
published by the AMA
A barrier to wide spread use of automated code assignments is - Answer -poor quality
of documentation
When should coders assign codes from lab reports alone - Answer -Never. If findings
are out of normal range and the physician has ordered additional testing or treatment;
consult with the physician as to whether the Dx should be added or if an abnormal
finding should be listed.
4 cooperating parties of ICD-9 and responsibilities of each - Answer -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
When can code 99291 (E/M critical care) be used in place of a medical visit or ER code
- Answer -When the patient meets the definition of critical care and receives outpatient
care on the same day
limiting charge - Answer -this is the amount a NON PAR Medicare provider can collect
from a patient in excess of 15% over the NON PAR Medicare approved amount.
When does CMS send the payment directly to the patient - Answer -when a NON PAR
provider does not accept assignment
hard coding - Answer -refers to CPT/HCPCS codes that appear in the hospitals
chargemaster and will be included automatically on the patient's bill.
CAC- computer assisted coding - Answer -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.