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Certified Coding Specialist (CPC) (ICD-10-CM) Exam Dumps

AHIMA-CCS Exam Format | Course Contents | Course Outline | Exam Syllabus | Exam Objectives

Number of Questions on exam:

 97 multiple-choice questions (79 scored/18 pretest)

 8 medical scenarios (6 scored/2 pretest)

Exam Time: 4 hours – no breaks

Domain 1 – Health Information Documentation (8-10%)

Tasks:

1. Interpret health record documentation using knowledge of anatomy, physiology, clinical indicators and disease processes, pharmacology and medical terminology to identify codeable diagnoses and/or procedures

2. Determine when additional clinical documentation is needed to assign the diagnosis and/or procedure code(s)

3. Consult with physicians and other healthcare providersto obtain further clinical documentation to assist with code assignment

4. Compose a compliant physician query

5. Consult reference materialsto facilitate code assignment

6. Identify patient encounter type

7. Identify and post chargesfor healthcare services based on documentation

Domain 2 – Diagnosis & Procedure Coding (64-68%)

Tasks:

Diagnosis:

1. Select the diagnosesthat require coding according to current coding and reporting requirementsfor acute care (inpatient) services

2. Select the diagnosesthat require coding according to current coding and reporting requirementsfor outpatient services

3. Interpret conventions, formats, instructional notations, tables, and definitions of the classification system to select diagnoses, conditions, problems, or other reasonsfor the encounter that require coding

4. Sequence diagnoses and other reasons for encounter according to notations and conventions of the classification system and standard data set definitions(such as Uniform Hospital Discharge Data Set [UHDDS])

5. Apply the official ICD-10-CM coding guidelines

Procedure:

1. Select the proceduresthat require coding according to current coding and reporting requirementsfor acute care (inpatient) services

2. Select the proceduresthat require coding according to current coding and reporting requirementsfor outpatient services

3. Interpret conventions, formats, instructional notations, and definitions of the classification system and/ornomenclature to select procedures/servicesthat require coding

4. Sequence procedures according to notations and conventions of the classification system/nomenclature and standard data set definitions(such as UHDDS)

5. Apply the official ICD-10-PCS procedure coding guidelines

6. Apply the official CPT/HCPCS Level II coding guidelines

Domain 3 – Regulatory Guidelines and Reporting Requirements for Acute Care (Inpatient) Service (6-8%)

Tasks:

1. Select the principal diagnosis, principal procedure, complications, comorbid conditions, other diagnoses and proceduresthat require coding according to UHDDS definitions and Coding Clinic

2. Assign the present on admission (POA) indicators

3. Evaluate the impact of code selection on Diagnosis Related Group (DRG) assignment

4. Verify DRG assignment based on Inpatient Prospective Payment System (IPPS) definitions

5. Assign and/or validate the discharge disposition

DOMAIN 4. Regulatory Guidelines and Reporting Requirements for Outpatient Services (6-8%)

Tasks:

1. Select the reason for encounter, pertinentsecondary conditions, primary procedure, and other proceduresthat require coding according to UHDDS definitions, CPT Assistant, Coding Clinic, and HCPCS

2. Apply Outpatient Prospective Payment System (OPPS) reporting requirements:

a. Modifiers

b. CPT/ HCPCS Level II

c. Medical necessity

d. Evaluation and Management code assignment (facility reporting)

3. Apply clinical laboratory service requirements

DOMAIN 5. Data Quality and Management (2-4%)

Tasks:

1. Assess the quality of coded data

2. Communicate with healthcare providersregarding reimbursementmethodologies, documentation rules, and regulationsrelated to coding

3. Analyze health record documentation for quality and completeness of coding

4. Review the accuracy of abstracted data elementsfor database integrity and claims processing

5. Review and resolve coding edits such as Correct Coding Initiative (CCI), Medicare Code

Editor (MCE) and Outpatient Code Editor (OCE)

DOMAIN 6. Information and Communication Technologies (1-3%)

Tasks:

1. Use computer to ensure data collection,storage, analysis, and reporting of information.

2. Use common software applications(for example, word processing,spreadsheets, and email) in the execution of work processes

3. Use specialized software in the completion of HIM processes

DOMAIN 7. Privacy, Confidentiality, Legal, and Ethical Issues (2-4%)

Tasks:

1. Apply policies and proceduresfor access and disclosure of personal health information

2. Apply AHIMA Code of Ethics/Standards of Ethical Coding

3. Recognize and report privacy and/or security concerns

4. Protect data integrity and validity using software or hardware technology

DOMAIN 8. Compliance (2-4%)

Tasks:

1. Evaluate the accuracy and completeness of the patient record as defined by organizational policy and external regulations and standards

2. Monitor compliance with organization-wide health record documentation and coding guidelines

3. Recognize and report compliance concerns

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Medical
AHIMA-CCS (ICD-10-CM)
Medical Coding Specialist - (ICD-10-CM)
http://killexams.com/pass4sure/exam-detail/AHIMA-CCS
Question: 127
A physician documents that the patient has been non-compliant with medications and has onlybeen taking half dose
to save on money.
A. T50.906
B. Z91.120
C. Z91.130
D. Z91.19
Answer: B
Question: 128
Child comes in for DTap, Tet/Dipth, Hep A, MMR and would be coded as:
A. Z00.110
B. Z01.812
C. Z13.0
D. Z23
Answer: D
Question: 129
Patient presents to the surgeon�s office 10 days after a breast augmentation procedure. Shecomplains of pain and
tenderness in the left breast. The physical exam findings include elevatedtemperature and the right breast is red
along the incision line and warm to the touch. A cultureis taken and confirms Staph Aureus resistant to Methicillin.
Select the correct ICD-10-CMcode(s):
A. T81.4XXA, B95.62
B. T85.79XA, B95.62
C. B95.61, T81.4XXA
D. T85.79XA, Z41.1, B95.8
E. T85.79XA, Z41.1, B95.8
F. T85.79XA, B95.62
G. B95.61, T81.4XXA
Answer: A
Question: 130
Following a previous surgery the patient suffered blood loss that required a packed red celltransfusion He continues
to be anemic as evidenced by a low blood count. What is the correctICD-10-CM code for the acute anemia due to
hemorrhaging?
A. D62
B. D50.0
C. D50.8
D. D50.9
Answer: B
Question: 131
Jack presents to the physician�s office complaining of increased sweating and weakness since hewoke up this
morning. Patient has chronic pancreatitis, causing diabetes. He is currently usinginsulin to control his diabetes.
Tests indicate that his blood sugar is extremely low and he isinstructed to go to the hospital right away to be
admitted for treatment of the hypoglycemia.
A. E16.2, K86.1
B. E16.2
C. E11.65, K85.3, Z79.4
D. K86.1, E08.649, Z79.4
Answer: D
Question: 132
This 55-year-old established male patient presents for an annual physical exam. The patient�sother complaints
include intermittent chest pain and a productive cough. The nurse practitionercollects a detailed history related to
the symptoms and performs a detailed respiratory andcardiovascular exam. A chest x-ray confirms acute bronchitis.
Oral antibiotics are prescribedalong with instructions to stop smoking. The physical examination is also performed
and thereare baseline labs ordered. The patient is also counseled on appropriate diet and exercise.
A. Z00.00, J20.9, Z71.6, F17.200
B. Z00.01, J20.9, R07.9, Z72.0
C. R07.1, J20.8, Z00.01
D. J42, R07.9, F17.200
Answer: B
Question: 133
A 15-year-old is being seen by his family practice physician after suffering a contusion of hisnose after being hit
by a football.
A. S00.33XA, W18.01XA
B. S00.33XA, W21.01XA
C. S00.33XA, W21.81XA
D. S00.33XA, W21.31XA
Answer: B
Question: 134
A 56-year-old male is discharged from the hospital with a diagnosis of an Acute ST elevation(STEMI)
inferolateral myocardial infarction. What is the ICD-10 code or code(s)?
A. I21.3
B. I21.4
C. I21.01
D. I21.19
Answer: D
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