AHIMA CCS Practice Test

Answer choices

1. A. Assume the deepest tissue exposed was debrided, under the stated decision criteria.
2. B. Code the highest level to avoid undercoding, for the stated scenario.
3. C. Query the provider for the documented depth/extent of debridement, in the described situation.
4. D. Use the wound-care charge to determine depth, for the required . provider queries (9–11%) outcome.

Wrong-answer review

• A. Assume the deepest tissue exposed was debrided, under the stated decision criteria.: Exposure does not prove removal.
• B. Code the highest level to avoid undercoding, for the stated scenario.: Specificity cannot be manufactured to avoid undercoding.
• D. Use the wound-care charge to determine depth, for the required . provider queries (9–11%) outcome.: Charges do not replace required procedure documentation.

Answer choices

1. A. The vendor is exempt from HIPAA because it is not a hospital, under the described . regulatory compliance (18–22%) criteria.
2. B. The vendor may freely reuse PHI for unrelated marketing, for the stated . regulatory compliance (18–22%) requirement.
3. C. The vendor may be a business associate and must meet applicable HIPAA obligations and contractual requirements
4. D. The vendor becomes the patient's healthcare provider automatically, for the described technical objective and its associated operational control requirements, for review.

Answer choices

1. A. Verification of the code in the Tabular List, including applicable instructional notes, for this task.
2. B. A check of the hospital's reimbursement target, as the organization’s selected response.
3. C. A search for a modifier 59, for the stated security, delivery, and accountability requirements.
4. D. A comparison with the patient's insurance premium, as the proposed design for the complete governed operational workflow.

Answer choices

1. A. Correct current coding through human review and escalate the mapping defect for system maintenance, within the proposed design.
2. B. Continue accepting the mapping for consistency, as the proposed . information technologies (9–11%) approach.
3. C. Disable all human review, for the described technical objective and its associated operational control requirements.
4. D. Change provider terminology to fit the software, for the described technical objective and its associated operational control requirements, as proposed.

Answer choices

1. A. Extraction with the qualifier Diagnostic, within the proposed design.
2. B. Drainage with no qualifier, within this design.
3. C. Excision with the qualifier Diagnostic, under this approach.
4. D. Inspection with the qualifier Diagnostic, for the specified implementation requirement.

Answer choices

1. A. Whether the prior hospital received a penalty, as the selected approach for the stated technical and business outcome.
2. B. Whether the condition is a CC, for the described technical objective and its associated operational control requirements, as proposed.
3. C. Whether the receiving hospital wants the POA indicator to be Y, within the described context.
4. D. The timing relative to this hospital's inpatient admission order and applicable POA guidance, for this decision.

Answer choices

1. A. Any query with one option is always prohibited regardless of context, for the specified implementation requirement.
2. B. Respiratory diagnoses may never be queried, for the required operational result and control objective.
3. C. Clinical indicators should never be included, within the described operational context.
4. D. It omits reasonable alternatives and steers the provider toward one outcome, for the required . provider queries (9–11%) outcome.

Answer choices

1. A. Assume no device because none is named, for the described technical objective and its associated operational control requirements, as selected.
2. B. Assume the most common device used for that procedure, as the primary proposed approach.
3. C. Select a device value from the charge description, within the defined security and accountability boundaries.
4. D. Clarify the device information when it is required to select the correct PCS code, as the organization’s selected response.

Answer choices

1. A. Choose the higher-paying result, for the described technical objective and its associated operational control requirements, for the specified implementation requirement.
2. B. Confirm the software versions, effective dates, and coded inputs before deciding which result is applicable, for this scenario.
3. C. Average the two DRGs, for the described technical objective and its associated operational control requirements, within the proposed design.
4. D. Use the test result because it is newer to the organization, within organization-wide risk-and-accountability boundaries.

Answer choices

1. A. Automatically assign U without attempting clarification, for the required operational result and control objective.
2. B. Assign Y because pneumonia is commonly community acquired, as the primary proposed approach.
3. C. Assign N because the diagnosis appears in a note written after admission, within organization-wide risk-and-accountability boundaries.
4. D. Query the provider for clarification when the timing can be clarified, as the primary implementation for the described business requirement.