Friday, April 9, 2021

Sample Ccs Exam Questions

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    Children and adults have been poisoned by swallowing, breathing, or absorbing e-cigarette liquid through their skin or eyes. When the provider documentation refers to use, abuse and dependence of the same substance e. Assign as many codes, as...

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    Urinalysis Uric acid, serum Examples of suboptimal management of this case would include delay in diagnosis or treatment, or treatment with NSAIDS or corticosteroids alone. Treatment with salicylates would also be considered suboptimal management in...

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    Case 3: Feedback on a year-old woman presenting with chest pain minute case Orientation Feedback for Ascending Aortic Dissection In evaluating case performance, the domains of diagnosis including physical examination and appropriate diagnostic tests , therapy, monitoring, timing, sequencing, and location are considered. In this case, a year-old woman comes to the emergency department because of chest pain. From the chief complaint, the differential diagnosis is broad; however, the comprehensive history narrows the differential.

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    The patient is experiencing sharp, left-sided chest pain that radiates to her left jaw and to her back. The pain began abruptly 45 minutes before the patient came to the emergency department. She is now short of breath and mildly nauseated. She has a history of hypertension for the past 5 years that is being appropriately treated with medication. There is no history of any previous episodes of chest pain either at rest or on exertion. The absence of fever, chills, cough, or pleural rub suggests that the problem is not an infectious pulmonary process. Physical examination shows hypertension and tachycardia with bounding central and peripheral pulses. The patient is anxious, diaphoretic, and in severe distress from chest pain. The remainder of the physical examination is unremarkable. In this case, the sudden onset of radiating chest pain along with the bounding pulses, widened pulse pressure, aortic murmur, and long history of hypertension are highly suggestive of the diagnosis of ascending aortic dissection.

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    The computer-based case simulation database contains thousands of possible tests and treatments. Therefore, it is not feasible to list every action that might affect an examinee's score. The following descriptions are meant to serve as examples of actions that would add to, subtract from, or have no effect on an examinee's score for this case. Optimal medical therapy would include stabilizing the patient with intravenous IV medications to lower both blood pressure and heart rate. Suboptimal treatment would include other antihypertensive agents.

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    Lastly, IV narcotic analgesic administration to alleviate pain is important. The patient's cardiovascular status should be monitored with a cardiac monitor or by ordering repeat vital signs. Some measure of oxygen saturation is also indicated. Once stable, some form of chest imaging that would assess for an aortic dissection including computed tomography CT of the chest with contrast, cardiac computed tomography angiography CTA with contrast, echocardiography, transesophageal echocardiography TEE , magnetic resonance imaging MRI of the chest, or cardiac MRI with gadolinium is needed. The diagnostic workup should also include blood tests for serum creatinine basic metabolic profile or complete metabolic profile to assess kidney function, electrolytes to check sodium and potassium concentrations, a complete blood count CBC to look for signs of anemia, serum creatine kinase or serum troponin I cardiac enzymes to rule out myocardial compromise, and a blood group and crossmatch.

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    Once the ascending aortic dissection is discovered and aortic root involvement confirmed, optimal treatment should include open heart surgery, endovascular aortic aneurysm repair EVAR , thoracotomy or cardiothoracic surgery, or general surgery consult. In this acute presentation, timing is critically important. An optimal approach would include completing the above diagnostic and management actions as quickly as possible ie, during the first 2 hours of simulated time. Examples of additional tests, treatments, or actions that could be ordered but would be neither useful nor harmful to the patient include: Admitting the patient to the inpatient ward or intensive care unit Antibiotics Suboptimal management of this case would include ordering additional physical examination components that would add no relevant information, administering an IV antihypertensive without a beta blocker, neglecting to order indicated blood tests, or a delay in diagnosis or treatment. It would be suboptimal to order anything unnecessary that would waste time, even if the test or procedure were not invasive or risky eg, lung scan.

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    Examples of poor management would include failure to order any physical examination, failure to order an imaging study that would reveal the dissection, failure to administer an antihypertensive agent, or failure to order surgical intervention. Examples of invasive and noninvasive actions that would subject the patient to unnecessary discomfort or risk include: Changing the location to the outpatient office or sending the patient home Chest tube.

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    Not all online classes have proctored exams. But if they do, online students may need to visit a local testing site, with an on-site proctor. They may also take virtually monitored exams online, where a proctor Can I get a job with online certificate? Yes, it is possible to get a job using online courses. Online courses are sometimes better than the traditional course and even better when both of them work parallel. In this way, we can cop up with Questions Ccs Sample Questions A year-old female with primary peritoneal epithelioid carcinoma who is admitted for her sixth cycle of chemotherapy.

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    These increased in intensity to the point of pain, arising in the left flank and gradually moving to the left side and the midline. She noted abdominal distention in late November and presented to her private physician. At that time, a CT scan was obtained, which demonstrated a pelvic mass with evidence of mesenteric involvement. She was referred to this hospital and in December underwent laparotomy, with a finding of what officially appeared to be Stage III ovarian epithelial carcinoma. Upon histologic review of the specimen, the tumor was felt to be a primary peritoneal epithelioid carcinoma, and the patient was referred for chemotherapy.

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    She completed a fifth cycle of chemotherapy three weeks prior to this admission and has remained clinically well. Since her last discharge, the patient has been feeling generally well until approximately one week prior to admission, when she developed ear pain. Endocrine The patient denies history of hypertension, diabetes mellitus, or thyroid disorder.

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    Physical Examination General Appearance: The patient is a short female, who is awake, alert, and fully oriented in no acute distress. Eyes: Pupils equally round and reactive to light and accommodate. Extraocular muscles intact. Oropharynx without lesions. Lungs: Clear to percussion and auscultation. Cardiac: Point of maximal impulse nondisplaced. S1, S2 without gallop, rub, or murmur. Active bowel sounds. Soft and nontender. No palpable organomegaly, no guarding or rebound. Pelvic: Deferred at this time. Rectal: Deferred at this time. Extremities: Without clubbing, cyanosis, or edema.

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    Neurologic: Mental status fully intact. Cranial nerves fully intact. Motor and sensory intact throughout. Diagnostic Data: Pending at this time. Impression: The patient is a year-old woman with primary peritoneal epithelioid carcinoma, who is now admitted for her sixth cycle of chemotherapy. She has demonstrated a continuing decline in her CA, which is suggestive of a good response to chemotherapy following a suboptimal debulking procedure. She will be closely followed with respect to her electrolyte and fluid balance, and diuretics will be administered as indicated. Search Results Antiemetics will be given liberally, and she will be monitored for toxicity throughout her hospital stay.

  • Certified Coding Specialist (CCS®) Free Practice Test

    Consultation will be undertaken with the Gynecologic Oncology Service to assess the patient as a candidate for a second laparotomy. She has shown a steady decline in her CA level and has remained clinically well since surgery. No tinnitus or paresthesias. Admit to Medical Oncology 2. Diagnosis: Primary epithelial peritoneal carcinoma 3. Certified coding specialists work in hospitals, medical research facilities, and in public health. Our practice test has questions related to medical terminology, disease processes, and pharmacology similar to those on the official test. These questions are similar to, but not the same as, those on the official AHIMA certified coding specialist exam.

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    Go to the official website linked in reference. Apr 1, Please take the quiz to rate it. To improve Medicare's capability to recognize practice patterns among hospitals that are inappropriately optimizing payments by keeping patients in the hospital longer than the median length of stay. Download Step 3 tutorial and practice items, including practice CCS cases. If you do not find the answer you need, please fill out our contact form. Choose from different sets of ccs exam prep flashcards on Quizlet. Learn vocabulary, terms, and more with flashcards, games, and other study tools.

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    At Testpreptraining, you will get a Unique set of questions shuffled with different levels which will help you check your skills and weak areas. Doing these questions will increase your knowledge to score better in the exam. Can I have access to practice sets even after the training is over at Testpreptraining? Yes, you will be given access to the practice sets which will be available once you have registered for the course. Can I try the free exam before purchasing the whole practice test? Testpreptraining gives you the option to take the free practise test with different and unique questions before purchasing the complete test.

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    What is the format of the CCS exam? The questions of the CCS exam are available in the form of multiple choice. What time will be given to complete the CCS exam? The candidate will be given a period of 4 hours to complete their exam. What are the passing marks for the CCS exam? What are the registration charges for the CCS exam? How many numbers of questions are there in the CCS exam? There are 97 questions in total in the exam. Eligibility requirements to apply for the CCS exam includes credentials held, education, and experience. What is the full of the CCS? What is CCS Certification? A Certified Coding Specialist CCS is a health information technician who specializes in medical coding, also known as a medical coder. They evaluate patients' medical information and include it into electronic health reports and databases based on a procedure coding system.

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    This examination represents high-level achievement and proficiency in inpatient and outpatient coding and associated concepts. The test covers 97 multiple choice questions and eight medical scenarios adding up to a four-hour rigorous examination. Preparing for the examination while striving to balance work and family requires much energy. This move has led some potential test-takers to delay sitting for the exam. However, with the exam still reflecting ICD-9 content until ICD has officially been implemented, coders have bought more unexpected time to take the exam. Coding experts say that now is not the time for up-and-coming coders to hold back on becoming credentialed.

  • Model Questions & Answers For CPC Or CCS Exam 2021

    ICD has created a high demand for credentialed coders, and the workforce needs individuals with the CCS credential more than ever. While test-takers cannot control the ICD-9 or ICD factor of the examination, they can concentrate on overcoming 10 specific challenges of taking the exam. Follow these guidelines, and one can breathe a little easier before hitting the exam room. Some Lack Outpatient Coding Experience Many inpatient coders feel very competent coding inpatient accounts and answering questions related to inpatient-related concepts. However, since these coders primarily code only inpatient accounts, many lack the coding knowledge and experience related to outpatient encounters. To help combat this and get their coders the experience they need to sit for the CCS exam, some healthcare providers have offered to cross-train inpatient and outpatient coders.

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    As a result, these coders have expanded their coding knowledge and skills, improved their versatility in being able to code more visit types, and have effectively prepared to pass a national coding exam. Ardent also provides cross-training opportunities for their inpatient coders to obtain outpatient coding knowledge and skills.

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    Through the program, coders have the opportunity to complete outpatient coding education modules, pass a test, and then be promoted to Inpatient Coder II, which also modifies their job description and increases their salary. This would easily present an opportunity for the coders to gain the hands-on practice they need to pass the CCS examination. Therefore, inpatient coders must use creativity to discover ways to obtain this experience. There are some outpatient coders who have experience coding only ancillary visits, and lack the skills to code a variety of outpatient encounters including endoscopy and surgical procedures. These coders will also need to practice coding the full spectrum of outpatient visits either by purchasing a resource or obtaining on-the-job training experience. Sandy Smith, the health information technology program director at Tulsa Community College, has partnered with Kelli Horn, coding education manager at Ardent, to provide CCS examination preparation, study strategies, education on the non-coding portion of the exam, hands-on CPT and ICD coding, and a partial mock examination.

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    The benefit for an organization that has its coders participate in a review course is that it exposes the coders to inpatient and outpatient coding concepts and coding exercises, simulates the mock examination experience, creates a networking atmosphere with others who are also preparing to take their exam, and provides further education regarding the non-coding concepts on the examination. However, many outpatient coders are lacking inpatient coding experience. Workplaces that provide on-the-job cross-training are the best option for coders preparing to take their exam. However, if this option is not available, coders may need to take the initiative and purchase resources that contain sample inpatient coding exercises and work beginning, intermediate, and advanced exercises, along with case studies, to develop inpatient coding skills.

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    Furthermore, they will need to be prepared to code eight medical scenarios, which will include some inpatient cases. While many coders reference them, as needed, when they are coding their visits each day, some coders struggle at comprehending the material as a whole. Things get especially tough for some when they are asked to recall and apply the material quickly on the CCS test, and many run out of time or barely have sufficient time to complete the exam. But this should not be a deterring factor in taking the exam, coding experts say.

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    Coders are expected to become familiar with these guidelines in their daily workplace coding duties, which should serve as extra motivation to become familiar with ICD at a higher level. Coders should read through the guidelines at least once, but preferably twice, before taking the exam. Many had been coding for several years, however, they had not been exposed to many of the domains included in the examination. Topics include reimbursement methodologies, documentation rules and regulations, abstracted data elements for database integrity and claims processing, using technology to ensure data collection, analysis, storage, reporting of information, and use in HIM work processes.

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    Privacy and security concerns, protection of data integrity, access and disclosure of personal health information, accuracy and completeness of the patient record, monitoring organization-wide compliance, and ethical coding standards are additional topics. These sections comprise 11 percent of the overall score on the examination. Coders must code eight medical record cases, which includes inpatient and outpatient encounters. Even before the code set changes to ICD, many coders feel nervous about this section. Since most coders have not had much exposure to hands-on ICD coding, this is the area that could potentially become the biggest obstacle once ICD is implemented.

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    For clarification, while there can be questions regarding ICD on the multiple choice section of the exam, there are no coding exercises that would involve ICD until that code set has officially been implemented. There are several steps coders can take to face their fear of this exam portion. Practice, then practice, then practice some more. Becoming familiar with the index, guidelines, and chapters of the CPT coding book is also a must. The number one concern reported was running out of time.

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    Following time, participants reported concerns with the low pass rate, not having ample on-the-job cross-training opportunities to gain knowledge and skills in coding outpatient surgeries, not having sufficient time in the workplace to keep current with Coding Clinics and CPT Assistants, and, finally, test anxiety. The overlying fear factor for all participants was having to take the examination with the ICD code set sections included, as most indicated they were attending the review course in order to take the examination before the CCS examination will reflect ICD codes. The time factor is a valid concern for many reasons. Completing the test in four hours reflects that test-takers have mastered the material at a high cognitive level and can apply that information at a recall, application, or analysis level.

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    Some test questions will require participants to identify facts, basic concepts, theories, processes, and principles. Other questions will require test-takers to apply principles and concepts to situations, recognize data relationships, and solve specific problems integrating various concepts into the solution. Therefore, it is imperative that test-takers have thoroughly studied the concepts listed on the CCS Examination Content Outline to increase their chances of answering questions accurately and quickly. Test-takers should simulate the timed test experience before the exam. Attending Formal Coding Education Students who have completed their formal coding education at a local community college, university, or through online distance learning have a great opportunity to pass the CCS examination.

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    However, they may want to start with the CCA examination to build up to the mastery level of knowledge and skill required to pass the CCS exam. Karl previously worked at a community college in New Jersey and had many students pass their CCA exam in this manner as well. However, a few students are able to immediately take and pass the CCS exam. Those students who received above average grades in their ICD-9 and CPT coding classes, and other classes, including reimbursement, statistics, legal, and management, are typically able to combine their classroom learning with an excellent study strategy and successfully pass the examination on the first try. Look them up in the references that are listed to see if the author is correct.

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    Therefore, coders should become familiar with these resources. Members in the Tulsa and Oklahoma City area will receive education from this publication and will have the opportunity to ask questions and receive feedback from an instructor and other participants. Kennedy says that ignoring the two publications is a big mistake. Follow these and the other recommended steps, and coders will feel more comfortable sitting for the examination—and hopefully successfully pass it. October 1, Kelli Horn kelli. Article citation: Horn, Kelli. Quick Search.

  • CCS Practice Exam

    Registered: Posted on Monday, February 06, - pm: However you mark your answer sheet, it's important to look carefully at the number of the question and the number on the answer sheet before you fill in the circle. I recommend reviewing that info. The one that is true, based on the PRM, is the correct answer. Others may seem true, based on something you've seen or done in "real life". As a former Chair of the Institute Certification Committee, I can tell you that the other possible answers have been written by your peers and a huge effort has been made to assure that they seem reasonable; otherwise there's no evidence that the candidate knows the correct answer. But only one answer is true in accordance with the book. That's because the questions are sourced to the book - it's impossible to test on what everybody does in their office. There are many differences in process based on local customs and requirements. I believe that all of the documents produced by CSI over the years have been done by groups of very smart people with differing opinions.

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    The results have been the best consensus documents possible. And they are the only consistent source that can be used to test whether a candidate understands this good way of doing things. I personally don't get the sense that CSI principles are contrary to the "right way" - they are the best way that has been published, taught, tested upon, and used to offer people the opportunity to obtain a certification that gives them credentials for their work and possibly a competitive advantage in the workplace.

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    A year-old female with primary peritoneal epithelioid carcinoma who is admitted for her sixth cycle of chemotherapy. These increased in intensity to the point of pain, arising in the left flank and gradually moving to the left side and the midline. She noted abdominal distention in late November and presented to her private physician. At that time, a CT scan was obtained, which demonstrated a pelvic mass with evidence of mesenteric involvement. She was referred to this hospital and in December underwent laparotomy, with a finding of what officially appeared to be Stage III ovarian epithelial carcinoma.

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    Upon histologic review of the specimen, the tumor was felt to be a primary peritoneal epithelioid carcinoma, and the patient was referred for chemotherapy. She completed a fifth cycle of chemotherapy three weeks prior to this admission and has remained clinically well. Since her last discharge, the patient has been feeling generally well until approximately one week prior to admission, when she developed ear pain. This was evaluated by a local physician and has subsequently been resolved. She denies recent fevers, chills, or sweats, and has been undertaking her usual activities of daily living. Her appetite has been good, and her bowel habits have been regular. Allergies: None known. Medications: On admission, cimetidine mg p. Past Medical History: The patient underwent a total abdominal hysterectomy in the s for uterine fibromas.

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