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Exam Number : AHIMA-CCS
Exam Name : Certified Coding Specialist (CPC) (ICD-10-CM)
Vendor Name : Medical
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AHIMA-CCS test Format | AHIMA-CCS Course Contents | AHIMA-CCS Course Outline | AHIMA-CCS test Syllabus | AHIMA-CCS test 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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Candidates acting for NEET UG test for the first time are in doubt of the inclusion of purposeful Topics they haven't been exposed to. | image credit: RAMAKRISHNA G

The countrywide scientific fee (NMC) has these days revised the syllabus for NEET UG 2024, sparking a mix of anticipation and problem among aspiring medical students. whereas college students presently in their class 12th or intermediate second yr can also no longer locate the syllabus exchange frustrating, people that took a gap year after education and are Getting ready for the checks categorical skills challenges.

Aspiring scientific pupil Kashif Hasnain shared his standpoint, noting that the reduction in syllabus might pose difficulties for these Getting ready for the exams after a smash. He emphasised that with fewer chapters, there could be more questions from a single chapter, potentially leading to a shift in the exam’s nature. Mr. Kashif brought up that whereas questions in the past had been often effortless to take note, this year can also bring about greater in-depth inquiries.

in terms of the revised sections, Mr. Kashif stated that area-A, which previously featured questions of usual issue, might see adjustments, while section-B, typical for its useful-based mostly, deeper realizing questions, could experience variations. He authorised the deletion of certain chapters in Biology, corresponding to ‘Mineral nutrition,’ citing their statistics-heavy nature. although, he disagreed with the elimination of chapters like ‘Digestion and Absorption.’

yet another pupil, ok Snehitha, voiced considerations about being the primary batch to effort the test with the altered syllabus. She mentioned the addition of exact practical issues that college students have not been exposed to, peculiarly highlighting the inclusion of chapters on plant households in Botany devoid of readability on their relevance.

further, students raised objections to the deletion of chapters, with one scholar emphasising the elimination of an Ecology chapter on environmental concerns. The pupil argued that, given the contemporary focal point on environmental discussions, this particular chapter will not have been eradicated.


 

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