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Test Number : AHIMA-CCS
Test Name : Certified Coding Specialist
Vendor Name : Medical
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AHIMA-CCS exam Format | AHIMA-CCS Course Contents | AHIMA-CCS Course Outline | AHIMA-CCS exam Syllabus | AHIMA-CCS 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 techniques

Saint-Gobain turning out to be scientific enterprise in Europe with acquisition | AHIMA-CCS Latest subjects and PDF Download

Solon, Ohio-based mostly Saint-Gobain lifestyles Sciences purchased Pompey, France-primarily based MS suggestions and Transluminal advantageous Sept. 7.

The MS options facility may be the basis of Saint-Gobain's new European scientific middle for Excellence, Vanessa Gagnon, business director of catheter programs at Saint-Gobain, instructed Plastics information.

"This may be their first website totally committed to the clinical business in Europe," Gagnon pointed out.

Gagnon, who led the acquisition method, is working to enhance the international commercial approach for the combination of MS ideas, a excessive-precision thermoplastic extruder, into Saint-Gobain lifestyles Sciences' medical components company unit, she noted.

"[MS Techniques] has capabilities that Saint-Gobain has been trying to acquire organically for a long time now," Gagnon stated. "We're seeing two predominant trends in the clinical device business: One is the supply chain consolidation, and two is the shift to a price-primarily based repayment equipment."

MS thoughts additionally brings to Saint-Gobain design knowledge for minimally invasive approaches through catheter expertise, she observed.

"We desired to have a broader product portfolio and present extra to their shoppers," Gagnon referred to. "[MS Techniques] consider backyard the box and discover how you can design new beginning programs that allows greater outcome sooner or later at a lessen can charge. … We're eager for expanding their income reach from their Europe base to supply such product to the U.S. and Asian markets."

"We decided to be part of forces with Saint-Gobain as a result of they felt they discovered a true partnership and shared the identical vision: to develop into a global-classification reference within the scientific machine business for offering minimally invasive innovation," Etienne Malher, president of MS ideas, mentioned in a Sept. 14 information unlock.

"becoming a member of a global clinical firm with the size and tremendous legacy of Saint-Gobain makes it possible to raise ahead what we've labored so tough to construct over the final 28 years," Malher pointed out. "With extra resources and the Saint-Gobain manufacturer aiding their efforts, they pave the style for future innovation and the co-building of latest medical solutions with their purchasers."

MS recommendations' owners will dwell on in the course of the transition manner, Gagnon referred to.

Saint-Gobain and MS ideas each have custom-made, co-construction fashions and identical company cultures, the liberate noted.

"We trust the most excellent approach to work with their consumers and the OEMs is to have that proximity in Europe," Gagnon talked about. "We need to be sure that this continues to suppose like a huge family … What their and their consumers are used to, they'll proceed to look the equal."

Saint-Gobain will also put money into a diffusion of MS recommendations transluminal unit, which Gagnon referred to is "the design, abilities arm that offers guide from the thought the entire method to the industrialization of the catheter."

"we are going to go grade by grade according to the client need and look to have an funding plan in keeping with that method," she talked about.

Saint-Gobain did not reveal the terms of the acquisition.


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