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Test Number : AHIMA-CCS
Test Name : Certified Coding Specialist
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%)
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%)
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
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%)
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%)
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%)
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%)
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%)
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%)
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 Certified test Braindumps

Osteopathic docs Sue ABIM Over Residency Director Certification Requirement | AHIMA-CCS test questions and Questions and Answers

The American Osteopathic association (AOA) is suing the American Board of interior drugs (ABIM) over its coverage requiring interior drugs residency administrators to be board-certified by using ABIM in order for his or her residents to be able to take a seat for the ABIM board certification examination.

in line with the policy, which become announced in 2017 and is scheduled to take effect in 2022, "application administrators who're licensed with the aid of the American Osteopathic Board of interior medicine (AOBIM) ought to both develop into licensed by the ABIM or lose the skill to qualify their residents for ABIM certification," Josh Prober, JD, AOA's prevalent information and senior vice president, said in an announcement. "because of this coverage, inner drugs program administrators are being pressured through their hospitals to develop into ABIM certified or lose their jobs."

"For at the least 5 years, osteopathic physicians who're licensed with the aid of the AOA's internal medicine uniqueness certifying board (i.e., American Osteopathic Board of internal medication) have developed, overseen and stronger interior medicine residency programs and fellowships, and have been able to qualify residents to take and flow examinations provided by osteopathic and allopathic certifying boards, including the ABIM examination," the AOA spoke of in its lawsuit, which turned into filed Dec. 30, 2020, in U.S. District court docket in the eastern District of Pennsylvania -- the place the place ABIM is primarily based.

"Now, despite the fact, ABIM has announced a requirement on the way to strip those osteopathic physicians of the ability to qualify and prepare residents for ABIM's inner medication board examination, although that ABIM's arbitrary requirement does not outcomes in any qualitative change within the skills of program administrators or residents and fellows in their courses."

besides requiring AOBIM-certified residency administrators to become ABIM-certified or lose their jobs, the requirement also "disparages the recognition of ... AOBIM, and thereby discourages residents from in search of certification from AOA's strong point certifying boards," the lawsuit alleges. "ABIM's requirement also diminishes the popularity of AOBIM-certified osteopathic physicians, who're certified and attainable to deliver medical capabilities to patients who already do not have adequate access to fine medical care, and oversee the practicing of different physicians to accomplish that." The suit asks the court to avoid the ABIM from imposing the requirement, and to award unspecified compensatory and punitive damages.

besides the AOA, plaintiffs in the swimsuit additionally include Joanne Baker, DO; Jody Bentley, DO; Erica Kuhn, DO; Judith Lightfoot, DO; Katrina Platt, DO; Troy Randle, DO; and Keith Reich, DO -- all of whom are at the moment directors of internal medicine residency courses. Six of those plaintiffs are only AOBIM-licensed, whereas the seventh, Joanne Baker, took the ABIM test in 2020. in addition to having to spend 20 hours per week getting to know for the exam, "she spent smartly over $3,000 to study for and take the examination," the lawsuit pointed out, including that "before she took the ABIM examination, her residents enjoyed a 100% circulate rate on the ABIM examination for the remaining 7 years, demonstrating that she turned into thoroughly able to Studying residents for the ABIM examination without taking it herself."

The lawsuit comes after a merger of sorts in the world of graduate scientific training. unless about 7 years ago, because the lawsuit defined, the AOA and the Accreditation Council on Graduate clinical training (ACGME) -- which accredited allopathic residency classes -- offered separate accreditation programs for graduate scientific schooling. Then, in February 2014, the AOA and ACGME entered into an agreement to combine their graduate clinical training programs right into a single accreditation equipment -- an settlement that become carried out in phases over 5 years. starting in 2015.

"The ABIM has no longer offered any motive, explanation, helping information, or other tips as to why AOBIM-licensed software directors are now one way or the other deemed unqualified and should no longer be depended on to attest to the instruction of the residents they informed starting in 2022, when they have been correctly doing so for 5 years," the swimsuit stated.

"Nowhere along the style during the 5-yr transition did the ABIM say, 'Oh, the DOs can not do this," AOA CEO Kevin Klauer, DO, noted throughout a mobilephone interview at which a public family members adult become current. He brought that no other strong point board has instituted this type of requirement, as a way to have an effect on an estimated 250 software directors and their residents, "in line with the variety of osteopathic inner medicine residency and fellowship classes that existed earlier than the transition to Single Graduate medical Accreditation," based on an announcement from the AOA. "That quantity doesn't consist of physicians who had been blocked from consideration for open application director positions because of the ABIM's policy."

asked no matter if the AOA had approached the ABIM to are attempting to solve the difficulty earlier than filing the lawsuit, Klauer talked about "I accept as true with people have, and that i trust communications have passed off on different subject matters. With the extent of the have an impact on of this and the number of people concerned, they felt this was essentially the most acceptable route of action."

"certainly it's disenfranchising to the program director," spoke of Klauer. "I believe or not it's disenfranchising to residents in universal -- mainly the DO residents -- and it has a poor connotation to AOA board certification, which is a valid and recognized certifying body identical to ABIM is. people can choose one path or the other; this is great ... but there isn't any evidence to claim that a DO who is a software director licensed by the AOBIM features much less without problems as a program director or trains residents much less quite simply than a DO or MD licensed through ABIM ... so why make the big difference?"

The ABIM declined to be interviewed for this story, however Furman McDonald, the board's senior vp for academic and medical affairs, mentioned in a press release sent to MedPage these days on Jan. 8 that "ABIM stands at the back of all of its requirements and necessities for board certification. they now have just got the complaint and have no extra comment at present."

closing up to date January 12, 2021

  • Joyce Frieden oversees MedPage nowadays’s Washington coverage, together with reviews about Congress, the White house, the Supreme courtroom, healthcare change associations, and federal companies. She has 35 years of experience covering health coverage. follow

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