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Medical AHIMA-CCS : Certified Coding Specialist (ICD-10-CM) Exam

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Exam Number : AHIMA-CCS
Exam Name : Certified Coding Specialist (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%)
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 (ICD-10-CM) test Questions

Can a blood look at various diagnose melanoma? | AHIMA-CCS test Questions and test dumps

The theory of a single blood test for cancer is progressive, and such a examine may doubtlessly cause past prognosis. although, the fact is that there is no respectable blood check for cancer yet.

cancer is without doubt one of the leading motives of loss of life. The American cancer Society estimates that melanoma could be answerable for more than 600,000 deaths within the united states in 2021. The most useful consequences usually turn up when docs locate and treat cancer early.

general self-exams and screenings are a necessary part of early melanoma detection. any one who notices any abnormalities, such as lumps or epidermis dimpling, should consult a physician as quickly as possible. instead of performing a single check, the doctor will use quite a few diagnostic tips on how to look for cancer, such as:

in this article, they verify the activities blood exams that medical doctors use to observe melanoma. They also examine no matter if individuals can test for melanoma at domestic and indicate some questions that individuals can ask doctors if they have issues about cancer.

docs can use blood tests to aid detect cancer, but no single examine can accurately diagnose it.

pursuits blood exams are essential to assess a baseline for every adult. docs can evaluate subsequent blood checks against this baseline and verify no matter if any effects are irregular.

traditionally, doctors have obligatory to use varied blood tests to diagnose melanoma and other situations that produce similar symptoms. despite the fact, scientists are discovering the effectiveness of a single blood look at various.

medical trials are validating checks that might discover varied kinds of melanoma from a single blood draw, including the CancerSEEK assay, Galleri test, and PanSeer assay.

medical doctors perform an entire blood count (CBC) to verify blood. A CBC measures the variety of purple blood cells, white blood cells, and platelets in a blood sample.

CBC effects that are above or beneath typical stages can also signify a fitness difficulty. medical doctors additionally seek any biomarkers that could indicate melanoma recreation.

ultimately, medical doctors assess the numerous chemical substances within the blood, corresponding to:

Checking these chemical compounds can aid them evaluate the functioning of certain organs, including the:

  • liver
  • kidneys
  • lungs
  • heart
  • a higher level of some blood proteins might also signify disorder severity through indicating the faster increase price and bigger size of a tumor.

    Blood check effects aren't conclusive, as they can occasionally deliver a false reading. for that reason, doctors order extra checks, such as imaging and biopsies, to back up blood verify effects.

    in addition to blood assessments, doctors may use different exams to diagnose melanoma, including:

  • imaging
  • tumor biopsies
  • laboratory tests
  • surgical procedure
  • endoscopic examination
  • physical examinations
  • medical doctors use imaging to realize tumors and other abnormalities, evaluate the extent of the disease, and assess even if somebody’s remedy is advantageous.

    Imaging technologies encompass:

    Tumor biopsies contain casting off tissue or cells from the body to analyze under a microscope. docs take a biopsy to check no matter if a tumor is benign or malignant.

    average biopsies include a bone marrow biopsy, endoscopic biopsy, and epidermis biopsy.

    the most usual lab checks use chemical processes to determine the levels of chemical add-ons in tissues and bodily fluids, comparable to blood and urine samples. medical doctors may additionally determine:

  • electrolytes
  • blood glucose
  • enzymes
  • fat
  • hormones
  • proteins
  • It isn't viable to operate a blood check for cancer at home. Extracting and inspecting blood requires health facility and lab amenities. besides the fact that children, the centers for sickness manage and Prevention (CDC) advocate a couple of at-domestic alternatives that individuals can use for cancer screening.

    One of those assessments is a screening for colon melanoma. A general practitioner offers a verify package to make use of at home for stool collection. The person then sends the demo to a lab for evaluation. The lab contacts the individual if the consequences are abnormal and they need to discuss with a physician for additional checking out.

    There isn't any specific check that diagnoses melanoma at home with finished certainty. despite the fact, individuals can use self-checks to assist spot any adjustments or abnormalities as early as feasible.

    any one who notices the rest ordinary all through a self-check should still speak with a physician as soon as possible.

    Breast self-examination

    Performing standard breast self-tests can help in diagnosing breast cancer early. americans should complete the following steps for a breast self-exam:

  • appear on the breasts within the mirror whereas putting the fingers on the hips and protecting the shoulders straight.
  • investigate that the breasts are their standard shape, dimension, and colour and that there aren't any signals of puckering, dimpling, or bulging of the skin. be sure that neither nipple has modified place or become inverted and that there isn't any soreness, skin discoloration, swelling, or rash.
  • elevate the arms and seem for the same alterations.
  • seek any fluid coming out of the nipples.
  • Lie down and consider the entire breast from right to backside and aspect to aspect using a round movement. determine the whole breast, from the collarbone to the accurate of the stomach and from the armpit to the physique’s core.
  • function the equal checks as within the step above however standing up.
  • Testicular self-examination

    A self-examination of the testes can aid detect testicular cancer early, so individuals should still comprehensive a self-examination monthly as a way to evaluate the findings over time. There are four steps to a testicular self-exam:

  • Roll each and every testicle in a single hand gently and examine it.
  • find the epididymis, the smooth tube-like constitution in the back of the testicle. fitting popular with its location can support prevent accidentally mistaking it as an abnormal mass.
  • look for any lumps or irregularities.
  • search for alterations fit, dimension, or texture.
  • epidermis self-exam

    skin melanoma is a further form of melanoma that people can support diagnose early by using finishing self-checks.

    When performing a epidermis self-investigate, someone need to analyze every part of the epidermis, even the bottom of the feet and armpits. americans can use a mirror to assess difficult-to-see areas.

    during a skin self-exam, americans should still seem to be out for:

  • a sore that isn't curative after a few weeks
  • a new, changing, or expanding spot, growth, or bump
  • a scaly or rough discolored patch
  • a wart-like increase
  • a mole that is new or changing fit, size, or colour
  • a mole with irregular borders, an strange shape, or a mix of shades
  • If a person finds irregularities when performing a self-examination, they may still convey it to a doctor’s attention.

    beneath are some questions that americans may locate effective to ask a physician:

  • is this bump, lump, or mole irregular?
  • Do i would like any further exams to verify even if it's cancerous?
  • What exams do i would like?
  • what's the subsequent step?
  • If a blood examine comes back showing markers for cancer, questions that someone can ask encompass:

  • Is there an opportunity that it become a false tremendous?
  • What tests may still I actually have next?
  • Do i would like only one check or varied tests?
  • At what element will i do know for bound even if it's cancerous?
  • Will I deserve to computer screen this if it ends up being a false nice?
  • despite the fact there is not any single look at various that can discover cancer within the body, docs do use a couple of blood checks to diagnose cancer. They use these alongside other strategies, which encompass imaging, chemical evaluation, and biopsies.

    Researchers are engaged on developing new checks that may also supply novel how you can observe cancer in blood samples.

    people cannot self-diagnose melanoma at home, but they could operate standard self-exams to help observe complications as early as viable.

    Breast, testicular, and dermis self-exams are easy to comprehensive, and they enable people to recognize abnormalities. people can notify medical doctors of anything else extraordinary, comparable to moles, bumps, or lumps, with a view to provide extra checking out.

    americans should finished self-checks continuously to set up a baseline for evaluation.

    For the latest in melanoma research and analysis, visit the scientific information today cancer hub.

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