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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 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%)


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 cheat sheet


How John Ritter Died: searching lower back at the ‘Three’s enterprise’ Actor’s dying | Resources

John Ritter become perhaps most recognized for his function within the ABC sitcom, Three’s enterprise. but his career spanned pretty much forty years of versatile, heart-filled roles. The liked actor’s sudden demise in Sept. 2003 left fans bowled over and at a loss for words. right here’s what took place to the award-winning actor and the legacy he left at the back of.

John Ritter | Bob D’Amico /American Broadcasting Companies via Getty Images © supplied by means of Showbiz CheatSheet John Ritter | Bob D’Amico /American Broadcasting agencies by way of Getty pictures Remembering John Ritter’s profession 

Ritter became born in Burbank, CA on Sept. 17, 1948 to singing cowboy superstar father Tex Ritter and actress mother Dorothy Fay. From a young age, it turned into clear that John can be following in his parents’ footsteps.

he's most diagnosed for his function as Jack Tripper in Three’s business, for which he got a Primetime Emmy Award and a Golden Globe. however he had a lengthy and assorted profession that protected roles in such initiatives as Sling Blade, problem child, bad Santa, and eight elementary suggestions. Ritter was time-honored for his superb comedic timing and versatile acting prowess. 

How John Ritter died

Ritter changed into on the set of 8 simple suggestions on Sept. eleven, 2003 when he all started to adventure nausea and chest pains. The demonstrate’s creation team sought him instant scientific attention, but his circumstance at once grew worse.

He ended up at the windfall Saint Joseph medical center in Burbank, CA, where he sooner or later died. The actor’s reason for death was an aortic dissection, a circumstance involving a tear within the wall of the aorta. A tear can lead to lifestyles-threatening internal bleeding, amongst different problems. 

When Ritter first arrived at Saint Joseph’s, the actor become handled for a heart assault. docs only realized the authentic cause after it became too late. for that reason, Ritter’s wife and 4 toddlers accused the hospital of negligence in a lawsuit they filed in la superior court docket on Sept. 3, 2004, as the LA instances studies.  

The influence on the enjoyment industry

Ritter’s demise despatched shockwaves through the amusement trade. His unexpected dying on the age of 54 changed into a profound loss to folks that cherished him. he is survived by way of his wife, Amy Yasbeck, and four babies: Jason, Tyler, Noah, and Carly.  

in the aftermath of his loss of life, tributes poured in from colleagues, chums, and enthusiasts worldwide. 

Ritter’s 8 basic rules co-famous person Kaley Cuoco has posted about his death and memory a number of times on social media over the years. in the superstar: John Ritter documentary following his demise, she said: “I in fact love him so tons, to this present day.”

On the anniversary of Ritter’s dying in 2020, Martin Spanjers (an extra eight standard rules co-big name) posted a lengthy tribute to his late on-display father. He also covered suggestions about Aortic Dissection recognition Week. 

“17 years in the past all of us misplaced John,” he wrote on Instagram. “each yr i can’t trust it’s been one other one. a lot of people will question me, ‘What became John Ritter like?’ – i will be able to reply with whatever like: He was the most effective. essentially the most kind, genuine, loving and sure – hilarious person. whether you have been a random fan approaching him or the pinnacle of ABC, he would reveal you the identical appreciate and gratitude along with his time… searching you in the eye, pleased and last particularly current. He was a mensch.”

examine the original article from Showbiz Cheat Sheet

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