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Medical AHIMA-CCS : Certified Coding Specialist Exam

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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%)
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 Dumps

Trash Is King: 3 medical Waste shares price a look | AHIMA-CCS PDF download and Test Prep

medical waste was already a booming company before COVID-19, but the surge in coronavirus instances may additionally accelerate the circumstance. an awful lot of the very own insurance plan gadget (PPE) that healthcare laborers use has to be thrown away as clinical waste.

A Stratistics MRC report says that clinical waste is expected to develop into an $18.9 billion market by means of 2024. U.S. hospitals by myself produce greater than 5 million lots of medical waste a yr, in response to practice Greenhealth.

Stericycle (NASDAQ:SRCL), Waste management (NYSE:WM), and Suez SA (OTC:SZEV.Y) are three of the greater avid gamers that should still benefit from that boom. whereas the typical company of scientific waste may well be down somewhat during the last four months as a result of many optionally available clinical methods have been postponed by means of the coronavirus-linked shutdown, it's about to make a huge start once again. As more americans start going back to their common docs and dentists, sterilization strategies are being extended and that possible potential there will be greater scientific waste to dispose of.

Exterior of a hospital with a large sign.

picture source: Getty photographs.

it's a sophisticated business. unlike usual waste, an awful lot clinical waste should be decontaminated the use of both an autoclave, which makes use of excessive-temperature pressurized steam, or through incineration. Federal and state laws involving medical waste suggest that groups that dispose of it must song that disposal as well.

Waste management is the right of the heap

Waste management, primarily based in Houston, is the largest waste administration business within the nation and is set to get bigger by using buying superior Disposal functions (NYSE:ADSW). Waste administration owns 244 solid-waste landfills and 5 hazardous waste landfills and has contracts to bring together residential and industrial trash. It additionally has an entire division committed to clinical and pharmaceutical waste.

remaining 12 months, the company had revenue of $15.four billion, a 3.6% development over 2018. Its first-quarter report suggests that its enterprise turned into hardly suffering from the coronavirus as a result of its variety insulated it from shutdowns. You may additionally have observed that your trash collectors kept coming to your curb. in the first quarter, Waste administration stated profits of $3.7 billion, up 7% over the same length 12 months to yr, and web profits of $361 million, up four% over the identical quarter in 2019.

it might still be a superb time to purchase the inventory. while it's up more than 14% over the last three months, it is down more than 7% year-to-date. The enterprise also has an honest quarterly dividend of $0.545 per share, which it raised this yr for the 17th consecutive yr. The startup expenses associated with waste management area a major barrier to knowledge rivals, giving Waste administration a moat of insurance policy -- notably from these businesses that do not have 45,000 employees and 5 consecutive years of salary increase.

Stericycle is driving a surge of sterilization

Stericycle, based in Lake wooded area, ill., isn't any. four within the U.S. waste-management house, and the majority of its business is in clinical waste. The enterprise's share cost is up more than 19% over the last yr and 15% over the past three months.

remaining yr, the business pronounced that $2 billion -- neatly greater than half of its $three.three billion revenue for the year -- got here from its regulated compliance waste capabilities, which included medical and pharmaceutical waste features and compliance courses.

whereas lots of the company's divisions have been down within the first quarter on account of the coronavirus pandemic, the regulated waste and compliance functions sector did smartly. in the first-quarter revenue name, CEO Cindy Miller mentioned the division had organic earnings boom of 3.three%.

Suez SA is greater than simply consuming water

Suez SA, based in France, is the greatest inner most agency of clear water on earth.

however, clinical waste is additionally a big part of the company's business. on the grounds that the coronavirus broke out, Suez has played a greater energetic half in the remedy of medical waste from COVID-19 in France, the Netherlands, and China. In France, the business has seven amenities geared up to treat biomedical waste.

administration stated that at one facility backyard Paris, the quantity of clinical waste it has obtained has elevated 50% during the coronavirus. in the Netherlands, Suez services procedures the clinical waste from 50 hospitals and healthcare organizations and says it has considered a nearly 50% rise in waste throughout the pandemic, frequently from PPE that has been contaminated. In China, the place the company operates a waste plant in Nangtong, Suez talked about it disposed greater than 660 pounds of medical waste a day in February and March.

The business's share price is down more than 23% year thus far but up more than 16% in the past three months. organic earnings for the first quarter was up simplest a little bit, 0.5%, since the pandemic negatively affected much of the company's enterprise. despite the fact, its environmental tech and options section, which comprises scientific waste, saw revenue upward push 2.9%, 12 months over yr.

Taking the lengthy view on all three

Even earlier than COVID-19 hit, clinical waste management was regarded a boom vogue because of ageing populations and raises in scientific tactics. All three of those businesses look like strong choices for these explanations. 

essentially the most secure bet of the three is likely Waste management. as a result of its sheer dimension, it has a economies of scale that the other two can not suit, plus it's the only one of the three corporations that presents a dividend. I also like Suez as a result of its combination of water treatment and waste medicine will provide lots of abilities business for the company, specifically in constructing international locations. Stericycle is a extra direct play in clinical waste and it items probably the most risk of the three, however additionally potentially the most useful upside over the arrival 12 months as optional surgical procedures begin to tick returned up.


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