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AHIMA CCS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Coding Knowledge and Skills39%-41%- Code Assignment
  • 1. Apply coding conventions and guidelines
    • 2. Attach CPT/HCPCS modifiers to outpatient procedures
      • 3. Apply Present on Admission (POA) guidelines
        • 4. Determine appropriate code sequencing
          • 5. Assign diagnosis and procedure codes from health record documentation
            • 6. Determine principal or first-listed diagnosis/procedure
              - Knowledge Application
              • 1. Abstract information from health records
                • 2. Identify MCC and CC conditions
                  • 3. Demonstrate knowledge of reimbursement classifications
                    • 4. Demonstrate knowledge of coding edits
                      Topic 2: Provider Queries9%-11%- Query Development
                      • 1. Analyze documentation to identify query opportunities
                        • 2. Identify elements of ethical compliant queries
                          • 3. Determine query compliance
                            Topic 3: Information Technologies9%-11%- Health IT Systems
                            • 1. Apply coding software and interfaces
                              • 2. Understand data security and privacy in IT systems
                                • 3. Use electronic health record systems
                                  Topic 4: Regulatory Compliance18%-22%- Compliance Practices
                                  • 1. Apply payer-specific guidelines
                                    • 2. Ensure health record completeness and accuracy
                                      • 3. Identify PSIs and HACs from documentation
                                        • 4. Ensure HIPAA compliance
                                          Topic 5: Coding Documentation18%-22%- Documentation Quality
                                          • 1. Resolve conflicting documentation
                                            • 2. Verify required documentation availability
                                              • 3. Validate documentation accuracy

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