AHIMA CCS-P Certification Sample Questions

The AHIMA Certified Coding Specialist - Physician-based Certification Sample Question Set on this page is designed to familiarize you with the actual AHIMA CCS-P exam format and question types. These sample questions help you understand how questions are structured and what to expect on test day. While they provide a useful starting point, they represent only a limited preview of the real exam experience.

These sample questions are intended for evaluation and familiarization only. To understand exam style, pacing, and reasoning patterns more clearly, we recommend trying our online sample practice environment. If you are preparing for the AHIMA Certified Coding Specialist - Physician-based (CCS-P) and want to assess your readiness more rigorously, structured, timed, scenario-based practice is recommended. This approach aligns with the cognitive demands and professional expectations typically associated with Medical coders, health information professionals, coding auditors and related roles working in settings such as Physician offices, outpatient clinics, healthcare billing services and related settings.

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The demo introduces core concepts, while full-length premium simulations provide deeper, scenario-based coverage that more closely reflects the actual cognitive demands of the AHIMA Certified Coding Specialist - Physician-based exam, particularly in areas such as Medical coding accuracy, documentation review, regulatory compliance. You can use these sample questions as a starting point, then progress to the AHIMA CCS-P Certification Practice Exam for stronger readiness. Our premium simulations are designed to mirror real exam conditions, helping you refine reasoning, pacing, and decision-making before your official exam attempt.

AHIMA CCS-P Sample Questions:

01. A 14-year-old patient is seen for an annual sports physical. During the exam, the physician discovers the patient has asymptomatic scoliosis. What is the correct sequencing?
a) Z00.00, M41.9
b) Z02.5, M41.9
c) M41.9, Z02.5
d) M41.9, Z00.121

02. A patient is seen for "Allergic rhinitis due to pollen". The patient also has "Asthma". What is the correct code assignment?
a) J45.909, J30.1
b) J30.2
c) J30.9
d) J30.1, J45.909

03. A patient with Type 2 diabetes is seen for a follow-up of "diabetic mild nonproliferative retinopathy with macular edema". What is the correct ICD-10-CM code assignment?
a) E10.3211
b) E11.9, H35.81
c) E11.3219
d) E11.311

04. A practice identifies a Credit Balance on a patient's account due to an overpayment by Medicare. What is the legally required action?
a) Refund the overpayment to Medicare within 60 days of identification.
b) Apply the credit to the patient's next visit.
c) Keep the money as a "bonus" for efficient coding.
d) Transfer the balance to the physician's personal account.

05. An established patient is seen for a 25-minute office visit. The physician spends 20 of those minutes in counseling and coordinating care regarding a new diagnosis of Stage 4 CKThe physician chooses to level by time. What is the correct E/M code?
a) 99214
b) 99212
c) 99215
d) 99213

06. The OIG Work Plan is updated monthly. If a coder sees an entry regarding "Audit of Orthopedic Surgeons' use of Modifier -25," what should the clinic's compliance officer do?
a) Stop using Modifier -25 immediately.
b) Report the orthopedic surgeons to the OIG proactively.
c) Ignore the notice as it only applies to hospital-based physicians.
d) Conduct an internal "shadow audit" on a sample of claims using Modifier -25 in the orthopedic department.

07. Which metric is most commonly used to research the "return on investment" (ROI) of a CAC implementation in a multi-specialty clinic?
a) The number of physicians in the group.
b) Coding "Days in Accounts Receivable" (A/R) and Coder Accuracy Rate.
c) The cost of CPT codebooks.
d) Total number of patients seen per day.

08. Under the False Claims Act, what is the legal term for a "whistleblower" who reports a provider for knowingly submitting fraudulent claims to the government?
a) Relator
b) Adjudicator
c) Beneficiary
d) Defendant

09. A surgeon sees a patient in the ED and decides the patient needs immediate major surgery (90-day global). The surgery is performed the same evening. What modifier is appended to the ED E/M code?
a) -58
b) -57
c) -51
d) -25

10. A medical scribe assists a physician by documenting the encounter in the EHR. To be compliant, what must the physician do at the end of the note?
a) Nothing; the scribe's signature is sufficient.
b) Co-sign the note at the end of the week.
c) Review, sign, and date the note, including a statement that they were present and personally performed the services.
d) Sign the note but do not edit the scribe's work.

Answers:

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Note: These sample questions are not official exam questions and are intended only for familiarization and study purposes. If you find any typos or data entry errors in these AHIMA Certified Coding Specialist - Physician-based (CCS-P) sample questions, please let us know by emailing us at feedback@medicoexam.com