Question 1

Rosetta is having a screening colonoscopy because of her ulcerative colitis. In the CPT book, which term will you look up in the Alphabetic index?

Accepted Answer

A)  screening 
B)  colonoscopy 
C)  ulcerative 
D)  colitis 
A)  screening 
B)  colonoscopy 
C)  ulcerative 
D)  colitis B

Question 2

A biopsy is an example of a(n):

Accepted Answer

A)  symptom. 
B)  eponym. 
C)  procedure. 
D)  diagnosis. 
A)  symptom. 
B)  eponym. 
C)  procedure. 
D)  diagnosis. C

Question 3

The suffix -phobia means:

Accepted Answer

A)  fear 
B)  repair 
C)  crush 
D)  remove 
A)  fear 
B)  repair 
C)  crush 
D)  remove A

Question 4

Which of the following are pathways to query a provider?

Accepted Answer

A)  Electronic health record software programs. 
B)  Encrypted email system. 
C)  Charts with query notes attached to the front of the chart. 
D)  All of these. 
A)  Electronic health record software programs. 
B)  Encrypted email system. 
C)  Charts with query notes attached to the front of the chart. 
D)  All of these.

Question 5

A cause-and-effect relationship between an original condition that has been resolved with a current condition is known as a ________.

Accepted Answer

A)  Manifestation 
B)  Symptom 
C)  Sequela 
D)  Sign 
A)  Manifestation 
B)  Symptom 
C)  Sequela 
D)  Sign

Question 6

The underlying condition is known as the ________, the original source or cause for the development of a disease or condition.

Accepted Answer

A)  manifestation 
B)  etiology 
C)  sequela 
D)  idiopathic 
A)  manifestation 
B)  etiology 
C)  sequela 
D)  idiopathic

Question 7

________ is to ask; an official request to the attending physician for more specific information related to a patient's condition or treatment:

Accepted Answer

A)  Summary report 
B)  Remittance Advise 
C)  Query 
D)  Sequela 
A)  Summary report 
B)  Remittance Advise 
C)  Query 
D)  Sequela

Question 8

In diagnostic coding NOS stands for:

Accepted Answer

A)  network operating systems 
B)  nitrous oxide system 
C)  not otherwise specified 
D)  national occupational standards 
A)  network operating systems 
B)  nitrous oxide system 
C)  not otherwise specified 
D)  national occupational standards

Question 9

A separate diagnosis existing in the same patient at the same time as an unrelated diagnosis is known as a:

Accepted Answer

A)  co-morbidity. 
B)  complication. 
C)  manifestation. 
D)  sequela. 
A)  co-morbidity. 
B)  complication. 
C)  manifestation. 
D)  sequela.

Question 10

For coding purposes, why are diagnosis codes important?

Accepted Answer

A)  They explain what the physician did for the patient. 
B)  They establish the case for medical necessity. 
C)  They indicate where the patient was treated. 
D)  They describe which insurance policy the patient has. 
A)  They explain what the physician did for the patient. 
B)  They establish the case for medical necessity. 
C)  They indicate where the patient was treated. 
D)  They describe which insurance policy the patient has.

Question 11

When querying a provider, what is the best approach in asking the questions?

Accepted Answer

A)  Open-ended 
B)  Multiple choice 
C)  Direct the provider to a specific code 
D)  Either open-ended or multiple choice 
A)  Open-ended 
B)  Multiple choice 
C)  Direct the provider to a specific code 
D)  Either open-ended or multiple choice

Question 12

The suffix -ectomy means:

Accepted Answer

A)  to dissolve 
B)  to repair 
C)  to crush 
D)  to remove 
A)  to dissolve 
B)  to repair 
C)  to crush 
D)  to remove

Question 13

________ is to explain the meaning of; convert a meaning from one language to another.

Accepted Answer

A)  Abstracting 
B)  Assume 
C)  Interpret 
D)  Demographic 
A)  Abstracting 
B)  Assume 
C)  Interpret 
D)  Demographic

Question 14

Which ICD-10-CM official guideline is concerned with signs and symptoms?

Accepted Answer

A)  Section I.B.4 
B)  Section I.B.5 
C)  Section I.B.6 
D)  Section I.B.7 
A)  Section I.B.4 
B)  Section I.B.5 
C)  Section I.B.6 
D)  Section I.B.7

Question 15

The ________ will have a coder to report for any administration of anesthesia.

Accepted Answer

A)  anesthesiologist 
B)  radiologist 
C)  cardiologist 
D)  pathologist 
A)  anesthesiologist 
B)  radiologist 
C)  cardiologist 
D)  pathologist

Question 16

Which code represents an ICD-10-PCS code?

Accepted Answer

A)  N13.5 
B)  77333 
C)  07PK4CZ 
D)  E0118 
A)  N13.5 
B)  77333 
C)  07PK4CZ 
D)  E0118

Question 17

At the time a patient is released from a facility, such as a hospital, this document provides the conclusions and results of the patient's stay in the facility in addition to follow-up advice.

Accepted Answer

A)  History and Physical 
B)  Discharge Summary 
C)  Referral Authorization Form 
D)  Patient's Registration Form 
A)  History and Physical 
B)  Discharge Summary 
C)  Referral Authorization Form 
D)  Patient's Registration Form

Question 18

A patient's subjective description of feeling is known as a:

Accepted Answer

A)  manifestation. 
B)  symptom. 
C)  sequela. 
D)  sign. 
A)  manifestation. 
B)  symptom. 
C)  sequela. 
D)  sign.

Question 19

Explains who is provided with care:

Accepted Answer

A)  Patient 
B)  Physician 
C)  Facility 
D)  Diagnosis 
A)  Patient 
B)  Physician 
C)  Facility 
D)  Diagnosis

Question 20

The written plan of care should include which of the following?

Accepted Answer

A)  the date 
B)  the reason for the encounter 
C)  appropriate history and physical exam in relationship to the chief complaint 
D)  treatments and medications, specifying frequency and dosage 
A)  the date 
B)  the reason for the encounter 
C)  appropriate history and physical exam in relationship to the chief complaint 
D)  treatments and medications, specifying frequency and dosage

Exam 2: Abstracting Clinical Documentation

Rosetta is having a screening colonoscopy because of her ulcerative colitis. In the CPT book, which term will you look up in the Alphabetic index?

A biopsy is an example of a(n):

The suffix -phobia means:

Which of the following are pathways to query a provider?

A cause-and-effect relationship between an original condition that has been resolved with a current condition is known as a ________.

The underlying condition is known as the ________, the original source or cause for the development of a disease or condition.

________ is to ask; an official request to the attending physician for more specific information related to a patient's condition or treatment:

In diagnostic coding NOS stands for:

A separate diagnosis existing in the same patient at the same time as an unrelated diagnosis is known as a:

For coding purposes, why are diagnosis codes important?

When querying a provider, what is the best approach in asking the questions?

The suffix -ectomy means:

________ is to explain the meaning of; convert a meaning from one language to another.

Which ICD-10-CM official guideline is concerned with signs and symptoms?

The ________ will have a coder to report for any administration of anesthesia.

Which code represents an ICD-10-PCS code?

At the time a patient is released from a facility, such as a hospital, this document provides the conclusions and results of the patient's stay in the facility in addition to follow-up advice.

A patient's subjective description of feeling is known as a:

Explains who is provided with care:

The written plan of care should include which of the following?

Introduction to the Languages of Coding

The Coding Process

Introduction to Icd-10-Cm

Coding Infectious Diseases

Coding Neoplasms

Coding Conditions of the Blood and Immunological Systems

Coding Endocrine Conditions

Coding Mental, Behavioral, and Neurological Disorders

Coding Dysfunction of the Optical and Auditory Systems

Coding Cardiovascular Conditions

Coding Respiratory Conditions

Coding Digestive System Conditions

Coding Integumentary Conditions

Coding Muscular and Skeletal Conditions

Coding Injury, Poisoning, and External Causes

Coding Genitourinary, Gynecology, Obstetrics, Congenital, and Pediatrics Conditions

Factors Influencing Health Status Z Codes

Inpatient Hospital Diagnosis Coding

Introduction to CPT

CPT and Hcpcs Level Ii Modifiers

CPT Evaluation and Management Coding

CPT Anesthesia Section

CPT Surgery Section

CPT Radiology Section

CPT Pathology Lab Section

CPT Medicine Section

Hcpcs Level II

Introduction to Icd-10-Pcs

ICD-10-Pcs Medical and Surgical Section

Obstetrics Section

Placement Through Chiropractic Sections

Imaging, Nuclear Medicine, and Radiation Therapy Sections

Physical Rehabilitation and Diagnostic Audiology Through New Technology Section

Reimbursement

Introduction to Health Care Law and Ethics

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