Question 1

When records are reviewed by third-party payers,if a procedure is not documented,it:

Accepted Answer

A)  will be reimbursed at only 50 percent of the standard rate 
B)  will be reimbursed at only 10 percent of the standard rate 
C)  is considered to never have been performed 
D)  must be resubmitted with a statement of explanation from the provider 
A)  will be reimbursed at only 50 percent of the standard rate 
B)  will be reimbursed at only 10 percent of the standard rate 
C)  is considered to never have been performed 
D)  must be resubmitted with a statement of explanation from the provider

Question 2

All of these statements are true about ICD-10-CM,except:

Accepted Answer

A)  ICD-10-CM will help reduce coding errors. 
B)  ICD-10-CM provides greater coding accuracy and specificity. 
C)  When implemented,the United States will be the only nation using the ICD-10-CM coding system. 
D)  ICD-10-CM will result in improved efficiency of care and lower costs. 
A)  ICD-10-CM will help reduce coding errors. 
B)  ICD-10-CM provides greater coding accuracy and specificity. 
C)  When implemented,the United States will be the only nation using the ICD-10-CM coding system. 
D)  ICD-10-CM will result in improved efficiency of care and lower costs.

Question 3

In which volume of the ICD-9-CM will you find the Classification of Drugs by the American Hospital Formulary?

Accepted Answer

A)  Volume I 
B)  Volume II 
C)  Volume III 
D)  Volume IV 
A)  Volume I 
B)  Volume II 
C)  Volume III 
D)  Volume IV

Question 4

​The main rule to remember of the ICD coding rules,which says that the reason for the patient visit (encounter)is coded first is known as the:

Accepted Answer

A)  ​indexing rule 
B)  ​reason rule 
C)  ​supporting rule 
D)  ​classification rule 
A)  ​indexing rule 
B)  ​reason rule 
C)  ​supporting rule 
D)  ​classification rule

Question 5

Tools known as crosswalks or ____ will be used to help convert an ICD-9-CM/PCS code to an ICD-10-CM/PCS code.

Accepted Answer

A)  general equivalence mappings 
B)  electronic codes 
C)  sidebars 
D)  conduits 
A)  general equivalence mappings 
B)  electronic codes 
C)  sidebars 
D)  conduits

Question 6

​The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once.
-​Section 2-Table of Drugs and Chemicals

Accepted Answer

A) ​Volume I 
B) ​Volume II 
C) ​Volume III 
A) ​Volume I 
B) ​Volume II 
C) ​Volume III

Question 7

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. )
-Each character can be alphanumeric

Accepted Answer

A) ICD-9-PCS 
B) ICD-10-PCS 
A) ICD-9-PCS 
B) ICD-10-PCS

Question 8

Which section of Volume II of the ICD-9-CM manual includes the Index to External Causes of Injuries and Poisonings?

Accepted Answer

A)  section 1 
B)  section 2 
C)  section 3 
D)  section 4 
A)  section 1 
B)  section 2 
C)  section 3 
D)  section 4

Question 9

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. )
-Degree of medical decision making involved

Accepted Answer

A) key component 
B) contributory factor 
A) key component 
B) contributory factor

Question 10

​Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once.
-​Code correctly and completely any diagnosis or procedure that affects the care,influences the health status,or is a reason for treatment on that visit

Accepted Answer

A) ​CPT 
B) ​ICD 
A) ​CPT 
B) ​ICD

Question 11

The National codes are approved and maintained jointly by all but which of the following organizations?

Accepted Answer

A)  Centers for Medicare and Medicaid Services (CMS) 
B)  Health Insurance Association of America 
C)  Blue Cross Blue Shield Association 
D)  National Hospital Association 
A)  Centers for Medicare and Medicaid Services (CMS) 
B)  Health Insurance Association of America 
C)  Blue Cross Blue Shield Association 
D)  National Hospital Association

Question 12

​The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once.
-​Contains appendices of M-codes-Morphology of Neoplasms

Accepted Answer

A) ​Volume I 
B) ​Volume II 
C) ​Volume III 
A) ​Volume I 
B) ​Volume II 
C) ​Volume III

Question 13

The International Classification of Diseases,9th Revision,Clinical Modification (ICD-9-CM)will remain in use in the United States until October 1 of what year?

Accepted Answer

A)  2015 
B)  2016 
C)  2017 
D)  2018 
A)  2015 
B)  2016 
C)  2017 
D)  2018

Question 14

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. )
-Alpha characters are not case-sensitive

Accepted Answer

A) ICD-9-PCS 
B) ICD-10-PCS 
A) ICD-9-PCS 
B) ICD-10-PCS

Question 15

​The AMA defines medical necessity as services or procedures that a prudent physician would provide to a patient in order to prevent,diagnose,or treat an illness,injury,or disease or the associated symptoms in a manner that is:

Accepted Answer

A)  ​in accordance with the generally accepted standard of medical practice 
B)  ​clinically appropriate in terms of frequency,type,extent,site,and duration 
C)  ​not for the intended economic benefit of the health plan or purchaser or the convenience of the patient,physician,or other health care provider 
D)  ​all of the above 
A)  ​in accordance with the generally accepted standard of medical practice 
B)  ​clinically appropriate in terms of frequency,type,extent,site,and duration 
C)  ​not for the intended economic benefit of the health plan or purchaser or the convenience of the patient,physician,or other health care provider 
D)  ​all of the above

Question 16

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. )
-Counseling

Accepted Answer

A) key component 
B) contributory factor 
A) key component 
B) contributory factor

Question 17

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. )
-First character is alpha

Accepted Answer

A) ICD-9-CM 
B) ICD-10-CM 
C) both ICD-9-CM and ICD-10-CM 
A) ICD-9-CM 
B) ICD-10-CM 
C) both ICD-9-CM and ICD-10-CM

Question 18

​The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once.
-​Section 1-Alphabetic Index to Diseases and Injuries

Accepted Answer

A) ​Volume I 
B) ​Volume II 
C) ​Volume III 
A) ​Volume I 
B) ​Volume II 
C) ​Volume III

Question 19

​The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once.
-​Contains appendices of List of Three-Digit Categories

Accepted Answer

A) ​Volume I 
B) ​Volume II 
C) ​Volume III 
A) ​Volume I 
B) ​Volume II 
C) ​Volume III

Question 20

When coding,the primary reason for the office visit is listed first,and other reasons are listed in what order?

Accepted Answer

A)  chronological order 
B)  numerical order 
C)  alphabetical order 
D)  order of importance 
A)  chronological order 
B)  numerical order 
C)  alphabetical order 
D)  order of importance

Exam 29: Procedural and Diagnostic Coding

When records are reviewed by third-party payers,if a procedure is not documented,it:

All of these statements are true about ICD-10-CM,except:

In which volume of the ICD-9-CM will you find the Classification of Drugs by the American Hospital Formulary?

​The main rule to remember of the ICD coding rules,which says that the reason for the patient visit (encounter)is coded first is known as the:

Tools known as crosswalks or ____ will be used to help convert an ICD-9-CM/PCS code to an ICD-10-CM/PCS code.

​The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once. -​Section 2-Table of Drugs and Chemicals

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -Each character can be alphanumeric

Which section of Volume II of the ICD-9-CM manual includes the Index to External Causes of Injuries and Poisonings?

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -Degree of medical decision making involved

​Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once. -​Code correctly and completely any diagnosis or procedure that affects the care,influences the health status,or is a reason for treatment on that visit

The National codes are approved and maintained jointly by all but which of the following organizations?

​The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once. -​Contains appendices of M-codes-Morphology of Neoplasms

The International Classification of Diseases,9th Revision,Clinical Modification (ICD-9-CM)will remain in use in the United States until October 1 of what year?

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -Alpha characters are not case-sensitive

​The AMA defines medical necessity as services or procedures that a prudent physician would provide to a patient in order to prevent,diagnose,or treat an illness,injury,or disease or the associated symptoms in a manner that is:

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -Counseling

Identify whether each of the following is a format characteristic of the ICD-9-PCS or the ICD-10-PCS.(Answers may be used more than once. ) -First character is alpha

​The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once. -​Section 1-Alphabetic Index to Diseases and Injuries

​The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once. -​Contains appendices of List of Three-Digit Categories

When coding,the primary reason for the office visit is listed first,and other reasons are listed in what order?

The Medical Assistant

The Health Care Team and the Medical Environment,past and Present

Legal Issues

Ethical Issues

Verbal and Nonverbal Communications

Applying Communication Skills

Introduction to Medical Terminology

Understanding and Building Medical Terms of Body Systems

Anatomic Descriptors and Fundamental Body Structure

The Nervous System

The Senses

The Integumentary System

The Skeletal System

The Muscular System

The Respiratory System

The Circulatory System

The Immune System

The Digestive System

The Urinary System

The Endocrine System

The Reproductive System

Telephone Communications

Written Communications

The Office Environment, computers, and Equipment

Scheduling Appointments and Receiving Patients

The Medical Record,documentation,and Filing

Health Insurance

A Icd-10 Update: Procedural and Diagnostic Coding

Patient Accounts

Preparing Insurance Claims and Posting Insurance Payments

Patient Billing,posting Patient Payments,and Collecting Fees

Banking Procedures

Accounts Payable and Accounting Procedures

Infection Control and Medical Asepsis

The Medical History and Patient Screening

Body Measurements and Vital Signs

Preparing for Examinations

The Physical Exam

Specialty Exams and Other Procedures

Obgyn Examinations

Pediatric Examinations

The Physicians Office Laboratory

Specimen Collection and Processing

Blood Specimen Collection

Diagnostic Testing

Cardiology Procedures

Radiology Procedures

Preparing for Surgery

Assisting With Minor Surgery

Pharmacology Fundamentals

Measurement Systems,basic Mathematics,and Dosage Calculations

Administering Oral and Non-Injectable Medications

Administering Injections and Immunizations

Emergencies in the Medical Office and the Community

First Aid for Accidents and Injuries

Rehabilitation

Nutrition,exercise,and Healthy Living

Practicum and the Job Search

Managing the Office

The main rule to remember of the ICD coding rules,which says that the reason for the patient visit (encounter)is coded first is known as the:

The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once. -Section 2-Table of Drugs and Chemicals

Match the "general rules" for assigning CPT or ICD codes.Note: Answers may be used more than once. -Code correctly and completely any diagnosis or procedure that affects the care,influences the health status,or is a reason for treatment on that visit

The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once. -Contains appendices of M-codes-Morphology of Neoplasms

The AMA defines medical necessity as services or procedures that a prudent physician would provide to a patient in order to prevent,diagnose,or treat an illness,injury,or disease or the associated symptoms in a manner that is:

The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once. -Section 1-Alphabetic Index to Diseases and Injuries

The ICD-9-CM manual is organized into three volumes.Match the Volume with the description provided.Note: Answers may be used more than once. -Contains appendices of List of Three-Digit Categories