Question 1

The intent of standard coding guidelines is to simplify claims submission for health care providers.

Accepted Answer

A) True 
 B)False  True

Question 2

Paying for surgery performed on the wrong body part is not consistent with the goals of Medicare payment reforms.

Accepted Answer

A) True 
 B)False  True

Question 3

List the code sets proposed by HIPAA.

Accepted Answer

The code sets proposed by HIPAA include
International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM).
Current Procedural Terminology (CPT).
HCPCS Level II (national codes).
Current Dental Terminology (CDT).
National Drug Codes (NDC).

Question 4

Dr. James Read developed ____________________ to record clinical summaries in general practice.

Accepted Answer

The answer of Dr. James Read developed ____________________ to record...

Question 5

Describe the activities that are coded by SNOMED.

Accepted Answer

SNOMED codifies all activities within th

Question 6

CPT is the abbreviation for current procedure terms.

Accepted Answer

A) True 
 B)False

Question 7

Which of the following is not an example of a hospital-acquired condition?

Accepted Answer

A)  Fall from hospital bed 
B)  Staph infection after surgery 
C)  Catheter-associated urinary tract infection (UTI) 
D)  Heart attack 24 hours after admission 
A)  Fall from hospital bed 
B)  Staph infection after surgery 
C)  Catheter-associated urinary tract infection (UTI) 
D)  Heart attack 24 hours after admission

Question 8

Sue has just taken a new job at the Pentagon. Part of her benefits include health insurance coverage through

Accepted Answer

A)  CHAMPVA. 
B)  FEP. 
C)  MHS. 
D)  PACE. 
A)  CHAMPVA. 
B)  FEP. 
C)  MHS. 
D)  PACE.

Question 9

In 1948, Happy Hospital was able to secure federal grant funds to update its surgical units. This funding was established by

Accepted Answer

A)  FECA. 
B)  Hill-Burton Act. 
C)  Medicare. 
D)  Taft-Hartley Act. 
A)  FECA. 
B)  Hill-Burton Act. 
C)  Medicare. 
D)  Taft-Hartley Act.

Question 10

The standard classification for mental disorders is Current Procedural Terminology (CPT).

Accepted Answer

A) True 
 B)False

Question 11

Workers' compensation is a federally mandated insurance program that reimburses health care costs and lost wages for employees injured on the job.

Accepted Answer

A) True 
 B)False

Question 12

Errors in medical care that are clearly identifiable, preventable, and serious in their consequences for patients are referred to as _____________.

Accepted Answer

The answer of Errors in medical care that are clearly...

Question 13

Hospital reimbursement based on a retrospective payment system that issues payment based on daily charges is called

Accepted Answer

A)  fee-for-service. 
B)  RPS. 
C)  per diem. 
D)  an 80/20 plan. 
A)  fee-for-service. 
B)  RPS. 
C)  per diem. 
D)  an 80/20 plan.

Question 14

Sue has just accepted a position at the National Library of Medicine to retrieve and process electronic biomedical information for health care universities. Her supervisor informs her that she will be receiving coding training for

Accepted Answer

A)  CPT. 
B)  CMIT. 
C)  DSM-III. 
D)  UMLS. 
A)  CPT. 
B)  CMIT. 
C)  DSM-III. 
D)  UMLS.

Question 15

National Drug Codes are managed by the

Accepted Answer

A)  American Medical Association. 
B)  American Pharmacy Association. 
C)  Centers for Medicare and Medicaid Services. 
D)  Food and Drug Administration. 
A)  American Medical Association. 
B)  American Pharmacy Association. 
C)  Centers for Medicare and Medicaid Services. 
D)  Food and Drug Administration.

Question 16

The Medicare Severity DRG was implemented by CMS in _____.

Accepted Answer

A)  1983 
B)  1997 
C)  2003 
D)  2007 
A)  1983 
B)  1997 
C)  2003 
D)  2007

Question 17

University medical students are reviewing research to determine the death rates of hospital patients admitted for pneumonia. Which system would be helpful in their study?

Accepted Answer

A)  APACHE 
B)  DRG 
C)  MMPS 
D)  RUG 
A)  APACHE 
B)  DRG 
C)  MMPS 
D)  RUG

Question 18

Explain why case-mix analysis should be performed by health care facilities.

Accepted Answer

Analyzing the case mix can forecast heal

Question 19

Define severity of illness, and summarize the basis of severity of illness scores.

Accepted Answer

Severity of illness is the physiologic c

Question 20

In the early 1900s, most patients paid for health care services by ____________________ or bartering.

Accepted Answer

The answer of In the early 1900s, most patients paid...

The intent of standard coding guidelines is to simplify claims submission for health care providers.

Paying for surgery performed on the wrong body part is not consistent with the goals of Medicare payment reforms.

List the code sets proposed by HIPAA.

Dr. James Read developed ____________________ to record clinical summaries in general practice.

Describe the activities that are coded by SNOMED.

CPT is the abbreviation for current procedure terms.

Which of the following is not an example of a hospital-acquired condition?

Sue has just taken a new job at the Pentagon. Part of her benefits include health insurance coverage through

In 1948, Happy Hospital was able to secure federal grant funds to update its surgical units. This funding was established by

The standard classification for mental disorders is Current Procedural Terminology (CPT).

Workers' compensation is a federally mandated insurance program that reimburses health care costs and lost wages for employees injured on the job.

Errors in medical care that are clearly identifiable, preventable, and serious in their consequences for patients are referred to as _____________.

Hospital reimbursement based on a retrospective payment system that issues payment based on daily charges is called

Sue has just accepted a position at the National Library of Medicine to retrieve and process electronic biomedical information for health care universities. Her supervisor informs her that she will be receiving coding training for

National Drug Codes are managed by the

The Medicare Severity DRG was implemented by CMS in _____.

University medical students are reviewing research to determine the death rates of hospital patients admitted for pneumonia. Which system would be helpful in their study?

Explain why case-mix analysis should be performed by health care facilities.

Define severity of illness, and summarize the basis of severity of illness scores.

In the early 1900s, most patients paid for health care services by ____________________ or bartering.

Health Care Delivery Systems

Health Information Management Professionals

Health Care Settings

The Patient Record: Hospital, Physician Office, and Alternate Care Settings

Electronic Health Records

Content of the Patient Record: Inpatient, Outpatient, and Physician Office

Numbering Filing Systems and Record Storage Circulation

Indexes, Registers, and Health Data Collection

Legal Aspects of Health Information Management

Filters

Exam 10: Introduction to Coding and Reimbursement

The intent of standard coding guidelines is to simplify claims submission for health care providers.

Paying for surgery performed on the wrong body part is not consistent with the goals of Medicare payment reforms.

List the code sets proposed by HIPAA.

Dr. James Read developed ____________________ to record clinical summaries in general practice.

Describe the activities that are coded by SNOMED.

CPT is the abbreviation for current procedure terms.

Which of the following is not an example of a hospital-acquired condition?

Sue has just taken a new job at the Pentagon. Part of her benefits include health insurance coverage through

In 1948, Happy Hospital was able to secure federal grant funds to update its surgical units. This funding was established by

The standard classification for mental disorders is Current Procedural Terminology (CPT).

Workers' compensation is a federally mandated insurance program that reimburses health care costs and lost wages for employees injured on the job.

Errors in medical care that are clearly identifiable, preventable, and serious in their consequences for patients are referred to as _____________.

Hospital reimbursement based on a retrospective payment system that issues payment based on daily charges is called

Sue has just accepted a position at the National Library of Medicine to retrieve and process electronic biomedical information for health care universities. Her supervisor informs her that she will be receiving coding training for

National Drug Codes are managed by the

The Medicare Severity DRG was implemented by CMS in _____.

University medical students are reviewing research to determine the death rates of hospital patients admitted for pneumonia. Which system would be helpful in their study?

Explain why case-mix analysis should be performed by health care facilities.

Define severity of illness, and summarize the basis of severity of illness scores.

In the early 1900s, most patients paid for health care services by ____________________ or bartering.

Health Care Delivery Systems

Health Information Management Professionals

Health Care Settings

The Patient Record: Hospital, Physician Office, and Alternate Care Settings

Electronic Health Records

Content of the Patient Record: Inpatient, Outpatient, and Physician Office

Numbering Filing Systems and Record Storage Circulation

Indexes, Registers, and Health Data Collection

Legal Aspects of Health Information Management

Filters