Exam 12: Diagnostic Coding
Exam 1: The Origins of Health Insurance45 Questions
Exam 2: Tools of the Trade: A Career as a Health (Medical)Insurance Professional40 Questions
Exam 3: The Legal and Ethical Side of Medical Insurance67 Questions
Exam 4: Types and Sources of Health Insurance48 Questions
Exam 5: Claim Submission Methods70 Questions
Exam 6: Traditional Fee For Service/Private Plans74 Questions
Exam 7: Unraveling the Mysteries of Managed Care50 Questions
Exam 8: Understanding Medicaid87 Questions
Exam 9: Conquering Medicare’s Challenges105 Questions
Exam 10: Military Carriers80 Questions
Exam 11: Miscellaneous Carriers: Workers’ Compensation and Disability Insurance55 Questions
Exam 12: Diagnostic Coding132 Questions
Exam 13: Procedural, Evaluation and Management, and HCPCS Coding122 Questions
Exam 14: The Patient74 Questions
Exam 15: Keys to Successful Claims Management60 Questions
Exam 16: The Role of Computers in Health Insurance65 Questions
Exam 17: Reimbursement Procedures: Getting Paid72 Questions
Exam 18: Hospital Billing and the UB-0489 Questions
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In ICD-9,Supplementary Classification of Factors Influencing Health Status and Contact with Health Services are
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(Multiple Choice)
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Correct Answer:
B
A code set is any set of codes used for encoding data elements,such as tables of terms,medical diagnosis codes,or medical procedure codes.
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(True/False)
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Correct Answer:
True
Which of the following is not a reason for the proposed conversion from the ICD-9 to the ICD-10 coding system?
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(Multiple Choice)
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Correct Answer:
B
Explain the difference between an essential and a nonessential modifier.
(Essay)
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In ICD-10,care should be taken in the use of the letters __ and ___ so as not to confuse them with the numerals that look similar.
(Multiple Choice)
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List the four ways main terms appear in the Index to Diseases and Injuries in either coding system.
(Essay)
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When the same condition is described as both acute (subacute)and chronic,and separate subentries exist in the alphabetic Index at the same indentation level
(Multiple Choice)
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The full code,including laterality and any applicable seventh character,can be selected only from the Tabular list in the ICD-10 coding system.
(True/False)
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In the outpatient setting,the term "____________" (reason for the encounter)is now used instead of the term "primary diagnosis" and takes precedence over the outpatient guidelines.
(Multiple Choice)
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The residual effect (condition produced)after the acute phase of an illness or injury has terminated is called a:
(Multiple Choice)
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Name the two manuals that make up the ICD-10 system and explain in what capacity they are used.
(Essay)
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ICD manuals may differ somewhat from one publisher to the next as far as how the material is arranged in the introduction or preface;however,the basic information is the same.
(True/False)
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The etiology (cause of a disease or condition)is always coded first,and the manifestation (sign or symptom of a disease)is coded second.
(True/False)
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To keep up to date on coding practices,the health insurance professional should always consult the most recently published coding manual.
(True/False)
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Name the two tables contained within the Alphabetic Index to Diseases of ICD-9.
(Short Answer)
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Terms such as "probable," "questionable," "rule out," or "suspected" should not be used as if it were the final diagnosis.
(True/False)
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