Exam 6: Nomenclatures and Classification Systems

Match the term with its description. -software programs that can read and interpret digital text from online documents and automatically assign appropriate codes

An example of a nomenclature used in ambulatory care settings that also serves a dual purpose as a classification system is ____________________ ____________________ ____________________.

What is the level of exams when selecting an E/M code?

As new nomenclatures are implemented, the older versions are converted. It is only needed to know the current ones in usage.

When a provider collects information for assessment, such as during a history and physical, which of the following would best describe this process?

Diagnosis-related groups are formed using a logical decision tree model. What is the first level of the tree?

Match the term with its description. -the efforts to establish a culture that promotes prevention, detection, and resolution of instances of conduct that do not conform to applicable local, state, and federal laws and regulations

How many chapter titles are in the tabular for Volume 3 of the ICD-9-CM coding book?

Evaluation refers to the assessment of information to reach a specific conclusion such as the process of obtaining a medical history and examination.

The manner in which clinical data is presented using classification systems, clinical vocabularies, other forms of data, and standards is called

What is the process of linking terminology between two different schemes, a target and a source, for a given purpose called

Match the term with its description. -software programs that use branching logic to arrive at the most accurate DRG

The DRGs do not address key areas such as severity of illness, prognosis, treatment difficulty, etc., and this has put more emphasis on the facility to analyze the type and volume of patients in their organization. This analysis as it relates to reimbursement and the organization's financial health is called ____________________ ____________________ ____________________.

Match the word with the best description. -a recognized system of preferred clinical or medical terminology

Another name for a classification system is ____________________.

The CPT System Medical services and procedures are represented by a four-digit code.

There are numerous classification systems to address different specialty areas.

The goal of the Unified Medical Language System is to enable computer systems to understand medical meaning.

The International Classification of Diseases for Oncology, third edition (ICD-O-3), is a classification system that used a(n) ______________ digit code.

Match the term with its description. -practice of selecting a code and submitting a bill for a higher level of reimbursement than actually rendered in order to receive a higher reimbursement