Question 1

Each DRG represents the average resources needed to treat patients found in the DRG.

Accepted Answer

A) True 
 B)False

Question 2

Case Mix Management is an organization that analyzes the patient case mix as it relates to reimbursement and the organization's financial health.

Accepted Answer

A) True 
 B)False

Question 3

Health care facilities use CPT for outpatient surgery and ancillary department reporting.

Accepted Answer

A) True 
 B)False

Question 4

Match the word with the best description.
-a vocabulary that specializes in words or phrases of a clinical or medical nature

Accepted Answer

A) medical language 
B) eponyms 
C) vocabulary 
D) clinical vocabulary 
E) nomenclature
F)clinical terminology 
A) medical language 
B) eponyms 
C) vocabulary 
D) clinical vocabulary 
E) nomenclature
F)clinical terminology

Question 5

DRGs have been severely criticized, so Medicare has been withdrawing their application and investigating other options to replace this system.

Accepted Answer

A) True 
 B)False

Question 6

How do vocabularies and classifications systems vary?

Accepted Answer

Vocabularies serve to differen

Question 7

Three key components are evaluated for E/M coding; history, examination, and medical decision making.

Accepted Answer

A) True 
 B)False

Question 8

When using the ICD-9-CM, briefly describe how each of the volumes differ. Also briefly define what E-codes and V-codes are and if they are primary or secondary codes.

Accepted Answer

Volume 1 - tabular numerical listing of

Question 9

If the coder wishes to acquire a code from the ICD-9-CM for a patient who had an operation of the digestive system, which volume would this be found in?

Accepted Answer

A)  Volume 1 
B)  Volume 2 
C)  Volume 3 
D)  Volume 4 
E)  Volume 5 
A)  Volume 1 
B)  Volume 2 
C)  Volume 3 
D)  Volume 4 
E)  Volume 5

Question 10

Grouping into DRG is based on

Accepted Answer

A)  ICD-9-CM codes. 
B)  CPT-4 codes. 
C)  both a and b 
D)  medical partitioning. 
A)  ICD-9-CM codes. 
B)  CPT-4 codes. 
C)  both a and b 
D)  medical partitioning.

Question 11

List three areas of knowledge or skills which would be seen in a good coder.

Accepted Answer

Answers may vary and may include any of

Question 12

The Metathesaurus can be used in which of the following applications?

Accepted Answer

A)  automated indexing research 
B)  natural language processing 
C)  information retrieval from databases 
D)  linking patient records to related information in bibliographic, full-text, or factual databases 
E)  all of the above 
A)  automated indexing research 
B)  natural language processing 
C)  information retrieval from databases 
D)  linking patient records to related information in bibliographic, full-text, or factual databases 
E)  all of the above

Question 13

Match the term with its description.
-false misrepresentation or intentional deception of fact that is a departure from reasonable use and could result in unauthorized payment

Accepted Answer

A) nosologists 
B) encoders 
C) groupers 
D) optimizing programs 
E) natural language processing encoding systems
F)upcoding
G)coding compliance program
H)health care fraud and abuse
I)compliance 
A) nosologists 
B) encoders 
C) groupers 
D) optimizing programs 
E) natural language processing encoding systems
F)upcoding
G)coding compliance program
H)health care fraud and abuse
I)compliance

Question 14

Coding is best described as which of the following?

Accepted Answer

A)  It is the process by which a numeric code listed in a classification system is assigned to data found in the health record. 
B)  It is the process by which an alphanumeric code listed in a classification system is assigned to data found in the health record. 
C)  Both a and b 
D)  None of the above 
A)  It is the process by which a numeric code listed in a classification system is assigned to data found in the health record. 
B)  It is the process by which an alphanumeric code listed in a classification system is assigned to data found in the health record. 
C)  Both a and b 
D)  None of the above

Question 15

The ICD-9-CM system is composed of three volumes.

Accepted Answer

A) True 
 B)False

Question 16

Health care facilities are reimbursed by DRGs on a ____ basis.

Accepted Answer

A)  fee-for-service 
B)  flat-rate 
C)  proportional 
D)  annual 
A)  fee-for-service 
B)  flat-rate 
C)  proportional 
D)  annual

Question 17

The classification system ICD, is an outdated code that is infrequently used in modern times.

Accepted Answer

A) True 
 B)False

Question 18

The DSM-IV was developed for facilities for the mentally retarded or developmentally disabled.

Accepted Answer

A) True 
 B)False

Question 19

Match the word with the best description.
-words based on the personal names of people

Accepted Answer

A) medical language 
B) eponyms 
C) vocabulary 
D) clinical vocabulary 
E) nomenclature
F)clinical terminology 
A) medical language 
B) eponyms 
C) vocabulary 
D) clinical vocabulary 
E) nomenclature
F)clinical terminology

Question 20

Clinical Vocabulary is a vocabulary that specializes in words or phrases of a clinical or medical nature.

Accepted Answer

A) True 
 B)False

Each DRG represents the average resources needed to treat patients found in the DRG.

Case Mix Management is an organization that analyzes the patient case mix as it relates to reimbursement and the organization's financial health.

Health care facilities use CPT for outpatient surgery and ancillary department reporting.

Match the word with the best description. -a vocabulary that specializes in words or phrases of a clinical or medical nature

DRGs have been severely criticized, so Medicare has been withdrawing their application and investigating other options to replace this system.

How do vocabularies and classifications systems vary?

Three key components are evaluated for E/M coding; history, examination, and medical decision making.

When using the ICD-9-CM, briefly describe how each of the volumes differ. Also briefly define what E-codes and V-codes are and if they are primary or secondary codes.

If the coder wishes to acquire a code from the ICD-9-CM for a patient who had an operation of the digestive system, which volume would this be found in?

Grouping into DRG is based on

List three areas of knowledge or skills which would be seen in a good coder.

The Metathesaurus can be used in which of the following applications?

Match the term with its description. -false misrepresentation or intentional deception of fact that is a departure from reasonable use and could result in unauthorized payment

Coding is best described as which of the following?

The ICD-9-CM system is composed of three volumes.

Health care facilities are reimbursed by DRGs on a ____ basis.

The classification system ICD, is an outdated code that is infrequently used in modern times.

The DSM-IV was developed for facilities for the mentally retarded or developmentally disabled.

Match the word with the best description. -words based on the personal names of people

Clinical Vocabulary is a vocabulary that specializes in words or phrases of a clinical or medical nature.

Health Care Delivery Systems

The Health Information Management Profession

Legal Issues

Ethical Standards

Health Data Content and Structures

Quality Health Care Management

Health Statistics

Research

Database Management

Information Systems Technology

Informatics

Management Organization

Human Resource Management

Financial Management

Reimbursement Methodologies

Filters

Exam 6: Nomenclatures and Classification Systems

Each DRG represents the average resources needed to treat patients found in the DRG.

Case Mix Management is an organization that analyzes the patient case mix as it relates to reimbursement and the organization's financial health.

Health care facilities use CPT for outpatient surgery and ancillary department reporting.

Match the word with the best description. -a vocabulary that specializes in words or phrases of a clinical or medical nature

DRGs have been severely criticized, so Medicare has been withdrawing their application and investigating other options to replace this system.

How do vocabularies and classifications systems vary?

Three key components are evaluated for E/M coding; history, examination, and medical decision making.

When using the ICD-9-CM, briefly describe how each of the volumes differ. Also briefly define what E-codes and V-codes are and if they are primary or secondary codes.

If the coder wishes to acquire a code from the ICD-9-CM for a patient who had an operation of the digestive system, which volume would this be found in?

Grouping into DRG is based on

List three areas of knowledge or skills which would be seen in a good coder.

The Metathesaurus can be used in which of the following applications?

Match the term with its description. -false misrepresentation or intentional deception of fact that is a departure from reasonable use and could result in unauthorized payment

Coding is best described as which of the following?

The ICD-9-CM system is composed of three volumes.

Health care facilities are reimbursed by DRGs on a ____ basis.

The classification system ICD, is an outdated code that is infrequently used in modern times.

The DSM-IV was developed for facilities for the mentally retarded or developmentally disabled.

Match the word with the best description. -words based on the personal names of people

Clinical Vocabulary is a vocabulary that specializes in words or phrases of a clinical or medical nature.

Health Care Delivery Systems

The Health Information Management Profession

Legal Issues

Ethical Standards

Health Data Content and Structures

Quality Health Care Management

Health Statistics

Research

Database Management

Information Systems Technology

Informatics

Management Organization

Human Resource Management

Financial Management

Reimbursement Methodologies

Filters