Exam 1: Introduction to Coding

Which volume of ICD-9-CM is used to report inpatient procedures?

In addition to HIPAA, OBRA penalizes the health care provider for errors made by coders in the amount of $2,000 per violation, an assessment of damages of up to twice the amount of the error, and exclusion from ____________________ and Medicaid for up to 5 years.

With the HIPAA Act, penalties include a $10,000 fine per claim form when an individual knowingly or unknowingly misrepresents information submitted on the claim form to increase payment.

Computer skills are not necessary for coders to have if the record is not electronic.

Computer systems, encounter forms, charge tickets, and code books should be updated _____.

ICD-9-CM serves three major functions for insurance purposes. Of the choices below, which is NOT a function of ICD-9-CM?

Fraud is defined as knowingly or willfully executing or attempting to execute a scheme to defraud a health care benefit program.

ICD-9-CM requires assignment of the most ____ code to represent the problem being treated by the provider .

Which type of coding system is used to report procedures performed in physician offices and outpatient departments?

This credential is referred to as an entry-level certification.

____________________ and Management is a section of the CPT manual requiring practitioners to make a decision as to the level of service for offices, hospitals, nursing homes, etc.

It is a coder's responsibility to code only what is documented in the medical record and to ask for clarification if necessary after assigning codes.

____________________ is a process required to maintain a credential and certification status by achieving continuing education requirements mandated by the association.

There are four national organizations that offer coding credentialing: American Academy of Professional Coders (AAPC), The Board of Advanced Medical Coding (BAMC), The Association of Health Care Auditors and Educators (AHCAE), and The ______________________________________________________________________.

An internal audit system is required as part of a compliance plan.

Level I HCPCS codes are alphanumeric national codes supplied by the federal government.

ICD-9-CM was created by the ____.

All health care facilities utilize ICD-9-CM. Which volume of ICD-9 is only used by hospitals?

____________________ is defined as the translation of diagnoses, procedures, services, and supplies into numeric and/or alphanumeric components for reporting and reimbursement.

HITECH was created to govern development of _________________.