Question 1

Which of the following classification systems is NOT used for reimbursement?

Accepted Answer

A)  DSM-5 
B)  ICD-9-CM 
C)  ICD-O 
D)  Both a and c 
A)  DSM-5 
B)  ICD-9-CM 
C)  ICD-O 
D)  Both a and c D

Question 2

Under HIPAA, _____________ are sets of codes used to communicate the diagnosis
and procedure codes, data elements, and medical concepts used in electronic health
care transactions transferred through an electronic data interchange (EDI). Some examples are ICD-10-CM and ICD-10-PCS, CPT-4, and NDC.

Accepted Answer

transaction code sets

Question 3

An example of an ICD-10-CM category code is:

Accepted Answer

A)  C1715 
B)  0DJD8ZZ 
C)  I20 
D)  43251 
A)  C1715 
B)  0DJD8ZZ 
C)  I20 
D)  43251 C

Question 4

In a multi-axial code structure, such as ICD-10-PCS, each position of a ___________ has specific meaning.

Accepted Answer

The answer of In a multi-axial code structure, such as...

Question 5

Which of the following code sets are alphanumeric?

Accepted Answer

A)  ICD-10-PCS 
B)  ICD-10-CM 
C)  CPT 
D)  SNOMED-CT 
E)  Both a and b
F) All of the above 
A)  ICD-10-PCS 
B)  ICD-10-CM 
C)  CPT 
D)  SNOMED-CT 
E)  Both a and b
F) All of the above

Question 6

A _____________ is a statistical distribution of patients according to their utilization of resources. It also refers to the grouping of patients by clinical department or other meaningful distribution, such as health insurance type.

Accepted Answer

The answer of A _____________ is a statistical distribution of...

Question 7

Describe the difference between nomenclature and classification.

Accepted Answer

Nomenclature is a formal method of namin

Question 8

O32.1XX2 is an example of a code from which code set?

Accepted Answer

A)  ICD-9-CM 
B)  NDC 
C)  ICD-10-CM 
D)  CPT 
A)  ICD-9-CM 
B)  NDC 
C)  ICD-10-CM 
D)  CPT

Question 9

The fifth character of an ICD-10-PCS code indicates which of the following?

Accepted Answer

A)  The procedure was on the upper arm. 
B)  An endoscopy device was used. 
C)  The procedure was performed on the gastrointestinal body system. 
D)  The approach was through the natural opening. 
A)  The procedure was on the upper arm. 
B)  An endoscopy device was used. 
C)  The procedure was performed on the gastrointestinal body system. 
D)  The approach was through the natural opening.

Question 10

Match between columns
                        Premises: ICD-O
ICD-10-CM
CPT
SNOMED
CDT
NDC
ICD-10-PCS
DSM-VI

Accepted Answer

The Answer of IHTSDO and ADA and FDA,. and CMS is...

Question 11

HCPCS is composed of Level I and Level II codes; the differences between the two levels are:

Accepted Answer

A)  Level I codes are used to report outpatient procedures and services, whereas Level II codes are used to report products, supplies, and services not included in Level I. 
B)  Level I codes are maintained by the AMA, whereas Level II codes are developed by hospitals as part of their chargemaster. 
C)  Level I codes are submitted separately from Level II codes for reimbursement. 
D)  Insurance companies need Level II codes to process claims; insurers do not process Level I codes. 
A)  Level I codes are used to report outpatient procedures and services, whereas Level II codes are used to report products, supplies, and services not included in Level I. 
B)  Level I codes are maintained by the AMA, whereas Level II codes are developed by hospitals as part of their chargemaster. 
C)  Level I codes are submitted separately from Level II codes for reimbursement. 
D)  Insurance companies need Level II codes to process claims; insurers do not process Level I codes.

Question 12

How does case mix analysis help health care providers plan for the future?

Accepted Answer

Answers will vary but should f

Question 13

The second character of an ICD-10-PCS code indicates which of the following?

Accepted Answer

A)  The procedure was on the upper arm. 
B)  An endoscopy device was used. 
C)  The procedure was performed on the gastrointestinal body system. 
D)  The approach was through the natural opening. 
A)  The procedure was on the upper arm. 
B)  An endoscopy device was used. 
C)  The procedure was performed on the gastrointestinal body system. 
D)  The approach was through the natural opening.

Question 14

CPT-4 code changes become effective _____ of each year.

Accepted Answer

A)  January 
B)  April 
C)  October 
D)  April and October 
A)  January 
B)  April 
C)  October 
D)  April and October

Question 15

There are two levels of HCPCS; Level I is also known as __________ and Level II is known as __________.

Accepted Answer

The answer of There are two levels of HCPCS; Level...

Question 16

What are the seven different categories in each ICD-10-PCS code? List them in order from left to right.

Accepted Answer

Categories in order:

Question 17

_____________ must be used under HIPAA for the electronic exchange of data for certain transactions, namely encounter and payment data.

Accepted Answer

Standards

Question 18

An example of an HCPCS code is:

Accepted Answer

A)  C1715 
B)  0DJD8ZZ 
C)  I20 
D)  43251 
A)  C1715 
B)  0DJD8ZZ 
C)  I20 
D)  43251

Question 19

ICD-10-CM is coordinated and maintained by a group of four organizations collectively called the ______________; proposed changes are published in the __________.

Accepted Answer

cooperatin

Question 20

What two parts make up the ICD-10-CM code set? Where can the conventions and guidelines for ICD-10-CM be found? When is this code set updated?

Accepted Answer

There are two parts--tabular and index;

Which of the following classification systems is NOT used for reimbursement?

Under HIPAA, _____________ are sets of codes used to communicate the diagnosis and procedure codes, data elements, and medical concepts used in electronic health care transactions transferred through an electronic data interchange (EDI). Some examples are ICD-10-CM and ICD-10-PCS, CPT-4, and NDC.

An example of an ICD-10-CM category code is:

In a multi-axial code structure, such as ICD-10-PCS, each position of a ___________ has specific meaning.

Which of the following code sets are alphanumeric?

A _____________ is a statistical distribution of patients according to their utilization of resources. It also refers to the grouping of patients by clinical department or other meaningful distribution, such as health insurance type.

Describe the difference between nomenclature and classification.

O32.1XX2 is an example of a code from which code set?

The fifth character of an ICD-10-PCS code indicates which of the following?

HCPCS is composed of Level I and Level II codes; the differences between the two levels are:

How does case mix analysis help health care providers plan for the future?

The second character of an ICD-10-PCS code indicates which of the following?

CPT-4 code changes become effective _____ of each year.

There are two levels of HCPCS; Level I is also known as and Level II is known as .

What are the seven different categories in each ICD-10-PCS code? List them in order from left to right.

_____________ must be used under HIPAA for the electronic exchange of data for certain transactions, namely encounter and payment data.

An example of an HCPCS code is:

ICD-10-CM is coordinated and maintained by a group of four organizations collectively called the ____; proposed changes are published in the .

What two parts make up the ICD-10-CM code set? Where can the conventions and guidelines for ICD-10-CM be found? When is this code set updated?

Health Care Delivery Systems

Collecting Health Care Data

Electronic Health Records

Acute Care Records

Health Information Management Processing

Reimbursement

Health Information Management Issues in Other Care Settings

Managing Health Records

Statistics

Quality and Uses of Health Information

Confidentiality and Compliance

Him Department Management

Training and Development

Filters

Exam 6: Code Sets

Which of the following classification systems is NOT used for reimbursement?

Under HIPAA, _____________ are sets of codes used to communicate the diagnosis and procedure codes, data elements, and medical concepts used in electronic health care transactions transferred through an electronic data interchange (EDI). Some examples are ICD-10-CM and ICD-10-PCS, CPT-4, and NDC.

An example of an ICD-10-CM category code is:

In a multi-axial code structure, such as ICD-10-PCS, each position of a ___________ has specific meaning.

Which of the following code sets are alphanumeric?

A _____________ is a statistical distribution of patients according to their utilization of resources. It also refers to the grouping of patients by clinical department or other meaningful distribution, such as health insurance type.

Describe the difference between nomenclature and classification.

O32.1XX2 is an example of a code from which code set?

The fifth character of an ICD-10-PCS code indicates which of the following?

HCPCS is composed of Level I and Level II codes; the differences between the two levels are:

How does case mix analysis help health care providers plan for the future?

The second character of an ICD-10-PCS code indicates which of the following?

CPT-4 code changes become effective _____ of each year.

There are two levels of HCPCS; Level I is also known as __________ and Level II is known as __________.

What are the seven different categories in each ICD-10-PCS code? List them in order from left to right.

_____________ must be used under HIPAA for the electronic exchange of data for certain transactions, namely encounter and payment data.

An example of an HCPCS code is:

ICD-10-CM is coordinated and maintained by a group of four organizations collectively called the ______________; proposed changes are published in the __________.

What two parts make up the ICD-10-CM code set? Where can the conventions and guidelines for ICD-10-CM be found? When is this code set updated?

Health Care Delivery Systems

Collecting Health Care Data

Electronic Health Records

Acute Care Records

Health Information Management Processing

Reimbursement

Health Information Management Issues in Other Care Settings

Managing Health Records

Statistics

Quality and Uses of Health Information

Confidentiality and Compliance

Him Department Management

Training and Development

Filters

There are two levels of HCPCS; Level I is also known as and Level II is known as .

ICD-10-CM is coordinated and maintained by a group of four organizations collectively called the ____; proposed changes are published in the .