Exam 5: Coded Data

____________ occurs when the coding results in the MS-DRG that most accurately represents the facility's utilization of resources, on the basis of the diagnoses and procedures, and is completely substantiated by documentation.

The _________ axis of an ICD-O-3 code indicates the site of a neoplasm in the body.

The auditor was reviewing the hospital bills and noticed that for several cases billed to a commercial payer the DRG assignment, based on the MS-DRG description of the DRG code, did not match the diagnosis/procedure codes. One possible reason for this is:

Using the figure, which is the ICD-10-PCS code for an endoscopic colonoscopy?

Which is an appropriate measure of the success of a clinical documentation improvement (CDI) program?

The Health Insurance Portability and Accountability Act (HIPAA) of 1996 required the:

Level _____________ of HCPCS is also known as Current Procedural Terminology (CPT).

In which case would a CDI physician champion be involved?

Why is electronic data interchange (EDI) beneficial?

The NDC code for one 28-tablet bottle of the chronic hepatitis medication Harvoni, made by Gilead Sciences, is 61958-1801-1. The number "61958" is the

Tracking codes to determine the volume of cases seen at the facility is a _____________ use of coded data.

Why are coding audits performed by payers insufficient for determining coding accuracy?

Which code set is alphanumeric?

Why might a coding manager automatically review and/or revise patients assigned to DRG 469 (MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC) or DRG 470 (MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC)?

What is the lowest level of medical complexity represented by CPT E/M codes?

An example of a CPT-4 (Health Care Common Procedure Coding System [HCPCS] Level 1) code is:

Which statement about SNOMED CT is false?

It is the coder's responsibility to assign codes completely and accurately so that a facility receives the reimbursement to which it is entitled. To meet this responsibility, a coder must:

The 5th character of the code 0DJ76ZZ indicates which of the following?

Which organization is NOT one of the four Cooperating Parties for the ICD-10-CM?