Question 1

Identify the code with the name of the source document.

-OB9J40Z

Accepted Answer

A)  ICD-10-CM, Diagnosis
B)  ICD-10-PCS, Hospital Procedures
C)  CPT-4, Physician Procedures
D)  CDT-4, Dental Procedures
E)  HCPCS, Non-physician Procedures B

Question 2

Identify the choice that best completes the statement or answers the question.
-23 Being sure the covered entity is using the proper HIPAA mandated transactions is the responsibility of

Accepted Answer

A)  the software vendor.
B)  the head physician of the facility.
C)  any member who works at the facility.
D)  the HIPAA Officer. D

Question 3

Match the name of the transaction standard with the ID number assigned.

-Health Care Claim Status Response

Accepted Answer

A)  ASC X12N 270
B)  ASC X12N 275
C)  ASC X12N 276
D)  ASC X12N 277
E)  ASC X12N 278F) ASC X12N 834G) ASC X12N 835H) ASC X12N 837 D

Question 4

Match the name of the transaction standard with the ID number assigned.

-Health Care Eligibility Benefit Inquiry

Accepted Answer

A)  ASC X12N 270
B)  ASC X12N 275
C)  ASC X12N 276
D)  ASC X12N 277
E)  ASC X12N 278F) ASC X12N 834G) ASC X12N 835H) ASC X12N 837

Question 5

Identify the code with the name of the source document.

-J3490

Accepted Answer

A)  ICD-10-CM, Diagnosis
B)  ICD-10-PCS, Hospital Procedures
C)  CPT-4, Physician Procedures
D)  CDT-4, Dental Procedures
E)  HCPCS, Non-physician Procedures

Question 6

Identify the choice that best completes the statement or answers the question.
-The Accredited Standards Committee architecture of ASC X12N is the basic standard for

Accepted Answer

A)  the health care industry.
B)  the insurance industry.
C)  the information technology industry.
D)  the medical doctor's profession.

Question 7

Identify the code with the name of the source document.

-P9014

Accepted Answer

A)  ICD-10-CM, Diagnosis
B)  ICD-10-PCS, Hospital Procedures
C)  CPT-4, Physician Procedures
D)  CDT-4, Dental Procedures
E)  HCPCS, Non-physician Procedures

Question 8

Match the correct reference book to the appropriate types of codes.

-Drugs and biologics

Accepted Answer

A)  Medicare Level II codes - HCPCS
B)  ICD-10-CM
C)  ICD-10-PCS
D)  CPT-4
E)  CDT-4F) NDC codes

Question 9

Identify the code with the name of the source document.

-D7110

Accepted Answer

A)  ICD-10-CM, Diagnosis
B)  ICD-10-PCS, Hospital Procedures
C)  CPT-4, Physician Procedures
D)  CDT-4, Dental Procedures
E)  HCPCS, Non-physician Procedures

Question 10

Match the name of the transaction standard with the ID number assigned.

-Health Care Claim Status Request

Accepted Answer

A)  ASC X12N 270
B)  ASC X12N 275
C)  ASC X12N 276
D)  ASC X12N 277
E)  ASC X12N 278F) ASC X12N 834G) ASC X12N 835H) ASC X12N 837

Question 11

Identify the choice that best completes the statement or answers the question.
-Implementation Guides for the standard transactions may be obtained from the

Accepted Answer

A)  Washington Publishing Company.
B)  Department of Health and Human Services.
C)  Designated Standard Maintenance Organization.
D)  National Uniform Billing Committee.

Question 12

Identify the choice that best completes the statement or answers the question.
-Physician service codes are

Accepted Answer

A)  five-place codes using all numbers or a combination of four numbers and one letter.
B)  only number codes using 3, 4, or 5 spaces.
C)  seven-space codes using both letters and numbers.
D)  number codes using two digits, a decimal, and one or two more digits.

Question 13

Identify the choice that best completes the statement or answers the question.
-The advantages of using electronic data interchange (EDI) are all of the following EXCEPT

Accepted Answer

A)  to avoid all errors in submission of claims.
B)  to receive response and reimbursement for claims in a short amount of time.
C)  to submit clean claims and know they will all be accepted by the health plan.
D)  to save time and energy since mailing paper claims costs money.

Question 14

Identify the choice that best completes the statement or answers the question.
-The two major categories of code sets endorsed by HIPAA are

Accepted Answer

A)  drug and diagnosis codes.
B)  procedure and diagnosis codes.
C)  medical and nonmedical codes.
D)  none of the above.

Question 15

Identify the choice that best completes the statement or answers the question.
-If the Office of E-Health Standards and Services finds noncompliance to the Transaction and Code Set Rule, they will expect to see a move toward compliance and improvement within

Accepted Answer

A)  20 days.
B)  30 days.
C)  60 days.
D)  90 days.

Question 16

Match the correct reference book to the appropriate types of codes.

-Physician procedures

Accepted Answer

A)  Medicare Level II codes - HCPCS
B)  ICD-10-CM
C)  ICD-10-PCS
D)  CPT-4
E)  CDT-4F) NDC codes

Question 17

Identify the choice that best completes the statement or answers the question.
-The Accredited Standards Committee sets up templates for the transaction files.The structure is referred to as the _of the file.

Accepted Answer

A)  architecture
B)  shape
C)  database
D)  source code

Question 18

Match the correct reference book to the appropriate types of codes.

-Diagnosis

Accepted Answer

A)  Medicare Level II codes - HCPCS
B)  ICD-10-CM
C)  ICD-10-PCS
D)  CPT-4
E)  CDT-4F) NDC codes

Question 19

Identify the choice that best completes the statement or answers the question.
-A complaint relating to the Transaction and Code Set Rule might be about any of the following EXCEPT

Accepted Answer

A)  code set received or sent and rejected.
B)  noncompliant transaction received.
C)  compliant transaction sent and rejected.
D)  disclosure of protected health information to an outside entity.

Question 20

Match the correct reference book to the appropriate types of codes.

-Dental procedures

Accepted Answer

A)  Medicare Level II codes - HCPCS
B)  ICD-10-CM
C)  ICD-10-PCS
D)  CPT-4
E)  CDT-4F) NDC codes

Exam 3: Transactions and Code Sets

Identify the code with the name of the source document. -OB9J40Z

Identify the choice that best completes the statement or answers the question. -23 Being sure the covered entity is using the proper HIPAA mandated transactions is the responsibility of

Match the name of the transaction standard with the ID number assigned. -Health Care Claim Status Response

Match the name of the transaction standard with the ID number assigned. -Health Care Eligibility Benefit Inquiry

Identify the code with the name of the source document. -J3490

Identify the choice that best completes the statement or answers the question. -The Accredited Standards Committee architecture of ASC X12N is the basic standard for

Identify the code with the name of the source document. -P9014

Match the correct reference book to the appropriate types of codes. -Drugs and biologics

Identify the code with the name of the source document. -D7110

Match the name of the transaction standard with the ID number assigned. -Health Care Claim Status Request

Identify the choice that best completes the statement or answers the question. -Implementation Guides for the standard transactions may be obtained from the

Identify the choice that best completes the statement or answers the question. -Physician service codes are

Identify the choice that best completes the statement or answers the question. -The advantages of using electronic data interchange (EDI) are all of the following EXCEPT

Identify the choice that best completes the statement or answers the question. -The two major categories of code sets endorsed by HIPAA are

Identify the choice that best completes the statement or answers the question. -If the Office of E-Health Standards and Services finds noncompliance to the Transaction and Code Set Rule, they will expect to see a move toward compliance and improvement within

Match the correct reference book to the appropriate types of codes. -Physician procedures

Identify the choice that best completes the statement or answers the question. -The Accredited Standards Committee sets up templates for the transaction files.The structure is referred to as the _of the file.

Match the correct reference book to the appropriate types of codes. -Diagnosis

Identify the choice that best completes the statement or answers the question. -A complaint relating to the Transaction and Code Set Rule might be about any of the following EXCEPT

Match the correct reference book to the appropriate types of codes. -Dental procedures