Deck 1: Introduction to Coding

Question 1

Membership in a professional association is not beneficial since continuing education and bulletins are available via the Internet.

Answer 1

False

Question 2

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

Answer 2

Recertification

Question 3

CPT Assistant is a monthly newsletter published by the American Hospital Association.

Answer 3

False

Question 4

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

Question 5

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

A) appropriate
B) often used
C) specific
D) logical

Question 6

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

Question 7

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

A) CCS-P
B) CPC
C) CCS
D) CPC-H

Question 8

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.

Question 9

Overcharging for services or equipment is considered fraud.

Question 10

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

A) It justifies procedures and services by the physician.
B) To determine if the costs submitted are reasonable for services provided.
C) It assists in establishing medical necessity for services performed.
D) It serves as an indicator in measuring quality of health care delivered by the provider.

Question 11

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.

Question 12

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

A) periodically
B) biannually
C) quarterly
D) annually

Question 13

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

Question 14

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

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

Question 15

If physician X refers a patient to a pharmacy for prescription filling and receives compensation for this referral, this would be classified as insurance abuse.

Question 16

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

Question 17

This is the condition that is indicated in the medical record as the reason the patient sought care in an outpatient setting.

A) Principal diagnosis
B) Major diagnosis
C) Primary diagnosis
D) Secondary diagnosis

Question 18

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

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

Question 19

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

A) CPT-4
B) ICD-10-PCS
C) ICD-9-CM
D) None of the above

Question 20

ICD-9-CM was created by the ____.

A) AMA
B) AHA
C) WHO
D) CMS

Question 21

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 ______________________________________________________________________.

Question 22

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.

Question 23

____________________ 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.

Question 24

A ____________________ is a two-character code added to the main CPT code describing circumstances specific to that procedure. These are located in Appendix A of CPT.

Question 25

HITECH was created to govern development of _________________.

Question 26

Diagnosis codes must be correctly linked to the ____________________ codes on the claim form to demonstrate medical necessity.

Question 27

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