Complete ICD-10-CM MC questions

c.gov, and click on the Archived
6. According
??
programoto
to locate the free ICD-O 3 module
RxNorm: Go to www.nlm.nih.gov, and enter RxNorm in the Search box.
PlatoCode: Go to www.platocode.com to learn more about computer assisted coding (CAO)
UMLS: Go to www.nim.nih.gov, and enter UMLS in the Search box
7. There
Study Checklist
8. Whi
Read this textbook chapter and highlight key concepts.
Create an index card for each key term.
Access the chapter Internet links to learn more about concepts.
Complete the chapter exercises and review, verifying answers with your instructor
Complete Workbook chapter, verifying answers with your instructor.
9. T
s
located in this textbook’s Preface.
Go to www.cengagebrain.com to access the Student Companion Web Site. Login instructions are
Form a study group with classmates to discuss chapter concepts in preparation for an exam.
10.
Review
1
types of
a.
C.
Multiple Choice
Instructions: Circle the most appropriate response.
1. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires
code sets to be adopted for the purpose of encoding data elements.
two
b. three
four
2. Which is considered to be a small code set according to HIPAA?
a. Actions taken to prevent, diagnose, treat, and manage diseases and injuries
b. Causes of injury, disease, impairment, or other health-related problems
Diseases, injuries, impairments, and other health-related problems
d. Race, ethnicity, type of facility, and type of unit
d. five
C.
3. Which is a code ser adopted by HIPAA for use by clearinghouses, health plans, and providers?
a. ABC codes
b. CMIT
c. NDC
d. SNOMED
Chapter 1
Overview of Coding 41
click on
s Code
4. The purpose of adopting standard code sets was to:
establish a medical nomenclature to standardize HIPAA data submissions.
b. improve data quality and simplify claims submission for providers.
c. increase costs associated with processing health insurance claims.
d. regulate health care clearinghouses and third-party administrators.
5. According to HIPAA, health plans that do not accept standard code sets are required to modify their
systems to accept all valid codes or to contract with a(n):
a. electronic data interchange.
c. insurance company.
b. health care clearinghouse.
d. third-party administrator.
6. Which is a vocabulary of clinical terms used by health care providers to document patient care?
a. Classification system
c. Medical nomenclature
b. Demographic data
d. Nosologia Methodica
7. The requirement that the patient’s diagnoses justify diagnostic and/or therapeutic procedures or
services provided is called:
a. continuity of care.
c. medical necessity.
b. facilities planning.
d. policy making.
8. Which is the business record for a patient encounter (inpatient or outpatient) that documents health
care services provided to a patient?
a. Demographic data
C. Jukebox
b. Financial record
d. Medical record
9. The primary purpose of the record is
which involves documenting patient care services
so that others who treat the patient have a source of information on which to base additional care and
treatment.
a. continuity of care
c. medicolegal
b. medical necessity
d. quality of care
10. Which is a secondary purpose of the medical record that does not relate directly to patient care?
Clinical research
c. Discharge note
b. Continuity of care
d. Hybrid record
a.
11. Which type of medical record format stores documentation in labeled sections?
a. Integrated record
c. Source-oriented record
b. Problem-oriented record
d. SOAP notes
12. A progress note contains diagnoses of muscle strain and weakness. This statement would be located in
the
portion of the POR progress note.
Assessment
b. Objective
C. Plan
d. Subjective
a.
13. A progress note contains documentation that the patient is to be followed up with in the physician’s
office two weeks after discharge won the hospital. This statement would be located in the
portion of the POR progrees oote
a. Assessment
Objective
C. Plan
d. Subjective
14. A progress note contains documentation that the EKG showed elevated T-wave changes. This
statement would be located in the
portion of the POR progress note.
a. Assessment
b. Objective
c. Plan
d. Subjective
15. Which is documented in the progress note section of the POR to summarize the patient’s care,
treatment, response to care, and condition on discharge?
a. Demographic data
c. Medical necessity
b. Discharge note
d. Transfer note
A
caps lock
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42
Part 1
Coding Overview
16. Which is used to capture paper record images onto the storage media?
Jukebox
d. Scanner
C.
a. EHR
b. EMR
work experiences that
17. To provide the maximum benefit to students, internships are typically
are arranged by academic program faculty.
C. optional
d. voluntary
a. elective
b. nonpaid
18. To whom does the student report at the professional practice experience (or internship) site?
c. Physician
d. Program faculty
a. Supervisor
b. Patient
19. Which is a benefit of joining a professional association?
Free certification examination fees
a.
b. Opportunities to network with other members
c. Reduced benefits as compared with nonmembers
d. Website-only access to professional journals
20. Which processes health care claims and performs related business functions for a health plan?
a. Health care clearinghouse
b. Health care provider
C. Third-party administrator
d. Third-party payer
Complete Workbook chapter, verifying answers with your instructor.
Go to www.cengagebrain.com to access the Student Companion Web Site. Login instructions are
located in this textbook’s Preface.
Form a study group with classmates to discuss chapter concepts in preparation for an exam.
Review
data from inpatient and outpatient
Multiple Choice
Instructions: Circle the most appropriate response.
1. ICD-10-CM was developed to code and classify
records, including physician office records.
a. morbidity
b. mortality
procedure
d. service
C.
a.
C.
2. Which entities work together to coordinate official ICD-10-CM disease classification activities?
National Center for Health Statistics (NCHS) and the Centers for Medicare & Medicaid
Services (CMS)
b. National Center for Health Statistics (NCHS) with the World Health Organization (WHO)
U.S. Department of Health & Human Services (DHHS)
d. World Health Organization (WHO)
3. General equivalence mappings are translation dictionaries or
of codes.
a. appendices
b. crosswalks
c. indexes
d. tabular lists
a.
4. Outcome of delivery, follow-up, history, and vaccination are examples of ICD-10-CM:
external causes of morbidity.
b. factors influencing health status.
conditions originating in the perinatal period.
d. symptoms, signs, and abrormal findings.
C.
ICD-10-CM and ICD-10-PCS Coding Systems
Nt
70
Part II
5. The Table of Neoplasms is located in the
a. ICD-10-CM Index to Diseases and Injuries
b. ICD-10-CM Tabular List of Disease and Injuries
c. ICD-10-PCS Index
d. ICD-10-PCS Tables
term “arm” below it. Which ICD-10-CM code appears next to the subterm?
6. Review the ICD-10-CM Index to Diseases and Injuries entry for main term Contusion, and locate sub-
S40.02
d. S40.02-
C.
procedures and services.
a.
a.
S40
b. S40.0
7. The ICD-10-PCS Index and Tables are used to classify
emergency department
b. hospital inpatient
c. outpatient
d. physician office
8. The Current Procedural Terminology (CPT) is published by the:
a. American Medical Association (AMA).
b. Centers for Medicare & Medicaid Services (CMS).
National Center for Health Statistics (NCHS).
d. World Health Organization (WHO).
9. ICD-10-CM
codes are reported by all health care settings.
disease
b. medical equipment
C. procedure
d. service
C.
a.
a.
C.
10. Adhering to official coding guidelines is:
at the discretion of a health care facility’s operating procedures.
b. mandated by the cooperating parties.
not necessary if the facility has a 90 percent or higher coding accuracy ste.
d. required by the Health Insurance Portability and Accountability Act.
Matching
and Injuries entry in Column 1.
Instructions: Match the format in Column 2 with each line of the ICD-10-CM Tabular List of Dis
1.
Tabular List of Diseases and Injuries Entry
DISEASES OF THE NERVOUS SYSTEM
(G00-G99)
Format
a. Category
b. Chapter ti
3.
2. EPISODIC AND PAROXYSMAL DISORDERS
(G40-G47)
f

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