Module 105 Final Study

85 Questions | Total Attempts: 67

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Module Quizzes & Trivia

Questions and Answers
  • 1. 
    The original intent for coded health care data was for use in research and study. Currently, coded health care data are:
    • A. 

      The primary key to reimbursement

    • B. 

      Used for statistical analysis by hospitals, insurance companies, and health care facilities

    • C. 

      Used for research and study

    • D. 

      All of the above

  • 2. 
    The combined classification of "mortality and morbidity" in ICD-6 refers to:
    • A. 

      Complications

    • B. 

      Death and disease

    • C. 

      Complications, death and disease

    • D. 

      None of the above

  • 3. 
    The Centers for Medicare and Medicaid Services (CMS) utilize diagnosis code data to:
    • A. 

      Determine budget requirements for the year

    • B. 

      Ensure appropriate utilization of health care services and control health care costs

    • C. 

      Assess health care needs

    • D. 

      Non of the above

  • 4. 
    Codes used to describe patient conditions to explain the medical necessity of services and items provided to third-party payers are:
    • A. 

      Diagnosis codes

    • B. 

      ICD-9-CM Volume III codes

    • C. 

      Procedure codes

    • D. 

      All of the above

  • 5. 
    The major most significant reason for patient care services rendered in a physician's office is the
    • A. 

      Principal diagnosis

    • B. 

      Admitting diagnosis

    • C. 

      Primary diagnosis

    • D. 

      All of the above

  • 6. 
    Diagnosis codes are recorded on the claim form as follows
    • A. 

      The principal diagnosis is recorded in FL 67-76 on the CMS-1450

    • B. 

      The primary diagnosis is recorded in Block 21 and referenced in Block 24E on the CMS-1500

    • C. 

      Other conditions treated or those affecting treatment are also reported

    • D. 

      All of the above

  • 7. 
    In the ICD-9-CM manual, the tabular list of disease, two supplemental classifications, and appendices are in
    • A. 

      Volume III

    • B. 

      Volume II

    • C. 

      Volume I

    • D. 

      All of the above

  • 8. 
    Volume III is used by hospitals and other facilities to code
    • A. 

      Significant procedures

    • B. 

      Noninvasive outpatient procedures

    • C. 

      Laboratory procedures

    • D. 

      None of the above

  • 9. 
    The hypertension table is used to identify a code describing
    • A. 

      High blood pressure

    • B. 

      Low blood pressure

    • C. 

      Malignant or benign hypertension

    • D. 

      All of the above

  • 10. 
    The alphabetic and tabular listings of procedures are found in the ICD-9-CM in
    • A. 

      Volume I

    • B. 

      Volume III

    • C. 

      Volume II

    • D. 

      All of the above

  • 11. 
    Term that describes special terms, punctuation marks, abbreviations, or symobls used as shorthand in a coding system to communicate special instructions efficiently to the coder
    • A. 

      Guidelines

    • B. 

      Instructions

    • C. 

      Conventions

    • D. 

      All of the above

  • 12. 
    Numeric listing of patient signs, symptoms, injury, illness, disease, and other reasons for the visit
    • A. 

      Volume I

    • B. 

      Volume III

    • C. 

      Volume II

    • D. 

      All of the above

  • 13. 
    Condition determined after study
    • A. 

      Principal diagnosis

    • B. 

      Admitting diagnosis

    • C. 

      Primary diagnosis

    • D. 

      All of the above

  • 14. 
    Location where diagnosis codes are listed on the CMS-1450
    • A. 

      Form locators 42-42

    • B. 

      Form locators 80-81

    • C. 

      Form locators 67-76

    • D. 

      All of the above

  • 15. 
    Volume of the ICD-9-CM used for coding diagnosis and inpatient procedures
    • A. 

      Volume I

    • B. 

      Volume II

    • C. 

      Volume III

    • D. 

      All of the above

  • 16. 
    In 1983 the Health Care Financing Administration (HCFA), now know as Centers for Medicare and Medicaid Services (CMS), adopted this procedure coding system, and other payers such as Blue Cross/Blue Shield followed suit and adopted the system
    • A. 

      Health Care Common Procedure Coding System (HCPCS)

    • B. 

      International Classification of Disease (ICD-9-CM)

    • C. 

      Current Procedural Terminology (CPT)

    • D. 

      All of the above

  • 17. 
    Which procedure coding system is used for reporting significant procedures and services in FL 80-81 on the CMS-1450
    • A. 

      HCPCS Level I and II

    • B. 

      ICD-9-CM Volume III

    • C. 

      HCPCS and National Drug Codes

    • D. 

      None of the above

  • 18. 
    What codes are used on claim forms to describe services and procedures billed to third-party payers?
    • A. 

      Procedure codes

    • B. 

      Diagnosis codes

    • C. 

      Procedure and diagnosis codes

    • D. 

      All of the above

  • 19. 
    Three coding systems used for coding procedures, services, and items are
    • A. 

      ICD-9-CM Volume I, Volume II, and Volume III

    • B. 

      HCPCS Level I CPT, Level II Medicare National Codes, and ICD-9-CM Volume III Procedures

    • C. 

      HCPCS I and II and ICD-9-CM

    • D. 

      All of the above

  • 20. 
    Providers must explain on the claim form why procedures and services are required by using
    • A. 

      Descriptions of conditions

    • B. 

      Procedure codes

    • C. 

      Diagnosis codes

    • D. 

      None of the above

  • 21. 
    What procedure coding system is used to report procedures, services, and items for hospital OUTPATIENT services?
    • A. 

      ICD-9-CM Volume I, II

    • B. 

      HCPCS Level I and/or HCPCS Level II

    • C. 

      ICD-9-CM Volume III

    • D. 

      All of the above

  • 22. 
    What claim form is used to submit hospital OUTPATIENT PROFESSIONAL services?
    • A. 

      CMS-1500

    • B. 

      CMS-1450

    • C. 

      CMS-1500 and CMS-1450

    • D. 

      All of the above

  • 23. 
    What procedure coding systems are used to report procedures, services, and items for hospital ambulatory surgery?
    • A. 

      ICD-9-CM Volume I, II

    • B. 

      HCPCS Level I and/or HCPCS Level II, and some payers may require ICD-9-CM Volume III

    • C. 

      ICD-9-CM Volume III

    • D. 

      All of the above

  • 24. 
    What claim form is used to submit hospital inpatient services?
    • A. 

      CMS-1500

    • B. 

      CMS-1450

    • C. 

      CMS-1500 and CMS-1450

    • D. 

      All of the above

  • 25. 
    What procedure coding systems are used to report significant procedures, services, and items for hospital inpatient services?
    • A. 

      ICD-9-CM Volume I, II

    • B. 

      HCPCS Level I and/or HCPCS Level II

    • C. 

      ICD-9-CM Volume III

    • D. 

      All of the above