Module 105 Final Study

85 Questions | By Lindsaystippel | Updated: Mar 21, 2022 | Attempts: 96

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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