Cmb 170 Module 1 Unit 1 Knowledge Check

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Questions: 15 | Attempts: 120

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Questions and Answers
  • 1. 

    HCPCS stands for:

    • A.

      Healthcare Commonly Practiced Coding System.

    • B.

      Healthcare Comparing Procedure Coding System.

    • C.

      Health Care Procedural Coding System.

    • D.

      Healthcare Common Procedure Coding System.

    Correct Answer
    D. Healthcare Common Procedure Coding System.
    Explanation
    HCPCS stands for Healthcare Common Procedure Coding System. This system is used in the United States to standardize the coding of medical procedures and services. It provides a uniform method for reporting medical services and supplies, facilitating accurate and efficient billing and reimbursement processes. The correct answer is Healthcare Common Procedure Coding System.

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  • 2. 

    ICD-10-PCS stands for:

    • A.

      International Classification of Diseases, 10th Revision, Procedure Classification System.

    • B.

      International Classification of Diseases, 10th Revision, Procedure Coding System.

    • C.

      International Classification of Diseases, 10th Revision, Procedural Classification System.

    • D.

      International Classification of Diseases, 10th Version, Procedure Classification System.

    Correct Answer
    A. International Classification of Diseases, 10th Revision, Procedure Classification System.
    Explanation
    ICD-10-PCS stands for International Classification of Diseases, 10th Revision, Procedure Classification System. This system is used for coding and classifying procedures performed in healthcare settings. It provides a standardized way to categorize medical procedures and is used for various purposes including reimbursement, research, and statistical analysis. The correct answer accurately reflects the full name and purpose of the ICD-10-PCS system.

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  • 3. 

    How many alphanumeric characters does each ICD-10-PCS code have?

    • A.

      Five

    • B.

      Eight

    • C.

      Seven

    • D.

      Six

    Correct Answer
    C. Seven
    Explanation
    ICD-10-PCS codes have seven alphanumeric characters. This means that each code consists of a combination of letters and numbers, with a total of seven characters.

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  • 4. 

    Surgical encounters that do not require an overnight inpatient stay in the hospital are known as:

    • A.

      Therapeutic surgery.

    • B.

      Ambulatory surgery.

    • C.

      Diagnostic surgery.

    • D.

      None of the above.

    Correct Answer
    B. Ambulatory surgery.
    Explanation
    Ambulatory surgery refers to surgical procedures that do not require an overnight stay in the hospital. These surgeries are typically less invasive and have shorter recovery times, allowing patients to return home on the same day. Therapeutic surgery refers to any surgery aimed at treating a disease or condition, which may or may not require an overnight stay. Diagnostic surgery involves procedures performed to determine the cause or nature of a disease or condition. Therefore, the correct answer is ambulatory surgery as it specifically refers to surgical encounters that do not require an overnight inpatient stay.

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  • 5. 

    Radiology case production standards can range from 100 to 200 records per hour. The reason this number is higher than those for other types of records is because:

    • A.

      The radiologists use "normals" when dictating reports, so they produce more records than other doctors.

    • B.

      Radiology exams take less time than office exams.

    • C.

      The radiology records are far less complicated than other records.

    • D.

      The coder can assign just code as the reason for the exam.

    Correct Answer
    C. The radiology records are far less complicated than other records.
    Explanation
    The correct answer is that the radiology records are far less complicated than other records. This is because radiology exams typically involve the interpretation of images, such as X-rays or MRIs, rather than extensive written documentation. Compared to other types of records, such as office exams, radiology records require less time and effort to complete, resulting in a higher production standard for radiologists.

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  • 6. 

    Not counting modifiers, how many numbers does a CPT code have? 

    • A.

      Five

    • B.

      Four

    • C.

      Seven

    • D.

      Six

    Correct Answer
    A. Five
    Explanation
    A CPT code typically consists of five numbers. These codes are used in medical billing and coding to identify specific procedures and services provided to patients. Each code represents a unique medical service or procedure, allowing healthcare providers and insurance companies to accurately document and reimburse for services rendered.

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  • 7. 

    Which organization developed CPT?

    • A.

      WHO

    • B.

      AMA

    • C.

      NCHS

    • D.

      CMS

    Correct Answer
    B. AMA
    Explanation
    The American Medical Association (AMA) developed the Current Procedural Terminology (CPT). CPT is a set of medical codes used for billing and documentation purposes in healthcare. It was created by the AMA to provide a standardized system for reporting medical procedures and services.

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  • 8. 

    G9784 is an example of the code format for which HIPAA-mandated code set?

    • A.

      NDC

    • B.

      CPT

    • C.

      HCPCS

    • D.

      CDT

    Correct Answer
    C. HCPCS
    Explanation
    G9784 is an example of the code format for the HIPAA-mandated code set called HCPCS. HCPCS stands for Healthcare Common Procedure Coding System and is used to report medical procedures, supplies, and services provided to patients. G9784 is a specific code within the HCPCS system that represents a particular procedure or service.

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  • 9. 

    E16.8 is an example of the code format for which HIPAA-mandated code set?

    • A.

      ICD-10-PCS

    • B.

      ICD-10-CM

    • C.

      CPT

    • D.

      ICD-9-CM

    Correct Answer
    B. ICD-10-CM
    Explanation
    E16.8 is an example of the code format for ICD-10-CM. ICD-10-CM is the International Classification of Diseases, 10th Revision, Clinical Modification, which is the code set used by healthcare providers to classify and code diagnoses and procedures. It is mandated by HIPAA (Health Insurance Portability and Accountability Act) for reporting medical information.

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  • 10. 

    Patients who have injuries or health problems that cannot be delayed without harming the patient are usually treated at:

    • A.

      Same day surgery.

    • B.

      Urgent care.

    • C.

      A physician's office.

    • D.

      The emergency department.

    Correct Answer
    D. The emergency department.
    Explanation
    Patients who have injuries or health problems that cannot be delayed without harming the patient are usually treated at the emergency department. This is because the emergency department is equipped to handle urgent and life-threatening situations, providing immediate medical attention and critical care. Unlike other options such as same day surgery, urgent care, or a physician's office, the emergency department has the necessary resources, staff, and expertise to handle a wide range of medical emergencies and provide timely and appropriate treatment to patients in need.

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  • 11. 

    Dr. Lorenzo asks his patient, Bella, questions about the pain she is currently experience in relation to the severity level, what makes it worse or better, and if she's experienced this pain before. This is an example of:Dr. Lorenzo asks his patient, Bella, questions about the pain she is currently experiencing in relation to the severity level, what makes it worse or better, and if she's experienced this pain before. This is an example of:

    • A.

      Performing a medical history.

    • B.

      Performing a physical exam.

    • C.

      Past surgical history.

    • D.

      None of the above.

    Correct Answer
    A. Performing a medical history.
    Explanation
    The scenario described in the question, where Dr. Lorenzo asks Bella about the severity level of her pain, what makes it worse or better, and if she has experienced it before, is an example of performing a medical history. This is because Dr. Lorenzo is gathering information about Bella's symptoms, their characteristics, and any relevant past experiences to better understand her current condition and make an accurate diagnosis.

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  • 12. 

    GEMs can be found as public domain electronic files on the:

    • A.

      WHO website.

    • B.

      CMS website.

    • C.

      NCHS website.

    • D.

      NCIS website.

    Correct Answer
    B. CMS website.
    Explanation
    GEMs, or General Equivalence Mappings, are public domain electronic files used in the healthcare industry to map codes between different coding systems. The question asks where GEMs can be found, and the correct answer is the CMS website. CMS, or the Centers for Medicare and Medicaid Services, is a federal agency that provides healthcare services and information. It is a reliable source for accessing GEMs files and other healthcare-related resources.

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  • 13. 

    Even though physicians will continue to use CPT to report procedures performed in their offices, they will still be affected by ICD-10-PCS documentation requirements. Why is this?

    • A.

      Because CMS will compare the physician office documentation to their hospital documentation to make sure it is consistent.

    • B.

      CMS mandates hospitals to have clinical documentation improvement programs that have strict ICD-10-PCS documentation requirements.

    • C.

      Because hospitals will be using PCS codes to report inpatient procedures performed by these same physicians..

    • D.

      Payers, especially managed care plans, expect the new documentation requirements to be met before they will approve payment for claims.

    Correct Answer
    C. Because hospitals will be using PCS codes to report inpatient procedures performed by these same physicians..
    Explanation
    Physicians will still be affected by ICD-10-PCS documentation requirements because hospitals will be using PCS codes to report inpatient procedures performed by these same physicians. This means that physicians will need to ensure that their documentation aligns with the PCS codes used by hospitals in order to accurately report procedures and ensure consistency in the coding process.

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  • 14. 

    What does GEMs stand for?

    • A.

      Generally equal mappings

    • B.

      General equation machinations

    • C.

      General equivalence mappings

    • D.

      General equalization maps

    Correct Answer
    C. General equivalence mappings
    Explanation
    GEMs stands for General Equivalence Mappings. This term refers to a system used in medical coding to translate diagnosis codes from one classification system to another. It helps in ensuring accurate and consistent coding across different code sets, such as ICD-9 to ICD-10.

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  • 15. 

    All modifications made by the United States when creating ICD-10-CM had to:

    • A.

      Be approved by Congress.

    • B.

      Conform to WHO conventions for ICD-10.

    • C.

      Meet CMS requirements for DRGs.

    • D.

      Meet UB04 billing requirements.

    Correct Answer
    B. Conform to WHO conventions for ICD-10.
    Explanation
    The correct answer is "conform to WHO conventions for ICD-10." This means that when the United States created ICD-10-CM, all modifications had to align with the conventions set by the World Health Organization (WHO) for ICD-10. This ensures that the coding system used in the United States is consistent with international standards and allows for compatibility and comparability of health data across different countries.

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