Submitted by: Submitted by zoe13
Views: 465
Words: 620
Pages: 3
Category: Other Topics
Date Submitted: 09/08/2013 08:00 PM
1. Health plans that do not accept standard code sets must modify their systems to accept all valid codes or contract with a(n) _____. (Points : 5)
electronic data interchange
health care clearinghouse
insurance company
third-party administrator |
2. The cooperating parties for the ICD-9-CM include the _____. (Points : 5)
AHA, AMA, AHIMA, CMS
AHA, AHIMA, CMS, NCHS
AMA, ACS, AHIMA, CMS
AMA, ACS, APA, NCHS |
3. In the ICD-9-CM Index to Procedures entry “Venotomy, Abdominal,” the word Abdominal is a _____. (Points : 5)
2nd qualifier
3rd qualifier
main term
subterm |
4. Given the diagnosis “metastatic carcinoma from breast to lung,” breast would be coded as _____. (Points : 5)
malignant primary
malignant secondary
in situ
benign |
5. A patient is admitted on July 28 and discharged on August 4. The length of service is calculated as _____ days. (Points : 5)
4
6
7
24 |
6. In the outpatient setting, the diagnosis, condition, problem, or other reason for encounter documented in the patient record to be chiefly responsible for the services provided is referred to as _____. (Points : 5)
principal diagnosis
first-listed diagnosis
comorbid condition
admitting diagnosis |
7. Currently there are _____ levels of codes associated with HCPCS. (Points : 5)
2
3
4
5 |
8. An HCPCS level II code begins with the letter K. This signifies that the Medicare administrative contractor responsible for processing the claim is a _____. (Points : 5)
primary MAC
DME MAC
primary MAC or DME MAC
CMS |
9. When assigning HCPCS level II codes, _____. (Points : 5)
a service may not be reported by assigning both a CPT and HCPCS level II codes
qualifying terms such as dosage limits do not alter the...