Pretest

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...