HIM 1423 2025 Update With Questions And
Answers (verified by experts) Graded A+
Assured Success
The _______ is responsible for development and maintenance of RxNorm - CORRECT ANSWER-The
NLM develops and maintains RxNorm.
The ___________ is responsible for the publishing and maintaining HCPCS Level II. - CORRECT
ANSWER-CMS publishes and maintains HCPCS Level II
Which of the following is the standard for clinical lab test results under the Meaningful Use program? -
CORRECT ANSWER-LOINC is the standard for clinical lab test results as per the Meaningful Use
program.
The standardized HEDIS data elements are collected by _________. - CORRECT ANSWER-Clinics and
hospitals collect the standardized HEDIS data elements from health records
,The ________ originated from federal reporting requirements tied to certification criteria found in the
Meaningful Use regulations. - CORRECT ANSWER-The Office of the National Coordinator for Health
Information Technology (ONC) established a common set of data types and elements and associated
standards for use across several certification criteria. The combination of these items is called the
Common Clinical Data Set.
Which of the following developed the Diagnostic and Statistical Manual of Mental Disorders? -
CORRECT ANSWER-The APA developed the DSM to be the standard medical classification for mental
disorders.
ICD-10-PCS is a classification of _________. - CORRECT ANSWER-The purpose of ICD-10-PCS is to
provide a system for classifying procedures performed on hospital inpatients.
The SNOMED CT _________ includes the semantic tag. - CORRECT ANSWER-The fully specified name is
the unique text assigned to a concept that completely defines it. The term enclosed in parentheses at
the end of the fully specified name is called the semantic tag.
Home health agency process and improvement outcome measures are based on data from the _____. -
CORRECT ANSWER-The CMS Home Health Compare website's information on home health agency
process and improvement outcome measures are based on OASIS data submitted by home health
agencies to state repositories.
The UHDDS's core data elements were incorporated into the ___________ prospective payment system
- CORRECT ANSWER-When diagnosis-related groups were implemented, UHDDS definitions were
incorporated into the inpatient prospective payment system regulations
A ___________ is a set of terms representing the system of concepts for the medical field. - CORRECT
ANSWER-This is the definition of a clinical terminology.
Category I CPT includes which of the following? - CORRECT ANSWER-Category I CPT includes six main
sections one of which is Surgery.
One of the two major groups of LOINC content is _________. - CORRECT ANSWER-There are two major
groups of LOINC content—laboratory and clinical.
,The ___________ is responsible for the development and maintenance of ICD-10-CM. - CORRECT
ANSWER-The governmental body responsible for developing and maintaining ICD-10-CM is NCHS.
If you were looking for a code for a medication taken orally, in which system is it found? - CORRECT
ANSWER-RxNorm is a standardized nomenclature for clinical drugs.
A classification provides clinical data to ______________. - CORRECT ANSWER-Classifications
aggregate clinical data for healthcare statistics.
WHO defines ___________ as a reference classification. - CORRECT ANSWER-ICF is one of the three
reference classifications approved by WHO-FIC.
An accumulation of numeric or alphanumeric representations or codes for exchanging or storing
information is a ___________. - CORRECT ANSWER-This is a definition of a code system
LOINC would be found in the UMLS ____________. - CORRECT ANSWER-Code systems are found in the
UMLS Metathesaurus. LOINC is a code system.
The _________ is a system for classifying the topography and morphology of neoplasm. - CORRECT
ANSWER-ICD-O-3 is the system used by tumor or cancer registries for classifying the topography and
morphology of neoplasms.
The ___________ is a core component of SNOMED CT. - CORRECT ANSWER-SNOMED CT is made up of
three main components—concepts, descriptions, and relationships.
If data aggregation is the goal of collecting the data, ______ are the best choice. - CORRECT ANSWER-A
classification combines related entities. Aggregate data is appropriate when the combination of data
about related entities is sufficient.
___________ is a nursing terminology. - CORRECT ANSWER-The Clinical Care Classification is a nursing
terminology. The others are classifications.
, HCPCS is made up of which code systems? - CORRECT ANSWER-HCPCS is made up of two code
systems: Level I and Level II. Level I is CPT.
Which standard is attached to the data element smoking status contained in the Common Clinical Data
Set? - CORRECT ANSWER-The data element smoking status must be reported with SNOMED CT
identifiers.
Which organization originally published ICD-10? - CORRECT ANSWER-WHO - World Health
Organization
Which of the following provides the most comprehensive, controlled vocabulary for coding the content
of a patient record? - CORRECT ANSWER-SNOMED CT
Who drives which clinical terminology, classification, and code system is selected as the standard? -
CORRECT ANSWER-Government regulation
The OASIS-C1 data elements originate from a _________. - CORRECT ANSWER-Medicare-certified
home health agency
Which of the following terms refers to the incidence of disease? - CORRECT ANSWER-Morbidity
To gather statistics for surgical services provided on an outpatient basis, which of the following codes
are needed? - CORRECT ANSWER-CPT codes
Which of the following is the condition established after study to be the reason for hospitalization? -
CORRECT ANSWER-Principal diagnosis
Which coding system has a section for Evaluation and Management services? - CORRECT ANSWER-CPT
If you were coding a patient with the diagnosis of congestive heart failure, which classification would
you use? - CORRECT ANSWER-ICD-10-CM
Answers (verified by experts) Graded A+
Assured Success
The _______ is responsible for development and maintenance of RxNorm - CORRECT ANSWER-The
NLM develops and maintains RxNorm.
The ___________ is responsible for the publishing and maintaining HCPCS Level II. - CORRECT
ANSWER-CMS publishes and maintains HCPCS Level II
Which of the following is the standard for clinical lab test results under the Meaningful Use program? -
CORRECT ANSWER-LOINC is the standard for clinical lab test results as per the Meaningful Use
program.
The standardized HEDIS data elements are collected by _________. - CORRECT ANSWER-Clinics and
hospitals collect the standardized HEDIS data elements from health records
,The ________ originated from federal reporting requirements tied to certification criteria found in the
Meaningful Use regulations. - CORRECT ANSWER-The Office of the National Coordinator for Health
Information Technology (ONC) established a common set of data types and elements and associated
standards for use across several certification criteria. The combination of these items is called the
Common Clinical Data Set.
Which of the following developed the Diagnostic and Statistical Manual of Mental Disorders? -
CORRECT ANSWER-The APA developed the DSM to be the standard medical classification for mental
disorders.
ICD-10-PCS is a classification of _________. - CORRECT ANSWER-The purpose of ICD-10-PCS is to
provide a system for classifying procedures performed on hospital inpatients.
The SNOMED CT _________ includes the semantic tag. - CORRECT ANSWER-The fully specified name is
the unique text assigned to a concept that completely defines it. The term enclosed in parentheses at
the end of the fully specified name is called the semantic tag.
Home health agency process and improvement outcome measures are based on data from the _____. -
CORRECT ANSWER-The CMS Home Health Compare website's information on home health agency
process and improvement outcome measures are based on OASIS data submitted by home health
agencies to state repositories.
The UHDDS's core data elements were incorporated into the ___________ prospective payment system
- CORRECT ANSWER-When diagnosis-related groups were implemented, UHDDS definitions were
incorporated into the inpatient prospective payment system regulations
A ___________ is a set of terms representing the system of concepts for the medical field. - CORRECT
ANSWER-This is the definition of a clinical terminology.
Category I CPT includes which of the following? - CORRECT ANSWER-Category I CPT includes six main
sections one of which is Surgery.
One of the two major groups of LOINC content is _________. - CORRECT ANSWER-There are two major
groups of LOINC content—laboratory and clinical.
,The ___________ is responsible for the development and maintenance of ICD-10-CM. - CORRECT
ANSWER-The governmental body responsible for developing and maintaining ICD-10-CM is NCHS.
If you were looking for a code for a medication taken orally, in which system is it found? - CORRECT
ANSWER-RxNorm is a standardized nomenclature for clinical drugs.
A classification provides clinical data to ______________. - CORRECT ANSWER-Classifications
aggregate clinical data for healthcare statistics.
WHO defines ___________ as a reference classification. - CORRECT ANSWER-ICF is one of the three
reference classifications approved by WHO-FIC.
An accumulation of numeric or alphanumeric representations or codes for exchanging or storing
information is a ___________. - CORRECT ANSWER-This is a definition of a code system
LOINC would be found in the UMLS ____________. - CORRECT ANSWER-Code systems are found in the
UMLS Metathesaurus. LOINC is a code system.
The _________ is a system for classifying the topography and morphology of neoplasm. - CORRECT
ANSWER-ICD-O-3 is the system used by tumor or cancer registries for classifying the topography and
morphology of neoplasms.
The ___________ is a core component of SNOMED CT. - CORRECT ANSWER-SNOMED CT is made up of
three main components—concepts, descriptions, and relationships.
If data aggregation is the goal of collecting the data, ______ are the best choice. - CORRECT ANSWER-A
classification combines related entities. Aggregate data is appropriate when the combination of data
about related entities is sufficient.
___________ is a nursing terminology. - CORRECT ANSWER-The Clinical Care Classification is a nursing
terminology. The others are classifications.
, HCPCS is made up of which code systems? - CORRECT ANSWER-HCPCS is made up of two code
systems: Level I and Level II. Level I is CPT.
Which standard is attached to the data element smoking status contained in the Common Clinical Data
Set? - CORRECT ANSWER-The data element smoking status must be reported with SNOMED CT
identifiers.
Which organization originally published ICD-10? - CORRECT ANSWER-WHO - World Health
Organization
Which of the following provides the most comprehensive, controlled vocabulary for coding the content
of a patient record? - CORRECT ANSWER-SNOMED CT
Who drives which clinical terminology, classification, and code system is selected as the standard? -
CORRECT ANSWER-Government regulation
The OASIS-C1 data elements originate from a _________. - CORRECT ANSWER-Medicare-certified
home health agency
Which of the following terms refers to the incidence of disease? - CORRECT ANSWER-Morbidity
To gather statistics for surgical services provided on an outpatient basis, which of the following codes
are needed? - CORRECT ANSWER-CPT codes
Which of the following is the condition established after study to be the reason for hospitalization? -
CORRECT ANSWER-Principal diagnosis
Which coding system has a section for Evaluation and Management services? - CORRECT ANSWER-CPT
If you were coding a patient with the diagnosis of congestive heart failure, which classification would
you use? - CORRECT ANSWER-ICD-10-CM
