medical coding and billing ch 1, 2, 3
questions well answered to pass
AHIMA - correct answer ✔✔provides training and certification for coding professionals
Outpatient - correct answer ✔✔person who requires health care services but does not need to
stay in an institution for those services
Remote coding - correct answer ✔✔a medical coder who works outside of the facility doing the
prcedure, usually coders who work from home
Mid-Level Provider - correct answer ✔✔Nurse Practitioner (LNP) or Physician Assistant (PA) that
works under the supervision of a physician to diagnose and treat patients
classification system - correct answer ✔✔a list of disorders, along with descriptions of
symptoms and guidelines for making appropriate diagnoses
Accountable Care Organization (ACO) - correct answer ✔✔An organization of healthcare
providers accountable for the quality, cost, and overall care of Medicare beneficiaries who are
assigned and enrolled in the traditional fee-for-service program
Encryption - correct answer ✔✔Process of converting readable data into unreadable characters
to prevent unauthorized access.
CPOE (Computerized Physician Order Entry) - correct answer ✔✔Application used by physicians
and other health care providers to enter patient care information. Also provides support tools
that result in improved care and patient outcomes.
, de-identified information - correct answer ✔✔Information that does not identify an individual
because unique and personal characteristics have been removed.
Data analytics - correct answer ✔✔The science of examining raw data with the purpose of
drawing conclusions about that information
Clinical modification - correct answer ✔✔The CM in ICD-10-CM stands for
modifier - correct answer ✔✔a word, phrase, or clause that qualifies or describes another
word, phrase, or clause
E/M services - correct answer ✔✔exams, evaluations, consultations, treatments, conferences,
patient counseling, preventative pediatric/adult health supervision, adult/pediatric critical &
intensive care, ER, home care, nursing home care, and similar medical services such as
determination of the need/location for appropriate care
HCPCS - correct answer ✔✔Healthcare Common Procedure Coding System
Coding Guidelines - correct answer ✔✔ICD-9-CM Official Guidelines for Coding and Reporting:
See Appendix I on CD-ROM with textbook
Chapter-specific guidelines exist for coding of infectious and parasitic diseases (001-139).
Topics included in the guidelines are human immunodeficiency infections, septicemia, systemic
inflammatory response syndrome (SIRS), sepsis, severe sepsis, and septic shock
Code First - correct answer ✔✔Indicates that more than one code is necessary
Essential Modifiers - correct answer ✔✔Terms indented two spaces to the right below the main
term called subterms. Are essential modifiers b/c they have bearing on the right selection of the
code.
questions well answered to pass
AHIMA - correct answer ✔✔provides training and certification for coding professionals
Outpatient - correct answer ✔✔person who requires health care services but does not need to
stay in an institution for those services
Remote coding - correct answer ✔✔a medical coder who works outside of the facility doing the
prcedure, usually coders who work from home
Mid-Level Provider - correct answer ✔✔Nurse Practitioner (LNP) or Physician Assistant (PA) that
works under the supervision of a physician to diagnose and treat patients
classification system - correct answer ✔✔a list of disorders, along with descriptions of
symptoms and guidelines for making appropriate diagnoses
Accountable Care Organization (ACO) - correct answer ✔✔An organization of healthcare
providers accountable for the quality, cost, and overall care of Medicare beneficiaries who are
assigned and enrolled in the traditional fee-for-service program
Encryption - correct answer ✔✔Process of converting readable data into unreadable characters
to prevent unauthorized access.
CPOE (Computerized Physician Order Entry) - correct answer ✔✔Application used by physicians
and other health care providers to enter patient care information. Also provides support tools
that result in improved care and patient outcomes.
, de-identified information - correct answer ✔✔Information that does not identify an individual
because unique and personal characteristics have been removed.
Data analytics - correct answer ✔✔The science of examining raw data with the purpose of
drawing conclusions about that information
Clinical modification - correct answer ✔✔The CM in ICD-10-CM stands for
modifier - correct answer ✔✔a word, phrase, or clause that qualifies or describes another
word, phrase, or clause
E/M services - correct answer ✔✔exams, evaluations, consultations, treatments, conferences,
patient counseling, preventative pediatric/adult health supervision, adult/pediatric critical &
intensive care, ER, home care, nursing home care, and similar medical services such as
determination of the need/location for appropriate care
HCPCS - correct answer ✔✔Healthcare Common Procedure Coding System
Coding Guidelines - correct answer ✔✔ICD-9-CM Official Guidelines for Coding and Reporting:
See Appendix I on CD-ROM with textbook
Chapter-specific guidelines exist for coding of infectious and parasitic diseases (001-139).
Topics included in the guidelines are human immunodeficiency infections, septicemia, systemic
inflammatory response syndrome (SIRS), sepsis, severe sepsis, and septic shock
Code First - correct answer ✔✔Indicates that more than one code is necessary
Essential Modifiers - correct answer ✔✔Terms indented two spaces to the right below the main
term called subterms. Are essential modifiers b/c they have bearing on the right selection of the
code.
