Answers32
Which accrediting organization has instituted continuous improvement and sentinel event
monitoring and uses tracer methodology during survey visits? - ANSWERS -Joint Commission on
Accreditation of Healthcare Organizations
Current Procedural Terminology - ANSWERS -to provide a system for coding the clinical
procedures and services
provided by physicians and other clinical professionals
Diagnostic and Statistical Manual of Mental Disorders, Fourth Revision - ANSWERS -to provide a
means to record information about patients treated for
substance abuse and mental disorders
Healthcare Common Procedure Coding System - ANSWERS -to promote uniform reporting and
statistical data collection for medical procedures, supplies, products and services
International Classification of Diseases for Oncology, Third Edition - ANSWERS -to provide a
detailed classification system for coding the histology,
topography, and behavior of neoplasms
International Classification of Diseases, 10 th Revision, Clinical Modification - ANSWERS -the
planned replacement for ICD 9 CM
Volumes 1 and 2
,Systematized Nomenclature of Medicine Clinical Terminology - ANSWERS -to provide a
standardized vocabulary for facilitating the development of computerbased patient records
reliability - ANSWERS -the degree to which the same results are achieved consistently
validity - ANSWERS -the degree to which codes accurately reflect the patient's diagnoses and
procedures
completeness - ANSWERS -the degree to which the codes capture all the diagnoses and
procedures documented in the patient's health record
timeliness - ANSWERS -the time frame in which health records are coded
Computer software programs that assist in the assignment of codes used with diagnostic and
procedural classifications are called - ANSWERS -encoders.
CPT Assistant - ANSWERS -American Medical Association
Coding Clinic - ANSWERS -American Hospital Association
Standards of Ethical Coding - ANSWERS -American Health Information Management Association
International Classification of Diseases, Ninth Revision - ANSWERS -World Health Organization
Which of the following classifications is used exclusively for classifying cases of malignant
disease? - ANSWERS -ICD-O-3
Which organization originally published ICD9? - ANSWERS -World Health Organization
,Which of the following ICD-9-CM codes classify environmental events and circumstances as the
cause of an injury, poisoning, or other adverse effect? - ANSWERS -. E codes
Which of the following provides a set of codes used for collecting data about substance abuse
and mental health disorders? - ANSWERS -DSM-IV-TR
Which of the following is a standard terminology used to code medical procedures and
services? - ANSWERS -CPT
Which of the following practices is not an appropriate coding compliance activity? - ANSWERS -
providing a financial incentive for coding claims improperly
Which of the following is not a knowledge source for users of the Unified Medical Language
System? - ANSWERS -the concept table
At which level of the classification system are the most specific ICD-9-CM codes found? -
ANSWERS -sub-classification level
Which of the following terms refers to the incidence of disease? - ANSWERS -morbidity
Which of the following ICD-9-CM codes are always alphanumeric? - ANSWERS -V codes
Nosology can be defined as - ANSWERS -the branch of medical science that deals with
classification systems
What are five-digit ICD-9-CM diagnosis codes referred to as? - ANSWERS -subclassification level
, Which of the following provides the most comprehensive controlled vocabulary for coding the
contents of a patient record? - ANSWERS -SNOMED CT
Which volume of ICD-9-CM contains the numerical listing of codes that represent diseases and
injuries? - ANSWERS -volume 1
Which of the following terms refers to the incidence of death? - ANSWERS -mortality
Which of the following organizations is responsible for updating the procedure classification of
ICD9CM? - ANSWERS -Centers for Medicare and Medicaid services. i.e. CMS
What are four digit ICD-9-CM diagnosis codes referred to as? - ANSWERS -subcategory codes
Which volume of ICD-9-CM contains the alphabetic index for the diagnostic codes? - ANSWERS -
VOLUME 2
What is the defining characteristic of an integrated health record format? - ANSWERS -
Integrated health record components are arranged in strict chronological order.
Which of the following represents an example of data granularity? - ANSWERS -a numerical
measurement carried out to the appropriate decimal place
Paper based record systems are not flexible enough to meet all of the needs of every health
record user. - ANSWERS -True
Who are the primary users of the health record? - ANSWERS -the clinical professionals who
provide direct patient care