IHMO Final Review Exam UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
A working knowledge of ______ ______ and a course in anatomy and physiology are essential to
becoming a topnotch coder of diagnoses. - CORRECT ANSWER medical terminology
The two types of physician's fee profiles are called _____ and _____ ______ ______. - CORRECT
ANSWER prevailing, individual customary profile
A principal diagnosis is only applicable to the ________ place of service. - CORRECT
ANSWER inpatient
ICD-10-CM classifies ______ and _______ information for statistical purposes. - CORRECT
ANSWER morbidity, mortality
During the transition to ICD-10-CM, the _____ ___ ______ will determine if a claim should be
reported using an ICD-9-CM code or an ICD-10-CM. - CORRECT ANSWER date of service
The common translation tool developed by the US government to translate ICD-9-CM codes to ICD-
10-CM codes is referred to as the _____ _____ ______. - CORRECT ANSWER general
equivalence mappings (GEMs)
Annual updates to the ICD-10-CM coding system are published in the _____ _____, by the US
Government Printing Office. - CORRECT ANSWER Federal register
Volume 2, the Alphabetic Index to Diseases and Injuries, is placed _____ in most coding manuals. -
CORRECT ANSWER first
A term used as the name of disease, structure, operation, or procedure, usually derived from the name
of place or person who discovered or described it first, is called an _________. - CORRECT
ANSWER eponym
, ICD-10-Cm codes have from ___ to ___ characters. - CORRECT ANSWER 3, 7
Symbols, punctuation marks, indentations, and other similar rules for determining the appropriate
diagnosis code are referred to as _________. - CORRECT ANSWER conventions
Diagnostic codes on an insurance claim explain the ______ _____ ______. - CORRECT
ANSWER reason for services
In location a diagnosis, look up the main term, which is the _____ and _____. - CORRECT
ANSWER disease, injury
The diagnosis listed first in the submitting insurance claims for patients seen in a physician's office is
the _________ __________. - CORRECT ANSWER primary diagnosis
Diagnoses that relate to a patient's previous medical problem and that have no bearing on the patient's
condition should be _______ when coding. - CORRECT ANSWER excluded
Diagnosis obtained following review of studies for the condition that prompted inpatient
hospitalization is the __________ diagnosis. - CORRECT ANSWER principal
The ICD-10-CM was published by the World Health Organization (WHO) in year _____. -
CORRECT ANSWER 1992
Consequences when a medical practice does not use diagnostic codes are _____ ______, _______ or
______, and _________ can be _______. - CORRECT ANSWER claims denied, fines or
penalties, sanctions can be imposed
Why is the correct sequence of codes on an insurance claim important? - CORRECT
ANSWER 1. the chronology of patient care events
2. the severity of the disease can be understood
What are some examples of diagnosis-related procedures? - CORRECT ANSWER 1. imaging
services
2. cardiovascular services
ACTUAL QUESTIONS AND CORRECT
ANSWERS
A working knowledge of ______ ______ and a course in anatomy and physiology are essential to
becoming a topnotch coder of diagnoses. - CORRECT ANSWER medical terminology
The two types of physician's fee profiles are called _____ and _____ ______ ______. - CORRECT
ANSWER prevailing, individual customary profile
A principal diagnosis is only applicable to the ________ place of service. - CORRECT
ANSWER inpatient
ICD-10-CM classifies ______ and _______ information for statistical purposes. - CORRECT
ANSWER morbidity, mortality
During the transition to ICD-10-CM, the _____ ___ ______ will determine if a claim should be
reported using an ICD-9-CM code or an ICD-10-CM. - CORRECT ANSWER date of service
The common translation tool developed by the US government to translate ICD-9-CM codes to ICD-
10-CM codes is referred to as the _____ _____ ______. - CORRECT ANSWER general
equivalence mappings (GEMs)
Annual updates to the ICD-10-CM coding system are published in the _____ _____, by the US
Government Printing Office. - CORRECT ANSWER Federal register
Volume 2, the Alphabetic Index to Diseases and Injuries, is placed _____ in most coding manuals. -
CORRECT ANSWER first
A term used as the name of disease, structure, operation, or procedure, usually derived from the name
of place or person who discovered or described it first, is called an _________. - CORRECT
ANSWER eponym
, ICD-10-Cm codes have from ___ to ___ characters. - CORRECT ANSWER 3, 7
Symbols, punctuation marks, indentations, and other similar rules for determining the appropriate
diagnosis code are referred to as _________. - CORRECT ANSWER conventions
Diagnostic codes on an insurance claim explain the ______ _____ ______. - CORRECT
ANSWER reason for services
In location a diagnosis, look up the main term, which is the _____ and _____. - CORRECT
ANSWER disease, injury
The diagnosis listed first in the submitting insurance claims for patients seen in a physician's office is
the _________ __________. - CORRECT ANSWER primary diagnosis
Diagnoses that relate to a patient's previous medical problem and that have no bearing on the patient's
condition should be _______ when coding. - CORRECT ANSWER excluded
Diagnosis obtained following review of studies for the condition that prompted inpatient
hospitalization is the __________ diagnosis. - CORRECT ANSWER principal
The ICD-10-CM was published by the World Health Organization (WHO) in year _____. -
CORRECT ANSWER 1992
Consequences when a medical practice does not use diagnostic codes are _____ ______, _______ or
______, and _________ can be _______. - CORRECT ANSWER claims denied, fines or
penalties, sanctions can be imposed
Why is the correct sequence of codes on an insurance claim important? - CORRECT
ANSWER 1. the chronology of patient care events
2. the severity of the disease can be understood
What are some examples of diagnosis-related procedures? - CORRECT ANSWER 1. imaging
services
2. cardiovascular services
