COC 2020 - FINAL EXAM STUDY QUESTIONS AND ANSWERS GRADED A+

Somatic nerve - correct answer Part of the peripheral nervous system Special payments under OPPS may be made for new technology items under what circumstance? - correct answer Pass-through payments for certain drugs, biological agents, brachytherapy devices, and other medical devices for a period of at least two years but no more than three years. Rationale: Special drugs, such as chemotherapy drugs and devices or supplies that are considered "new technology" items will need to be assigned new "pass-through" codes to receive additional reimbursement. The HCPCS Level II C codes are used under the OPPS to identify pass-through drugs and biologicals. The additional payment for a given item is established for at least two, but not more than three years. Squamous cell carcinoma and basal cell carcinoma are cancers of cell tissue of the skin, lining of the blood vessels, respiratory, intestinal, urinary tracts, and other body systems. These carcinomas are found in what type of tissue? - correct answer Epithelial tissue Status indicator G indicates services are: - correct answer Paid under OPPS;separate APC payment Status indicator G is: - correct answer Paid under OPPS; separate APC payment Status indicator H is: - correct answer Separate cost-based pass-through payment;not subject to copayment Status indicator V is used to indicate: - correct answer Clinic or emergency department visits Stopping, or attempting to stop, post-procedural bleeding is coded to the root operation of: - correct answer Control Strangulation - correct answer Constriction of a body part to cut off blood or oxygen Subcarinal means beneath the carina. Where is the carina located? - correct answer At the bifurcation of the trachea into two bronchi Supplementary words enclosed in parentheses in the ICD-10-CM code book have what effect on the coding? Refer to ICD-10-CM guideline I.A.7. - correct answer They do not affect code assignment. Sweat is collected from a patient suspected of having cystic fibrosis. The specimen is taken by iontophoresis. What CPI® code is reported? - correct answer 89230 Syrinx - correct answer A synonym for syringomyelia, a cyst within the spinal cord Teaching facilities are: - correct answer Answer: Affiliated with a medical school Rationale: Teaching hospitals are affiliated with medical schools to train physicians. Tendon sheath: - correct answer a layer of synovial membrane around a tendon. It permits the tendon to stretch and not adhere to the surrounding fascia. It has two layers: synovial sheath. fibrous tendon sheath. The must include: albumin (82040), bilirubin (total) (82247), bilirubin (direct) (82248), phosphatase (alkaline) (84075), protein (total) (84155), transferase alanine amino (ALT) (SGPT) (84460), transferase aspartate amino (AST (SGOT) (84450). - correct answer Hepatic Function Panel (80076) The abbreviation RML stands for: - correct answer Right middle lobe. The abbreviation RTP indicates: - correct answer The claim must be returned to the provider for correction The acronym ACEP means: - correct answer American College of Emergency Physicians The admitting office is responsible for: - correct answer Answer:Obtaining demographic information, insurance information, recording the type of service the patient requires, establishing an account, and obtaining consent for treatment Rationale: Insurance information, demographics, and the type of services the patient requires are recorded. The patient's insurance card is generally copied for verification purposes. An account is established through a computerized system that transfers patient information for hospital-wide availability during patient care. The admitting office is also responsible for obtaining consent for treatment or surgical services from the patient as well as other pertinent information required for patient management. The background relating to OPPS and APCs can be located in which publication? - correct answer Federal Register The beneficiary's principal Dx and up to how many secondary Dx that may include comborbidites or complications deterine the DRG assignment? - correct answer Twenty-four The brain and spinal cord are part of which system? - correct answer Central Nervous System The bronchi are found in what body cavity? - correct answer Thoracic cavity The cardiologist performs a percutaneous stent placement through a right common femoral access into the left iliac vessel. Report the CPT ® code(s). - correct answer 37221 The Chargemaster includes: - correct answer Revenue codes Rationale: The chargemaster is a master inventory list of everything that can be reported or performed in the hospital. Also listed are Uniform Billing (UB) revenue codes, charge descriptions, and other services. These services are identified by the department performing the service. The CPT®/HCPCS Level II code is already built into the system; it is not entered manually. The complete ICD-10-PCS is presented in what three parts? - correct answer the tables, the index, and the list of codes The corpus luteum secretes progesterone. What is an effect of this secretion? - correct answer Thickens the endometrium for implantation and is ncessary to sustain pregnancy The correct diagnosis code(s) for a patient admitted to observation with severe sepsis and septic shock following an induced abortion is: - correct answer O04.87, R65.21 The department responsible for coding procedures and services in the hospital facility is: - correct answer Answer:HIM department Rationale: The Health Information Department includes sections for coding, chart construction or organization, transcriptions (some hospitals and facilities contract with transcription companies), release of information, birth and death certification, scanning or filing to input information into charts, and other sections required to maintain a consistent flow of patient information throughout the hospital or facility