ICD 10 Exam 1 Questions With Verified Answers

In 1948 what organization assumed responsibility for publishing/preparing/revising the ICD system every 10 years. - Answer WHO world health organization 1978 version of icd expanded the classification to three volumes ( a separate volume for procedures) and a 5th digit sub classification. - Answer ICD 9- CM CMS delegated the development of ICD 10 pcs to this organizatoin - Answer 3M Health Information System. ICD 10 PCS stands for... - Answer International Classification of Disease 10th edition Procedure Coding System. what was the implementation date for the ICD 10 Cm classification implemented in the US. - Answer 2015 October 1st. how often is the ICD 10 Cm/PCS officially updated. - Answer annually. who is responsible for maintaining the diagnosis classification? - Answer NCHS who is responsible for maintaining the procedure classification ? - Answer CMS what influences the msdrg weight factor? - Answer Complications MCC Commodities Procedures. NEC - Answer a more specific code does not exist. indication that this is the most specific code available. NOS - Answer Not Otherwise Specified. not specified by physician/lack of documentation. standards of Ethical coding includes - Answer *apply accurate complete codes *report all healthcare data elements *code only what's supported by the record. *query providers *refuse to change codes so that the meaning is misrepresented. *refuse to code inappropriately for a hire payout. * support interdisciplinary collaboration in situations supporting proper coding practices. * refuse to participate in unethical coding * protect the confidentiality of the health record. * show a commitment to ethical/legal coding. NCHS - Answer National Center for Health Statistics and centers for medicare and medicaid services. MS DRG stands for - Answer Medicare severity diagnosis related groups. only one is assigned per hospital stay. Three Levels of Severity of MS DRG. - Answer *MS DRG with major complications (MCC) *MD DRG Complications or co-morbidity (CC) * MS DRG with no complications or co-morbidity. MACs ? - Answer processes medical claims for medicare beneficiaries. QIO - Answer Quality Improvement Organizations. review beneficiaries appeals in response to provider-based notices. CERT - Answer Comprehensive Error Rate Testing. measures payment errors. RACs - Answer reviews medicare payments to assess if there was an over-payment or underpayment. ABN - Answer advance beneficiary notice. a statement for medicare patients promising to take full responsibility for charges prior to treatment.