Medical Terminology and Anatomy
The services medically necessary for diagnostic code linkage - ANS What must a coder
understand in order to determine the correct diagnosis code assignment?
Correctly identifying primary and secondary insurance policies in order to preserve
coordination of benefits - ANS Avoiding the duplication of benefits paid by the primary and
secondary insurance is achieved by:
Use the combination code - ANS If a combination code is available, a coder should:
blue triangle - ANS When a code is "revised" in the CPT manual, it will be indicated by:
particular radiology service provided is not described by a specific CPT code - ANS A coder
should use an "unlisted' radiology CPT code when:
Code blocks - ANS Major topic headings in the Tabular List of ICD-10-CM are known as:
Healthcare Common Procedure Coding System - ANS Most state Medicaid programs use
what type of system to report professional services, procedures, supplies, and equipment?
always a letter - ANS The first character of ICD-10-CM:
Using a fourth, fifth, sixth or seventh digit when required - ANS Coding to the highest level of
specificity means:
Without - ANS According to the ICD-10-CM conventions, if the documentation is unclear or
does not state that the complication or comorbidity listed in the code description is present with
the condition, the default is:
E/M service codes - ANS Reported in addition to the appropriate casting code when a cast or
splint is intended to be the definitive treatment of a fracture
Subsequent Encounter - ANS Care encounter after the initial care event
Diagnostic codes from encounter form - ANS What information is needed to fill out a
CMS-1500 claim form?
Billing more than the proper fee for a service - ANS Upcoding is:
It ensures the correct patient data information and procedure codes - ANS Why is a
superbill/encounter form an important document in the office?
, EHR should include eight core functions - ANS 1. Health information and data elements
2. Results management
3. Order management
4. Decision support
5. Electronic communications and connectivity
6. Patient support
7. Administrative processes
8. Reporting and population management
Electronic Health Record (EHR) - ANS reflects the data from all sources that have treated the
individual
Personal Health Record (PHR) - ANS maintained and owned by the patient. The patient
makes the decision whether to share the contents with their physician
Ambulatory care - ANS refers to treatment without admission to hospital
Electronic Medical Records (EMR) - ANS are computerized records of one physician's
encounter with a patient over time
Acute care - ANS most often refers to a hospital, treats patients with urgent problems that
cannot be handled
Centers for Medicare and Medicaid Services (CMS) - ANS Which of the following entities is
responsible for implementing the various provisions of HIPAA in Health Care?
Date - ANS Which of the following is not a key component in selecting a level of Evaluation
and Management (E/M) services?
solid circle - ANS New Codes in the CPT Manual are represented by:
False - ANS When a code has less than 6 characters and a 7th character applies, it is
appropriate to leave a space in the code?
True - ANS A sequela of an injury is reported with the code that describes the sequela
followed by the code for the injury with 7th character 'S'.
Volume 3 - The Alphabetical Index. - ANS Karen has been in a car accident and broke her
arm. Which volume will you refer to first to find a code representing her problem?
Chapter XXI - Factors influencing health status and contact with health services (Z00-Z99) -
ANS Janice has breast cancer and is coming into the office today for Chemotherapy. In which
chapter would you find the code for chemotherapy?
The services medically necessary for diagnostic code linkage - ANS What must a coder
understand in order to determine the correct diagnosis code assignment?
Correctly identifying primary and secondary insurance policies in order to preserve
coordination of benefits - ANS Avoiding the duplication of benefits paid by the primary and
secondary insurance is achieved by:
Use the combination code - ANS If a combination code is available, a coder should:
blue triangle - ANS When a code is "revised" in the CPT manual, it will be indicated by:
particular radiology service provided is not described by a specific CPT code - ANS A coder
should use an "unlisted' radiology CPT code when:
Code blocks - ANS Major topic headings in the Tabular List of ICD-10-CM are known as:
Healthcare Common Procedure Coding System - ANS Most state Medicaid programs use
what type of system to report professional services, procedures, supplies, and equipment?
always a letter - ANS The first character of ICD-10-CM:
Using a fourth, fifth, sixth or seventh digit when required - ANS Coding to the highest level of
specificity means:
Without - ANS According to the ICD-10-CM conventions, if the documentation is unclear or
does not state that the complication or comorbidity listed in the code description is present with
the condition, the default is:
E/M service codes - ANS Reported in addition to the appropriate casting code when a cast or
splint is intended to be the definitive treatment of a fracture
Subsequent Encounter - ANS Care encounter after the initial care event
Diagnostic codes from encounter form - ANS What information is needed to fill out a
CMS-1500 claim form?
Billing more than the proper fee for a service - ANS Upcoding is:
It ensures the correct patient data information and procedure codes - ANS Why is a
superbill/encounter form an important document in the office?
, EHR should include eight core functions - ANS 1. Health information and data elements
2. Results management
3. Order management
4. Decision support
5. Electronic communications and connectivity
6. Patient support
7. Administrative processes
8. Reporting and population management
Electronic Health Record (EHR) - ANS reflects the data from all sources that have treated the
individual
Personal Health Record (PHR) - ANS maintained and owned by the patient. The patient
makes the decision whether to share the contents with their physician
Ambulatory care - ANS refers to treatment without admission to hospital
Electronic Medical Records (EMR) - ANS are computerized records of one physician's
encounter with a patient over time
Acute care - ANS most often refers to a hospital, treats patients with urgent problems that
cannot be handled
Centers for Medicare and Medicaid Services (CMS) - ANS Which of the following entities is
responsible for implementing the various provisions of HIPAA in Health Care?
Date - ANS Which of the following is not a key component in selecting a level of Evaluation
and Management (E/M) services?
solid circle - ANS New Codes in the CPT Manual are represented by:
False - ANS When a code has less than 6 characters and a 7th character applies, it is
appropriate to leave a space in the code?
True - ANS A sequela of an injury is reported with the code that describes the sequela
followed by the code for the injury with 7th character 'S'.
Volume 3 - The Alphabetical Index. - ANS Karen has been in a car accident and broke her
arm. Which volume will you refer to first to find a code representing her problem?
Chapter XXI - Factors influencing health status and contact with health services (Z00-Z99) -
ANS Janice has breast cancer and is coming into the office today for Chemotherapy. In which
chapter would you find the code for chemotherapy?
