Data Repository - Answers The database used in every industry to store large amounts of information
Data Modeling - Answers The process of determining a users information needs and identifying
relationships among the data.
Fee-for-Service - Answers A healthcare payment method in which provider receives payment for
services rendered.
Hospital Payment Monitoring Program - Answers One of the purpose of the program is to monitor the
inpatient payment error rate.
The Uniform Hospital Discharge Data Set (UHDDS) - Answers The data set uses a minimum set of data
elements based on standard definitions used for consistent data for multiple users.
Physician Query - Answers One of the purposes of this tool is to clarify conflicting documentation.
National Correct Coding Initiatives (NCCI) - Answers One of the reasons the Centers for Medicare and
Medicaid Services (CMS) developed this initiative is to control improper coding practices.
Other Diagnosis - Answers The Uniform Hospital Discharge Data Set (UHDDS) defines the diagnosis as all
conditions that coexist at the time of admission.
Diagnosed three days into the present - Answers All general acute healthcare providers must report a
Present on Admission (POA) indicator. The purpose of reporting Present on Admission(POA) is to
indicate conditions:
Current Procedural Terminology (CPT) Codes - Answers Healthcare Common Procedure Coding System
(HCPCS) is divided into two level of code sets. The first levels of Healthcare Common Procedure Coding
System consist of:
Transfer Policy - Answers Center for Medicare and Medicaid Services (CMS) policy that generally result
in reducing payment to the transferring facility.
Processing mortality statistics - Answers In addition to promoting international comparability,
International Classification of Diseases was originally designed as a means for:
24 hours after admission - Answers According to Center for Medicare and Medicaid Services (CMS)
Hospital Conditions of Participation, a medical history and physician examination must be completed for
a patient no more than 30 days before or:
Flag the record for the physician - Answers When a medical record analyst identifies an unsigned order,
their first step should be to:
Quantitative Analysis - Answers The purpose of the analysis is to determine the completeness of patient
health records.
, Demographics - Answers The study of statistical information and human populations.
Significant Procedure - Answers The Uniform Hospital Discharge Data Set (UHDDS) requires that all of
this kind of procedures be reported. It is defined as surgical in nature..
Center for Medicare and Medicaid Services (CMS) - Answers The Agency that is responsible for the
maintenance and distribution of Healthcare Common Procedural Coding System (HCPCS) Level II codes
Diseases or injuries, surgeries, and procedures - Answers A classification system is an arrangement of
elements into groups according to established criteria. In International Classification of Disease, Ninth
Revision, Clinical Modification (ICD-9-CM), these elements are:
Family History - Answers The Uniform Hospital Discharge Data Set (UHDDS) does not require this item:
All non-outpatient settings - Answers The Uniform Hospital Discharge Data Set (UHDDS) application of
definitions was expanded to include what type of healthcare facilities:
Physician services - Answers Current Procedural Terminology (CPT) was originally designed for reporting:
Evaluation and Management modifier - Answers A patient presents to a physician owned clinic for a
broken wrist X-rays are taken in the office. The clinic will bill 73100 Radiologic examination, wrist, 2
views with what modifier?
Code the CPT for both services and append a "59" modifier - Answers Current Procedural Terminology
(CPT) defines a diagnostic endoscopy as a "separate procedure." If a surgical endoscopy is performed in
conjunction with the diagnostic services, how should this scenario be coded?
Code for the manifestation - Answers Poisoning is caused by the incorrect use of a drug. The code for
poisoning is sequenced first followed by the:
V-codes and E-codes - Answers In International Classification of Disease, Ninth Revision, Clinical
Modification (ICD-9-CM), the supplementary classifications include:
Anomaly - Answers In International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-
CM), Alphabetic Index, congenital conditions are most often indexed under which main term:
Delivery of Pregnancy - Answers In the Alphabetic Index, conditions that complicate childbirth usually
found under what main terms:
Inclusion Notes - Answers In International Classification of Disease, Ninth Revision, Clinical Modification
(ICD-9-CM), notes that lists conditions similar enough to be classified to the same code.
Code First Underlying Condition Note - Answers In International Classification of Disease, Ninth Revision,
Clinical Modification's (ICD-9-CM) Tabular List; this note is used in the Tabular List to identify a code for a
condition that is a manifestation of an underlying disease