CODING AND REIMBURSEMENT - FINAL EXAM QUESTIONS WITH COMPLETE SOLUTIONS

CODING AND REIMBURSEMENT -
FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
Type of visit where patient is being seen for a specific problem the second, third, or
more times after the initial visit. (i.e. follow up visit for broken arm)

1. Inpatient
2. Initial visit
3. Outpatient
4. Subsequent visit
5. Established patient
6. New patient - Answer-4. Subsequent visit

Patient is admitted to a facility for 24 hours or more requiring room and board. (i.e.
hospital admission)

1. Inpatient
2. Initial visit
3. Outpatient
4. Subsequent visit
5. Established patient
6. New patient - Answer-1. Inpatient

Define Medical Necessity. - Answer-Medical necessity identifies the medical reason
for why the patient is seen.

Patient seen by primary care provider for a 3 month follow up after starting new
diabetic medication.

1. Inpatient type
2. Inpatient setting
3. Outpatient type
4. Outpatient setting - Answer-3. Outpatient type

Emergency room department

1. Inpatient type
2. Inpatient setting
3. Outpatient type
4. Outpatient setting - Answer-4. Outpatient setting

Intensive care unit

1. Inpatient type
2. Inpatient setting

, 3. Outpatient type
4. Outpatient setting - Answer-2. Inpatient setting

Physician office

1. Inpatient type
2. Inpatient setting
3. Outpatient type
4. Outpatient setting - Answer-4. Outpatient setting

Patient came in by ambulance with multiple trauma and was admitted to ICU.

1. Inpatient type
2. Inpatient setting
3. Outpatient type
4. Outpatient setting - Answer-1. Inpatient type

Terms in brackets identify manifestation codes. Which ICD-10-CM volume? -
Answer-Volume 2

Assign codes from here. Which ICD-10-CM volume? - Answer-Volume 1

Has 21 chapters. Which ICD-10-CM volume? - Answer-Volume 1

Has the punctuation colon : after an incomplete term or phrase. Which ICD-10-CM
volume? - Answer-Volume 1

Has cross-reference "see." Which ICD-10-CM volume? - Answer-Volume 2

Terms in brackets identify alternative wording or synonyms. Which ICD-10-CM
volume? - Answer-Volume 1

Bold main term. Which ICD-10-CM volume? - Answer-Volume 2

Coder may choose to follow this direction specified n the index.

1. "see also"
2. "see"
3. subterm
4. parenthesis
5. Exclude 1 - Answer-1. "see also"

Punctuation used to identify nonessential modifiers.

1. "see also"
2. "see"
3. subterm
4. parenthesis
5. Exclude 1 - Answer-4. parenthesis