Professional Medical Coding and Billing
Final Exam well answered to pass
Health Information Management: - correct answer ✔✔-
In reference to a medical report, the acronym SOAP stands for: - correct answer ✔✔Subjective,
Objective, Assessment, and Plan (SOAP)
A review of the medical record to determine its completeness. - correct answer ✔✔Quantitative
analysis
This documentation provides an opinion about a patient's condition from a physician other than
the primary care (attending) physician. - correct answer ✔✔Consultation
Which of the following is true in regard to the release of protected health information (ROI)? -
correct answer ✔✔A covered entity must provide access to PHI in the manner requested by the
individual
A review of the medical record to ensure the standards are met and to determine accuracy of
record documentation. - correct answer ✔✔Qualitative analysis
____ is a bill introduced by the federal government to include health record security regulations
and protect patient rights. - correct answer ✔✔Health Insurance Portability and Accountability
ACT (HIPAA)
Ben works in the HIM department. He is contacted by Mr. Allen's insurance company who wants
to know the admit and discharge dates for Mr. Allen's most recent admission to the hospital.
,Where is the best place for Ben to look for this information? - correct answer ✔✔The master
patient index
Healthcare Delivery Systems: - correct answer ✔✔-
Which of the following is another name for outpatient care? - correct answer ✔✔Ambulatory
Care
This department provides image-guided procedures such as CT scans and MRIs: - correct answer
✔✔Radiology
Which physician specialty treats patients in the management of pain and other symptoms
related to joints and other parts of the musculoskeletal system? - correct answer
✔✔Rheumatology
Which of the following would receive the data collected by a birth certificate clerk? - correct
answer ✔✔National Center for Health Statistics (NCHS)
Which department is responsible for the maintenance and care of health records? - correct
answer ✔✔Health Information Management
In order for a facility to receive federal healthcare funding (Medicare and Medicaid), they must
comply with regulations called: - correct answer ✔✔Conditions of Participation (CoP)
After suffering a stroke, a patient requires therapy to assist in performing activities of daily living
such as getting dressed and cooking. Which department would assist this patient? - correct
answer ✔✔Occupational therapy
Legal And Compliance: - correct answer ✔✔-
, Which of the following is true about a patient's rights related to accessing and managing their
protected health information (PHI)? - correct answer ✔✔Covered entities are required to agree
to requests for restriction on uses and disclosures of PHI
______ is the practice of assigning a diagnosis or procedure code specifically for the purpose of
obtaining a higher level of reimbursement (payment). - correct answer ✔✔Upcoding
Which organization did HIPAA authorize to investigate cases of healthcare fraud that involve
private and federally funded programs? - correct answer ✔✔Office of Inspector General (OIG)
AHIMA recommends that healthcare records for adults be retained for how long? - correct
answer ✔✔10 years from the most recent episode
Health records for minors should be retained until the patient_____. - correct answer
✔✔reaches the age of majority plus the time required for the statute of limitations
The legal process lawyers use to obtain information regarding all aspects in a case. - correct
answer ✔✔discovery
What must be obtained from a patient before a covered entity can disclose protected health
information? - correct answer ✔✔Written authorization
Reimbursement Methodologies: - correct answer ✔✔-
Which of the following uses the UB-04 claim form? - correct answer ✔✔Urgent care clinic
The third-party payer's process of checking the details of the claim against the information they
have for the patient and his/her insurance benefits. - correct answer ✔✔Adjudication
Final Exam well answered to pass
Health Information Management: - correct answer ✔✔-
In reference to a medical report, the acronym SOAP stands for: - correct answer ✔✔Subjective,
Objective, Assessment, and Plan (SOAP)
A review of the medical record to determine its completeness. - correct answer ✔✔Quantitative
analysis
This documentation provides an opinion about a patient's condition from a physician other than
the primary care (attending) physician. - correct answer ✔✔Consultation
Which of the following is true in regard to the release of protected health information (ROI)? -
correct answer ✔✔A covered entity must provide access to PHI in the manner requested by the
individual
A review of the medical record to ensure the standards are met and to determine accuracy of
record documentation. - correct answer ✔✔Qualitative analysis
____ is a bill introduced by the federal government to include health record security regulations
and protect patient rights. - correct answer ✔✔Health Insurance Portability and Accountability
ACT (HIPAA)
Ben works in the HIM department. He is contacted by Mr. Allen's insurance company who wants
to know the admit and discharge dates for Mr. Allen's most recent admission to the hospital.
,Where is the best place for Ben to look for this information? - correct answer ✔✔The master
patient index
Healthcare Delivery Systems: - correct answer ✔✔-
Which of the following is another name for outpatient care? - correct answer ✔✔Ambulatory
Care
This department provides image-guided procedures such as CT scans and MRIs: - correct answer
✔✔Radiology
Which physician specialty treats patients in the management of pain and other symptoms
related to joints and other parts of the musculoskeletal system? - correct answer
✔✔Rheumatology
Which of the following would receive the data collected by a birth certificate clerk? - correct
answer ✔✔National Center for Health Statistics (NCHS)
Which department is responsible for the maintenance and care of health records? - correct
answer ✔✔Health Information Management
In order for a facility to receive federal healthcare funding (Medicare and Medicaid), they must
comply with regulations called: - correct answer ✔✔Conditions of Participation (CoP)
After suffering a stroke, a patient requires therapy to assist in performing activities of daily living
such as getting dressed and cooking. Which department would assist this patient? - correct
answer ✔✔Occupational therapy
Legal And Compliance: - correct answer ✔✔-
, Which of the following is true about a patient's rights related to accessing and managing their
protected health information (PHI)? - correct answer ✔✔Covered entities are required to agree
to requests for restriction on uses and disclosures of PHI
______ is the practice of assigning a diagnosis or procedure code specifically for the purpose of
obtaining a higher level of reimbursement (payment). - correct answer ✔✔Upcoding
Which organization did HIPAA authorize to investigate cases of healthcare fraud that involve
private and federally funded programs? - correct answer ✔✔Office of Inspector General (OIG)
AHIMA recommends that healthcare records for adults be retained for how long? - correct
answer ✔✔10 years from the most recent episode
Health records for minors should be retained until the patient_____. - correct answer
✔✔reaches the age of majority plus the time required for the statute of limitations
The legal process lawyers use to obtain information regarding all aspects in a case. - correct
answer ✔✔discovery
What must be obtained from a patient before a covered entity can disclose protected health
information? - correct answer ✔✔Written authorization
Reimbursement Methodologies: - correct answer ✔✔-
Which of the following uses the UB-04 claim form? - correct answer ✔✔Urgent care clinic
The third-party payer's process of checking the details of the claim against the information they
have for the patient and his/her insurance benefits. - correct answer ✔✔Adjudication
