HIM 1423 All Tests UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
The _______ is responsible for development and maintenance of RxNorm - CORRECT
ANSWER The NLM develops and maintains RxNorm.
The ___________ is responsible for the publishing and maintaining HCPCS Level II. -
CORRECT ANSWER CMS publishes and maintains HCPCS Level II
Which of the following is the standard for clinical lab test results under the Meaningful Use
program? - CORRECT ANSWER LOINC is the standard for clinical lab test results as
per the Meaningful Use program.
The standardized HEDIS data elements are collected by _________. - CORRECT
ANSWER Clinics and hospitals collect the standardized HEDIS data elements from
health records
The ________ originated from federal reporting requirements tied to certification criteria
found in the Meaningful Use regulations. - CORRECT ANSWER The Office of the
National Coordinator for Health Information Technology (ONC) established a common set of
data types and elements and associated standards for use across several certification criteria.
The combination of these items is called the Common Clinical Data Set.
Which of the following developed the Diagnostic and Statistical Manual of Mental
Disorders? - CORRECT ANSWER The APA developed the DSM to be the standard
medical classification for mental disorders.
ICD-10-PCS is a classification of _________. - CORRECT ANSWER The purpose of
ICD-10-PCS is to provide a system for classifying procedures performed on hospital
inpatients.
The SNOMED CT _________ includes the semantic tag. - CORRECT ANSWER The
fully specified name is the unique text assigned to a concept that completely defines it. The
term enclosed in parentheses at the end of the fully specified name is called the semantic tag.
,Home health agency process and improvement outcome measures are based on data from the
_____. - CORRECT ANSWER The CMS Home Health Compare website's
information on home health agency process and improvement outcome measures are based
on OASIS data submitted by home health agencies to state repositories.
The UHDDS's core data elements were incorporated into the ___________ prospective
payment system - CORRECT ANSWER When diagnosis-related groups were
implemented, UHDDS definitions were incorporated into the inpatient prospective payment
system regulations
A ___________ is a set of terms representing the system of concepts for the medical field. -
CORRECT ANSWER This is the definition of a clinical terminology.
Category I CPT includes which of the following? - CORRECT ANSWER Category I
CPT includes six main sections one of which is Surgery.
One of the two major groups of LOINC content is _________. - CORRECT
ANSWER There are two major groups of LOINC content—laboratory and clinical.
The ___________ is responsible for the development and maintenance of ICD-10-CM. -
CORRECT ANSWER The governmental body responsible for developing and
maintaining ICD-10-CM is NCHS.
If you were looking for a code for a medication taken orally, in which system is it found? -
CORRECT ANSWER RxNorm is a standardized nomenclature for clinical drugs.
A classification provides clinical data to ______________. - CORRECT
ANSWER Classifications aggregate clinical data for healthcare statistics.
WHO defines ___________ as a reference classification. - CORRECT ANSWER ICF
is one of the three reference classifications approved by WHO-FIC.
,An accumulation of numeric or alphanumeric representations or codes for exchanging or
storing information is a ___________. - CORRECT ANSWER This is a definition of a
code system
LOINC would be found in the UMLS ____________. - CORRECT ANSWER Code
systems are found in the UMLS Metathesaurus. LOINC is a code system.
The _________ is a system for classifying the topography and morphology of neoplasm. -
CORRECT ANSWER ICD-O-3 is the system used by tumor or cancer registries for
classifying the topography and morphology of neoplasms.
The ___________ is a core component of SNOMED CT. - CORRECT
ANSWER SNOMED CT is made up of three main components—concepts,
descriptions, and relationships.
If data aggregation is the goal of collecting the data, ______ are the best choice. - CORRECT
ANSWER A classification combines related entities. Aggregate data is appropriate
when the combination of data about related entities is sufficient.
___________ is a nursing terminology. - CORRECT ANSWER The Clinical Care
Classification is a nursing terminology. The others are classifications.
HCPCS is made up of which code systems? - CORRECT ANSWER HCPCS is made
up of two code systems: Level I and Level II. Level I is CPT.
Which standard is attached to the data element smoking status contained in the Common
Clinical Data Set? - CORRECT ANSWER The data element smoking status must be
reported with SNOMED CT identifiers.
Which organization originally published ICD-10? - CORRECT ANSWER WHO -
World Health Organization
, Which of the following provides the most comprehensive, controlled vocabulary for coding
the content of a patient record? - CORRECT ANSWER SNOMED CT
Who drives which clinical terminology, classification, and code system is selected as the
standard? - CORRECT ANSWER Government regulation
The OASIS-C1 data elements originate from a _________. - CORRECT
ANSWER Medicare-certified home health agency
Which of the following terms refers to the incidence of disease? - CORRECT
ANSWER Morbidity
To gather statistics for surgical services provided on an outpatient basis, which of the
following codes are needed? - CORRECT ANSWER CPT codes
Which of the following is the condition established after study to be the reason for
hospitalization? - CORRECT ANSWER Principal diagnosis
Which coding system has a section for Evaluation and Management services? - CORRECT
ANSWER CPT
If you were coding a patient with the diagnosis of congestive heart failure, which
classification would you use? - CORRECT ANSWER ICD-10-CM
Which of the following classifications is used exclusively for classifying cases of malignant
disease? - CORRECT ANSWER ICD-O-3
The first character for all of the codes assigned in ICD-10-CM is - CORRECT
ANSWER an alphabet.
The Level II (national) codes of the HCPCS coding system are maintained by the -
CORRECT ANSWER Centers for Medicare and Medicaid Services
QUESTIONS AND CORRECT ANSWERS
The _______ is responsible for development and maintenance of RxNorm - CORRECT
ANSWER The NLM develops and maintains RxNorm.
The ___________ is responsible for the publishing and maintaining HCPCS Level II. -
CORRECT ANSWER CMS publishes and maintains HCPCS Level II
Which of the following is the standard for clinical lab test results under the Meaningful Use
program? - CORRECT ANSWER LOINC is the standard for clinical lab test results as
per the Meaningful Use program.
The standardized HEDIS data elements are collected by _________. - CORRECT
ANSWER Clinics and hospitals collect the standardized HEDIS data elements from
health records
The ________ originated from federal reporting requirements tied to certification criteria
found in the Meaningful Use regulations. - CORRECT ANSWER The Office of the
National Coordinator for Health Information Technology (ONC) established a common set of
data types and elements and associated standards for use across several certification criteria.
The combination of these items is called the Common Clinical Data Set.
Which of the following developed the Diagnostic and Statistical Manual of Mental
Disorders? - CORRECT ANSWER The APA developed the DSM to be the standard
medical classification for mental disorders.
ICD-10-PCS is a classification of _________. - CORRECT ANSWER The purpose of
ICD-10-PCS is to provide a system for classifying procedures performed on hospital
inpatients.
The SNOMED CT _________ includes the semantic tag. - CORRECT ANSWER The
fully specified name is the unique text assigned to a concept that completely defines it. The
term enclosed in parentheses at the end of the fully specified name is called the semantic tag.
,Home health agency process and improvement outcome measures are based on data from the
_____. - CORRECT ANSWER The CMS Home Health Compare website's
information on home health agency process and improvement outcome measures are based
on OASIS data submitted by home health agencies to state repositories.
The UHDDS's core data elements were incorporated into the ___________ prospective
payment system - CORRECT ANSWER When diagnosis-related groups were
implemented, UHDDS definitions were incorporated into the inpatient prospective payment
system regulations
A ___________ is a set of terms representing the system of concepts for the medical field. -
CORRECT ANSWER This is the definition of a clinical terminology.
Category I CPT includes which of the following? - CORRECT ANSWER Category I
CPT includes six main sections one of which is Surgery.
One of the two major groups of LOINC content is _________. - CORRECT
ANSWER There are two major groups of LOINC content—laboratory and clinical.
The ___________ is responsible for the development and maintenance of ICD-10-CM. -
CORRECT ANSWER The governmental body responsible for developing and
maintaining ICD-10-CM is NCHS.
If you were looking for a code for a medication taken orally, in which system is it found? -
CORRECT ANSWER RxNorm is a standardized nomenclature for clinical drugs.
A classification provides clinical data to ______________. - CORRECT
ANSWER Classifications aggregate clinical data for healthcare statistics.
WHO defines ___________ as a reference classification. - CORRECT ANSWER ICF
is one of the three reference classifications approved by WHO-FIC.
,An accumulation of numeric or alphanumeric representations or codes for exchanging or
storing information is a ___________. - CORRECT ANSWER This is a definition of a
code system
LOINC would be found in the UMLS ____________. - CORRECT ANSWER Code
systems are found in the UMLS Metathesaurus. LOINC is a code system.
The _________ is a system for classifying the topography and morphology of neoplasm. -
CORRECT ANSWER ICD-O-3 is the system used by tumor or cancer registries for
classifying the topography and morphology of neoplasms.
The ___________ is a core component of SNOMED CT. - CORRECT
ANSWER SNOMED CT is made up of three main components—concepts,
descriptions, and relationships.
If data aggregation is the goal of collecting the data, ______ are the best choice. - CORRECT
ANSWER A classification combines related entities. Aggregate data is appropriate
when the combination of data about related entities is sufficient.
___________ is a nursing terminology. - CORRECT ANSWER The Clinical Care
Classification is a nursing terminology. The others are classifications.
HCPCS is made up of which code systems? - CORRECT ANSWER HCPCS is made
up of two code systems: Level I and Level II. Level I is CPT.
Which standard is attached to the data element smoking status contained in the Common
Clinical Data Set? - CORRECT ANSWER The data element smoking status must be
reported with SNOMED CT identifiers.
Which organization originally published ICD-10? - CORRECT ANSWER WHO -
World Health Organization
, Which of the following provides the most comprehensive, controlled vocabulary for coding
the content of a patient record? - CORRECT ANSWER SNOMED CT
Who drives which clinical terminology, classification, and code system is selected as the
standard? - CORRECT ANSWER Government regulation
The OASIS-C1 data elements originate from a _________. - CORRECT
ANSWER Medicare-certified home health agency
Which of the following terms refers to the incidence of disease? - CORRECT
ANSWER Morbidity
To gather statistics for surgical services provided on an outpatient basis, which of the
following codes are needed? - CORRECT ANSWER CPT codes
Which of the following is the condition established after study to be the reason for
hospitalization? - CORRECT ANSWER Principal diagnosis
Which coding system has a section for Evaluation and Management services? - CORRECT
ANSWER CPT
If you were coding a patient with the diagnosis of congestive heart failure, which
classification would you use? - CORRECT ANSWER ICD-10-CM
Which of the following classifications is used exclusively for classifying cases of malignant
disease? - CORRECT ANSWER ICD-O-3
The first character for all of the codes assigned in ICD-10-CM is - CORRECT
ANSWER an alphabet.
The Level II (national) codes of the HCPCS coding system are maintained by the -
CORRECT ANSWER Centers for Medicare and Medicaid Services
