D521-Introduction to Medical Coding Questions and
Answers Rated A+
Coding - correct answer -purely an academic exercise, finding the correct codes to cover a patient's
diagnosis or procedure is simply a way to organize data into a simpler form.
Billing - correct answer -the more practical function. It's the act of using those medical codes to charge
an insurance company for a service.
ICD - correct answer -The International Classification of Diseases
ICD-9 - correct answer -The nineth revsion of the International Classification of Diseases
ICD-9-CM - correct answer -Clinical Modification of The 9th revision of the International Classification
of Diseases
Volume 1 - correct answer -Disease Classification: Tabular List of Disease
Volume 2 - correct answer -Disease Classification: Alphabetic Index to Disease
Volume 3 - correct answer -Procedure Classification: Alphabetic Index and Tabular List of Procedures
,Definition of complication
medical problem that occurs during disease or after a procedure/treatment
Definition of principle diagnosis
primary condition or disease identified by a healthcare provider as the main reason for the patient's
visit
Definition of AHIMA
American Health Information Management Association - professional organization that promotes
business & clinical uses of electronic/paper based medical information
Definition of AHA
American Hospital Association - national organization that supports hospitals by representing
interests, providing resources, and help improve patient care
Definition of WHO
World Health Organization - connects nations, partners, and people to promote health, keep the
world safe, and serve the vulnerable
Definition of hybrid record
combo of paper, scanned, and computer generated records
Definition of integrated health record
type of health information database in which all types of patient info that be accessed form
Definition of longitudinal health record
stores patient information over a long period of time, typically for as long as the patient receives care
Definition of MS-DRG
system of classifying a Medicare patient's hospital stay into various groups in order to facilitate
payment for services
Definition of significant procedure
surgical in nature, carries an anesthetic risk, carries a procedural risk and requires specialized training
Definition of UHDDS
Uniform Hospital Discharge Data Set - used to report inpatient data in acute, short-term/long-term
care hospitals
Definition of IPPS/OPPS
Inpatient Prospective Payment System/Outpatient Prospective Payment System - to help Medicare
predict and control costs for hospital services
, Definition of sequelae
condition that is a consequence of a previous disease or injury
CPT - correct answer -Current Procedural Terminology Manual
HCPCS - correct answer -Healthcare Common Procedure Coding System
HCPCS - Level I - correct answer -The American Medical Association's Current Procedural Terminology
Manual (CPT). includes all the codes you'll need for coding any medical service, treatment, or
procedure doctors and their staff members provide to their patients
HCPCS - Level II - correct answer -The National Coding Manual - devised by the federal government,
are alphanumeric and supplement the CPT manual by providing codes for other services and
equipment, like ambulance services and prosthetic devices
Medical Coding - correct answer -essential for the accruate tranmission of procedures and diagnosis
data between health care providers and the many insurance companies
CMS - correct answer -Centers for Medicare and Medicaid Services
What do E/M codes describe? - correct answer -The patient visit itself.
What form lists all the conditions and treatments that a particular type of medical practice sees most
often? - correct answer -The superbill.
How many types of codes will you find listed in the ICD-9-CM? - correct answer -Three.
What do insurance companies pay for? - correct answer -Services and procedures.
Together, what do all the different types of medical codes on a claim form tell the insurance
company? - correct answer -A complete story about one particular doctor-patient encounter.
Answers Rated A+
Coding - correct answer -purely an academic exercise, finding the correct codes to cover a patient's
diagnosis or procedure is simply a way to organize data into a simpler form.
Billing - correct answer -the more practical function. It's the act of using those medical codes to charge
an insurance company for a service.
ICD - correct answer -The International Classification of Diseases
ICD-9 - correct answer -The nineth revsion of the International Classification of Diseases
ICD-9-CM - correct answer -Clinical Modification of The 9th revision of the International Classification
of Diseases
Volume 1 - correct answer -Disease Classification: Tabular List of Disease
Volume 2 - correct answer -Disease Classification: Alphabetic Index to Disease
Volume 3 - correct answer -Procedure Classification: Alphabetic Index and Tabular List of Procedures
,Definition of complication
medical problem that occurs during disease or after a procedure/treatment
Definition of principle diagnosis
primary condition or disease identified by a healthcare provider as the main reason for the patient's
visit
Definition of AHIMA
American Health Information Management Association - professional organization that promotes
business & clinical uses of electronic/paper based medical information
Definition of AHA
American Hospital Association - national organization that supports hospitals by representing
interests, providing resources, and help improve patient care
Definition of WHO
World Health Organization - connects nations, partners, and people to promote health, keep the
world safe, and serve the vulnerable
Definition of hybrid record
combo of paper, scanned, and computer generated records
Definition of integrated health record
type of health information database in which all types of patient info that be accessed form
Definition of longitudinal health record
stores patient information over a long period of time, typically for as long as the patient receives care
Definition of MS-DRG
system of classifying a Medicare patient's hospital stay into various groups in order to facilitate
payment for services
Definition of significant procedure
surgical in nature, carries an anesthetic risk, carries a procedural risk and requires specialized training
Definition of UHDDS
Uniform Hospital Discharge Data Set - used to report inpatient data in acute, short-term/long-term
care hospitals
Definition of IPPS/OPPS
Inpatient Prospective Payment System/Outpatient Prospective Payment System - to help Medicare
predict and control costs for hospital services
, Definition of sequelae
condition that is a consequence of a previous disease or injury
CPT - correct answer -Current Procedural Terminology Manual
HCPCS - correct answer -Healthcare Common Procedure Coding System
HCPCS - Level I - correct answer -The American Medical Association's Current Procedural Terminology
Manual (CPT). includes all the codes you'll need for coding any medical service, treatment, or
procedure doctors and their staff members provide to their patients
HCPCS - Level II - correct answer -The National Coding Manual - devised by the federal government,
are alphanumeric and supplement the CPT manual by providing codes for other services and
equipment, like ambulance services and prosthetic devices
Medical Coding - correct answer -essential for the accruate tranmission of procedures and diagnosis
data between health care providers and the many insurance companies
CMS - correct answer -Centers for Medicare and Medicaid Services
What do E/M codes describe? - correct answer -The patient visit itself.
What form lists all the conditions and treatments that a particular type of medical practice sees most
often? - correct answer -The superbill.
How many types of codes will you find listed in the ICD-9-CM? - correct answer -Three.
What do insurance companies pay for? - correct answer -Services and procedures.
Together, what do all the different types of medical codes on a claim form tell the insurance
company? - correct answer -A complete story about one particular doctor-patient encounter.
