Solutions Manual For
Essentials of Health
Information Management
Principles and Practices
Principles and Practices 5th
Edition By Mary Jo Bowie
(All Chapters 1-10, 100%
Original Verified, A+ Grade)
All Chapters Arranged
Reverse: 10-1
This is The Original Solutions
Manual For 5th Edition, All
other Files in The Market are
Fake/Old/Wrong Edition.
, Solution and Answer Guide,:Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 10: Intoduction to Coding and Reimbursement
Solution and Answer Guide
BOWIE, ESSENTIALS OF HEALTH INFORMATION MANAGEMENT, 5E , 9780357624258, Chapter 10:
Introduction to Coding and Reimbursement
TABLE OF CONTENTS
Exercises........................................................................................................................1
Exercise 10-1 Clinical Classification Systems.........................................................................................1
Exercise 10-2 Third-Party Payers............................................................................................................2
End of Chapter Review Solutions.................................................................................3
Multiple Choice:......................................................................................................................................3
True/False:...............................................................................................................................................4
Fill-in-the-Blank:.....................................................................................................................................5
Short Answer:..........................................................................................................................................8
EXERCISES
EXERCISE 10-1 CLINICAL CLASSIFICATION SYSTEMS
Fill-in-the-Blank
1. A public or private entity that processes or facilitates the processing of health information received
from another entity from a(n) ________ format into a standard format is known as a(n) ________.
Answer: nonstandard, clearinghouse
2. The ________ was developed during the latter part of the sixteenth century and is considered the first
classification system.
Answer: London Bills of Mortality
3. Published in 1965, the ________ uses a four-axis system of terms and codes for use by pathologists
interested in storage and retrieval of medical data.
Answer: Systematized Nomenclature of Pathology
4. The Diagnostic and Statistical Manual of Mental Disorders is published by the ________ as a
standard classification of mental disorders.
Answer: American Psychiatric Association
5. CPT is the abbreviation for ________.
Answer: Current Procedural Terminology
© 2023 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in
whole or in part.
1
, Solution and Answer Guide,:Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 10: Intoduction to Coding and Reimbursement
True/False
6. The National Drug Codes are managed by the American Medical Association and serve as a universal
product identifier for human drugs.
Answer: F
7. The CDT is published by the American Dental Association and classifies dental procedures and
services.
Answer: T
8. The Centers for Medicare and Medicaid Services manage HCPCS Level II national codes that
classify medical equipment, injectable drugs, transportation services, and other services.
Answer: T
9. CPT was last published in 1981 by the AMA to name and describe diseases and conditions in the
practice of medicine.
Answer: F
10. ICD-10 uses 3-digit alphanumeric category codes as compared to the 3-digit numeric category codes
used in ICD-9.
Answer: T
EXERCISE 10-2 THIRD-PARTY PAYERS
True/False
1. Medicare (Title XVIII of the Social Security Act of 1965) provides health care coverage to adults
aged 65 and over and persons with disabilities.
Answer: T
2. Worker’s compensation is a federally mandated insurance program that reimburses health care cost
and lost wages if an employee suffers a work related disease or injury.
Answer: F
3. Medicare Part B reimburses claims for physicians’ services.
Answer: T
4. Blue Cross initially covered just physicians’ services.
Answer: F
5. Commercial plans include private health insurance and employer-based group health insurance.
Answer: T
6. Employer-based group health insurance is often provided as an employee benefit in which the
employer typically pays 80 percent of insurance premiums.
Answer: T
7. Utilization management is the process of reviewing medical care for appropriateness, necessity, and
quality.
Answer: T
© 2023 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in
whole or in part.
2
, Solution and Answer Guide,:Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 10: Intoduction to Coding and Reimbursement
8. Medicare provides health care services and support to members of the uniformed services during
military operations.
Answer: F
9. The Federal Employee Health Benefits Program is a voluntary health care program that covers federal
employees, retirees, and their dependents and survivors.
Answer: T
10. TRICARE is the military health plan that covers only active duty members of the uniformed services
and their families.
Answer: F
END OF CHAPTER REVIEW SOLUTIONS
MULTIPLE CHOICE:
1. The organization that reviews and revises ICD is
a. ADA.
b. AMA.
c. CMS.
d. WHO.
Answer: d
2. In 1980, DSM-III was expanded to include a multi-axial classification containing ________ axes.
a. three
b. four
b. five
c. six
Answer: c
3. The AMA publishes this coding system that classifies procedures and services performed by
physicians.
a. CMIT
b. CDT
c. CPT
d. CMT
Answer c
4. Retail pharmacies use ________ to report pharmacy transactions.
a. CPT
b. HCPCS
c. ICD-9
d. NDC
Answer: d
5. Which was developed to help health professionals and researchers retrieve and integrate electronic
biomedical information from a variety of sources?
a. DSM-III
b. ICD-9
© 2023 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in
whole or in part.
3
Essentials of Health
Information Management
Principles and Practices
Principles and Practices 5th
Edition By Mary Jo Bowie
(All Chapters 1-10, 100%
Original Verified, A+ Grade)
All Chapters Arranged
Reverse: 10-1
This is The Original Solutions
Manual For 5th Edition, All
other Files in The Market are
Fake/Old/Wrong Edition.
, Solution and Answer Guide,:Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 10: Intoduction to Coding and Reimbursement
Solution and Answer Guide
BOWIE, ESSENTIALS OF HEALTH INFORMATION MANAGEMENT, 5E , 9780357624258, Chapter 10:
Introduction to Coding and Reimbursement
TABLE OF CONTENTS
Exercises........................................................................................................................1
Exercise 10-1 Clinical Classification Systems.........................................................................................1
Exercise 10-2 Third-Party Payers............................................................................................................2
End of Chapter Review Solutions.................................................................................3
Multiple Choice:......................................................................................................................................3
True/False:...............................................................................................................................................4
Fill-in-the-Blank:.....................................................................................................................................5
Short Answer:..........................................................................................................................................8
EXERCISES
EXERCISE 10-1 CLINICAL CLASSIFICATION SYSTEMS
Fill-in-the-Blank
1. A public or private entity that processes or facilitates the processing of health information received
from another entity from a(n) ________ format into a standard format is known as a(n) ________.
Answer: nonstandard, clearinghouse
2. The ________ was developed during the latter part of the sixteenth century and is considered the first
classification system.
Answer: London Bills of Mortality
3. Published in 1965, the ________ uses a four-axis system of terms and codes for use by pathologists
interested in storage and retrieval of medical data.
Answer: Systematized Nomenclature of Pathology
4. The Diagnostic and Statistical Manual of Mental Disorders is published by the ________ as a
standard classification of mental disorders.
Answer: American Psychiatric Association
5. CPT is the abbreviation for ________.
Answer: Current Procedural Terminology
© 2023 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in
whole or in part.
1
, Solution and Answer Guide,:Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 10: Intoduction to Coding and Reimbursement
True/False
6. The National Drug Codes are managed by the American Medical Association and serve as a universal
product identifier for human drugs.
Answer: F
7. The CDT is published by the American Dental Association and classifies dental procedures and
services.
Answer: T
8. The Centers for Medicare and Medicaid Services manage HCPCS Level II national codes that
classify medical equipment, injectable drugs, transportation services, and other services.
Answer: T
9. CPT was last published in 1981 by the AMA to name and describe diseases and conditions in the
practice of medicine.
Answer: F
10. ICD-10 uses 3-digit alphanumeric category codes as compared to the 3-digit numeric category codes
used in ICD-9.
Answer: T
EXERCISE 10-2 THIRD-PARTY PAYERS
True/False
1. Medicare (Title XVIII of the Social Security Act of 1965) provides health care coverage to adults
aged 65 and over and persons with disabilities.
Answer: T
2. Worker’s compensation is a federally mandated insurance program that reimburses health care cost
and lost wages if an employee suffers a work related disease or injury.
Answer: F
3. Medicare Part B reimburses claims for physicians’ services.
Answer: T
4. Blue Cross initially covered just physicians’ services.
Answer: F
5. Commercial plans include private health insurance and employer-based group health insurance.
Answer: T
6. Employer-based group health insurance is often provided as an employee benefit in which the
employer typically pays 80 percent of insurance premiums.
Answer: T
7. Utilization management is the process of reviewing medical care for appropriateness, necessity, and
quality.
Answer: T
© 2023 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in
whole or in part.
2
, Solution and Answer Guide,:Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 10: Intoduction to Coding and Reimbursement
8. Medicare provides health care services and support to members of the uniformed services during
military operations.
Answer: F
9. The Federal Employee Health Benefits Program is a voluntary health care program that covers federal
employees, retirees, and their dependents and survivors.
Answer: T
10. TRICARE is the military health plan that covers only active duty members of the uniformed services
and their families.
Answer: F
END OF CHAPTER REVIEW SOLUTIONS
MULTIPLE CHOICE:
1. The organization that reviews and revises ICD is
a. ADA.
b. AMA.
c. CMS.
d. WHO.
Answer: d
2. In 1980, DSM-III was expanded to include a multi-axial classification containing ________ axes.
a. three
b. four
b. five
c. six
Answer: c
3. The AMA publishes this coding system that classifies procedures and services performed by
physicians.
a. CMIT
b. CDT
c. CPT
d. CMT
Answer c
4. Retail pharmacies use ________ to report pharmacy transactions.
a. CPT
b. HCPCS
c. ICD-9
d. NDC
Answer: d
5. Which was developed to help health professionals and researchers retrieve and integrate electronic
biomedical information from a variety of sources?
a. DSM-III
b. ICD-9
© 2023 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in
whole or in part.
3
