ICD-10-CM, Questions and answers, 100% Accurate, rated A+

ICD-10-CM, Questions and answers, 100% Accurate, rated A+ What edition of the Federal Register would hospital facilities be especially interested in? A. July B. November or December C. October D. January - -C. October What edition of the Federal Register would outpatient facilities be especially interested in? A. November or December B. October C. January D. July - -A. November or December What is the largest third-party payer? A. American government B. Department of Health and Human Services C. Social Security Administration D. Food and Drug Administration - -A. American government What government organization is responsible for administering the Medicare program? A. National Center for Health Statistics B. National Institute of Health C. Centers for Medicare and Medicaid Services D. Social Security Administration - -C. Centers for Medicare and Medicaid Services What are the three items that the Medicare beneficiaries are responsible to pay before Medicare will begin to pay for services? A. deductibles, drug costs, personal care items B. personal care items C. premiums D. deductibles, premiums, and coinsurance - -D. deductibles, premiums, and coinsurance What is the group of providers who formed a network and agreed to provide enrollees a discounted rate? A. PPO B. EPO C. MCO D. HMO - -A. PPO A provider has ______ months from the date of service to submit a claim for services. A. none of the above B. 24 C. 12 D. 16 - -C. 12 These are activities involving transfer of health care information. A. transactions B. transmissions C. notices D. submittals - -A. transactions Medicare beneficiaries are automatically eligible for Part: A. C B. D C. A D. B - -C. A Part B services are reported with: A. HCPCS B. ICD-10-CM C. all of the above D. CPT - -C. all of the above Part ____of Medicare is also known as Medicare Advantage. A. C B. A C. D D. B - -A. C Services usually performed in an office setting are subject to payment discount if performed in an outpatient hospital setting. A. True B. False - -A. True Medicare funds are collected by: A. National Center for Health Statistics B. Department of the Treasury C. Social Security Administration D. U.S. Food and Drug Administration - -C. Social Security Administration Check the three goals of the Physician Payment Reform: 1. Decrease Medicare expenditures 2. Control costs of operative procedures 3. Ensure quality health care at a reasonable cost 4. Monitor hospital use 5. Coordinate outpatient services 6. Redistribute physician payments - -1. Decrease Medicare expenditures 3. Ensure quality health care at a reasonable cost 6. Redistribute physician payments Check the three components of the Relative Value Unit. 1. cost differential 2. malpractice 3. inflation rate 4. work 5. office space expense 6. practice expense - -2. malpractice 4. work 6. practice expense When two surgeons of different specialties perform a procedure as co-surgeons, Medicare pays ______% of the global fee, dividing the payment equally between the surgeons. A. 150 B. 50 C. 100 D. 125 - -D. 125 Check the three types of persons eligible for Medicare. 1. permanent kidney failure 2. 8 and under 3. some disabilities 4. diabetics 5. uninsured 6. 65 and over - -1. permanent kidney failure 3. some disabilities 6. 65 and over The 10th revision of the ICD was issued in _____ by the WHO. A. 1985 B. 1993 C. 1973 D. 1983 - -B. 1993 What 7th character indicates a subsequent encounter? A. A B. None of the above C. D D. S - -C. D This identifies when two conditions cannot occur together: A. Excludes1 B. Includes C. Excludes2 D. Use additional code - -A. Excludes1 I-10 contains 17 chapters: A. False B. True - -A. False This note instructs that two codes may be required to fully describe a condition, but the sequencing is discretionary depending on the severity of the condition and the reason for the encounter: A. Includes B. Use Additional Code C. Code Also D. Code First - -C. Code Also The I-10 includes instructional notations to provide guidance to the coder: A. True B. False - -A. True Volume 1 of the I-10 has how many chapters? A. 21 B. 18 C. 17 D. 15 - -A. 21 The I-10 Index presents the main terms in: A. Italic B. Regular font C. Bold/italic D. Bold - -D. Bold The Alphabetic Index consists of three sections. A. True B. False - -A. True Bold type is used for all codes and titles in the Tabular. A. True B. False - -A. True Who is responsible for developing the procedure classification entitled ICD-10-PCS? A. World Health Organization B. National Center for Health Statistics C. Centers for Medicare and Medicaid Services - -C. Centers for Medicare and Medicaid Services All I-10 codes start with a letter and have seven characters. A. True B. False - -B. False What does the "CM" stand for in ICD-10-CM"? A. Coding Material B. Classified Modification C. Clinical Modification - -C. Clinical Modification Tic habit Main term: __ - -tic Turbinate ulcer Main term: __ - -ulcer Web fingers Main term: __ - -web Social transplantation Main term: __ - -social Congenital spermatocele Main term: __ - -spermatocele Chronic obstructive pyelonephrosis Main term: __ - -pyelonephrosis Minimal change nephrosis Main term: __ - -nephrosis Recurrent mania Main term: __ - -mania An established patient is seen for management of hypertension and diabetes type 1. __ - -I10, E10.9 During the initial encounter an x-ray was taken for a contusion and pain of the left ankle. No fracture was found. __ - -S90.02XA Encounter for exposure to rabies. __ - -Z20.3 Screening for sickle cell trait. __ - -Z13.0 Established patient with congestive heart failure with complaints of lower extremity edema and shortness of breath and tachycardia was instructed given a prescription for a diuretic and his heart medication was increased. __ - -I50.9 A 56-year-old cigarette smoker with a mass in the right lung is scheduled for a biopsy for suspected lung cancer. __ - -R91.8, F17.210 Established patient is seen for management of his diabetes, type 2, multiple sclerosis, and emphysema. __ - -E11.9, G35, J43.9 An outpatient with chronic tonsillitis was scheduled for a tonsillectomy. He has allergic extrinsic asthma and suffered an acute exacerbation just prior to the induction of anesthesia. The case was cancelled and the patient was admitted to the observation unit. Report the first-listed diagnosis. __ - -J35.01 An established patient was examined by his cardiologist at the request of his orthopedic surgeon for a preoperative evaluation prior to surgery for a herniated lumbar disc. The cardiologist clears the patient for surgery and reports that he is being treated for atrial fibrillation and has had a previous MI and is on long-term anticoagulants. Report the first-listed diagnosis. __ - -Z01.810 The AHA, CMS, AHIMA, and NCHS cooperated to develop: A. ICD-10-PCS B. ICD-10-CM C. Official Guidelines for Coding and Reporting D. Ethical Standards of Coding - -C. Official Guidelines for Coding and Reporting This term means unspecified