chapter 18

Question 1

fixed fee collected at the time of visit

Answer 1

copayment

Question 2

cycle of funds in the medical practice

Answer 2

revenue cycle

Question 3

when does the revenue cycle start and end

Answer 3

starts when the appointment is booked
ends when the balance is paid

Question 4

approved by the doctor and used to charge the PT for the visit (is a MUST for the clinic to receive compensation)

Answer 4

encounter form

Question 5

why do we use ICD coding?

Answer 5

• HIPPA mandated
• insurance coverage
• shows medical necessity
• research and prediction of healthcare trends

Question 6

one of the ways diagnoses are listed in the ICD manual (in alphabetic order)

Answer 6

alphabetic index

Question 7

name of the diagnosis, symptom, or sign

Answer 7

main term

Question 8

21 chapters on SPECIFIC diseases and their codes

Answer 8

tabular list

Question 9

what are the basic steps of assigning a code?

Answer 9

1. find the main reason PT is receiving care
2. search alphabetic index for the main condition
3. search the tabular list for the specified code

Question 10

what is the coding structure?

Answer 10

• category
• decimal
• details
• extension

Question 11

2 codes in one from the previous ICD edition, made when 2 illnesses or injuries are actively affecting each other

Answer 11

combination codes

Question 12

basic guidelines for using the code set

Answer 12

conventions

Question 13

what are some examples of a convention?

Answer 13

• abbreviations
• punctuation
• symbols

Question 14

indicates code is excluded and should never be used as the same time as the code above

Answer 14

EXCLUDES1

Question 15

means “not included here”
also shows both codes can be used at the same time

Answer 15

EXCLUDES2

Question 16

uses an “X” to hold a place for future code expansion

Answer 16

placeholders