HIM 478 RHIA REVIEW QUESTIONS CHAPTER 5 Flashcards
Which of the following classification systems was designed with electronic systems in mind and is currently being used for problem lists, ICU monitoring, patient care assessments, data collection, medical research studies, clinical trials, disease surveillance, and images?
A. ICD-10-CM
B. CPT
C. DSM-5
D. SNOMED-CT
SNOMED-CT
Which system is used primarily to report services and supplies for reimbursement purposes?
A. NLM
B. HCPCS
C. LOINC
D. ASTM
HCPCS
To gather statistics for surgical services provided on an outpatient basis, which of the following codes are needed?
A. Evaluation and Management codes
B. ICD-10-PCS codes
C. HCPCS Level II Codes
D. CPT codes
CPT codes
Which of the following is expected to enable hospitals to collect more specific information for use in patient care, benchmarking, quality assessment, research, public health reporting, strategic planning, and reimbursement?
A. NDC
B. NANDA
C. ICD-10-CM
D. LOINC
ICD-10-CM
Parker has type 1 diabetes with hypertension that is currently controlled with medication. Parker was admitted through the ED for an emergency appendectomy. Following surgery, the patient developed an infection at the wound site that was treated with antibiotics. When making decisions about sequencing the codes for this case, the coder should rely on definitions found in the:
A. UHDDS
B. CMS Coding Guidelines
C. Federal Register
D. Coding Clinic
UHDDS
Mary is 6 weeks post-mastectomy for carcinoma of the breast. She is admitted for chemotherapy. What is the correct sequencing of the codes?
C50.911 - Malignant neoplasm of unspecified site of right female breast
Z85.3 - Personal history of malignant neoplasm of breast
Z51.11 - Encounter for antineoplastic chemotherapy
Z08 - Encounter for follow-up examination after completed treatment for malignant neoplasm
A. Z51.11, Z85.3
B. Z08, Z51.11
C. Z51.11, C50.911
D. Z85.3
Z51.11, Z85.3
A barrier to widespread use of automated code assignment is:
A. Resistance by HIM professionals
B. Inadequate technology
C. Poor quality of documentation
D. Resistance by physicians
Poor quality of documentation
A coding supervisor trained the employees that they should code signs and symptoms in addition to the established diagnosis code. This is an example of:
A. Upcoding
B. Overcoding
C. Unbundling
Overcoding
ICD-10-PCS was implemented in the United States to code:
A. Hospital inpatient procedures
B. Physician office procedures
C. Hospital outpatient diagnoses
D. Hospital inpatient diagnoses
Hospital inpatient procedures
The Level II (national) codes of the HCPCS coding system are maintained by the:
A. American Medical Association
B. Centers for Medicare and Medicaid Services
C. Local fiscal intermediary
D. CPT Editorial Panel
Centers for Medicare and Medicaid Services
