Week 3 Quiz

Question 1

As a result of which piece of legislation are hospitals and providers reimbursed based on proof that they are rendering high quality coordinated care to their patients?

Answer 1

Affordable care act

Question 2

The following, which is not a reason that the US did not implement ICD - 10 at the time other countries did?

Answer 2

Decision whether ICD - 10 or CPT would be used to code diagnosis

Question 3

The type of insurance plan that promotes quality, cost effective health care by monitoring patients, bring patients, encouraging preventative care, and requiring performance measures of physicians is known as_

Answer 3

Managed care

Question 4

In many managed care plans, patients are responsible for paying a portion of the charges ( fixed amount) at the time services are rendered. This is known as the_

Answer 4

CO - PAY

Question 5

Converting narrative diagnosis and procedures into numeric form is known as_

Answer 5

Coding

Question 6

As of October 1st 2015 the coding system used to code diagnosis in any healthcare setting is_

Answer 6

ICD - 10 - CM

Question 7

The amount charged for each service provided in a medical practice is known as a

Answer 7

Fee schedule

Question 8

The term used to describe the relationship between ICD - 10 and CPT codes, demonstrating medical necessity, is

Answer 8

Code linkage

Question 9

Which is not true of ACO’s

Answer 9

Data can be structed or unstructured form

Question 10

Which of the following is not part of a paper encounter form is (superbill)

Answer 10

The medical history

Question 11

Doctor Simmons office has been notified that they are being audited due to a complaint that was filled by medicare patient regarding their billing practices. The audit will be conducted by the_

Answer 11

Office of inspector general

Question 12

___ CPT codes are used to capture the face - 2 - face time spent between a patient and the care provider

Answer 12

Evaluation and management

Question 13

Knowingly billing for services that are not medically necessary or that did not happen at all is__

Answer 13

Fraud

Question 14

Nick Malone underwent an appendectomy by doctor Lopez on September 5th doctor Lopez documented appendicitis as Mr. Malone diagnosis. the diagnosis was documented __

Answer 14

To show medical necessity

Question 15

The coding system used in illustrating the tangible items such as supplies is

Answer 15

HCPCS (healthcare common procedure coding system) level 2