ltapia_quiz 1

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Rasmussen College *

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HIM1103

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Mechanical Engineering

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Apr 3, 2024

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Quiz 1 Assignment Content Question 1 1 / 1 A request for payment of services submitted to a third-party payer or the patient is called __________. Hide answer choices Explanation of Benefits Remittance Advice Correct: Claim Correct answer Denial Question 2 1 /
1 Adherence to official coding guidelines is optional in the coding process. T True F False Correct answer Question 3 1 / 1 Which job titles represent career options in coding and billing? Hide answer choices Claims Specialist Educator/Trainer Inpatient Auditor Correct:
All of these options. Correct answer Question 4 1 / 1 In ICD-10-PCS coding, it is the coder’s responsibility to interpret the provider’s documentation in alignment with PCS definitions for the character values. T True Correct answer F False Question 5 1 / 1 CAHIIM is an organization that oversees what type of programs? Hide answer choices Clinical Documentation Improvement
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Correct: Health Information higher education programs Correct answer Medical Assistance programs Utilization Review Question 6 1 / 1 Which of the following would be important to revenue cycle management? Hide answer choices All members of the revenue cycle working together as a team. Each department follows best practices to ensure great outcomes. Managers educate and train all team members on policies, guidelines and standards.
Correct: All of these options. Correct answer Question 7 1 / 1 Important components of the ICD-10-PCS coding classification system include: Hide answer choices The code book and coding guidelines are updated annually on October 1. The alpha character values I and O are NOT used in the PCS Code. The PCS codes always contains 7 characters. Correct: All of these options. Correct answer Question 8 0 /
1 In the CPT code book, where would a coder find general guidelines? Hide answer choices In the front of the code book At the beginning of each section Correct answer Incorrect: No coding guidelines for CPT Use the ICD-10-CM Coding Guidelines Question 9 0 / 1 The ICD-10-CM coding system is used for coding both inpatient and outpatient diagnosis codes? T True
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Correct answer F Incorrect: False Question 10 0 / 1 Coding with integrity involves which of the following aspects? Hide answer choices Understanding and applying the Official Coding Guidelines provided in each code book when assigning codes. Understanding the legal aspects of coding. Understanding the standards set for coding. Incorrect: Understanding coding ethics. All of these options.
Correct answer Question 11 0 / 1 The principal procedure is performed for diagnostic or exploratory purposes. T Incorrect: True F False Correct answer Question 12 1 / 1 The Admissions Department determines strategic goals and is accountable for operational efficiency and effectiveness. T True F False Correct answer
Question 13 1 / 1 How many characters are in the CPT code? Hide answer choices 7 characters 3-5 characters Correct: 5 characters Correct answer 3 characters Question 14 1 / 1 The Root Operation is a character value in which coding classification system?
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Hide answer choices ICD-10-CM CPT Correct: ICD-10-PCS Correct answer DSM-V Question 15 1 / 1 Which of the following is not an expectation for revenue cycle performance? Hide answer choices Protection of patient confidentiality Submission of clean claims
Quality coded data reflective of provider documentation Correct: Individuals and departments working independently without collaboration Correct answer Question 16 1 / 1 CMS is an organization that oversees private insurance companies. T True F False Correct answer Question 17 1 / 1 A condition that arises during the hospital stay that prolongs the length of stay is:
Hide answer choices Comorbidity Correct: Complication Correct answer First-listed diagnosis Suspected condition Question 18 1 / 1 Which of the following statements is not true regarding clinical documentation in a patient’s medical record? Hide answer choices Accurate and complete documentation is critical for quality coding and billing
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Complete and timely clinical documentation is important in the delivery of high- quality patient care Correct: Treatment or services provided that are not documented may still be billed Correct answer Well-documented treatment and services can mitigate risk for the provider Question 19 1 / 1 Clinical Services includes all individuals or departments providing treatment or services for the patient. T True Correct answer F False Question 20 1
/ 1 Following the coding process, the next step in the revenue cycle flow is: Hide answer choices Denial Management Correct: Billing Correct answer Utilization Review Appeals Question 21 1 / 1 The Clinical Documentation Specialist is responsible for maintaining the charge description master on an annual basis. T
True F False Correct answer Question 22 1 / 1 Which statement is true regarding coding: Hide answer choices Coding is a critical function of the revenue cycle. Coding occurs following the completion of the legal medical record. Coding bridges the gap between clinical documentation and billing. Correct: All of these options. Correct answer Question 23
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0 / 1 Software or forms that contain itemized lists of charges for every service and supply a facility provides for their patients is called __________. Hide answer choices Incorrect: DRGs APCs CDM Correct answer RACs Question 24 0 / 1 The Uniform Hospital Discharge Data Set (UHDDS) definition of principal diagnosis does not apply to hospital-based outpatient services and provider-based office visits.
T True Correct answer F Incorrect: False Question 25 1 / 1 In CPT coding, the term “procedure” describes services which include diagnostic tests. T True Correct answer F False Question 26 1 / 1 Which statement is not true regarding the use of Encoders and Computer-Assisted Coding Software Systems?
Hide answer choices Coding software incorporates coding classification systems and coding guidelines. Correct: Coding software can assign codes more effectively than a skilled coding professional. Correct answer Coders need to have well-developed coding skills and knowledge of how to use coding-assist software. Coders must be skilled in using the code books. Question 27 1 / 1 Coding guidelines are a set of “rules” intended to provide official direction for the interpretation, assignment and code build process. T True Correct answer F
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False Question 28 0 / 1 Standardized terminology of patient information is created by: Hide answer choices AMA UHDDS Incorrect: CMS SNOMED-CT Correct answer Question 29 0 / 1
Hospital accreditation is a voluntary process. T True Correct answer F Incorrect: False Question 30 0 / 1 The coding classification system that provides codes for outpatient procedure coding is: Hide answer choices ICD-10-PCS Incorrect: SNOMED-CT DSM-V
CPT Correct answer Question 31 1 / 1 The annual update for ICD-10 code books and official coding guidelines is effective for dates of service and discharge on or after __________. Hide answer choices January 1 Correct: October 1 Correct answer No specific effective date July 1 Question 32 1
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/ 1 The coding classification system used for inpatient procedures is? Hide answer choices HCPCs codes ICD-10-CM CPT Correct: ICD-10-PCS Correct answer Question 33 1 / 1 Which coding classification system is used for diagnosis coding for both inpatient and outpatient coding? Hide answer choices
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CPT ICD-10-PCS Correct: ICD-10-CM Correct answer None of these options. Question 34 1 / 1 ICD-10-PCS codes contain how many characters (either letters or numbers) in the code? Hide answer choices 3-7 5
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Correct: 7 Correct answer 3 Question 35 1 / 1 The Principle Diagnosis in inpatient coding is: Hide answer choices Correct: The condition, after study, which occasioned the admission (as an inpatient) to the hospital Correct answer The first-listed diagnosis for outpatients A complication or comorbidity
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The admitting diagnosis Question 36 0 / 1 The health information staff responsible for assigning numeric or alphanumeric codes to clinical documentation is the __________. Hide answer choices Charge Master Coordinator Incorrect: Clinical Documentation Specialist Coding Specialist Correct answer Clinical Data Analyst Question 37 0 /
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1 Accurate data in the revenue cycle begins with which of the following? Hide answer choices Accurate documentation of treatment and services performed by the provider Accurate entry of patient demographic and insurance information when the patient registers for services Correct answer Incorrect: Accurate capture of charges at point of service Accurate coding of diagnosis and procedure data Question 38 1 / 1 An APC Grouper is used for inpatient coding. T True
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F False Correct answer Question 39 0 / 1 The term for chart readiness so that it can be forwarded to a coding specialist is __________. Hide answer choices Finalized Legal Correct answer Electronic Health Record (EHR) Incorrect: HIPAA Compliant Question 40
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1 / 1 Revenue Cycle workflow collaborations include all of the following except: Hide answer choices Patient Access/Admissions and Health Information Coding and Billing Patient Accounts and Finance Correct: Human Resources and Clinical Documentation Improvement Correct answer
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