HIMT 1400 Coding 1 Exam QUESTIONS
AND CORRECT ANSWERS
2 - CORRECT ANSWER The HIPAA requires how many types of code sets to be
adopted for the purpose of encoding data?
small code set - CORRECT ANSWER What type of code set includes race, ethnicity,
type of facility, and type of unit?
NDC (National Drug Codes) - CORRECT ANSWER A code set adopted by HIPAA for
use by clearinghouses health plans, and providers.
standard code sets - CORRECT ANSWER Improve data quality and simplify claims
submission for providers is the purpose of adopting what?
health care clearinghouse - CORRECT ANSWER According to HIPAA, health plans
that do not accept standard code sets are required to modify their systems to accept all valid
codes or to contract with a(n):
medical nomenclature - CORRECT ANSWER A vocabulary of clinical terms used by
health care providers to document patient care.
medical necessity - CORRECT ANSWER The requirement that the patient's diagnoses
justify diagnostic and/or therapeutic procedures or services provided.
medical record - CORRECT ANSWER the business record for a patient encounter
(inpatient or outpatient) that documents health care services provided to a patient.
continuity of care - CORRECT ANSWER The primary use of the record is
____________, which involves documenting patient care services so that others who treat the
patient have a source of information on which to base additional care and treatment.
,clinical research - CORRECT ANSWER Which is a secondary purpose of the medical
record that does not directly relate to patient care.
-Continuity of care
-Discharge note
-Clinical Research
-Hybrid record
Source-oriented - CORRECT ANSWER Type of medical record format that stores
documentation in labeled sections.
assessment - CORRECT ANSWER A progress note contains diagnoses of muscle
strain and weakness. This statement would be located in the _________ portion of the POR
progress
plan - CORRECT ANSWER A progress note contains documentation that the patient is
to be followed up with in the physician's office two weeks after discharge from the hospital.
This statement would be located in the ___________ portion of the POR progress note.
objective - CORRECT ANSWER A progress note contains documentation that the
EKG showed elevated T-wave changes. This statement would be located in the _______
portion of the POR progress note.
discharge note - CORRECT ANSWER Documented in the progress note section of the
POR to summarize the patient's care, treatment, response to care, and condition on discharge.
scanner - CORRECT ANSWER used to capture paper record images onto the storage
media.
nonpaid - CORRECT ANSWER To provide the maximum benefit to students,
internships are usually _________ work experiences that are arranged by academic program
faculty.
, supervisor - CORRECT ANSWER To whom does the student report at the professional
practice experience (or internship) site?
morbidity - CORRECT ANSWER ICD-10-CM was developed to code and classify
______________ data from inpatient and outpatient records, including physician office
records.
NCHS (Nation'l Center for Health Statistics) and WHO (World Health Organization) -
CORRECT ANSWER Which entities work together to coordinate official ICD-10-CM
disease classification activities?
True - CORRECT ANSWER T/F: A benefit of joining a professional association is
opportunities to network with other members.
Third-party administrator - CORRECT ANSWER Processes health care claims and
performs related business functions for a health plan.
crosswalks - CORRECT ANSWER General equivalence mappings are translation
dictionaries or ___________ of codes.
factors influencing health status - CORRECT ANSWER Outcome of delivery, follow-
up, history, and vaccinations are examples of ICD-10-CM:
-conditions originating in the perinatal period
-external causes of morbidity
-symptoms, signs, and abnormal findings
-factors influencing health status
diseases an injuries - CORRECT ANSWER The Table of Neoplasms is located in the
ICD-10-CM Index to _____________ ____________.
hospital inpatient - CORRECT ANSWER The ICD-10-PCS Index and Tables are used
to classify _______________ _______________ procedures and services
AND CORRECT ANSWERS
2 - CORRECT ANSWER The HIPAA requires how many types of code sets to be
adopted for the purpose of encoding data?
small code set - CORRECT ANSWER What type of code set includes race, ethnicity,
type of facility, and type of unit?
NDC (National Drug Codes) - CORRECT ANSWER A code set adopted by HIPAA for
use by clearinghouses health plans, and providers.
standard code sets - CORRECT ANSWER Improve data quality and simplify claims
submission for providers is the purpose of adopting what?
health care clearinghouse - CORRECT ANSWER According to HIPAA, health plans
that do not accept standard code sets are required to modify their systems to accept all valid
codes or to contract with a(n):
medical nomenclature - CORRECT ANSWER A vocabulary of clinical terms used by
health care providers to document patient care.
medical necessity - CORRECT ANSWER The requirement that the patient's diagnoses
justify diagnostic and/or therapeutic procedures or services provided.
medical record - CORRECT ANSWER the business record for a patient encounter
(inpatient or outpatient) that documents health care services provided to a patient.
continuity of care - CORRECT ANSWER The primary use of the record is
____________, which involves documenting patient care services so that others who treat the
patient have a source of information on which to base additional care and treatment.
,clinical research - CORRECT ANSWER Which is a secondary purpose of the medical
record that does not directly relate to patient care.
-Continuity of care
-Discharge note
-Clinical Research
-Hybrid record
Source-oriented - CORRECT ANSWER Type of medical record format that stores
documentation in labeled sections.
assessment - CORRECT ANSWER A progress note contains diagnoses of muscle
strain and weakness. This statement would be located in the _________ portion of the POR
progress
plan - CORRECT ANSWER A progress note contains documentation that the patient is
to be followed up with in the physician's office two weeks after discharge from the hospital.
This statement would be located in the ___________ portion of the POR progress note.
objective - CORRECT ANSWER A progress note contains documentation that the
EKG showed elevated T-wave changes. This statement would be located in the _______
portion of the POR progress note.
discharge note - CORRECT ANSWER Documented in the progress note section of the
POR to summarize the patient's care, treatment, response to care, and condition on discharge.
scanner - CORRECT ANSWER used to capture paper record images onto the storage
media.
nonpaid - CORRECT ANSWER To provide the maximum benefit to students,
internships are usually _________ work experiences that are arranged by academic program
faculty.
, supervisor - CORRECT ANSWER To whom does the student report at the professional
practice experience (or internship) site?
morbidity - CORRECT ANSWER ICD-10-CM was developed to code and classify
______________ data from inpatient and outpatient records, including physician office
records.
NCHS (Nation'l Center for Health Statistics) and WHO (World Health Organization) -
CORRECT ANSWER Which entities work together to coordinate official ICD-10-CM
disease classification activities?
True - CORRECT ANSWER T/F: A benefit of joining a professional association is
opportunities to network with other members.
Third-party administrator - CORRECT ANSWER Processes health care claims and
performs related business functions for a health plan.
crosswalks - CORRECT ANSWER General equivalence mappings are translation
dictionaries or ___________ of codes.
factors influencing health status - CORRECT ANSWER Outcome of delivery, follow-
up, history, and vaccinations are examples of ICD-10-CM:
-conditions originating in the perinatal period
-external causes of morbidity
-symptoms, signs, and abnormal findings
-factors influencing health status
diseases an injuries - CORRECT ANSWER The Table of Neoplasms is located in the
ICD-10-CM Index to _____________ ____________.
hospital inpatient - CORRECT ANSWER The ICD-10-PCS Index and Tables are used
to classify _______________ _______________ procedures and services
