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HIM 1103 MODULE 1-6 STUDY GUIDE | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTION

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HIM 1103 MODULE 1-6 STUDY GUIDE | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTION

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HIM 1103
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HIM 1103

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HIM 1103 MODULE 1-6 STUDY GUIDE | QUESTIONS AND
ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTION




Coding Answer - Taking documentation given by a physician and translating
that documentation into alphanumerical codes for diagnosis documented and
for any treatment documented in the patient chart


Codes are used for___ Answer - Billing Medicare, Medicaid, and commercial
insurance companies for payment; also for reporting statistics and reports to
the state and federal government


ICD 10 CM Answer - Alphanumeric coding system used for inpatient and
outpatient diagnosis coding; have between 3-7 characters


ICD 10 PCS Answer - Coding system used for inpatient procedure coding ONLY;
Contains 7 alphanumeric characters


CPT and HCPCS Answer - 5 digit numerical coding system used for outpatient
procedure coding ONLY


Encoder Answer - Software's that help coders find codes more efficiently than
using a book


Coding Software's we will use Answer - 3M Encoder and Quantim/Clintegrity
Encoder

,ICD-10 stands for: Answer - International Classification of Diseases, 10th
revision


ICD-10-CM Coding Book is divided into____ Answer - Alphabetic index; Tabular
List


Alphabetic Index Answer - An alphabetic list of terms and their codes; never
finalize a code after locating it in this section


Tabular List Answer - A structured list of codes divided by chapters based on
body system and condition; Contains categories, subcategories, and codes


The ICD-10-Cm utilizes a____to allow for future expansion; used for if a code
has less than 7 characters. Answer - Placeholder character X


[ ]Brackets are used in the Tabular List to enclose Answer - Synonyms,
alternative wording, or explanatory phrases.


[ ]Brackets are used in the Alphabetic Index to identify Answer - Manifestation
codes


( )Parenthesis are used in both the Tabular List and the Alphabetic Index to__
Answer - Enclose supplementary words that may be present or absent in the
statement of a disease or procedure without affecting the code number


Excludes 1 Note in ICD 10 CM Answer - Indicates that the code excluded
should never be used at the same time as the code above the Excludes 1 note

, Excludes 2 note in ICD 10 CM Answer - Indicates that the condition excluded is
not part of the condition represented by the code, but a patient may have both
conditions at the same time


Selection of a full code, including laterality and any applicable 7th character can
only be done in the___ Answer - Tabular List


Abstracting Answer - Data extraction from documentation in the medical
record that creates an overview of the patient's visit; The data is then entered
into a software system and converted to codes or analyzed for other purposes


Accreditation Answer - A voluntary process that a facility undergoes for a
review of their performance and adherence to policies by an independent
organization created for the purpose of evaluation; May mean that an
organization has met criteria established by an outside organization that meets
standards set by an organization; usually reviewed on a regularly basis


Acute Care Answer - Care given to a patient on a limited basis as an inpatient
in a hospital setting


APC Grouper Answer - The software used for the Ambulatory Payment
Classification payment system; APC is used for outpatient coding and billing
using CPT and HCPCS codes.


AAPC (American Academy of Professional Coders) Answer - A national
membership organization that provides credentials, education, and coding
information to medical coders in all settings; www.aapc.com


AHIMA (American Health Information Management Association) Answer - A
national membership organization that provides credentials, education, and
coding information for health information management, health information

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