WGU D521: Comprehensive Medical
Coding mid term exam A+
Injuries are grouped by the anatomic site.
Which characteristic of ICD-10-CM represents a difference from ICD-9-CM?
Decimals are used to separate each character.
Code characters are included to indicate the condition's duration.
Only E and V are used as alpha characters in valid codes.
Injuries are grouped by the anatomic site.
No eponyms are included.
How is ICD-10-PCS different from ICD-9-CM?
Diagnostic concepts are included for each code.
No eponyms are included.
Codes are organized based on the underlying cause of illness.
Each code begins with an O or an I.
There is a focus on describing procedure objectives.
What is a characteristic of ICD-10-PCS as compared to ICD-9-CM?
Codes are organized based on the underlying cause of illness.
Procedures are indicated based on success or failure.
Codes focus on devices rather than parts of the body.
There is a focus on describing procedure objectives.
Capitated payments
Which method is categorized as episode-of-care reimbursement?
Capitated payments
Traditional fee-for-service payments
Per-service payment rates
Itemized payments
Medicare ASC payment rates
Which method is categorized as episode-of-care reimbursement?
Per-procedure payments
Traditional fee-for-service payments
Self-payment plans
Medicare ASC payment rates
Morbidity
Which term matches the following definition: a diseased condition or the occurrence of disease in a
population?
, Principal diagnosis
Morbidity
Mortality
Comorbidity
Payments received by hospitals may not be equal to the actual cost of providing services.
Which statement represents a characteristic of the acute care prospective payment system of
Medicare?
Guidelines for payments are determined by a set list of demographic-related groups.
Payments are based on expected treatment outcomes.
Hospitals treating a high percentage of low-income patients receive lower levels of payments.
Payments received by hospitals may not be equal to the actual cost of providing services.
There are many combination codes for commonly associated conditions.
Which characteristic of ICD-10-CM represents a difference from ICD-9-CM?
Only E and V are used as alpha characters in valid codes.
There are many combination codes for commonly associated conditions.
Diseases are grouped by the cause of the condition.
Code characters are included to indicate the condition's duration.
Square brackets, [ ]
What is used to specify explanatory phrases, according to diagnosis coding conventions?
Curly braces { }
Square brackets, [ ]
Parentheses, ( )
Corner brackets, < >
Colons, :
Which punctuation is used to specify words for category assignment in diagnosis coding?
Square brackets, [ ]
Quotation marks, " "
Colons, :
Parentheses, ( )
Only use a code with fewer than seven characters if it is not further subdivided.
What is a general guideline for diagnosis coding with ICD-10-CM?
Use a code with fewer characters for diagnoses that have a lower level of certainty.
A code should be created for each sign or symptom of the primary condition.
Each valid code has seven characters, with a decimal after the third character.
Only use a code with fewer than seven characters if it is not further subdivided.
Sequence a complication code first if admission is for treatment of the complication.
What is a guideline for sequencing for inpatients?
When admission is for rehab, use the primary symptom as the principal diagnosis.
Follow the definition for principal diagnosis only when the treatment plan is carried out.
Coding mid term exam A+
Injuries are grouped by the anatomic site.
Which characteristic of ICD-10-CM represents a difference from ICD-9-CM?
Decimals are used to separate each character.
Code characters are included to indicate the condition's duration.
Only E and V are used as alpha characters in valid codes.
Injuries are grouped by the anatomic site.
No eponyms are included.
How is ICD-10-PCS different from ICD-9-CM?
Diagnostic concepts are included for each code.
No eponyms are included.
Codes are organized based on the underlying cause of illness.
Each code begins with an O or an I.
There is a focus on describing procedure objectives.
What is a characteristic of ICD-10-PCS as compared to ICD-9-CM?
Codes are organized based on the underlying cause of illness.
Procedures are indicated based on success or failure.
Codes focus on devices rather than parts of the body.
There is a focus on describing procedure objectives.
Capitated payments
Which method is categorized as episode-of-care reimbursement?
Capitated payments
Traditional fee-for-service payments
Per-service payment rates
Itemized payments
Medicare ASC payment rates
Which method is categorized as episode-of-care reimbursement?
Per-procedure payments
Traditional fee-for-service payments
Self-payment plans
Medicare ASC payment rates
Morbidity
Which term matches the following definition: a diseased condition or the occurrence of disease in a
population?
, Principal diagnosis
Morbidity
Mortality
Comorbidity
Payments received by hospitals may not be equal to the actual cost of providing services.
Which statement represents a characteristic of the acute care prospective payment system of
Medicare?
Guidelines for payments are determined by a set list of demographic-related groups.
Payments are based on expected treatment outcomes.
Hospitals treating a high percentage of low-income patients receive lower levels of payments.
Payments received by hospitals may not be equal to the actual cost of providing services.
There are many combination codes for commonly associated conditions.
Which characteristic of ICD-10-CM represents a difference from ICD-9-CM?
Only E and V are used as alpha characters in valid codes.
There are many combination codes for commonly associated conditions.
Diseases are grouped by the cause of the condition.
Code characters are included to indicate the condition's duration.
Square brackets, [ ]
What is used to specify explanatory phrases, according to diagnosis coding conventions?
Curly braces { }
Square brackets, [ ]
Parentheses, ( )
Corner brackets, < >
Colons, :
Which punctuation is used to specify words for category assignment in diagnosis coding?
Square brackets, [ ]
Quotation marks, " "
Colons, :
Parentheses, ( )
Only use a code with fewer than seven characters if it is not further subdivided.
What is a general guideline for diagnosis coding with ICD-10-CM?
Use a code with fewer characters for diagnoses that have a lower level of certainty.
A code should be created for each sign or symptom of the primary condition.
Each valid code has seven characters, with a decimal after the third character.
Only use a code with fewer than seven characters if it is not further subdivided.
Sequence a complication code first if admission is for treatment of the complication.
What is a guideline for sequencing for inpatients?
When admission is for rehab, use the primary symptom as the principal diagnosis.
Follow the definition for principal diagnosis only when the treatment plan is carried out.
