D521 Pre-Assessment Questions With
Detailed Verified Answers
Which section is indicated by the character 0 in an ICD-10-PCS code?
Medical and surgical
Which root operation grouping for the medical and surgical section contains transplantation?
Moving or putting back some or all of a body part
Which root operation grouping for the medical and surgical section contains transplantation?
Moving or putting back some or all of a body part
Which root operation in ICD-10-PCS coding is categorized as moving or putting back some
or all of a body part?
Reattachment
Which root operation in ICD-10-PCS coding is categorized as altering the diameter or route of
a tubular body part?
Occlusion
What is the group to which bypass belongs as a root operation for the medical and surgical
section of PCS?
Altering the diameter or route of a tubular body part
Which main section is part of the Current Procedural Terminology (CPT) classification
structure?
Pathology and laboratory
Which HCPCS modifier indicates a repeat clinical lab?
, 91
Which statement represents a characteristic of the fee-for-service system of reimbursement?
Is used for most clinical laboratory services
Which reimbursement system involves periodic interim payments to facilities?
Reasonable cost
Which statement represents a characteristic of the prospective payment system
of reimbursement?
Forms the basis of Medicare's DRG system
A coder misinterpreted documentation and assigned codes for a permanent cardiac
pacemaker implant without a complication or comorbidity (MS-DRG 244). However, there
was a comorbidity, and the proper MS-DRG assignment should have been MS-DRG 243.
The facility will receive an under reimbursement.
Which data is used to identify the relevant diagnosis-related group for a patient discharge?
Principal diagnosis
Which data is used to identify the relevant diagnosis-related group for a patient discharge?
Age
Which factor is among those used to assign a patient discharge into a DRG?
Treatment plan
Which component is included in the front-end process of the revenue management life cycle?
Scheduling
Which component is included in the middle process of the revenue management life cycle?
Case management
Detailed Verified Answers
Which section is indicated by the character 0 in an ICD-10-PCS code?
Medical and surgical
Which root operation grouping for the medical and surgical section contains transplantation?
Moving or putting back some or all of a body part
Which root operation grouping for the medical and surgical section contains transplantation?
Moving or putting back some or all of a body part
Which root operation in ICD-10-PCS coding is categorized as moving or putting back some
or all of a body part?
Reattachment
Which root operation in ICD-10-PCS coding is categorized as altering the diameter or route of
a tubular body part?
Occlusion
What is the group to which bypass belongs as a root operation for the medical and surgical
section of PCS?
Altering the diameter or route of a tubular body part
Which main section is part of the Current Procedural Terminology (CPT) classification
structure?
Pathology and laboratory
Which HCPCS modifier indicates a repeat clinical lab?
, 91
Which statement represents a characteristic of the fee-for-service system of reimbursement?
Is used for most clinical laboratory services
Which reimbursement system involves periodic interim payments to facilities?
Reasonable cost
Which statement represents a characteristic of the prospective payment system
of reimbursement?
Forms the basis of Medicare's DRG system
A coder misinterpreted documentation and assigned codes for a permanent cardiac
pacemaker implant without a complication or comorbidity (MS-DRG 244). However, there
was a comorbidity, and the proper MS-DRG assignment should have been MS-DRG 243.
The facility will receive an under reimbursement.
Which data is used to identify the relevant diagnosis-related group for a patient discharge?
Principal diagnosis
Which data is used to identify the relevant diagnosis-related group for a patient discharge?
Age
Which factor is among those used to assign a patient discharge into a DRG?
Treatment plan
Which component is included in the front-end process of the revenue management life cycle?
Scheduling
Which component is included in the middle process of the revenue management life cycle?
Case management
