MEDICAL CODING AND BILLING FINAL EXAM UPDATED
QUESTIONS AND ANSWERS
The documentation type that contains various types of analyses or examinations
of body substances collected from the patient.
Laboratory Report
HIPAA stands for:
Health Insurance Portability and Accountability Act
Which of the following is a common documentation error?
All of the above
The term for electronically transferring medical records between facilities around
the country.
Health Information Exchange
While reviewing the record for an inpatient who was discharged the previous day,
Sally notices the discharge summary is not included in the documentation. Which
of the following would Sally use to alert the doctor that documentation is missing
from the record?
A deficiency slip
This is the simplest filing method and may be used in some small facilities and
clinics.
Alphabetic
Ben works in the HIM department. He is contacted by Mr. Allen's insurance
company who wants to know the admit and discharge dates for Mr. Allen's most
recent admission to the hospital. Where is the best place for Ben to look for this
information?
The master patient index
After suffering a stroke, a patient requires therapy to assist in performing
activities of daily living such as getting dressed and cooking. Which department
would assist this patient?
Occupational therapy
,Dr. Taylor wants to join the medical staff at ABC hospital. Which of the following
would the medical administration office check to see if Dr. Taylor meets the
qualifications for hospital privileges?
Medical staff bylaws
Which department is responsible for the maintenance and care of health records?
Health Information Management
Which department offers treatment to patients who have lung disorders like
chronic obstructive pulmonary disease or asthma?
Respiratory
Respiratory
Cancer Registry
Mr. Thomas has moved to a new city and is looking for a physician to help
manage his diabetes. Which type of specialist would he look for?
Endocrinologist
Which of the following is another name for outpatient care?
Ambulatory care
In a medical malpractice lawsuit, the physician would be considered the
________.
defendant
The legal health record must be maintained according to all of the following
except:
The OIG work plan
Consent given after a patient has been advised about treatment options is ____.
informed consent
According to AHIMA's Code of Ethics, which of the following is NOT considered
an example of dishonesty?
Utilizing all tools, both electronic and hard copy that are available to ensure accurate
code assignment
The greatest threat to the security of PHI is _____.
people
Which of the following is NOT a covered entity under HIPAA?
, Hospital supplier that provides latex gloves
The HIPAA Security Rule requires appropriate _____ safeguards.
administrative, physical, and technical
An audit that takes place after the claim has been submitted.
Post-bill audit
This person assigns revenue codes to the medical record.
medical biller
Which of the following is true about payment status indicators?
They are assigned for CPT codes, HCPCS codes and APCs
Services rendered by an ambulatory surgical center are reported on the CMS-
1500 claim form for this third-party payer.
Medicare
This organization is tasked with governing and regulating healthcare in the United
States.
Department of Health and Human Services (DHHS)
Which of the following is a payment methodology under OPPS that uses a coding
and reimbursement hierarchy to pay for hospital outpatient services?
Ambulatory Payment Classification (APC)
A condition that arises during the hospital stay which prolongs the length of stay
by at least one day in approximately 75% of cases.
Complication
A condition that arises during the hospital stay which prolongs the length of stay
by at least one day in approximately 75% of cases.
Episode-of-care
Dr. Johnson recommends a procedure for Mr. Thomas who is a Medicare patient.
The procedure is not reimbursed under Mr. Thomas' Medicare policy. In order to
bill Mr. Thomas for the procedure, Dr. Johnson's office must collect a(n)____ from
Mr. Thomas.
advance beneficiary notice of noncoverage
This is when one payment is made to cover a related group of services.
Global payment
QUESTIONS AND ANSWERS
The documentation type that contains various types of analyses or examinations
of body substances collected from the patient.
Laboratory Report
HIPAA stands for:
Health Insurance Portability and Accountability Act
Which of the following is a common documentation error?
All of the above
The term for electronically transferring medical records between facilities around
the country.
Health Information Exchange
While reviewing the record for an inpatient who was discharged the previous day,
Sally notices the discharge summary is not included in the documentation. Which
of the following would Sally use to alert the doctor that documentation is missing
from the record?
A deficiency slip
This is the simplest filing method and may be used in some small facilities and
clinics.
Alphabetic
Ben works in the HIM department. He is contacted by Mr. Allen's insurance
company who wants to know the admit and discharge dates for Mr. Allen's most
recent admission to the hospital. Where is the best place for Ben to look for this
information?
The master patient index
After suffering a stroke, a patient requires therapy to assist in performing
activities of daily living such as getting dressed and cooking. Which department
would assist this patient?
Occupational therapy
,Dr. Taylor wants to join the medical staff at ABC hospital. Which of the following
would the medical administration office check to see if Dr. Taylor meets the
qualifications for hospital privileges?
Medical staff bylaws
Which department is responsible for the maintenance and care of health records?
Health Information Management
Which department offers treatment to patients who have lung disorders like
chronic obstructive pulmonary disease or asthma?
Respiratory
Respiratory
Cancer Registry
Mr. Thomas has moved to a new city and is looking for a physician to help
manage his diabetes. Which type of specialist would he look for?
Endocrinologist
Which of the following is another name for outpatient care?
Ambulatory care
In a medical malpractice lawsuit, the physician would be considered the
________.
defendant
The legal health record must be maintained according to all of the following
except:
The OIG work plan
Consent given after a patient has been advised about treatment options is ____.
informed consent
According to AHIMA's Code of Ethics, which of the following is NOT considered
an example of dishonesty?
Utilizing all tools, both electronic and hard copy that are available to ensure accurate
code assignment
The greatest threat to the security of PHI is _____.
people
Which of the following is NOT a covered entity under HIPAA?
, Hospital supplier that provides latex gloves
The HIPAA Security Rule requires appropriate _____ safeguards.
administrative, physical, and technical
An audit that takes place after the claim has been submitted.
Post-bill audit
This person assigns revenue codes to the medical record.
medical biller
Which of the following is true about payment status indicators?
They are assigned for CPT codes, HCPCS codes and APCs
Services rendered by an ambulatory surgical center are reported on the CMS-
1500 claim form for this third-party payer.
Medicare
This organization is tasked with governing and regulating healthcare in the United
States.
Department of Health and Human Services (DHHS)
Which of the following is a payment methodology under OPPS that uses a coding
and reimbursement hierarchy to pay for hospital outpatient services?
Ambulatory Payment Classification (APC)
A condition that arises during the hospital stay which prolongs the length of stay
by at least one day in approximately 75% of cases.
Complication
A condition that arises during the hospital stay which prolongs the length of stay
by at least one day in approximately 75% of cases.
Episode-of-care
Dr. Johnson recommends a procedure for Mr. Thomas who is a Medicare patient.
The procedure is not reimbursed under Mr. Thomas' Medicare policy. In order to
bill Mr. Thomas for the procedure, Dr. Johnson's office must collect a(n)____ from
Mr. Thomas.
advance beneficiary notice of noncoverage
This is when one payment is made to cover a related group of services.
Global payment
