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,Name: Class: Date:
Chapter 01: Overview of Coding
1. A coder acquires a working knowledge of coding systems, coding conventions and guidelines, government regulations,
and third-party payer requirements to ensure that documented diagnoses, services, and procedures are coded accurately for
__________, research, and statistical purposes.
a. compliance
b. continuity of care
c. quality assurance
d. reimbursement
ANSWER: d
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.2 - Summarize the training, job responsibilities, and career
path for a coder.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
2. During internships (or professional practice experiences) at health care facilities, coding students receive __________
training.
a. continuing education
b. on-the-job
c. paid
d. virtual
ANSWER: b
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.2 - Summarize the training, job responsibilities, and career
path for a coder.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
3. Which is the most likely reason a student would be terminated from the internship site, fails internship course, or
suspended and/or expelled from the academic program?
a. arriving late due to weather conditions
b. breaching patient confidentiality
c. contacting the site about an absence
d. dressing in a business casual style
ANSWER: b
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
Copyright Cengage Learning. Powered by Cognero. Page 1
,Name: Class: Date:
Chapter 01: Overview of Coding
LEARNING OBJECTIVES: 3-2-1_Green_24_1.2 - Summarize the training, job responsibilities, and career
path for a coder.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
4. Coders also have the opportunity to work at home for employers who partner with an Internet-based organization called
a(n) __________, which is a third-party entity that manages and distributes software-based services and solutions to
customers using the Internet.
a. application service provider (ASP)
b. knowledge process outsourcing (KPO)
c. third-party logistics (TPL)
d. wide area network (WAN)
ANSWER: a
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.2 - Summarize the training, job responsibilities, and career
path for a coder.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
5. Which professional is employed by third-party payers to review health-related claims to determine whether the costs
are reasonable and medically necessary based on the patient’s diagnosis?
a. health information technician
b. insurance specialist
c. liability underwriter
d. medical assistant
ANSWER: b
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.2 - Summarize the training, job responsibilities, and career
path for a coder.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
6. Students who join a professional association for a reduced membership fee often receive most of the same benefits as
active members. Which is an example of a benefit of joining a professional association?
a. guaranteed receipt of academic scholarship and grants
b. opportunity to network with members of the association
c. placement by the association at an internship facility
d. waiver provided for certification examination fees
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,Name: Class: Date:
Chapter 01: Overview of Coding
ANSWER: b
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.3 - Identify types of professional associations available to
coders and medical assistants.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
7. Which represents an online professional network about a variety of topics and issues?
a. application service provider
b. listserv
c. place-bound conference
d. wide area network
ANSWER: b
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.3 - Identify types of professional associations available to
coders and medical assistants.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
8. Which organizes a medical nomenclature according to similar conditions, diseases, procedures, and services, and
contains codes for each?
a. classification system
b. data dictionary
c. hybrid record
d. medical nomenclature
ANSWER: a
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.4 - Summarize coding systems and processes.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
9. Which is a vocabulary of clinical and medical terms used by health care providers to document patient care?
a. classification system
b. data dictionary
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,Name: Class: Date:
Chapter 01: Overview of Coding
c. hybrid record
d. medical nomenclature
ANSWER: d
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.4 - Summarize coding systems and processes.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
10. Which includes numeric and alphanumeric characters that are reported to health plans for health care reimbursement,
to external agencies for data collection, and internally for education and research?
a. codes
b. dictionary
c. nomenclature
d. placeholders
ANSWER: a
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.4 - Summarize coding systems and processes.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
11. Coding is the assignment of codes to diagnoses, services, and procedures based on __________.
a. federal government regulations
b. health information management
c. patient record documentation
d. third-party payer requirements
ANSWER: c
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.4 - Summarize coding systems and processes.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
12. Which is used to classify diagnoses in any health care setting?
a. CPT
b. HCPCS level II
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,Name: Class: Date:
Chapter 01: Overview of Coding
c. ICD-10-CM
d. ICD-10-PCS
ANSWER: c
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.4 - Summarize coding systems and processes.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
13. Which is used to classify procedures in an inpatient hospital setting?
a. CPT
b. HCPCS level II
c. ICD-10-CM
d. ICD-10-PCS
ANSWER: d
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.4 - Summarize coding systems and processes.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
14. Which is published by the AMA and used to classify procedures and services in an outpatient setting?
a. CPT
b. HCPCS level II
c. ICD-10-CM
d. ICD-10-PCS
ANSWER: a
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.4 - Summarize coding systems and processes.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
15. Which is managed by CMS and used to classify medical equipment, injectable drugs, transportation services, and
other services in an outpatient setting?
a. CPT
b. HCPCS level II
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,Name: Class: Date:
Chapter 01: Overview of Coding
c. ICD-10-CM
d. ICD-10-PCS
ANSWER: b
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.4 - Summarize coding systems and processes.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
16. The Centers for Medicare & Medicaid Services (CMS) is a(n) __________ in the federal Department of Health and
Human Services (DHHS).
a. administrative agency
b. compliance section
c. private organization
d. third-party payer
ANSWER: a
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.4 - Summarize coding systems and processes.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
17. Which is an example of a medical nomenclature?
a. CPT
b. DSM-5
c. ICD-10-CM/PCS
d. SNOMED CT
ANSWER: d
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.5 - Identify other classification systems and databases.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
18. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is federal legislation that amended the
Internal Revenue Code of 1986 to __________.
a. create privacy and security standards for health information
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,Name: Class: Date:
Chapter 01: Overview of Coding
b. eliminate standards for electronic health information transactions
c. limit access to long-term care services and coverage
d. produce waste, fraud, and abuse in health insurance and health care delivery
ANSWER: a
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.4 - Summarize coding systems and processes.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
19. The process of standardizing data by assigning alphanumeric values to text or other information is called __________.
a. encoding
b. mapping
c. potentiating
d. sequencing
ANSWER: a
POINTS: 1
DIFFICULTY: Easy
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.4 - Summarize coding systems and processes.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
20. The HIPAA small code set collects information concerning _____.
a. actions taken to prevent, diagnose, treat, and manage diseases and injuries
b. causes of injury, disease, impairment, or other health-related problems
c. diseases, injuries, impairments, and other health-related problems
d. race, ethnicity, type of facility, and type of unit
ANSWER: d
POINTS: 1
DIFFICULTY: Difficult
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.4 - Summarize coding systems and processes.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
21. The HIPAA large code set collects information concerning _____.
a. actions taken to prevent, diagnose, treat, and manage diseases and injuries
b. privacy and security standards for health information
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, Name: Class: Date:
Chapter 01: Overview of Coding
c. race, ethnicity, type of facility, and type of unit
d. waste, fraud, and abuse in health insurance and health care delivery
ANSWER: a
POINTS: 1
DIFFICULTY: Difficult
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.4 - Summarize coding systems and processes.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
22. HIPAA requires health plans that do not accept standard code sets to modify their systems to accept all valid codes or
to contract with a(n) _____.
a. electronic data interchange
b. health care clearinghouse
c. insurance company
d. third-party administrator
ANSWER: b
POINTS: 1
DIFFICULTY: Moderate
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.4 - Summarize coding systems and processes.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
23. Which is an example of a third-party payer?
a. BlueCross BlueShield
b. Centers for Medicare and Medicaid Services
c. Department of Health and Human Services
d. Workers’ compensation
ANSWER: a
POINTS: 1
DIFFICULTY: Moderate
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: 3-2-1_Green_24_1.4 - Summarize coding systems and processes.
DATE CREATED: 11/18/2021 3:11 PM
DATE MODIFIED: 11/18/2021 3:11 PM
24. Which is an example of another health care professional who performs procedures or provides services to patients?
a. clearinghouse staff
b. health information technician
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