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Answers with Rationales Exam 2025 Prep Test
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Coding is ---ANSWER---the process of translating this written or dictated fm
series of numeric or alpha-numeric codes
Proper code assignment is determined by ---ANSWER---content of the med
unique rules that governs each code set
what are 3 things that Coder must master ---ANSWER---1. anatomy
2. medical terminology
oriented
,A coder must evaluate the medical record for ---ANSWER---1. completeness
2. communicate regularly with physicians and othe health care professional
additonal PT info.
Techicians who speciallize in coding inpatient hospital services are referred
Health information coders
2. medical record coders
3. Coder/abstractors
4. Coding Specialist
What is MS-DRGs and what is it ---ANSWER---1. Medicare Severity-
Diagnosis Related Groups
2. Determines the amt the hospital will be reimbursed if the PT is covered by
insurance programs
What is EHR ---ANSWER---Electronic health record
Skill coders may become ---ANSWER---consulatants, educators or medical a
between Hospital and Physican Services
---ANSWER---1. Outpatient coding (physician services)- learning
,What is a physican degree of education ---ANSWER---4 years of college, 4 ye
plus 3 to 5 years of residency.
What is a mid-level providers and who ---ANSWER---1. Mid-level providers
extenders
2. Physician assistants (PA) and Nurse Practitioners (NP)
What are the requirement for a PA and what ---ANSWER---1. 26 1/2 month t
2. Lincense to practice medicine with physician supervision
NP must have ---ANSWER---A Master Degree in Nursing
How many payers in the most simplest form? ---ANSWER---2
Private insurance plans and government insurance plans
Commerical carriers are considered what ---ANSWER---Private payers that o
individual plans.
Private Payers contracts may ---ANSWER---Vary but may include hospitaliz
medical coverage.
, CMS regulations often serves as ____ word in coding requirement for Medic
payers alike ---ANSWER---Last
What are the parts of Medicare ---ANSWER---Medicare A
Medicare B
Medicare C
Medicare D
What is Medicare Part A ---ANSWER---Covers inpatient hospital care, as we
skilled nursing facilites, hospice care, and home health care
What is Medicare Part B ---ANSWER---Covered Medically necessary doctors
care, other medical services (including some preventive service not covered
Medicare Part B is considered what ---ANSWER---A optional benefit for whi
a premium and which generally requires a yearly copay
Where is Medicare Part B usually used ---ANSWER---Physician offices (Out
What is Medicare Part C ---ANSWER---Combines the benefits of Medicare P
sometimes Part D.