HIM 1103 MODULE 1-6 STUDY GUIDE |
QUESTIONS AND ANSWERS | 2026 UPDATE |
WITH COMPLETE SOLUTION
Coding - ANSWERS-Taking documentation given by a physician and
translating that documentation into alphanumerical codes for diagnosis
documented and for any treatment documented in the patient chart
Codes are used for___ - ANSWERS-Billing Medicare, Medicaid, and
commercial insurance companies for payment; also for reporting statistics
and reports to the state and federal government
ICD 10 CM - ANSWERS-Alphanumeric coding system used for inpatient and
outpatient diagnosis coding; have between 3-7 characters
ICD 10 PCS - ANSWERS-Coding system used for inpatient procedure coding
ONLY; Contains 7 alphanumeric characters
CPT and HCPCS - ANSWERS-5 digit numerical coding system used for
outpatient procedure coding ONLY
Encoder - ANSWERS-Software's that help coders find codes more efficiently
than using a book
Coding Software's we will use - ANSWERS-3M Encoder and
Quantim/Clintegrity Encoder
ICD-10 stands for: - ANSWERS-International Classification of Diseases, 10th
revision
,ICD-10-CM Coding Book is divided into____ - ANSWERS-Alphabetic index;
Tabular List
Alphabetic Index - ANSWERS-An alphabetic list of terms and their codes;
never finalize a code after locating it in this section
Tabular List - ANSWERS-A structured list of codes divided by chapters based
on body system and condition; Contains categories, subcategories, and
codes
The ICD-10-Cm utilizes a____to allow for future expansion; used for if a code
has less than 7 characters. - ANSWERS-Placeholder character X
[ ]Brackets are used in the Tabular List to enclose - ANSWERS-Synonyms,
alternative wording, or explanatory phrases.
[ ]Brackets are used in the Alphabetic Index to identify - ANSWERS-
Manifestation codes
( )Parenthesis are used in both the Tabular List and the Alphabetic Index to__
- ANSWERS-Enclose supplementary words that may be present or absent in
the statement of a disease or procedure without affecting the code number
Excludes 1 Note in ICD 10 CM - ANSWERS-Indicates that the code excluded
should never be used at the same time as the code above the Excludes 1
note
Excludes 2 note in ICD 10 CM - ANSWERS-Indicates that the condition
excluded is not part of the condition represented by the code, but a patient
may have both conditions at the same time
, Selection of a full code, including laterality and any applicable 7th character
can only be done in the___ - ANSWERS-Tabular List
Abstracting - ANSWERS-Data extraction from documentation in the medical
record that creates an overview of the patient's visit; The data is then
entered into a software system and converted to codes or analyzed for other
purposes
Accreditation - ANSWERS-A voluntary process that a facility undergoes for a
review of their performance and adherence to policies by an independent
organization created for the purpose of evaluation; May mean that an
organization has met criteria established by an outside organization that
meets standards set by an organization; usually reviewed on a regularly
basis
Acute Care - ANSWERS-Care given to a patient on a limited basis as an
inpatient in a hospital setting
APC Grouper - ANSWERS-The software used for the Ambulatory Payment
Classification payment system; APC is used for outpatient coding and billing
using CPT and HCPCS codes.
AAPC (American Academy of Professional Coders) - ANSWERS-A national
membership organization that provides credentials, education, and coding
information to medical coders in all settings; www.aapc.com
AHIMA (American Health Information Management Association) - ANSWERS-A
national membership organization that provides credentials, education, and
coding information for health information management, health information
systems, the revenue cycle, and medical coders in all settings. They also
focus on specialized and new areas of the Health Information field such as
QUESTIONS AND ANSWERS | 2026 UPDATE |
WITH COMPLETE SOLUTION
Coding - ANSWERS-Taking documentation given by a physician and
translating that documentation into alphanumerical codes for diagnosis
documented and for any treatment documented in the patient chart
Codes are used for___ - ANSWERS-Billing Medicare, Medicaid, and
commercial insurance companies for payment; also for reporting statistics
and reports to the state and federal government
ICD 10 CM - ANSWERS-Alphanumeric coding system used for inpatient and
outpatient diagnosis coding; have between 3-7 characters
ICD 10 PCS - ANSWERS-Coding system used for inpatient procedure coding
ONLY; Contains 7 alphanumeric characters
CPT and HCPCS - ANSWERS-5 digit numerical coding system used for
outpatient procedure coding ONLY
Encoder - ANSWERS-Software's that help coders find codes more efficiently
than using a book
Coding Software's we will use - ANSWERS-3M Encoder and
Quantim/Clintegrity Encoder
ICD-10 stands for: - ANSWERS-International Classification of Diseases, 10th
revision
,ICD-10-CM Coding Book is divided into____ - ANSWERS-Alphabetic index;
Tabular List
Alphabetic Index - ANSWERS-An alphabetic list of terms and their codes;
never finalize a code after locating it in this section
Tabular List - ANSWERS-A structured list of codes divided by chapters based
on body system and condition; Contains categories, subcategories, and
codes
The ICD-10-Cm utilizes a____to allow for future expansion; used for if a code
has less than 7 characters. - ANSWERS-Placeholder character X
[ ]Brackets are used in the Tabular List to enclose - ANSWERS-Synonyms,
alternative wording, or explanatory phrases.
[ ]Brackets are used in the Alphabetic Index to identify - ANSWERS-
Manifestation codes
( )Parenthesis are used in both the Tabular List and the Alphabetic Index to__
- ANSWERS-Enclose supplementary words that may be present or absent in
the statement of a disease or procedure without affecting the code number
Excludes 1 Note in ICD 10 CM - ANSWERS-Indicates that the code excluded
should never be used at the same time as the code above the Excludes 1
note
Excludes 2 note in ICD 10 CM - ANSWERS-Indicates that the condition
excluded is not part of the condition represented by the code, but a patient
may have both conditions at the same time
, Selection of a full code, including laterality and any applicable 7th character
can only be done in the___ - ANSWERS-Tabular List
Abstracting - ANSWERS-Data extraction from documentation in the medical
record that creates an overview of the patient's visit; The data is then
entered into a software system and converted to codes or analyzed for other
purposes
Accreditation - ANSWERS-A voluntary process that a facility undergoes for a
review of their performance and adherence to policies by an independent
organization created for the purpose of evaluation; May mean that an
organization has met criteria established by an outside organization that
meets standards set by an organization; usually reviewed on a regularly
basis
Acute Care - ANSWERS-Care given to a patient on a limited basis as an
inpatient in a hospital setting
APC Grouper - ANSWERS-The software used for the Ambulatory Payment
Classification payment system; APC is used for outpatient coding and billing
using CPT and HCPCS codes.
AAPC (American Academy of Professional Coders) - ANSWERS-A national
membership organization that provides credentials, education, and coding
information to medical coders in all settings; www.aapc.com
AHIMA (American Health Information Management Association) - ANSWERS-A
national membership organization that provides credentials, education, and
coding information for health information management, health information
systems, the revenue cycle, and medical coders in all settings. They also
focus on specialized and new areas of the Health Information field such as
