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Solutions| 2024 Q-Bank
What is the table that contains a classification of substances for identifying poisoning
states and external causes of adverse effects? - ANSWERTable of drugs and
Chemicals
E codes are used - ANSWERto show external cause of injury
The term "malignant" in relationship to blood pressure means - ANSWERLife
threatening
CPT publication is updated and revised - ANSWERannually
Largest section of the CPT book is the - ANSWERSurgery section
What is the name of the book used in the physician's office to code procedures? -
ANSWERCurrent Procedural Terminology CPT
Carcinoma in situ is used to describe - ANSWERcancer that is confined to the site of
origin
A working knowledge of ______________ and a course i anatomy and physiology are
essential to becoming a topnotch coder of diagnoses - ANSWERMedical Terminology
Diagnostic codes have from _______ to ______digits - ANSWER3 to 5
CPT uses a basic ______ digit system for coding services PLUS a _______digit add on
modifier - ANSWER5 and 2
Insurance companies go by the rule "if it is not documented, then it was not -
ANSWERdone or performed
Coding and billing numerous CPT codes to identify procedures that are usually
described by a single code is called - ANSWERUnbundling
Deliberate manipulation of CPT codes for increased payment is called -
ANSWERupcoding
A term used as the name of a disease, structure, operation, or procedure usually
derived from the name of a place or person who discovered or described it first is
called a/an - ANSWEReponym
,Name 6 basic location methods to locate main terms in the index CPT -
ANSWERService, procedure, anatomic site, disease, synonym, eponym, abbreviation
Medical etiquette refers to - ANSWERconsideration for others
Reporting incorrect information to private insurance carriers is considered -
ANSWERunethical
AHIMA publishes - ANSWERDiagnostic and procedure training code books and
diagnostic coding and reporting requirements
Why are multi-skilled health practitioners MSHP in demand - ANSWERThey are cross
trained to provide more than one function
They are often competent in more than one discipline
They offer more flexibility to their employer
Medical ethics include - ANSWERStandard of conduct
A self employed medical insurance biller that does independent contracting is
responsible for - ANSWERadvertising
billing
accounting
When an insurance billing specialist bills for a physician and completes a medicare
claim form with information that does not reflect the true situation - ANSWERhe/she
may be subject to fines and imprisonment
Billing for services or supplies not provided is - ANSWERFraud, illegal
A billing practice such as excessive referrals to other providers for unnecessary
services is considered - ANSWERMedical billing abuse
Stealing money that has be entrusted to one's care is know as -
ANSWERembezzlement
Coined term by AHIMA's eHealth Task Force to describe transactions in which health
care information is accessed, processed, stored, and transferred using electronic
technologies is usually abbreviated as - ANSWEReHIM (electronic health information
management)
Individual designated to help a provider remain in compliance by setting policies and
procedures in place, train staff regarding HIPAA, and act as the contact person for
questions and complaints - ANSWERPrivacy officer, privacy official
A health care coverage carrier, clearinghouse, or physician who transmits health
information in electronic for in connection with transaction covered by HIPAA is
called - ANSWERCovered entity
, Who renders medical services, furnishes bills, or is paid for health care in the normal
course of business? - ANSWERHealth care provider
3rd Party administrator who receives insurance claims from physician's office,
performs edits, and redistributes the claims electronically to various insurance
carriers? - ANSWERClearinghouse
Who is hired by medical practice to process claims to 3rd party payer? -
ANSWERBusiness associate
List 5 disciplinary standards resulting from misconduct - ANSWERverbal warning,
written warning, written reprimand, suspension or probation, demotion, termination
Security rule that addresses electronic protected health information is divided into
what 3 main sections? - ANSWER1. Administrative safeguards
2. Technical safeguards
3. Physical safeguards
PHI - ANSWERProtected Health Information
CMS - ANSWERCenters for Medicare/Medicaid Services
CAP - ANSWERClaims Assistance Professional
AHIMA - ANSWERAmerican Health Information Management Association
AMA - ANSWERAmerican Medical Association
E codes are used - ANSWERto show external causes of injury
In locating a diagnosis, look up the main term, which is the - ANSWERCondition or
disease
Reasons for documentation are - ANSWERDefense of a professional liability claim.
Insurance carriers require accurate documentation that supports procedure and
diagnostic codes.
SOAP is - ANSWERSubjective
Objective
Assessment
Plan
A diseased condition or state is known as - ANSWERmorbidity
According to birth law, if both parents have the same birthday - ANSWERThe hour of
birth determines who pays first