5 Written Questions

1. index to diseases
2. consists of 17 chapters, codes range from 001-999
3. ICD-9-CM
4. history, physical examination, medical decision making complexity
5. patient who receives treatment in any of the following: dr's office, hospital clinic,er,hospital same day surgery unit, ambulatory surgical center, and hospital admission for observation

5 Matching Questions

1. HCPCS (healthcare common procedure coding system
2. section 1 index to diseases
3. unspecified
4. neoplasm table
5. sections

1. a composed of a group of 3 digit categories representing a group of conditions or related conditions
2. b each term is followed by the code or codes that apply to that term
3. c a collection of codes for procedures, supplies, products, and services that may be provided to medicare and medicaid beneficiaries and also to those enrolled in private health insurance programs
4. d this is not specified as benign or malignant in the diagnosis or medical record
5. e located in the index and is organized by anatomic site

5 Multiple Choice Questions

1. a document provided to a Medicare beneficiary by a provider prior to service being rendered letting the beneficiary know of his/her responsibility to pay if Medicare denies the claim
   1. unspecified nature
   2. nonessential modifiers
   3. advance beneficiary notice
   4. subclassification
2. an accelerated, severe form of hypertension with vascular damage and a diastolic pressure of 130mmHg or greater
   1. malignant
   2. coding
   3. modifiers
   4. benign
3. supplementary classification codes used to describe the reason or external cause of injury, poisoning and other adverse effects
   1. add on codes
   2. cms
   3. e codes
   4. v codes
4. the type of plan a patient may have where they can see providers outside their plan
   1. therapeutic use
   2. preferred provider plan
   3. hypertension table
   4. Level I codes
5. insurance company that bids for a contract w/CMS to handle the Medicare program in a specific area
   1. fiscal intermediary
   2. subterms
   3. malignant
   4. categories

5 True/False Questions

1. -78 modifier → mandated services

   True        False

2. coding → supplementary classification codes used to identify health care encounters that occur for reasons other than illness or injury or to identify patients whose illness is influenced by special circumstances or problems

   True        False

3. stand alone codes → contain the full description of the procedure for the code

   True        False

4. category III codes → represent services and procedures widely used by many health care professionals in clinical practice in multiple locations and have been approved by the FDA

   True        False

5. v codes → are the main division in the icd-9-CM

   True        False