CBCS Coding Exam

Question 0

A health record is derived from

Answer 0

1st medical treatment

Question 1

What is health record?

Answer 1

Written information about patient collected from varies medical sorts

Question 2

In the context do medical legal, what is the main record?

Answer 2

Unbiased opinion about patient conditions

Question 3

How many health record should be kept on each patient

Answer 3

One

Question 4

In a source oriented medical record the information about a patients care and illness is typically organized accounting to

Answer 4

Source & Chronological

Question 5

What is flow sheet for?

Answer 5

The patient progress

Question 6

Flow sheets are often used with what kind of health record

Answer 6

Source oriented

Question 7

Progress notes are in what format

Answer 7

Flow sheets

Question 8

Healthcare location and setting information is typically capture by

Answer 8

SYNOPSIS and preexisting pre established

Question 9

What the most common form of database used in health care industry?

Answer 9

Rational Data base

Question 10

What is a warehouse?

Answer 10

Central accessible location

Question 11

What is the foundation do every health database system

Answer 11

TABLE

Question 12

A master table has a list of variable that represent

Answer 12

The range of attributes

Question 13

What refers to one or more data attributes that uniquely identify an entity?

Answer 13

Primary key - PK

Question 14

In the US what often being considered for use as the choice patient identifier?

Answer 14

SS

Question 15

The health care financing administration HCFA has produce a popular provider identifier known as

Answer 15

UPIN - Universal physician identifier pin

Question 16

The health industry number HIN was issued by. The health industry business communications council HIBCC to serve as

Answer 16

Identifier for health facilities , retail, pharmacies, physical

Question 17

The labeled identification code LIC is issued by HIBCC for identifying

Answer 17

Manufacturer or distributors

Question 18

The universal product code (UPC) is maintain by the uniform code council for

Answer 18

Retail Product sold

Question 19

The responsibility for the accuracy and completeness of a health record rests with

Answer 19

The attending doctor

Question 20

What plays a strategic role I providing access to computerized health information

Answer 20

Clinical vocabularies

Question 21

Standard vocabularies are a means a of

Answer 21

Encoding data for exchange

Question 22

The joint commission on the accreditation of Healthcare Organizations (JCAHO) sets stand for

Answer 22

Health care organizations

Question 23

The health Information and Management Systems Society (HIMSS) is a membership organization which focuses on advocating

Answer 23

Optimal use of healthcare information technology

Question 24

What is medicare

Answer 24

Federal health insurance program for the elderly

Question 25

Medicare has how many parts

Answer 25

4 parts - A&B - Hospital & Medical | C&D - Flexibility prescriptions

Question 26

What is Tricare

Answer 26

Military healthcare for families

Question 27

Primary care refers to

Answer 27

Principle point of consultation of patient

Question 28

Secondary care refers to

Answer 28

Specialize not first contact of patient

Question 29

Tertiary care refers to

Answer 29

Specialize with equipment in office for advance investrgation

Question 30

Quaternary care is an extension of

Answer 30

Tertiary care

Question 31

Define Electronic Health Record

Answer 31

Patient health record generated at an medical facility

Question 32

The ASTM standard ________ outlines practice for Content and Structure of the EHR

Answer 32

E1384

Question 33

__________ is a specific kind of digital medical record intended to be easily transported

Answer 33

Ambulatory

Question 34

Compare EMRs with EHRs

Answer 34

Computerize vs Shared Records with other medical & government clinic records

Question 35

What is Clinical data repository

Answer 35

Real time transactions

Question 36

What is HL7 for

Answer 36

Health related data exchange in (North America)

Question 37

What is the preeminent healthcare IT standards developing organization in Europe

Answer 37

CENTC 215

Question 38

HCPCS Codes are in fact based on what codes

Answer 38

CPT Codes

Question 39

HCPCS Level I codes are identical to what codes

Answer 39

CPT Codes

Question 40

HCPCS Level II codes are used mostly by

Answer 40

Medical supplier and equipment

Question 41

The In tern atonal Classification of Disease ICD is published by

Answer 41

WHO - World Health Organization

Question 42

The ICD CM (Clinical Modification) is developed by

Answer 42

national Center of Health Statices

Question 43

The ICD CM has the purpose of

Answer 43

Classifying mobility from patient records

Question 44

The ICD Provides a format for reporting cause

Answer 44

Of death on death certificate

Question 45

At the time a patient presents with an un diagnosed illness the ICD-9 code would be determined by

Answer 45

Signs & Systems

Question 46

Definitive ICD-9 codes should NOT be assigned and recorded in the medical record UNTIL AFTER

Answer 46

Diagnosis is determined

Question 47

The ICF (International Classification of Functioning Disability and Health) classification is in a position to complement

Answer 47

The ICD-10

Question 48

The language of the ICF is said to be made neutral as to etiology thus placing the emphasis

Answer 48

On function NOT Condition or Disease

Question 49

Systematized Nomenclature of Medicine (SNOMED) is developed by

Answer 49

SNOMED INTERNATIONAL PART OF American Pathologists College (CAP)

Question 50

SNOMED is created for the indexing of

Answer 50

For medical records in a comprehensive, multi-axial and control terminology

Question 51

SNOMED (systematized Nomenclature of Medicine) CT (Clinical Terms) aims at specifying

Answer 51

Core file structure of SNOMED CT (clinical terms)

Question 52

Prospective payment system (PPS) are indexed to

Answer 52

Motivate providers to deliver patient care more effectively & efficiently