Ch 12, 13,14, & 15

Question 1

In the ICD-10 which section includes guidelines for reporting additional diagnoses in non-outpatient settings

Question 2

What is underdosing

Question 3

In the alphabetic index, what does “see also” mean

Question 4

What period of pregnancy does peripartum apply to

Question 5

Which letter in the IDC-10 is reserved by the World Health Organization to assign new diseases with uncertain etiology

Question 6

Which volumes of the IDC-9 are used for diagnostic coding (Volume 1, 2 and/or 3)

Question 7

Does the code for HIV indicate, the HIV virus is present

Question 8

What is the second most common medical document from which diagnostic statements can be extracted

Question 9

How are burns coded

Question 10

Babies are considered newborn or perinatal for the first _____ days

Question 11

What is the CPT code for cardiopulmonary resuscitation

Question 12

What is the CPT code for biopsy of external ear

Question 13

What is the CPT code for initial hospital observation care, N/P

Question 14

What is the CPT code for thoracentesis, puncture of pleural cavity for aspiration, initial or subsequent

Question 15

What is the CPT code for of hospital discharge day management, 45 minutes

Question 16

What is the CPT code for for suture of recent wound on the eyelid

Question 17

CPT code for serum folic acid

Question 18

CPT code for N/P office visit, comprehensive history and examination, high-complexity decision making

Question 19

CPT code for N//P initial inpatient consultation

Question 20

CPT code for liver function study with hepatobiliary agents, with serial images

Question 21

CPT code for basic metabolic panel

Question 22

E/P, home patient, problem-focuses interval history and examination, straightforward MDM

Question 23

CPT code for initial nursing facility care, detailed or comprehensive history or examination, straightforward or low-complexity decision making

Question 24

What type of medical documents/reports are used for procedural coding

Question 25

What is modifier -26 used for

Question 26

What is modifier -50 used for

Question 27

What are the disadvantages of manage care

Question 28

What is an insurance premium

Question 29

What is an utilization review

Question 30

What is an allowable amount

Question 31

What are self-funded plans

Question 32

The amount payable by an insurance company for a monetary loss to aid an individual insured by that company, under each coverage is called the ______

Question 33

What is an IPA

Question 34

What type of referral is usually processed immediately

Question 35

Which individuals qualify for Medicare

Question 36

Which TRICARE option is similar to preferred provider network

Question 37

How are health insurance benefits determined

Question 38

What expenses are paid by Medicare Part B

Question 39

What do Medigap policies cover

Question 40

On the CMD-1500 form, what block is the insured's name found in

Question 41

How many diagnoses can be reported on the CMS-1500 form

Question 42

Which MCO typically has the lowed monthly premiums with lower patient financial responsibility

Question 43

Which type of referral can be approved online when it is submitted through the provider's Web portal to the utilization review department

Question 44

Are "fees for service provided" reviewed b y a utilization review committee

Question 45

To examine claims for accuracy and completeness before they are submitted is to _____ the claims

Question 46

Procedures performed on the patient are found in block _____

Question 47

The secondary plan is noted in what block

Question 48

What is a "dirty" claim