Transaction Codes

Question 1

What does ICD stand for?

1. International Charge of Diagnosis
2. Interstate Change of Diagnosis
3. Internation Classification of Disease
4. Internation Classification for Disease

Answer 1

International Classification of Disease.

Question 2

What is the ICD 10 codes used for?
1. Diagnoses for outpatient procedures
2. Disease codes for Inpatient
3. Diagnosis for Referal
4. Diagnosis and inpatient procedures

Answer 2

4 Diagnoses for Inpatient procedures

Question 3

POA
1. Past Outpatient Admissions
2. Present on Admission

Answer 3

2. Present on Admission

Question 4

True or False

The POA indicators are used for Outpatient claims

Answer 4

False -inpatient claims

Question 5

CPT-4 stand for:
1. Current Presently Terminated
2. Classification of Provider Technology
3. Current Provider Terminology
4. Current Procedural Terminology

Answer 5

4. **Current Procedural Terminology*

Question 6

What are the CPT codes used for?

1. Inpatient Diagnosis
2. Outpatient Procedures
3. Inpatient Surgeries
4. Outpatient Wound Care

Answer 6

2. Outpatient Procedures

Question 7

The NPI stands for:
1. National Patient Indentifier
2. National Procedural Identifier
3. National Provider Indentification
4. National Practice Indentification code

Answer 7

3. National Provider Identificaiton

Question 8

TRUE OR FALSE

The NPI number is used to identify Facilities by CMS’s Administrative Simplification Identifer Standards

Answer 8

False ** NPI number is used to Identify PROVIDER’s**

Question 9

TRUE OR FALSE

The HCPCS code is a Healthcare Common Practice Coding System?

Answer 9

False Healthcare Common Procedure Code System

Question 10

TRUE OR FALSE

The HCPCS codes are used exclusively for referral diagnosis

Answer 10

FALSE OUTPATIENT PROCEDURES

Question 11

TRUE OR FALSE

TAXONOMY code is used for Administrative codes to identify practitioner types and Clinic types

Answer 11

FALSE
To identify PRACTITIONER type and specialty for healthcare practionioners

Question 12

What codes consists of tabular lists, inclusion and exclusion terms, and alphabetical index, descritions, guidellihes and resources to assit wi accurate coding of claims

HCPCS
CPT- 4
ICD- 10
POA

Answer 12

ICD-10

Question 13

T or F
When using the ICD-10 codes, the primary diagnosis should be coded first, followed by the secondary, tertiary and so on.

Answer 13

TRUE

Question 14

T OR F

Co existing conditions that affect the visit or procedure should be listed as Supplemental information

Answer 14

True

Question 15

T or F

When coding the ICD-10 the Principal diagnosis and discharge diagnosis should be coded to the lowest level of Specificity

Answer 15

FALSE

to the HIGHEST LEVEL

Question 16

T or F

Any coexisting diagnosis should be coded to the Highest level of specificity

Answer 16

FALSE

to thehighest level

Question 17

T or F

the POA indicators for inpatient claims are paired with each diagnosis code in the medical record. They are used to help ID payable complications.

Answer 17

FALSE
help identify NON-PAYABLE, such as hospital acquired conditions - infections acquired,, sponges left in patients…

Question 19

Level 1 of the HCPCS consist of CPT codes - 5 digit numeric codes used primary to id medical services and procedures need by physicians and other healthcare professional.

Answer 19

false
5 digit **FURNISHED BY **

Question 20

T or F

Level 1 doesn not include codes for items or servies that areregularly billed by suppliers other than physicians.

Answer 20

TRUE

Question 21

What level is a 5 digit numeric code system with alphabetic prefixes A-V to identify products supplies and services not inclulded inthe CPT codes ie Ambulance services, durable medical equiment…
1. NPI
2. CPT-3
3. HCPCS Level 2
4. HCPCS Level 1

Answer 21

LEVEL 2

Question 22

What level of the HCPCS is used for submitting claims for items that Medicare and other insurers cover such as services, supplies and equipment that are not identified by CPT codes?
1. Level 1
2. Level 2
3. Level 3

Answer 22

Level 2

Question 23

What level of the HCPCS codes are used at the state level by Medicaid and other payers to disignate additional services. These are often referred to as “Local Code” and are prohibited under HIPAA but are still required by SOME state programs.

1. Level 1
2. Level 2
3. Level 3

Answer 23

3. Level 3

Question 24

How can the CPT and HCPCS code be defined to another level of specificity by adding a modifier..select the correct method
1. Appending 2 Alpha characters using A-V
2. Appending 2 digit numeric code
3. Appending 2 digit Alphanumeric code
4. Appending 2 digit numberic or alphanumeric code

Answer 24

4. Appending a 2 digit Numeric or Alphanumberic

Question 25

# T or F Modifier can be used to indicate that a medical procedure or service performed has been changed under specific ceircumstances that increase or decrease its value or has been performed in a different way.

Answer 25

True

Question 26

What is used to avoid the appearance of duplicate billing if a proceduure is performed multiple times on the same day. 1. CPT-10 with modifiers 2. HCPCS with modifiers 3. POA with modifiers 4. 1 and 2 above

Answer 26

4. HCPCS and ICPT with modifiers

Question 27

# T or F Modifier do not need to be supported within the medical record

Answer 27

FALSE They **MUST** be supported

Question 28

what is a 10 diging identifier issued to all providers in us by CMS 1. ICD 2. TAX ID 3. TAXONOMY ID 4. NPI

Answer 28

4. NPI

Question 29

What is the 11 digit, 3 segment numeric identifier that is assigned to eavh medivatiom listed under the FDA 1. CPT 2. NPI 3. TAX 4. NDC 5. E & M

Answer 29

4. NDC - NATIONAL DRUG CODE

Question 30

# T or F Taxonomy codes are administrative codes issued to identify hospital type and specialities for healthcare facilities

Answer 30

FALSE Codes to identifyy PRACTITIONER type and SPECIALTY for healthcare PRACTITIONERS.

Question 31

# T or F Taxonomy code set is hierarchial code that consists of descriptions and definitions only

Answer 31

FALSE Consist of **codes, descriptions and definitions**

Question 32

Which is NOT true of the NDC select all that apply 1. The first segment identifies the Labeler, drug company 2. The second identifes the size and type of the package 3. The third identifies the type of product

Answer 32

2 - second identifies the** product type** 3. third identifies **the side and type of the package**

Question 33

When assigning codes: Code the ________ first, followed by the secondary, tertiary,... 1. Coexisting conditions 2. primaary diagnosis 3. principal diagnosis 4. Coexisting diagnosis

Answer 33

2. Primary Diagnosis

Question 34

When assigning the ICD-10 codes: code any ____ that affect the visit or procedure as supplemental information. 1. Coexisting conditions 2. primaary diagnosis 3. principal diagnosis 4. Coexisting diagnosis

Answer 34

1. Coexisting conditions

Question 35

When assigning ICD-10 codes: code the ________ and____________ to the highest level of specificity. 1. Coexisting conditions 2. primary diagnosis 3. principal diagnosis 4. Coexisting diagnosis 5. Discharge diagnosis

Answer 35

3 principal and 5 Discharge

Question 36

When assigning ICD-10 codes: Code any ____________ to the lowest level of specificity. 1. Coexisting conditions 2. Discharge diagnosis 3. principal diagnosis 4. Coexisting diagnosis

Answer 36

4. Any coexisting diagnosis