Deck 1: The Rationale for and History of Coding

Question 1

Compliance officers became part of the healthcare industry as a result of ____.

A)Obamacare
B)OIG findings
C)HIPAA
D)the False Claims Act

Answer 1

C

Question 2

The ____ Bills of Mortality in the 17th century was the first attempt to statistically gather data on disease.

A)Paris
B)London
C)France
D)England

Answer 2

B

Question 3

Clinical Modification (CM) was developed in ____ by the United States to more accurately capture morbidity data for study within the United States and operative and diagnostic procedures that were not included in the original publication of ICD.

A)1877
B)1947
C)1977
D)1997

Answer 3

C

Question 4

A nomenclature is a system of ____ as used in preferred terminology.

A)diseases
B)procedures
C)conditions
D)names

Question 5

Coded data are used for ____.

A)reimbursement and payment
B)the study of anatomy and physiology
C)determining lab ranges
D)developing a nomenclature

Question 6

In a closed system such as the ICD-10-CM system, a disease or condition can be classified only in ____ location(s).

A)one
B)two
C)three
D)four

Question 7

The ICD-10-CM classification system is a closed system composed of ____.

A)diseases
B)symptoms
C)injuries
D)all of the above

Question 8

In ICD-10-CM the CM stands for ____.

A)Clinical Modification
B)Centers for Medicaid and Medicare
C)Core Measures
D)Chief Medical Officer

Question 9

Work for ICD-10-CM began in ____.

A)1963
B)1973
C)1983
D)1993

Question 10

As explained in the article that appeared in AHIMA by Joette Hanna titled "Constructing a Coding Compliance Plan," several steps must be taken for a coding department to be certain the department is in compliance. Which of the following is NOT one of the steps?

A)Abide by AHIMA's Standards of Ethical Coding.
B)Develop coding policies and procedures.
C)Conduct coding audits.
D)Follow the Coding Clinic Guidelines.

Question 11

Which of the following statements follows the AHIMA Standards of Ethical Coding?

A)Coders should change codes as requested by the business office for payment.
B)Coders should share personal health information with anyone who asks for it.
C)Coders should assign only codes supported by documentation in the record.
D)It is acceptable for coders to participate in practices that do not follow the official coding guidelines.

Question 12

Nomenclature of diseases was first developed in the United States around ____.

A)1893
B)1958
C)1928
D)1898

Question 13

Official coding advice is published in the publication ____.

A)Coding Edge
B)AHA Coding Clinic
C)Journal of the American Health Information Management Association
D)In Record Time

Question 14

Procedures for processing claim rejections should be included in a coding compliance plan.

Question 15

Which organization is NOT responsible for the maintenance of ICD-10-CM?

A)National Center for Health Statistics (NCHS)
B)American Academy of Professional Coders (AAPC)
C)American Hospital Association (AHA)
D)American Health Information Management Association (AHIMA)

Question 16

Which of the following would NOT be studied through the use of ICD-10-CM?

A)Patterns of disease
B)Causes of pregnancy
C)Disease epidemics
D)Causes of mortality

Question 17

It is acceptable to share personal information about a patient's medical history with anyone who requests this information.

Question 18

All of the following are members of the cooperating parties EXCEPT ____.

A)NCHS
B)AHA
C)AAPC
D)AHIMA

Question 19

Personal health information can be shared with ____.

A)those who have a need to know
B)people requesting information on the phone
C)your neighbors
D)all of the above

Question 20

Which coding credential requires coders to be familiar with Hierarchical Condition Categories (HCCs), which are the basis for reimbursement for Medical Advantage plans?

A)CIC
B)CRC
C)CPC
D)CCS-P

Question 21

Without the __________ system, the comparison of data would be impossible.

Question 22

To maintain their credentials, coders must earn __________.

Question 23

Match each definition to one of the following items.
a.American Academy of Professional Coders
b.Certified Coding Specialist
c.American Hospital Association
d.National Center for Health Statistics
e.Registered Health Information Technician
CCS

Question 24

HIPAA stands for __________ of 1996.

Question 25

Compliance officers and programs are found only in healthcare organizations.

Question 26

ICD-10-CM stands for __________.

Question 27

Match each definition to one of the following items.
a.American Academy of Professional Coders
b.Certified Coding Specialist
c.American Hospital Association
d.National Center for Health Statistics
e.Registered Health Information Technician
NCHS

Question 28

ICD-10-CM updates contain additional codes, __________ codes, and __________ codes.

Question 29

WHO stands for __________.

Question 30

ICD-10-CM/PCS can be updated _________ times each year.

Question 31

Match each definition to one of the following items.
a.American Academy of Professional Coders
b.Certified Coding Specialist
c.American Hospital Association
d.National Center for Health Statistics
e.Registered Health Information Technician
AAPC

Question 32

Compliance is defined as acting according to certain accepted standards or, in simple terms, abiding by the rules.

Question 33

Coded data are used for only one purpose.

Question 34

Match each definition to one of the following items.
a.American Academy of Professional Coders
b.Certified Coding Specialist
c.American Hospital Association
d.National Center for Health Statistics
e.Registered Health Information Technician
RHIT

Question 35

The two most well-known professional associations for coders are __________ and __________.

Question 36

Match each definition to one of the following items.
a.Has more than 155,000 members and was started in 1981
b.Translating diagnoses and procedures into special alphanumeric characters for the purpose of statistically capturing data
c.Grouping like items together for easy storage and retrieval
d.To maintain credentials, coders must earn these
e.Published by the College of American Pathologists, the most up-to-date system of nomenclature
f.The current coding classification system in use in the United States
Medical coding

Question 37

Match each definition to one of the following items.
a.American Academy of Professional Coders
b.Certified Coding Specialist
c.American Hospital Association
d.National Center for Health Statistics
e.Registered Health Information Technician
AHA

Question 38

CCS-P stands for Certified Coding Specialist-Pediatric Based.

Question 39

CPC-H stands for Certified Professional Coder-Health Care Based.

Question 40

Both AHIMA and AAPC have standards for ethical coding.

Question 41

Match each definition to one of the following items.
a.Has more than 155,000 members and was started in 1981
b.Translating diagnoses and procedures into special alphanumeric characters for the purpose of statistically capturing data
c.Grouping like items together for easy storage and retrieval
d.To maintain credentials, coders must earn these
e.Published by the College of American Pathologists, the most up-to-date system of nomenclature
f.The current coding classification system in use in the United States
Systematized Nomenclatures of Medicine

Question 42

Coded data are used for various purposes. List three of these purposes.

Question 43

Match each definition to one of the following items.
a.Has more than 155,000 members and was started in 1981
b.Translating diagnoses and procedures into special alphanumeric characters for the purpose of statistically capturing data
c.Grouping like items together for easy storage and retrieval
d.To maintain credentials, coders must earn these
e.Published by the College of American Pathologists, the most up-to-date system of nomenclature
f.The current coding classification system in use in the United States
ICD-10-CM

Question 44

Match each definition to one of the following items.
a.Has more than 155,000 members and was started in 1981
b.Translating diagnoses and procedures into special alphanumeric characters for the purpose of statistically capturing data
c.Grouping like items together for easy storage and retrieval
d.To maintain credentials, coders must earn these
e.Published by the College of American Pathologists, the most up-to-date system of nomenclature
f.The current coding classification system in use in the United States
Continuing education units (CEUs)

Question 45

AHIMA has standards for ethical coding. Name two of these standards and describe why they are important.

Question 46

Match each definition to one of the following items.
a.Has more than 155,000 members and was started in 1981
b.Translating diagnoses and procedures into special alphanumeric characters for the purpose of statistically capturing data
c.Grouping like items together for easy storage and retrieval
d.To maintain credentials, coders must earn these
e.Published by the College of American Pathologists, the most up-to-date system of nomenclature
f.The current coding classification system in use in the United States
AAPC

Question 47

Match each definition to one of the following items.
a.Has more than 155,000 members and was started in 1981
b.Translating diagnoses and procedures into special alphanumeric characters for the purpose of statistically capturing data
c.Grouping like items together for easy storage and retrieval
d.To maintain credentials, coders must earn these
e.Published by the College of American Pathologists, the most up-to-date system of nomenclature
f.The current coding classification system in use in the United States
Classification systems