Chapter 2 Quiz

_____ details include the patient's name, address, date of birth, and other personal details, not specifically related to health. A. Face sheet B. Demographic C. Abstracting D. Superbill

B

______ is to ask; an official request to the attending physician for more specific information related to a patient's condition or treatment: A. sequela B. query C. summary report D. remittance advise

B

the abbreviation GTT stands for A. Google translator toolkit B. glucose tolerance test C. glass tolerance test D. gutta drops

B

_____ is to explain the meaning of; convert a meaning from one language to another. A. Demographic B. Assume C. Interpret D. Abstracting

C

The documentation of each patient encounter should include which of the following? A. all of these B. appropriate history and physical exam in relationship to the chief complaint C. a plan of carethe reason for the encounter D. the date

A

This document or section includes the patient's demographic information, as well as health insurance policy numbers and the name of the individual who will be finanically responsible for the patient's care: A. Patient's registration form B. Physician's notes/operative reports C. Referral Authorization Form D. Discharge Summary

A

Which ICD-10-CM official guideline is concerned with signs and symptoms? A. Section I.B.4 B. Section I.B.6 C. Section I.B.5 D. Section I.B.7

A

Which of the following are pathways to query a provider? A. all of these B. charts with query notes attached to the front of the chart C. electronic health record software D. encrypted email system

A

Measurable indicators of a patient's health status is known as a: A. Sign B. Sequela C. Manifestation D. Symptom

A

Results of testing performed on blood, tissue, and other specimens hold important keys to the patient's condition. The results can provide you with important details necessary for you to determine a specific, accurate code. You can locate this information in the: A. Pathology and Laboratory Reports. B. Medication Logs. C. Imaging Reports. D. Physician's Notes/Operative Reports.

A

A patient's subjective description of feeling is known as a: A. symptom B. sign C. sequela D. manifestation

A

An external cause code explains which of the following? A. All of these B. Where C. The details of the accident D. How

A

At the time a patient is released from a facility, such as a hospital, this document provides the conclusions and results of the patient's stay in the facility in addition to follow-up advice. A. Discharge Summary B. History and Physical C. Patient's Registration Form D. Referral Authorization Form

A

Essentially, this document, written by the admitting physician, explains the background and current issues used to make the decision to admit the patient into the hospital. A. Discharge Summary B. History and Physical C. Referral Authorization Form D. Patient's Registration Form

B

Explains how and where the patient became injured A. Procedure B. External Cause C. Patient D. Diagnosis

B

Explains why the provider is caring for this individual during this encounter A. Facility B. Diagnosis C. Physician B. Procedure

B

For coding purposes, why are diagnosis codes important? A. They describe which insurance policy the patient has. B. They establish the case for medical necessity. C. They explain what the physician did for the patient. D. They indicate where the patient was treated.

B

George's broken foot did not heal properly. Today's encounter for the malunion is coded as a(n): A. current condition B. sequela C. adverse reaction D. injury

B

In diagnostic coding NOS stands for: A. national occupational standards B. not otherwise specified C. network operating systems D. nitrous oxide system

B

The suffix -ectomy means: A. to dissolve B. to remove C. to crush D. to repair

B

The suffix -phobia means: A. remove B. fear C. repair D. crush

B

The written plan of care should include which of the following? A. the reason for the encounter B. treatments and medications, specifying frequency and dosage C. appropriate history and physical D. the date

B

What is abstracting? A. Items that are used in the care and treatment of a patient B. The process of identifying the key words or terms in health care documentation in order to determine the best, most appropriate code C. A form preprinted with the diagnosis codes and procedure codes most frequently used in a particular facility D. When the physician summarizes the patient's history in his or her notes

B

What is the main term in the following procedural statement? Repair of an abdominal hernia A. none of these B. repair C. abdominal D. hernia

B

When querying a provider, what is the best approach in asking the questions? A. open-ended B. either open-ended or multiple choice C. direct the provider to a specific code D. multiple choice

B

Which ICD-10-CM official guideline is concerned with sequela? A. Section I.B.9 B. Section I.B.8 C. Section I.B.10 D. Section I.B.7

B

Which of the following would be an example of an external causes code? A. D48.1 B. X17.XXXA C. M05.631 D. T50.903A

B

A condition that caused or developed from the existence of another condition is called a: A. sequela B. co-morbidity C. manifestation D. complication

C

A separate diagnosis existing in the same patient at the same time as an unrelated diagnosis is known as a: A. manifestation B. sequela C. co-morbidity D. complication

C

Explains what the provider did for the individual A. External Cause B. Patient C. Procedure D. Diagnosis

C

Identifies where the services were provided A. Procedure B. Physician C. Facility D. Diagnosis

C

If another physician or health care provider referred this patient for a consultation, you will need to have a _____________ to determine the correct evaluation and management code. A. Discharge Summary B. Patient's Registration Form C. Referral Authorization Form D. Physician's Notes/Operative Reports

C

Rosetta is having a screening colonoscopy because of her ulcerative colitis. In the CPT book, which term will you look up in the Alphabetic index? A. colitis B. ulcerative C. colonoscopy D. screening

C

The _____ will have a coder to report any heart problems A. Pathologist B. Anesthesiologist C. Cardiologist

C

When a specialist is asked by an attending physician to evaluate a patient's condition, a report is written and sent over to be included in the patient's medical record in the requesting physician's files, as well as those belonging to the consulting physician. You can locate this information in the: A. Physician's Notes/Operative Reports. B. Pathology and Laboratory Reports. C. Consultations Reports. D. Imaging Reports.

C

When an inpatient is being discharged without a confirmed diagnosis, you will A. code the signs B. wait until a confirmed diagnosis is reached C. code the suspected conditions D. code the symptoms

C

When should a coder query the physician? A. when the supporting documentation is in the progress note B. when the chart is missing C. when there is unclear or missing information necessary to code an encounter D. when the chart has been updated

C

A biopsy is an example of a(n): A. eponym B. symptom C. diagnosis D. procedure

D

A cause-and-effect relationship between an original condition that has been resolved with a current condition is known as a ____. A. Manifestation B. Sign C. Symptom D. Sequela

D

A fever is an example of a(n) A. sensation B. Objective C. symptom D. Sign

D

Explains who is provided with care: A. Facility B. Diagnosis C. Physician D. Patient

D

Laminectomy is an example of a ______. A. compliant B. symptom C. diagnosis D. procedure

D

The _______ will have a coder to report for any administration of anesthesia. A. Radiologist B. Pathologist C. Cardiologist D. Anesthesiologist

D

The underlying condition is known as the _____, the original source or cause for the development of a disease or condition. A. idiopathic B. manifestation C. sequela D. etiology

D

Thrombolysis means: A. high blood platelet count B. low blood platelet count C. nerve repair D. dissolve dangerous clots in blood vessels

D

Under the ICD-10-CM Official Guidelines I.B.10 for Sequela of cerebrovascular disease you are directed to See Section A. Section I.C.19 B. Section I.C.15 C. Section I.C.20 D. Section I.C.9

D

Which ICD-10-CM official guideline is concerned with acute and chronic conditions? A. Section I.B.5 B. Section I.B.13 C. Section I.B.18 D. Section I.B.8

D

Which code represents an ICD-10-PCS code? A. N13.5 B. 77333 C. E0118 D. 07PK4CZ

D

Which of the following would be an example of an external cause code? A. 0t140K8 B. L0468 C. 99050 D. Y35.001A

D

_____ is to suppose to be the case, without proof; guess the intended details. A. Interpret B. Demographic C. Abstracting D. Assume

D