Section 1
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diagnosis
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Date created
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Cards (74)
Section 1
(50 cards)
diagnosis
The ________ code reflects detailed information about the illness or injury converted to alphanumeric form.
supervisor
Any time a medical assistant is uncertain about how to select a code, he or she should reach out to a certified coder or to a ________.
True
Etiology is another word for cause.
16,000
The ICD-9-CM had _________ codes.
True
The Patient Protection and Affordable Care Act (PPACA) mandates compliance programs for providers who contract with Medicare and Medicaid.
NEC
The convention ________ signifies that the medical record contains additional details about the condition, but there is no more specific code available for use.
True
ICD-10-CM is an update and major revision to the ICD-9-CM.
alphanumeric
Medical coding is the process of assigning ________ characters that represent patient diagnoses and services.
Perform an Internet search on the Main Term.
Which of the following is NOT a step in using the ICD-10-CM to identify a diagnosis? a. Locate the Main Term. b. Perform an Internet search on the Main Term. c. Read the subterms and modifiers. d. Identify the preliminary code(s).
True
The Tabular List contains 21 chapters based on etiology or the body system.
False
Symptoms are captured with a statement in the patient's own words of the reason for the visit.
references
Although most information is located in the Index of Diseases and Injuries, the ICD-10-CM manual also uses additional ________ for specialized purposes.
False
Subterms are words indented five spaces under the boldfaced Main Term that further describe variations of the condition.
Table of Mental Illnesses
In the Index to Diseases and Injuries, which of the following is NOT one of the references used for specialized purposes? a. Table of Neoplasms b. Table of Drugs and Chemicals c. Table of Mental Illnesses d. Index to External Causes
Advanced calculus
Which of the following is NOT a type of knowledge required to perform medical coding? a. Anatomy and physiology b. Clinical procedures c. Local, state, and federal regulations d. Advanced calculus
sections
The 21 chapters in the Tabular List are divided into ________ with boldfaced or highlighted headings.
Parentheses
________ indicate nonessential modifiers that describe the default variations of a term.
Subterms
________ are words indented two spaces under the boldfaced Main Term that further describe variations of the condition.
False
ICD-10-CM codes may be between 6 and 15 characters in length.
compliance
Companies and organizations establish ________ programs to actively keep informed about regulations, educate employees, and make sure that everyone in the company is cooperating.
An anatomic site
Which of the following is NOT usually seen as a Main Term? a. A condition b. A disease c. An anatomic site d. An adjective
X
When codes that are four or five characters long require a seventh character for special purposes, the placeholder ________ is used to fill in any empty positions.
False
Abuse is knowingly billing for services that were never provided or billing for a service that has a higher reimbursement than the service actually provided.
True
Conventions are specialized rules, abbreviations, formatting, and symbols that alert users to important information.
abuse
Someone billing for a non-covered service commits an act of ________.
fraud
A physician who knowingly bills for services that were never actually provided is committing an act of ________.
False
For outpatient coding, always use uncertain diagnoses.
Health Insurance Portability and Accountability Act (HIPAA)
The ________ mandates the approved code sets for all covered entities, such as a medical office, that handle claims related to health care services.
70,000
The ICD-10-CM coding manual contains ________ codes.
Tabular List
Diagnosis codes are located in the ________, listed alphanumerically and divided into 21 chapters based on cause and body system.
False
Medical assistants will be called upon to perform medical coding as a regular part of their jobs.
death
Historically, diagnosis coding was used to track the causes of disease and _______.
True
The first step in using the ICD-10-CM coding manual is to identify the diagnosis in the Index.
False
When the Main Term or subterm is too long to fit on one line, the line is truncated.
False
Both ICD-9-CM and ICD-10-CM use over 70,000 codes.
False
ICD-10-CM provides a list of all the most common patient diagnoses.
True
The purpose of the Office of the Inspector General (OIG) is to fight waste, fraud, and abuse in Medicare, Medicaid, and more than 300 other HHS programs.
False
The introductory material at the beginning of the ICD-10-CM includes an alphabetical list of diseases and injuries.
ICD-10
In 1994, the World Health Organization (WHO) published the ________ for worldwide reporting of morbidity and mortality data.
codes
The medical assistant must understand the ________ to inform confused patients of their meanings.
Tabular List
Codes found in the Index must be verified in the ________ to confirm the code description and assign additional characters specifying details of the condition.
True
The medical assistant may need to help patients with understanding their diagnoses.
True
In diagnostic coding, Main Terms usually do not include anatomic sites.
International Classification of Diseases (ICD)
The first coding manual, published in 1901, was called the ________.
Plural code
Which of the following is NOT a valid code type? a. Combination code b. Multiple code c. Single code d. Plural code
state-specific conventions.
Introductory material in the ICD-10-CM manual contains all of the following information EXCEPT a. instructions on how to use the ICD-10-CM. b. Official Guidelines for Coding and Reporting (OGCR). c. universal conventions. d. state-specific conventions.
alphabetically
The Index to Diseases and Injuries is organized ________ by Main Term and subterms.
patient self-diagnoses.
27. When coding for office-based or other outpatient services, medical assistants may refer to any of the following EXCEPT a. patient self-diagnoses. b. lab and radiology reports. c. encounter forms. d. operative reports for outpatient procedures.
True
Never use the Index to make the final code selection.
False
A multiple code identifies the condition and various manifestations or two conditions that commonly occur together.
Section 2
(24 cards)