Chapters 1, 2, and 3—Quiz #1 Name:_ _______________________________________________ Date:________________ Instructor:_____________________________ Points Possible: 30 Score:_ ___________ Fill in the Blank 1. The publication responsible for clarification of diagnosis codes is the _________________ . 2. HIPAA is an acronym for: _________________________________________ . 3. The manual that provides clinical explanations of the new codes along with code changes for the next calendar year is called ____________________________________ . 4. The calculation to determine the reasonable cost incurred by individual providers when furnishing covered services to beneficiaries is called ____________________________ . 5. Professional services that include X-ray, drug, laboratory, or other services are referred to as ______________________________. 6. List at least five benefits in implementing a compliance plan in the hospital facility. a. b. c. d. e. 7. What seven elements should be included in every hospital compliance plan? a. b. c. d. e. f. g. 8. A facility that provides a variety of services including physicians’ services, physical therapy, social or psychological services, and outpatient rehabilitation is called a ________________ . 9. Define a covered entity. www.aapc.com CPT ® copyright 2011 American Medical Association. All rights reserved. 1 Quiz #1 10. The _____________________________ _ covers diverse schemes to obtain government funds in violation of contract, as well as schemes to avoid paying for benefits and services received from the government. Multiple Choice: Choose the best answer for each description. 11. The surgical puncture of a joint for removal of fluid is: a. Arthrocentesis b. Arthrodesis c. Arthroplasty d. Arthralgia 12. An abnormal lateral curvature of the spine is known as: a. Lordosis b. Kyphosis c. Scoliosis d. Scoliotone 13. The combining form “acro” means: a. Crooked b. Extremity c. Joint d. Bone 14. All of the following are functions of the skeletal system except: a. Hemopoiesis b. Shape and support c. Metabolism d. Protection 15. Surgical repair of the skull is called: a. Craniotomy b. Cranioplasty c. Craniectomy d. Cranioclasty 2 CPT ® copyright 2011 American Medical Association. All rights reserved. 2012 Medical Coding Training Volume 1: CPC-H® —Instructor Resources Quiz #1 16. Arthrectomy is a medical term that means: a. Surgical excision of a portion of the skull b. Surgical excision of a joint c. Knock-knee d. Pertaining to the foot 17. Which of the following is not a function of the lymphatic system? a. Transports proteins and fluids b. Protects the body against pathogens c. Produces thrombocytes d. Serves as a pathway for the absorption of fats 18. The fluid part of the blood is called: a. Serum b. Plasma c. Lymph d. Hemoglobin 19. The medical term for spitting up of blood is: a. Hemoptysis b. Epistaxis c. Hemothorax d. Hemotysis 20. The establishing of a new opening in the larynx is called: a. Laryngostenosis b. Laryngostomy c. Laryngotomy d. Laryngectomy 21. The term “anuria” means: a. Without the formation of urine b. Excessive urination c. The presence of blood in the urine d. A condition of increased flow of urine www.aapc.com CPT ® copyright 2011 American Medical Association. All rights reserved. 3 Quiz #1 22. Discharge information should include: a. Significant findings, reason for hospitalization or care, treatment provided, condition at discharge, instruction to patient and/or family, arrangement for services needed to meet the patient’s medical needs after discharge, relevant observations, and medications or services prescribed. b. Significant findings, reason for hospitalization or care, treatment provided, condition at discharge, instruction to patient and/or family, and medications or services prescribed. c. Significant findings, reason for hospitalization or care, treatment provided, condition at discharge, instruction to patient and/or family, arrangement for services needed to meet the patient’s medical needs after discharge, and medications or services prescribed. d. Significant findings, treatment provided, condition at discharge, instruction to patient and/or family, and medications or services prescribed. 23. Medical necessity is defined by the payer as services: a. Consistent with the diagnosis, and in accordance with standards of good medical practice. b. In accordance with standards of good medical practice, consistent with the diagnosis and documentation. c. Consistent with the diagnosis, and in accordance with standards of good medical practice, and the most appropriate level of care. d. Consistent with the diagnosis, and in accordance with standards of good medical practice, the most appropriate level of care provided in the most appropriate setting. 24. Under the HIPAA Privacy Rule, the term “covered entities” means: a. Health plans and providers of health care b. Health plans only c. Health plans, providers of health care, and health care clearinghouses d. Providers of health care and health care clearinghouses 25. All entries in the medical record must be: a. Signed by the author b. Dated by the author c. Rubber stamped by the author to authenticate the author’s identity d. Signed and dated by the author with a method to establish the author’s identity 4 CPT ® copyright 2011 American Medical Association. All rights reserved. 2012 Medical Coding Training Volume 1: CPC-H® —Instructor Resources Quiz #1 26. A path audit is: a. Prepayment audit by the insurance carrier b. Postpayment audit by the insurance carrier c. Audit of medical schools nationally by the CMS contractor d. Audit of surgical procedures by the CMS contractor 27. The abbreviation RML stands for: a. Right lower lobe b. Right mitral valve pressure c. Right middle ear lavage d. Right middle lobe 28. The surgical term “anastomosis” means: a. Cutting or section made across the long axis of a structure b. Division by cutting into two parts c. The joining together, such as two hollow organs, arteries, or veins d. Separating tissue with a finger or blunt instrument without cutting Answer the following questions: 29. List three reasons why documentation is important. a. b. c. 30. Define the difference between outpatient diagnostic services and outpatient therapeutic services. www.aapc.com CPT ® copyright 2011 American Medical Association. All rights reserved. 5
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