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21 Cards in this Set
- Front
- Back
Identify the CPT Code for the following patient: A 2-year old boy presented to the hospital to have his gastrostromy tube changed under fluroscopic guidance? |
A. 43752 |
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What reimbursement system uses the Medicare Fee Schedule? |
RBRVS |
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An outpatient clinic is reviewing the functionality of a computer system it is considering purchasing. Which of the following datasets should the clinic consult to ensure all the federally required data elements for Medicare and Medicaid outpatient clinical encounters are collected by the system? |
Uniform Ambulatory Care Data Set |
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How do accreditation organizations such as the Joint Commission use the health record? |
To determine whether standards are being met. |
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Which of the following is the correct ICD-10-PCS code for a Mayo operation known as a bunionectomy? An incision was made in the right foot and a portion of the first metatarsal head was removed. |
0QBN0ZZ |
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In what form of health information exchange are data centrally located but physically separated? |
Consolidated Federated |
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The CIA of security includes confidentiality, data integrity and data _______. |
Availability. |
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What type of data is exemplified by the insured party’s member identification number? |
Financial data |
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A system that provides alerts and reminders to clinicians is a(n): |
Clinical decision support system. |
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CMS developed medically unlikely edits (MUEs) to prevent providers from billing units of services greater than the norm would indicate. These MUEs were implemented on January 1, 2007, and are applied to which code set? |
HCPCS/CPT Codes |
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Which of the following programs has been in place in hospitals for years and has been required by the Medicare and Medicaid programs and accreditation standards? |
Quality improvement |
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What is the best reference tool for ICD-10-CM/PCS coding advice? |
AHA's Coding Clinic for ICD-10-CM/PCS |
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Which of the following is not a function of the discharge summary? |
Providing information about the patient's insurance coverage. |
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What is the best source of documentation to determine the size of a removed malignant lesion? |
Operative report |
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Identify the ICD-10-CM code(s) for infected ingrown toenail with paronychia of the first toe of the right foot. |
L60.0, L03.031 |
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What refers to the capacity of health record systems to provide electronic communication linkages and allow exchange of health record data among information systems? |
Connectivity |
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What is the best reference tool to determine how CPT codes should be assigned? |
American Medical Association's CPT Assistant Newsletter |
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Which of the following is (are) the correct ICD-10-PCS code(s) for laparoscopic cholecystectomy? The entire gallbladder was removed.
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0FT44ZZ |
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Which classification system is in place to reimburse home health agencies? |
Home health resource groups |
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Which of the following is (are) the correct ICD-10-PCS code(s) for cystoscopy with diagnostic biopsy of the bladder? |
0TBB8ZX |
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Valley High, a skilled nursing facility, wants to become certified to take part in the federal government reimbursement programs such as Medicare. What standards must the facility meet in order to become certified for these programs? |
Conditions of Participation |