Mod H Unit 2 Lab And Theory

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The CM in ICD -9-CM stands for

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Clinical modification

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The updated volume of the ICD-9-CM is published

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Annually

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Morbidity is the presence of illness or disease, whereas mortality is the

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Death that occurs from disease

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The external cause of adverse effects resulting from ingestion or exposure to drugs or other substances can be found in the

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Table of drugs and chemicals

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terms such as after care, examination and proplem with are indicators that what type of code is needed

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v codes

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What modifies main terms describing different sites mama the cause or origin of the disease and different clinical types

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Essential modifiers

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The typeface used for main terms in the alphabetic index volume 2 and all cold and titles in a tabular list is

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Boldface

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The definition of diagnosis is

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the determination of nature of a cause of disease and the art of distinguishing one disease from another

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If a patient's condition has not been specifically diagnosed , the health insurance professional must code

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Signs or symptoms

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An eponym

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is disease,procedure or syndrome named for individuals who discovered them

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codes representing external causes of injury and poisoning are referred to as

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E codes

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Nonessential modifiers are

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the terms in parentheses following the main terms

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the part of the ICD-9-CM manual that serves as a basic foundation for diagnostic coding and aids in assigning diagnostic codes correctly is the

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introductory pages

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most ICD-9-CM manuals use a specific type of coding in volume 1 to alert the coder to special edits and important issues, which is called

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color coding

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section 2 of volume 2 of the ICD -9-CM manual consist of

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the table of drugs and chemicals

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transforming verbal descriptions of a diagnosis into numbers or a combination of alphanumeric character is referred to as

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coding

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the supplementary classification of external causes of injury and poisoning are referred to as

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E codes

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the main term for acute depressive reaction is

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reaction

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diagnosis the determination of the nature of a cause of disease is

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diagnosis

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physicians and outpatient clinics use

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primary diagnosis

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hospital and institutional facilities use

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principal diagnosis

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the alphabetic index to diseases contains 2 tables

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hypertension, neoplasms

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list the three types of codes in volume 1 of ICD-9-CM

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3-digit category codes; 4-digit subcategory codes; 5-digit classification codes

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when an individual who is not sick visits the medical facility for a specific purpose, such as receiving a vaccination, which codes are used

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V codes

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when more than one otherwise individual classified disease is combined with another disease and one code is assigned for both, a_________is assigned

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combination

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part_____medicare helps pay for physician and outpatient charges

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B

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The act that provides a federal system of old ,survivors, disability and hospital insurance is the

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Federal Insurance Contribution Act

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the medicaid program is administered by the

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CMS

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individuals who receive medical assistance because their income falls within the poverty or FPL guidelines or as a result of SSI eligibility are considered

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categorically needy

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when medicaid beneficiary has no other health care coverage the type of claim to be submitted is called a

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Medicaid simple claim

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the act that established quality standards for all laboratory testing to ensure to safety, accuracy,reliability and timeliness is

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CLIA

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the time limit for filing medicaid claims

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varies from state to state

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a federal insurance program established in 1966,for people 65 years old and older and certain other qualifying individuals is

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medicate

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how many parts does medicare have

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four

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what part of Medicare helps pay for prescription drugs

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part D

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the duration of time during which a medicare beneficiary is eligible for part Benicia for inpatient hospital or skilled nursing facility charges is called a

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benefit period

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which of the following groups is eligible in all states for assistance through the medical program

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categorically needy

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Medicare part D begin in which year

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2006

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in January of 1999,the balanced budget act of 1977 went into effect expanding the role of private plans to include

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managed care organizations

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beneficiaries who are not satisfied with the amount of claim reimbursement may file a

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appeal

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there are how many levels to medicate appeals process

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5

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Medicare payments can be automatically deposited into a providers designated bank account using

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electronic funds transfers

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the acronym for the federal state cash assistance program for poor families, typically headed by a single parent is

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TANF

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under what federal act was which of the following medicaid program established

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social Security act

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in 1972,federal law established the supplemental security income SSS program, which provides assistance to

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qualifying aged and disabled por

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identify which of the following qualifies under federally approved optional services for which federal funding is available

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diagnostic services

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one common method for verifying medicaid eligibility is to use a

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automated voice response system

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the legal obligation of the other insurance policies/programs to pay all our part of expanditures for patients eligible for medicaid is

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third party liability