CODING EXAM QUESTIONS AND ANSWERS, Exams of Computer Science

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CODING EXAM QUESTIONS AND ANSWERS A code that has all of the words that describe the code that follows is what type of code? - Answers -Stand alone Procedures that are experimental, newly approved, or seldom used are reported with what type of code? - Answers -Unlisted/Category III (with a special report) Who requires a special report with the use of unlisted codes? - Answers -Third-party payers What six elements must a special report contain? - Answers -Nature, extent, need, time, effort, and equipment used (photos and medical journal articles if relevant) Which punctuation mark between codes in the index of the CPT manual indicates a range of codes is available? - Answers -Hyphen Which punctuation mark between codes in the index of the CPT manual indicates two or more codes are available? - Answers -Comma A list of the unlisted procedures for use in a specific section of the CPT manual is contained in: - Answers -Guidelines In which CPT appendix would additions, deletions, and revisions be found? - Answers - Appendix B In which CPT appendix would all modifiers be found? - Answers -Appendix A CPT stands for: - Answers -Current Procedural Terminology (4th Edition) Where is specific coding information about each section located? - Answers -Guidelines Which act mandated the adoption of national uniform standards for electronic transmission of financial and administrative health information? - Answers -HIPAA Who publishes CPT? - Answers -AMA (American Medical Association) Category I CPT codes have how many digits? - Answers -5 The universal health insurance paper form for submission of outpatient services is the: - Answers -CMS-1500 (inpatient CMS-1450 UB-04) What is the function of an add-on code? - Answers -Identifies a code that is never used alone How many sections are in the CPT manual? - Answers -6 What is the purpose of a modifier? - Answers -Provides additional information to the third-party payer How often are Category III codes released? - Answers -Twice a year (January and July) According to the E/M Guidelines, time is not a descriptive component for: - Answers - Emergency department levels of E/M service The range of codes 10021-69990 would be found in this section of the CPT manual: - Answers -Surgery The index of the CPT manual is in alphabetical order with what listed first? - Answers - Main term The codes beginning with 99 are found in what section of the CPT manual? - Answers - Evaluation/Management The codes beginning with 0 are found in what section of the CPT manual? - Answers - Anesthesia The codes beginning with 7 are found in what section of the CPT manual? - Answers - Radiology The codes beginning with 8 are found in what section of the CPT manual? - Answers - Pathology and Laboratory The codes beginning with 9 are found in what section of the CPT manual? - Answers - Medicine What are the six basic location methods to locate main terms in the index of the CPT? - Answers -Service/procedure, anatomic site, condition/disease, synonym, eponym, abbreviation What does the "triangle" symbol represent? - Answers -Revised code What does the "bullet" symbol represent? - Answers -New code What does the "horizontal triangles" symbol represent? - Answers -New or revised text What does the "plus sign" symbol represent? - Answers -Add-on code What does the "bullseye" symbol represent? - Answers -Moderate/conscious sedation What does the "forbidden" symbol represent? - Answers -Exemptions to modifier 51 Procedures and services submitted on a claim must be linked to the_____________ that justifies the need for the service or procedure: - Answers -ICD10-CM code With what type of codes are procedures/services identified by a five-digit CPT code and descriptor nomenclature? - Answers -Category I codes What types of codes contain "emerging technology," temporary codes assigned for data collection? - Answers -Category III codes What modifier would you assign when the reported E/M service resulted in the initial decision to perform surgery? - Answers --57 What modifier would you assign when a documented E/M service was performed on the same day as another significant, separately identifiable E/M service? - Answers --25 Two digit numeric codes: - Answers -Modifiers Services by more than one physician on the same day: - Answers -Concurrent care Fifteen-minute increment: - Answers -Anesthesia time unit Codes that describe specialty services: - Answers -Medicine Level I HCPCS codes: - Answers -CPT E/M service with no CPT code: - Answers -Unlisted service Reported with an unlisted service: - Answers -Special report History, examination, and medical decision making: - Answers -Key components What is the name of the book used in the physician's office to code procedures? - Answers -Current Procedural Terminology The CPT publication is updated and revised: - Answers -Annually (November for January) The resource-based relative value scale (RBRVS) was developed for: - Answers -The centers for Medicare and Medicaid Services The key components that determine an evaluation and management code are documented by: - Answers -The physician The surgical package for non-Medicare cases includes the: - Answers -Preoperative visit, operation, local infiltration, digital block or topical anesthesia, and normal uncomplicated postoperative care When multiple lacerations of the same classification are repaired in the same body area: - Answers -Add the lengths of all lacerations and report them in on single code The largest section in the CPT book is the: - Answers -Surgery section What does bundling mean? - Answers -Grouping codes that are related to a procedure When counseling and coordination of care dominate _____________ of face-to-face physician/patient encounters, then time is considered the key to qualify for a particular level of E/M service: - Answers -50% The E/M code 99203 is considered what level of service? - Answers -3 Coding and billing numerous CPT codes to identify procedures that are usually described by a single code is called: - Answers -Unbundling Deliberate manipulation of CPT codes for increased payment is called: - Answers - Upcoding If a procedure requires more than one modifier, use the multiple two-digit code ________ after the usual five-digit code number: - Answers --99 The anesthesia formula is: - Answers -B+T+M In anesthesia, what does B+T+M stand for? - Answers -Base units, time, and modifying units Who does not use consultation codes? - Answers -Medicare When coding from the surgery section of CPT, the first thing you should do is: - Answers -Go to the index According to CPT, a surgical package: - Answers -Includes the operation, certain types of anesthesia, and postoperative visits within designated follow-up days Checking a diagnostic code against a procedure code is referred to as: - Answers - Code linkage When coding diagnoses, start by looking: - Answers -In Volume II (the index) ICD-10-CM was implemented: - Answers -October 1, 2015 All categories in ICD-10-CM: - Answers -Have 3 alphanumeric digits In diagnostic coding, the following symbol is used as a "placeholder" when a subcategory does not have a 4th, 5th, or 6th digit and a 7th digit needs to be applied: - Answers -X A disease or condition that has a rapid onset and a short, severe course is said to be: - Answers -Acute A disease or condition that progresses slowly and has a long duration is said to be: - Answers -Chronic Which coding system for medical services used 5-digit numbers with 2-digit modifiers? - Answers -CPT How often are diagnostic and procedural codebooks updated? - Answers -Every year Computer-assisted coding software converts words and phrases entered about a patient's condition and treatment into which type of data that must be checked and edited by a professional coder? - Answers -Codes The typical services provided by one surgeon for all services involved in surgical procedure code make up the: - Answers -Surgical Package The coding system used to document the diagnoses made by physicians is: - Answers - International Classification of Diseases The coding system used to document services and supplies provided to patients and procedures performed is the: - Answers -HCPCS Level I and II ICD-10-CM codes used for diagnoses in an outpatient setting may be found in: - Answers -Volumes I and II Which of the following CPT modifiers indicates that the service was mandated by a third party, such as an insurance company or government payer? - Answers --32 Which of the following CPT modifiers indicates the professional component (physician's role) in a technical diagnostic procedure, such as when he or she interprets the results of a laboratory test or x-ray? - Answers --26 Electronic coding programs are considered an essential tool; however, to reduce possible errors it is prudent to use: - Answers -Correct Coding Initiative edits National Correct Coding Initiative (NCCI) edits: - Answers -Relate to both CPT and HCPCS codes When a similar service is provided to a hospital patient by more than one physician on the same day, it is referred to as: - Answers -Concurrent care How does one code a program - Answers -They translate charts models Pseudocode or ordinary language into the code for a program What is a syntax error - Answers -Hey syntax error is when you have the correct words or in this case the correct code what is in the wrong order and doesn't make sense. This may be caused when a word is misspelled or there is a grammar or punctuation error How do you test a program - Answers -You run as many sets of data as possible through it even some that aren't supposed to work What are two types of testing a program - Answers -Desk checking and pencil checking In what way is the coding process is cyclical process - Answers -It is cyclical because it often requires returning to earlier steps this may pop up when the design process uncovers flaws, you may find problems leading to modifications or additions to the design and also testing on coverage problems that require returning to previous phases. What is modular programming - Answers -Modular programming is where there is a main module and then that module is broken up into submodules which all have their own task I can be called upon at any point in the main module Describe a module - Answers -In module performs a single task, it is self-contained and independent of other modules, and is relatively short I delete the statement should not exceed one page What are the benefits to modular programming - Answers -Modular programming is easier to read, it's easier to design, different program modules can be worked on by different people, and a single module can be used at more than one time in the program What is a call statement - Answers -They called statement causes a submodule to be executed What are hierarchy chart - Answers -A hierarchy chart is an organization chart that shows the position of modules in the program it acts as a map for the program and is different from a flowchart What are the two types of comment documentation and what are they - Answers - Internal documentation is for the program is to read where is extern all documentation is for the user What are header comments - Answers -Header comments appear at the beginning of a program or module and provide general information What are step or in line comments - Answers -Step or in line comments appear throughout the program and explain the purpose of specific portions of code What is a logic error - Answers -A logic there is one program runs but does not produce the expected results this could be caused by an incorrect formula or incorrect sequence of statements this is also called a runtime error What are the three excepted control structures - Answers -Sequins, repetition, and selection What is the sequence control structure - Answers -The sequence is execute statements in sequential order the simplest of the control structures it starts at the beginning and continues in sequential order What is the selection control structure - Answers -The selection control structure is also called a branch or decision and it requires a condition to determine when to execute statement What is the repetition control structure - Answers -The repetition control structure is repeat statement more than one also called a loop this needs to stop condition which met with the program will continue to loop until some condition is met What is modular programming - Answers -Modular programming is where there is a main module and then that module is broken up into submodules which all have their own task I can be called upon at any point in the main module Describe a module - Answers -In module performs a single task, it is self-contained and independent of other modules, and is relatively short I delete the statement should not exceed one page What are the benefits to modular programming - Answers -Modular programming is easier to read, it's easier to design, different program modules can be worked on by different people, and a single module can be used at more than one time in the program What is a call statement - Answers -They called statement causes a submodule to be executed What are hierarchy chart - Answers -A hierarchy chart is an organization chart that shows the position of modules in the program it acts as a map for the program and is different from a flowchart What are the two types of comment documentation and what are they - Answers - Internal documentation is for the program is to read where is extern all documentation is for the user What are header comments - Answers -Header comments appear at the beginning of a program or module and provide general information What are step or in line comments - Answers -Step or in line comments appear throughout the program and explain the purpose of specific portions of code What is a logic error - Answers -A logic there is one program runs but does not produce the expected results this could be caused by an incorrect formula or incorrect sequence of statements this is also called a runtime error What are the three excepted control structures - Answers -Sequins, repetition, and selection What is the sequence control structure - Answers -The sequence is execute statements in sequential order the simplest of the control structures it starts at the beginning and continues in sequential order What is the selection control structure - Answers -The selection control structure is also called a branch or decision and it requires a condition to determine when to execute statement What is the repetition control structure - Answers -The repetition control structure is repeat statement more than one also called a loop this needs to stop condition which met with the program will continue to loop until some condition is met Which of the following is NOT one of the five steps of the programming process? - Answers -Interview Which of the following is NOT a control structure used in coding? - Answers -Differential An If/Else statement should be used when you want one of two sections of code to be executed. - Answers -True Which of the following are reasons control structures are used? - Answers -All of the above Which loop is used for a specified number of times? - Answers -For Repeats a sequence of commands - Answers -A loop How does the computer use a selection control structure to decide which path to follow? - Answers -By determining which requirements have been met Which of the following describes the Test phase of the programming process? - Answers -Identify and correct any errors All other elements of a command - Answers -A statement is