Question 1

The following coding system(s) is/are utilized in the Impatient Psychiatric Facilities (IPFs) prospective payment methodology for assignment and proper reimbursement.

Accepted Answer

A)  HCPCS/CPT codes 
B)  ICD-9-CM codes 
C)  both HCPCS/CPT codes and ICD-9-CM codes 
D)  none of the above

Question 2

The attending physician requests a consultation from a cardiologist. The cardiologist takes a detailed history, performs a detailed examination, and utilizes moderate medical decision making. The cardiologist orders diagnostic tests and prescribe medication. He documents his findings in the patient's medical record and communicates in writing with the attending physician. The following day the consultant visits the patient to evaluate the patient' sresponse to the medication, to review results from the diagnostic test, and to discuss treatment options. What codes should the consultant report for the two visits?

Accepted Answer

A)  an initial inpatient consult and a follow-up consult 
B)  an initial inpatient consult for both visits 
C)  an initial inpatient consult and a subsequent hospital visit 
D)  an initial inpatient consult and initial hospital care

Question 3

Which data bank is a result of HIPAA legislation?

Accepted Answer

A)  Fraud and Abuse Data Bank 
B)  Health care Integrity and Protection Data Bank 
C)  National Practitioner Data Bank 
D)  Privacy Information Breach Data Bank

Question 4

Which of the following is the LEAST effective way to discipline an employee?

Accepted Answer

A)  written warning 
B)  oral reprimand 
C)  punishment by cutting work hours and pay 
D)  constructive criticism

Question 5

In a global payment methodology which is sometimes applied to radiological and similar types of procedures that involve professional and technical components, all of the following are part of the "technical components EXCEPT

Accepted Answer

A)  radiological equipment. 
B)  physician services. 
C)  radiological supplies. 
D)  support services.

Question 6

An indicator about the placement and number of fire extinguishers would be which type?

Accepted Answer

A)  process 
B)  outcome 
C)  structure 
D)  regulation

Question 7

As the Chair of the Forms Committee at your hospital, you are helping to design a template for house staff members to use while collecting information for the history and physical. When asked to explain how "review of systems" differs from "physical exam," you explain that the review of systems is used to document

Accepted Answer

A)  objective symptoms observed by the physician. 
B)  past and current activities, such as smoking and drinking habits. 
C)  a chronological description of patient's present condition from time of onset to present. 
D)  subjective symptoms that the patient may have forgotten to mention or that may have seemed unimportant.

Question 8

One-week-old infant admitted to the hospital with diagnosis of urinary tract infection contracted prior to birth. Urine culture positive for E.coli.

Accepted Answer

A)  V30.00, 599.0 
B)  599.0, 041.4 
C)  V30.00, 599.0, 041.4 
D)  771.82, 599.0, 041.4

Question 9

Children at higher risk for sudden infant death syndrome (SIDS) include those

Accepted Answer

A)  with sleep apnea. 
B)  with respiratory problems 
C)  who are premature infants 
D)  all of the above

Question 10

The fee paid for reimbursement for expenses incurred from providing health information whether for subpoena or reproduction by healthcare providers is determined by the

Accepted Answer

A)  American Health Information Management Association. 
B)  hospitals and lawyers. 
C)  statute or court rules. 
D)  plaintiff and defendant lawyers.

Question 11

Intrauterine pregnancy, twins, 33 weeks. Premature rupture of membranes. Spontaneous delivery of premature twins, vertex presentation, both live born.

Accepted Answer

A)  644.21, 658.11, 651.01, V27.2, 73.59 
B)  644.22, 659.11, V27.2 
C)  644.23, 658.11, 651.02, 73.59 
D)  658.11, 651.01, V27.2, 73.59

Question 12

All of the following have laws and regulations addressing medical records EXCEPT

Accepted Answer

A)  accrediting agencies. 
B)  corporate law. 
C)  state laws. 
D)  federal laws.

Question 13

Delivery of a single newborn at 43 weeks' gestation; manually assisted delivery

Accepted Answer

A)  650, V27.0, 73.59 
B)  645.20, V27.0, 73.59 
C)  644.21, V27.0, 73.59 
D)  645.21, V27.0, 73.59

Question 14

Patient comes in for steroid injection for lumbar herniated disk. Marcaine and Aristocort were injected into the L2-L3 space.

Accepted Answer

A)  64520 
B)  64483 
C)  62311 
D)  64714

Question 15

Each of the following pertains to COPD EXCEPT

Accepted Answer

A)  chronic bronchitis. 
B)  emphysema. 
C)  pneumonia. 
D)  smoking.

Question 16

Color coding of record folders is used to assist in the control of

Accepted Answer

A)  record tracking 
B)  loose reports. 
C)  record completion. 
D)  misfiles.

Question 17

Laminectomy and excision of intradural lumbar lesion

Accepted Answer

A)  63272 
B)  63267 
C)  63282 
D)  63252

Question 18

The prospective payment system to hospitals for Medicare hospital s outpatients is called ___ and became effective on _________

Accepted Answer

A)  APGs, October 1,2000. 
B)  RBRVS, January 1,2000. 
C)  APCs, August 1,2000. 
D)  DRGs, October 1,1983.

Question 19

Assume the patient has already met his or her deductible and that the physician is a nonparticipating Medicare provider, but does accept assignment. The standard fee for the services provided is $120.00. Medicare's PAR fee is $60.00 and Medicare's nonPAR fee is $57.00. How much reimbursement will the physician receives from Medicare?

Accepted Answer

A)  $120.00 
B)  $60.00 
C)  $57.00 
D)  $45.60

Question 20

In a terminal digit filing system, what would be the record number immediately in front of record number 01-06-26?

Accepted Answer

A)  00-06-26 
B)  02-06-26 
C)  03-06-26 
D)  99-99-25

Exam 1: Registered Health Information Administrator