Question 1

Inpatient coding certification is available through which organizations?

Accepted Answer

A)   AAPC (American Academy of Professional Coders) 
B)   MGMA (Medical Group Management Association) 
C)   AHIMA (American Health Information Management Association)  and AAPC (American Academy of Professional Coders) 
D)   AHA (American Hospital Association)  C

Question 2

ASC is an acronym for ambulatory surgery coding.

Accepted Answer

A) True 
 B)False  False

Question 3

Physicians employed by the hospital are referred to as:

Accepted Answer

A)   hospital-based physicians.
B)   physician employees.
C)   administrative physicians.
D)   private practice physicians. B

Question 4

Hospital inpatient coders utilize which coding nomenclatures for assigning codes?

Accepted Answer

A)   CPT codes only
B)   ICD-9-CM diagnosis codes only
C)   CPT and ICD-9-CM codes
D)   ICD-9-CM diagnosis and procedure codes

Question 5

The term third-party contractrefers to a contract:

Accepted Answer

A)   with an entity other than the patient.
B)   with an entity other than the hospital.
C)   with a third-party liability carrier.
D)   between the patient, the facility, and the insurance carrier.

Question 6

In an inpatient setting, explain which services would be billed on the UB-04?

Accepted Answer

The answer of In an inpatient setting, explain which services...

Question 7

The form utilized for submitting charges to the insurance carrier is referred to as the CMS-1450.

Accepted Answer

A) True 
 B)False

Question 8

Outpatient services are typically provided outside the acute care hospital.

Accepted Answer

A) True 
 B)False

Question 9

The process of gathering charge documents from all departments within the facility that have provided services to a patient is referred to as:

Accepted Answer

A)   charge capturing.
B)   utilization review.
C)   precertification.
D)   case management.

Question 10

Inpatient care usually takes place in the acute care facility such as a hospital, skilled nursing facility, or intermediate care facility.

Accepted Answer

A) True 
 B)False

Question 11

Explain the difference between an inpatient and an outpatient facility.

Accepted Answer

The answer of Explain the difference between an inpatient and...

Question 12

What is the acronym given to the electronic medical health record?

Accepted Answer

A)   EHR
B)   EMHR
C)   UB-04
D)   CMS-1500

Question 13

The admitting diagnosis is determined by the patient's chief complaint at the time of the admission.

Accepted Answer

A) True 
 B)False

Question 14

When ancillary services such as x-rays or EKGs are performed, the resources necessary to provide the services by the facility are referred to as:

Accepted Answer

A)   the charge.
B)   the technical charge.
C)   the professional charge.
D)   the chargemaster charge.

Question 15

The Certified Professional Coder (CPC) certification indicates that the individual who has successfully received this designation has concentrated knowledge in physician coding.

Accepted Answer

A) True 
 B)False

Question 16

What form would the patient be requested to sign in the event the services to be rendered may not be covered by Medicare or their insurance?

Accepted Answer

A)   Release of Medical Information
B)   Advanced Directive
C)   Advance Beneficiary Notice
D)   Assignment of benefits

Question 17

Intermediate Care Facilities (ICF) are considered inpatient facilities.

Accepted Answer

A) True 
 B)False

Question 18

When claims are initially denied by the insurance carrier and the facility wishes to resubmit the claim to request additional consideration for payment, the process is referred to as:

Accepted Answer

A)   adjudication.
B)   appeal.
C)   claims processing.
D)   dispute.

Question 19

Coders in the Health Information Department of the hospital are the only individuals who need to have coding knowledge to successfully complete and understand their duties.

Accepted Answer

A) True 
 B)False

Question 20

List those coding certifications that are appropriate for the hospital facility.

Accepted Answer

The answer of List those coding certifications that are appropriate...

Exam 1: The Flow of the Hospital Organization

Inpatient coding certification is available through which organizations?

ASC is an acronym for ambulatory surgery coding.

Physicians employed by the hospital are referred to as:

Hospital inpatient coders utilize which coding nomenclatures for assigning codes?

The term third-party contractrefers to a contract:

In an inpatient setting, explain which services would be billed on the UB-04?

The form utilized for submitting charges to the insurance carrier is referred to as the CMS-1450.

Outpatient services are typically provided outside the acute care hospital.

The process of gathering charge documents from all departments within the facility that have provided services to a patient is referred to as:

Inpatient care usually takes place in the acute care facility such as a hospital, skilled nursing facility, or intermediate care facility.

Explain the difference between an inpatient and an outpatient facility.

What is the acronym given to the electronic medical health record?

The admitting diagnosis is determined by the patient's chief complaint at the time of the admission.

When ancillary services such as x-rays or EKGs are performed, the resources necessary to provide the services by the facility are referred to as:

The Certified Professional Coder (CPC) certification indicates that the individual who has successfully received this designation has concentrated knowledge in physician coding.

What form would the patient be requested to sign in the event the services to be rendered may not be covered by Medicare or their insurance?

Intermediate Care Facilities (ICF) are considered inpatient facilities.

When claims are initially denied by the insurance carrier and the facility wishes to resubmit the claim to request additional consideration for payment, the process is referred to as:

Coders in the Health Information Department of the hospital are the only individuals who need to have coding knowledge to successfully complete and understand their duties.

List those coding certifications that are appropriate for the hospital facility.