THIS NEED TO BE DONE CORRECT I ONLY HAVE ONE CHANGER. Understanding Healthcare Coding, Reimbursement, Statistics, When you have completed your exam and reviewed your answers, click Submit Exam. Answers will not be recorded until you split across a page break, so be sure that you have seen the entire question and all the answers before choosing an answer. 1. Which of the following is calculated by the sum of the values divided by the frequency? A. Measure B. Median C. Mode D. Mean 2. A patient’s record was assigned code J0135. What type of code was used? A. CPT-4 B. ABC C. HCPCS D. ICD-9-CM 3. _______ are not actually health insurance plans, but act as entitlements. A. Managed care plans B. Preferred provider organizations C. Government-funded health plans D. Integrated delivery networks 4. Which of the following initiatives was created by the Joint Commission to measure performance for the accreditation process and quality improvement? A. ORYX B. NCQA C. HEDIS D. NHQM 5. When patients sign a form allowing an insurance plan to pay the physician directly, this process is known as A. coinsurance. B. adjudication. C. explanation of benefits. D. assignment of benefits. 6. A federal employee who gets hurt on the job may be covered by A. CHAMPVA. B. TRICARE. C. Medicaid. D. FECA . 7. Which of the following acts as an intermediary between a health plan and a provider? A. NCPDP B. HMO C. Prospective payment system D. Clearinghouse 8. A patient’s account was assigned code 90806 for psychotherapy. What type of coding was being performed? A. HCPCS B. ABC C. ICD-9-CM D. CPT-4 9. Systems produced by the same company and share a database are known as A. integrated. B. interfaced. C. decision support. D. administrative. 10. Which of the following is an example of an administrative system? A. Case management B. Continuing
education C. Payroll D. Patient scheduling 11. _______ is a part of Medicare funded through payroll taxes while a person is working. A. Medicare D B. Medicare A C. Medicare C D. Medicare B 12. Dr. Brown’s office just received $792 from a patient’s insurance. This payment is referred to as the A. copay. B. adjustment. C. deductible. D. remittance . 13. Employers use information from _______ to select the best plan coverage for their employees. A. HEDIS B. HIPAA C. HBIPS D. HL7 14. Which of the following plans was created as a way to give patients more options? A. IDN B. PPO C. HMO D. IPA 15. Which of the following DRG factors reflects the average relative costliness of medical cases versus those cases in Medicare? A. MS-DRG B. PPS C. HAC D. RW 16. Which of the following codes was created to meet the needs of codes that aren’t addressed under any other coding system? A. HCPCS B. CPT-4 C. ICD-9-CM D. ABC 17. Which system produces data and reports used mainly for decision and risk analysis? A. Financial B. Scheduling C. Quality management D. Administrative 18. Which of the following doesn’t need the additional plan to cover the gaps in insurance? A. Medicare C B. Medicare D C. Medicare B D. Medicare A 19. This coverage is approved by Medicare, but run by private companies. A. Medicare C B. Medicare D C. Medicare A End of exam D. Medicare B 20. HIPAA requires that individual patient information used for other things besides TPO have the patient’s personal information removed. This process is known as _______ data. A. indexing B. de-identifying C. aggregating D. coding Using figure 8-3 determine the sounndex code for your surname. Many medical errors occur when patients are given medications. How do the ‘’ five rights’’ prevent these errors? How does a CPOE system contribute to patient safety?