#1
What is the primary function of medical coding?
To convert healthcare procedures and diagnoses into universal codes
ExplanationStandardizing healthcare data for billing and analysis.
#2
Which code set is commonly used for outpatient medical coding in the United States?
CPT
ExplanationCapturing procedures and services for outpatient care.
#3
What is the purpose of the CPT (Current Procedural Terminology) code set?
To report medical procedures and services
ExplanationDetailing procedures for billing and analysis.
#4
Which of the following is NOT a component of the SOAP documentation format used in medical records?
Procedure
ExplanationSubjective, Objective, Assessment, Plan - SOAP.
#5
What is the purpose of ICD-10-PCS (International Classification of Diseases, 10th Edition, Procedure Coding System) codes?
To describe healthcare procedures and services
ExplanationDetailing procedures for billing and analysis.
#6
Which of the following is NOT typically included in a patient's medical history?
Blood type
ExplanationDetails about past and current health.
#7
What does the abbreviation 'EHR' stand for in healthcare documentation?
Electronic Health Record
ExplanationDigital records of patient health information.
#8
What is the purpose of a 'superbill' in medical coding?
To provide a summary of services rendered and their associated charges
ExplanationFacilitating billing and reimbursement processes.
#9
What does the abbreviation 'HIPAA' stand for in the context of healthcare documentation?
Health Insurance Portability and Accountability Act
ExplanationProtecting patient privacy and data security.
#10
Which organization publishes the ICD-10-CM (International Classification of Diseases, 10th Edition, Clinical Modification) code set?
Centers for Medicare & Medicaid Services (CMS)
ExplanationMaintaining diagnostic codes for billing.
#11
What is the purpose of the 'index' in medical coding manuals?
To help locate codes based on keywords
ExplanationFacilitating efficient code retrieval.
#12
Which type of healthcare facility typically uses the UB-04 (Uniform Bill) form for billing?
Hospital
ExplanationSubmitting claims for inpatient services.
#13
Which organization oversees the implementation of the ICD coding system worldwide?
World Health Organization (WHO)
ExplanationSetting global standards for disease classification.
#14
In medical coding, what does the acronym 'HCC' typically refer to?
Hierarchical Condition Category
ExplanationAssessing patient risk and healthcare costs.
#15
What does the abbreviation 'OCR' stand for in healthcare documentation?
Optical Character Recognition
ExplanationConverting scanned text into digital format.
#16
What is the primary purpose of a 'dictation system' in healthcare documentation?
To transcribe handwritten medical records into digital format
ExplanationConverting spoken words into text for records.
#17
What is the primary purpose of a 'medical transcriptionist'?
To transcribe dictated recordings into written documents
ExplanationConverting oral dictations into written records.