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Medical Procedure Coding and Documentation Quiz

#1

What is the primary purpose of medical procedure coding?

To identify and classify medical procedures for billing and statistical purposes
Explanation

Classification for billing and statistics

#2

Which code set is commonly used for medical procedure coding in the United States?

CPT
Explanation

Common code set in the US

#3

What does the acronym HIPAA stand for in the context of healthcare documentation and coding?

Health Insurance Portability and Accountability Act
Explanation

Regulatory compliance

#4

In medical coding, what does the acronym CCI stand for?

Correct Coding Initiative
Explanation

Coding guidance initiative

#5

In the context of medical coding, what is the purpose of the NDC (National Drug Code)?

To uniquely identify drugs and pharmaceuticals
Explanation

Drug identification

#6

What is the purpose of modifier codes in medical procedure coding?

To provide additional information or context to the procedure code
Explanation

Offer additional context

#7

In the context of medical documentation, what does SOAP stand for?

Subjective, Objective, Assessment, Plan
Explanation

Documentation format

#8

Which organization is responsible for maintaining the Current Procedural Terminology (CPT) code set?

American Medical Association (AMA)
Explanation

Responsible for CPT codes

#9

What is the purpose of the ICD-10-CM code set in medical coding?

To describe the patient's symptoms and complaints
Explanation

Describes patient symptoms

#10

What role does a scribe play in medical documentation?

Recording patient encounters and medical information in real-time
Explanation

Real-time documentation

#11

What is unbundling in the context of medical coding?

Separating a single procedure into its component parts and coding each part separately
Explanation

Breaking down procedures

#12

What is a DRG (Diagnosis-Related Group) in the context of medical coding?

A classification system for inpatient hospital stays based on diagnoses
Explanation

Classification for hospital stays

#13

What is the primary purpose of the Z-codes in ICD-10-CM coding?

To identify codes for preventive services
Explanation

Identification of preventive services

#14

What does the term 'medical necessity' refer to in the context of healthcare documentation and coding?

The requirement for a specific medical procedure based on a patient's condition
Explanation

Procedure necessity based on condition

#15

What is the primary function of the AHA (American Hospital Association) Coding Clinic?

To provide guidance on coding and reporting
Explanation

Coding and reporting guidance

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