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Chapter 2 (CPT) Self-Testing Exercises Answer Key1. True or false? The AMA developed CPT primarily to describe medical services and procedures performed by physicians and other healthcare providers. a. Trueb. False3. CPT category I codes are used to describe:a. New technology proceduresb. Procedures that are widely performed c. Procedures that Medicare recognizes as covered entitiesd. All of the above5. CPT codes are part of a larger system known as:a. Healthcare Common Procedure Coding System (HCPCS)b. ICD-10-CM c. Uniform Hospital Discharge Data Set (UHDDS) d. Unified Medical Language System (UMLS)7. A complete list of CPT modifiers and their definitions is included in which appendix of CPT?a. A b. Bc. Cd. D9. The Alphabetic Index of CPT includes which of the following types of listings?a. Proceduresb. Diagnoses c. Abbreviationsd. All of the above11. True or false? CPT is used for measurement of quality of care.a. Trueb. False13. Which circumstance below cannot be reflected with a CPT modifier?a. A service/procedure that has both a professional and a technical component b. A service/procedure that has been reduced or expanded in scopec. A service/procedure that does not yet have a specific CPT code d. A patient that has a bilateral procedure performed15. True or false. CPT codes can be assigned solely from the Index.a. Trueb. FalseChapter 3 (HCPCS) Self-Testing Exercises Answer Key1. True or false? HCPCS was developed to report physician and nonphysician services.a. Trueb. False3. True or false? HCPCS includes three levels of codes.a. Trueb. False5. HCPCS level II codes are also known as:a. Local codesb. Mandatory codesc. National codesd. Non-physician codes7. True or false? HCPCS level II codes were named as one of the standardized code sets under HIPAA.a. Trueb. False9. Which of the following is not a type of HCPCS level II temporary code?a. G codesb. Q codesc. T codesd. E codes11. True or false? Modifiers can be used with both levels of HCPCS codes.a. Trueb. False13. True or false? Once the CMS HCPCS Workgroup establishes a HCPCS Level II code as a permanent national code, Medicare recognizes it as a covered and payable service.a. Trueb. False15. A miscellaneous HCPCS Level II code is used a. When no HCPCS Level I code existsb. When no HCPCS Level II code existsc. After calling the payer for an authorization numberd. After submitting an application form to CMS for a new codeChapter 4 (NDC) Self-Testing Exercises Answer Key1. Product names used in the NDC Directory are usually supplied by: a. Retail pharmaciesb. AMAc. AHAd. Firms (labelers)3. What organization was responsible for development of the National Drug Codes?a. AHAb. The Joint Commissionc. FDAd. CMS5. True or false. NDCs are assigned to all drugs under the Drug, Food and Cosmetic Act.a. Trueb. False7. True or false? Two HCPCS codes can have the same NDC code.a. Trueb. False9. Which NDC format is not found in the NDC Directory?a. 5-4-1b. 5-4-2c. 5-3-2d. 4-4-211. What is the correct conversion of NDC code 0069-5420-66 to the 11-digit format?a. 0069-5420-066b. 0069-05420-66c. 69-5420-00066d. 00069-5420-6613. True or false? A listing of a product in the FDA’s NDC Directory means the drug is FDA approved.a. Trueb. False15. Which NDC components are assigned by the firm?a. Labeler code and product codeb. Product code and package codec. Product code and product trade named. Labeler code and package codeChapter 5 (CDT) Self-Testing Exercises Answer Key1. What organization holds all property rights, title, and interest in CDT?a. Centers for Medicare and Medicaid Services (CMS)b. American Dental Association (ADA)c. America’s Health Insurance Plansd. Blue Cross/Blue Shield Association3. Which of the following CDT service categories include professional visits? a. Diagnostic D0100–D0999b. Preventive D1000–D1999c. Adjunctive General Services D9000–D9999 d. Miscellaneous Services D9910–D99995. Which component of a CDT code is not always required?a. Dental procedure code b. Nomenclaturec. Descriptor d. None of the above7. Which of the following is a required component that provides a written definition of a dental procedure code? a. Terminologyb. Descriptorc. Nomenclature d. Subcategory9. Revisions to the CDT Code are published and effective:a. Annuallyb. Biennially c. Quarterlyd. Every three years 11. The CDT codes are a mandated standard for reporting dental procedures and services under the ______a. Health Information Technology for Economic and Clinical Health Actb. Health Insurance Portability and Accountability Act c. Council on Dental Benefits Programsd. Affordable Care Act 13. True or false? A dental procedure code consists of a five-character alphanumeric code. a. Trueb. False15. True or false? Each updated edition of the CDT Code includes a summary section of CDT code additions, deletions and revisions.a. Trueb. FalseChapter 6 (SNOMED CT) Self-Testing Exercises Answer Key1. Fill in the blank. ______________ is when a combination of concept identifiers are joined to convey clinical meaning. Post-coordination3. True or false? Pre-coordinated concepts are most useful for capturing less commonly reported clinical issues with greater detail.a. Trueb. False5. The URU principle requires that all SNOMED CT concepts be:a. Uniform, reproducible, usefulb. Understandable, relevant, uniformc. Understandable, reproducible, useful d. Understandable, reproducible, uniform7. Which of the following is not a derivative work?a. Extensions b. RefSetsc. Cross mapsd. Hierarchies9. True or false? Every SNOMED CT concept has at least one relationship to another concept. a. Trueb. False11. True or false? Content submitted for inclusion in the US extension of SNOMED CT will likely be included if it is not currently supported by any other recognized standard reference terminology in the US. a. Trueb. False13. SNOMED CT is a designated standard for all of the following but one. Which of the following does NOT include SNOMED CT as a standard?a. HIPAA transaction code setsb. HITSP interoperability specificationsc. ONC EHR certification standardsd. US Federal government for electronic exchange of health information15. SNOMED CT | is a | relationships serve what purpose?a. To further define the concept b. Provide a pointer from a concept that is no longer activec. Give additional attributes about the conceptd. All of the aboveChapter 7 (ICD-11) Self-Testing Exercises Answer Key1. The common ontology provides a sematic framework shared between:a. ICD-11 and ICD-10b. ICD-11 and the mortality linearizationc. ICD-11 and SNOMED CTd. ICD-11 and the morbidity linearization3. Which chapter(s) of ICD-11 are the axes for post-coordination found?a. X b. Y c. Z d. X and Y 5. The semantic core of ICD-11 is known as:a. Common ontologyb. Foundation componentc. Core modeld. SNOMED CT7. An important attribute of ________ is that each rubric has one and only one parent, selected from the possibly multiple options in the foundation component.a. Linearizations b. Synonymsc. Child termsd. Parent terms9. True or false? Post-coordinating an expression is the preferred form over an already existing pre coordinated code. a. Trueb. False11. True or false? The morbidity linearization will contain residual categories such as NOS and NEC.a. Trueb. False13. Codes found in linearizations will have which kind of identifier(s)?a. Meaningful identifiers and meaningless linearization codesb. Meaningful identifiersc. Meaningless identifiers and meaningful lineraization codesd. Meaningless identifiers and meaningless modifier codes15.True or false? ICD-11 will allow the specification of more than one code for a specific condition. a. Trueb. FalseChapter 8 (RxNorm) Self-Testing Exercises Answer Key1. Which of the following is included in the normalized name of a clinical drug in RxNorm? (Mark all that apply.)a. Ingredientb. Strengthc. Dose formd. Route3. Each RxN1 name and its synonyms constitute aa. Branded version of the drugb. Single conceptc. Generic version of the drugd. Term type5. Which one of the following is not included in RxN1?a. Prescription drugs in the United Statesb. Over the counter drugs available in the United Statesc. Generic drugs d. Dietary supplements7. True or false? Dose forms used in the RxN1 name represent the form in which the manufacturer supplied it. Rationale: Dose forms used in the RxN1 name are intended to represent the form in which a product is presented to the patient.a. Trueb. False9. True or false? RXCUIs are deleted from on RxNorm release to the next. Rationale: RXCUIs and the meanings of concepts persist from one RxNorm release to the next.a. Trueb. False11. In RxNorm, the semantic clinical drug is which of the following?a. Ingredient + strength + dose formb. Ingredient + dose formc. Ingredient + strength + brand named. Ingredient + dose form + brand name13. True or false? Reimbursement of drugs is based on RxNorm codes. Rationale:The NDC codes are used to base reimbursement.)a. Trueb. False15. True or false? RxN2 contains the names of prescription and over-the-counter drugs. a. Trueb. FalseChapter 9 (DSM) Self-Testing Exercises Answer Key 1. Which of the following organizations is responsible for updating DSM?a. World Health Organization b. American Psychiatric Association c. Centers for Medicare and Medicaid Services d. American Psychological Association3. Which of the following DSM editions first incorporated clear diagnostic criteria, a multi-axial system for classification, and descriptive text for each disorder?a. DSM-Ib. DSM-IIc. DSM-IIId. DSM-IV5. True or false? The ICD-10-CM diagnostic codes incorporated into DSM-5 are not valid codes under the Administration Simplification provision of the Health Insurance Portability and Accountability Act (HIPAA) until October 1, 2016.a. Trueb. False7. An individual’s level of disability:a. is best documented using the DSM-5 GAF Scale.b. can be assessed through the WHODAS 2.0.c. is a required part of documenting a diagnosis.d. is reported on Axis V.9. The DSM-5 benefits which type of professional?a. Practicing psychiatristsb. Clinical psychologistsc. Clinical social workers d. All of the above11. Which of the following organizations is responsible for development of DSM?a. World Health Organization (WHO)b. American Psychiatric Association (APA)c. American Psychological Associationd. American Medico-Psychological Association13 DSM may be used in which of the following areas?a. Criminal evaluations b. Educationc. Clinical trialsd. All of the above15. The DSM-5 classification section includes which code set(s)?a. ICD-9-CM diagnostic codesb. ICD-10-CM diagnostic codesc. ICD-9-CM and ICD-10-CM diagnostic codesd. ICD-10-CM and ICD-11 diagnostic codesChapter 10 (LOINC) Self-Testing Exercises Answer Key1. The developer of Logical Observation Identifiers, Names, and Codes (LOINC) system is:a. College of American Pathologistsb. Centers for Medicare and Medicaid Services (CMS)c. Regenstrief Institute, Inc.d. American Clinical Laboratory Association 3. Which of the following is NOT a LOINC axis?a. Time aspectb. Kind of propertyc. Type of methodd. Type of test5. A program for mapping local files to LOINC is:a. LOINC databaseb. Regenstrief LOINC Mapping Assistant (RELMA)c. HL7d. Regenstrief Medical Records System (RMRS) 7. The LOINC development process can be characterized as:a. Empirical, nimble, proprietary b. Empirical, nimble, open c. Ontological, nimble, balloted d. Ontological, bureaucratic, proprietary9. The LOINC database contains names and codes for which variables?a. Laboratory and Pathologyb. Laboratory and Clinicalc. Clinical diseasesd. Clinical and Pathology11. True or false? LOINC is available at no cost under an open license.a. Trueb. False13. Go to the main LOINC website at . Review the listing of past LOINC Committee meetings. What additional event is often offered with the Laboratory Committee meetings?Answer: LOINC workshop15. True or false? LOINC is required by CMS for electronic quality measure reporting across many domains of content.a. Trueb. FalseChapter 11 (ICF) Self-Testing Exercises Answer Key1. True or false? The ICF is only used for people who have a disability, injury, or disease.a. Trueb. False3. True or false? Environmental and Personal Factors can positively or negatively impact functioning and health.a. Trueb. False5. Match the terms with the appropriate descriptions. (c, d, b, a, e)a. Body Structures___ Execution of tasks & actionsb. Body Functions ___ The physical, social, & attitudinal environment in which people live and conduct their livesc. Activities & Participation ___ The physiological & psychological functions of the bodyd. Environmental Factors ___ Anatomy of the body including organs, limbs, and their componentse. Personal Factors ___ Internal influences that facilitate or hinder functioning and health7. Match the letter code with the appropriate ICF component (c, d, a, b)a. Body Structures___ db. Body Functions___ ec. Activities & Participation___ sd. Environmental Factors___ b9. The ICF model reflects which type of model? a. Medical Modelb. Social Modelc. Biopsychosocial Modeld. Functional Model11. A client has 75 percent impairment in Orientation Functions. The code for Orientation Functions is b114. Which of the below represents the correct score? a. b114.0b. b114.1c. b114.2d. b114.3e. b114.413. If an environmental factor is a facilitator, what “mark” is placed after the code? a. A starb. An equal signc. A periodd. A plus sign15. Which of the below is true about core sets? a. Codes outside of the core set should not be considered during assessment.b. Once a core set is developed, it is not revaluated.c. Core sets can be helpful in choosing relevant codes for assessmentd. None of the aboveChapter 12 (Nursing) Self-Testing Exercises Answer Key1. Each NIC intervention includes all but one of the following: a. Five-point Likert scaleb. Definitionc. Unique number d. Label name3. The NIC System includes which of the following?a. Interventions for illness preventionb. Medication Administration Records (MARs)c. Thirty domains with seven classes eachd. NANDA diagnoses in each NIC5. Which of the following statements is true about NIC?a. Interventions in NIC are equivalent to Observables semantic type in SNOMED CT.b. NIC fails to meet the uniform guidelines for IS vendors required by NIDSEC.c. NIC is not limited to only the domain of nursing.d. NIC contains two interrelated taxonomies classified by care components.7. The NANDA Classification is a:a. Standardized classification of patient/client outcomesb. Set of nursing diagnosesc. Standardized classification of interventionsd. Unified nursing language system into which nursing terminologies can be cross-mapped9. The Clinical Care Classification (CCC) system consists of how many interrelated taxonomies?a. Threeb. Twoc. Fourd. Five11. A term from the ________ is required to create a nursing diagnosis.a. Means Axisb. Judgment Axisc. Location Axisd. Client Axis13. The first terminology systems developed for nursing were considered:a. Taxonomiesb. Controlled vocabulariesc. Classification systemsd. Heuristics15. The Perioperative Nursing Data Set benefits surgical endeavors because it:a. Standardize a nursing procedure listb. Meets compliance requirementsc. Benchmarks nursing practiced. All of the aboveChapter 13 (Other) Self-Testing Exercises Answer Key1. Which section remained unchanged in the ICD-O-3 version? Topography3. What does the morphology code in ICD-O-3 identify? Histology5. Assign the final two digits for the following statement: Poorly differentiated carcinoma. M-8010/_ _ Answer: 337. ICPC consists of a biaxial configuration, chapters, and _____________.a. Sectionsb. Componentsc. Subchaptersd. Titles9. True or false? WICC is responsible for maintenance of and updates to ICPC.a. Trueb. False11. In the MedDRA hierarchy, preferred terms map to:a. Lowest-level termsb. High-level terms c. A system organ class termd. A high-level group term13. The ABC Codes two-character alphanumeric modifier identifies _________.a. Type of practitioner who rendered the serviceb. Type of practitioner who referred the patientc. Type of service rendered by the practitionerd. Type of service ordered15. Which of the following insurance claim forms may be used to submit ABC codes?a. 271b. 278c. 1500d. 270Chapter 14 (Data Sets) Self-Testing Exercises Answer Key1. OASIS forms the basis for measuring patient _________.Outcomes3. Which of the following is defined as a specification of the allowable values for each data element?a. Data setb. Data element domainc. Data definitiond. Data field5. The principal diagnosis for inpatient acute care hospital inpatients is defined in which of the following data sets?a. UHDDSb. DEEDSc. OASISd. UACDS7. Which of the following is not a data type for the QDM category Condition/Diagnosis/Problem?a. Diagnosis, resolvedb. Diagnosis, inactivec. Diagnosis, family historyd. Diagnosis, personal history9. The Resident Assessment Instrument is triggered by the data collected by the:a. Core measuresb. DEEDSc. MDSd. HEDIS11. Which of the following best describes the DEEDS data set?a. Uses data for home health outcomes researchb. Collects data about hospital emergency encountersc. Uses data for inpatient analysisd. Collects data for ambulatory care13. Which of the following is a set of performance measures used to compare the performance of managed healthcare plans?a. DEEDSb. HEDISc. ORYXd. UHDDS15. Which of the following is not one of the data elements in the Common MU Data Seta. Problemsb. Medicationsc. Medication allergiesd. Functional statusChapter 15 (data interchange standards) Self-Testing Exercises Answer Key1. Which of the following is not an SDO?a. ASC X12Nb. HL7c. IEEE-SAd. ONC3. ____ is a standard to support tranisitons of care and patient care summariesa. Consolidated Clinical Document Architectureb. HL7 Version 2.6c. ASC X12 Version 5010d. Point of Care Communication5. True or false? Healthcare organizations that use HIPAA-defined transactions must use the HL7 standard formats.a. Trueb. False7. ____ is a standard for the interchange of computerized biomedical images and image-related information within and between healthcare providers.a. DICOMb. NCPDPc. IEEEd. X12N 2709. ____ produces standards, IGs, and a data dictionary for data interchange and processing standards for pharmacy transactions.a. HL7b. NCPDPc. IEEE-SAd. NDC11. Match the three types of standards below to the correct description_c_ Transporta. Standards for workflows, algorithms or messaging protocols._b_ Contentb. Standards describing the syntax, semantics, data models or vocabulary._a_ Behaviorc. Standards describing how to find, connect or communicate to another system. 13. Governments are typicallya. Standards Developersb. Standards Advocatesc. Market Stakeholdersd. None of the above15. ___ is a federally sponsored initiative that initiates standards projects in relevant SDOs to meet ONC needs for standards in the Meaningful Use programa. IHE b. HIPAAc. HITECHd. S&I FrameworkChapter 16 (Database) Self-Testing Exercises Answer Key1. Which of the following is not one of the steps in NLM’s methodology for expanding UMLS content? a. Quality assuranceb. Analysis and inversionc. Human editingd. Public hearings3. The Metathesaurus is organized by: a. Conceptb. Relationshipsc. Diagnosisd. Disease5. Which one of the following is not one of the UMLS’s Knowledge Resources?a. SPECIALIST Lexiconb. Semantic Networkc. MetamorphoSysd. Metathesaurus7. Which metadata repository provides content for public health reporting? a. PHIN VADSb. UMLSc. CTS2d. NCIt9. Which terminology is derived from the UMLS and extended?a. PHIN VADSb. UMLSc. NCImd. NCIt11. Which of the following terminologies cannot be used to identify cross walks between terminologies?a. UMLSb. EVSc. USHIKd. PHIN VADs13. What metadata repository houses standard information models?a. PHIN VADSb. ONCc. EVSd. USHIK15. True or false? ISO 11179 is an international standard describing how metadata should be structured. a. Trueb. FalseChapter 17 (Mapping) Self-Testing Exercises Answer Key1. True or false? Data mapping skills identify semantic equivalence between sets or systems by finding the disparity between data sets.a. Trueb. False3. Which is the target system for a map created from SNOMED CT to ICD-10-CM?a. SNOMED CTb. ICD-10-CMc. None of the aboved. All of the above 5. A challenge in map development is that the mapping function is performed without which of the following:a. Use caseb. Critical thinkingc. Contextd. Target7. The rules for map development are known as:a. Heuristicsb. Requirementsc. Business intelligenced. Mapping advice9. The map life cycle includes which of the following:a. Creationb. Developmentc. Implementationd. Maintenancee. All of the above11. True or false? A single definition for data mapping exists. a. Trueb. False 13. True or false? Data maps only involve classifications and terminologies. a. Trueb. False15. True or false? Standards development organizations certify data maps.a. Trueb. False ................
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