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1st Exam Questions_Answers
| Question | Answer |
|---|---|
| This Government organization handles the finance for Medicare program. | Social Security Administration |
| HIPPA Stands for? | Health Insurance Portability & Accountability Act. |
| Volume 3 of the ICD-9-CM is primarily used for by what type of medical facility? | Hospital |
| Insurance companies that have bid for contracts to handle Medicare program in specific areas are called (3 word combination) | Medical Administrative Contractors |
| The largest third-party payer in the US is | Medicare |
| The ICD-9-CM is designed for the classification of what two things? | Morbidity (Sick) and Mortality (Death) |
| The least amount of digits that may be included in a volume 1 ICD-9-Cm code is? | 3 digits |
| Organize the following in proper Numerical Chronological sequence form first to last | 1)Chapter, 2)Section, 3)Category, 4)Subcategory, 5)Sub-classification |
| Identify and Underline the main term in the following Nutritional Anemia | Nutritional __Anemia___ |
| Identify and Underline the main term in the following Periodic Paralysis | Periodic __Paralysis__ |
| Identify and Underline the main term in the following Knee Fracture | Knee __Fracture__ |
| Identify and Underline the main term in the following Muscular Dystrophies | Muscular __Dystrophies__ |
| Identify and Underline the main term in the following Actinomycosis Meningitis | Actinomycosis ___Meningitis__ |
| Is septicemia due to anthrax assigned code 038.8; if not what code is it assigned | NO septicemia due to anthrax code is 022.3 |
| Is chronic pain causalgia assigned code 338.2;if not what code is it assigned | NO chronic pain causalgia code is 355.9 |
| see category 321.0; assign codes for pt with cryptococcal meningitis | cryptococcal meningitis codes are 117.5, 321.0 |
| see category 362.0; assign codes for pt with diabetic retinopathy | diabetic retinopathy codes are 249.5, 250.5, 362.0 |
| locate the term "Tamponade Heart (rose's) in ICD-9 index. what other term is used in the manual | "Tamponade Heart (rose's)other term is See Paricarditis |
| Automatic coverage under social security | Part A |
| Optional coverage under social security | B, C, D |
| Hospice care coverage | Part A |
| Prescription drug coverage | Part D |
| Physician visit coverage | Part B |
| Beneficiary pays premium for coverage | B,C,D |
| Codes assigned for payment using ICD-9-CM, Vol 1, 2; CPT; and HCPCS | B, A or C. |
| The major third party payer in the United States is the | Medicare |
| The medicare program was established in what Year? | 1965 |
| Hospital insurance is Medicare, Part? | Part A |
| Supplemental Medical Insurance is Medicare, part? | Part B |
| Which edition of the Federal register is of special interest to hospital facilities? | October |
| Which edition of the Federal Register is of special interest to outpatient facilities? | November or December |
| What is the issuing office? | Department of Health and Human Services |
| what is the date the provisions of this rule effective | January 26, 2009 |
| According to the summary section, what does ASC mean | ASC is Ambulatory Surgical Center |
| Is there a Further information contact with the Federal Register | Yes |
| What does RBRVS stand for | RBRVS Resource Based Relative Value Scale |
| The medicare Economic Index is published in what publication | medicare Economic Index is published in what publication: Federal Register June 16, 1975 |
| In 1989, a major change took place in Medicare with the enactment of | Omnibus Budget Reconciliation Act (OBRA) |
| This term is the intentional deception or misrepresentation that an individual knows to be false or does not believe to be true and makes knowing that the deception could result in some unauthorized benefit | Fraud |
| This organization develops a work plan to Identify areas of the Medicare program that will be monitored. | Office of the Inspector General Or OIG |
| The physician that is responsible to control & manage the health care of an HMO enrollee is the | Gatekeeper |
| What does the abbreviation PACE stand for? | Program for All-Inclusive Care for the Elderly. |
| Two insurance programs were established in 1965 by amendments to the Social Security Act known as | Part A and Part B |
| The Secretary of DHHS has delegated responsibility for Medicare to which department? | Centers for Medicare and Medicaid Services |
| Who administers funds for Medicare? | Social Security Administration |
| Who is eligible for Medicare | People 65 or older & qualify you for SS benefits; Renal Failure permanent; Disabilities--> 25th month |
| List 3 components of the Relative value unit: | Work Overhead Malpractice |
| What does RBRVS stand for? | Resource based Relative Value Scale |
| What is the fastest growing segment of our population today? | Elderly People |
| Parentheses * subterms | parentheses enclose supplementary words (non-essential) that may be present or absent in the statement of a disease/procedure without affecting the code |
| No Parentheses * subterms | No Parentheses are Essential |
Created by:
cguthrie