Chapter 1 Review

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Louisiana State University, Eunice *

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Health Science

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Feb 20, 2024

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Chapter 1 Review 1. What does a coder do? a. A coder translates diagnoses and procedures into special alphanumeric characters for the purpose of statistically capturing data. 2. What coding system is currently used in the United States for diagnosis coding? a. The current coding system used in the United States is ICD-10-CM 3. What does the CM of ICD-10-CM stand for? a. CM stands for Clinical Modification 4. List three uses for coded data. a. Research b. Planning c. Reimbursement 5. What payment system does Medicare use for inpatient reimbursement? a. Medicare used MS-DRGs for inpatient reimbursement. 6. Describe the difference between a nomenclature and a classification system? a. Nomenclature is a system of names that are used as preferred terminology. b. Classification systems group together similar items for easy storage and retrieval. 7. What nomenclature of disease is used in the United States? a. The Systematized Nomenclature of Medicine (SNOMED) is the nomenclature of disease that is used in the United States. 8. Define a closed classification system. a. In a closed classification system a disease, condition, or procedure can be classified in only one place. 9. When was the International Classification of Diseases first adopted by the United States? a. ICD was first adopted by the United States in the year 1898 under the recommendation of the American Public Health Association. 10.When and how often is this system (ICD-10-CM) updated? a. ICD-10-CM is updated biannually in April and October. 11.What four groups constitute the Cooperating Parties? a. National Center for Health Statistics (NCHS) b. CMS c. American Hospital Association (AHA) d. American Health Information Management Association (AHIMA) 12.Who publishes official coding advice and guidance? a. The Cooperating Parties publishes the official coding advice and guidance. 13.What organizations award coding credentials? a. AHIMA b. American Academy of Professional Coders 14.What is another word that is used in the industry for “following the rules”? a. Compliance is “acting according to certain accepted standards or, abiding by the rules”.
15.If you were coding a neighbor’s record, would it be okay for you to tell your other neighbors the reason the patient was hospitalized? a. No. HIPPA makes it illegal to disclose a patient’s protected health information. 16.What does HIPPA stand for? a. HIPPA stands for the Health Insurance Portability and Accountability Act of 1996. 17.Most industrialized countries do not use ICD-10. TRUE OR FALSE- True 18.The federal agency responsible for the maintenance of ICD-10-CM PCS is The Center for Disease Control. TRUE OR FALSE- False
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