Question

1. A geographic adjustment factor is a number that is used to multiply each relative value element so that it better reflects a geographical area’s relative costs.

True

False

2. The patient states that she was hit by a baseball. That is part of the ROS in the history key component.

True

False

3. Understanding of pathophysiology is built on a strong foundation of medical terminology, anatomy, and physiology

True

False

4. Revenue cycle is a part of the provider’s defense against accusations that patients were not treated correctly.

True

False

5. The ICD-10-CM code set for medical diagnoses was mandated for use in the United States on October 1, 2015 by:

A.	WHO
B.	CMS
C.	AHIMA
D.	HIPAA legislation

6. When reporting codes N30.00 and B96.5, which convention applies?

A.	Code first
B.	Code also
C.	Includes
D.	Use additional code

7.		In this outpatient case scenario, the patient presented with acute low back pain. The patient had just moved furniture and lifted many heavy boxes. The physician documented the diagnosis of acute low back pain probably caused by low back strain. Which diagnosis would be reported first?

A.	Low back strain
B.	Low back pain
C.	Either low back pain or strain
D.	Acute pain

8. A patient presents for ambulatory surgery to remove a lesion on the back. The preoperative diagnosis is keratosis. The pathology report supports squamous cell carcinoma and the postoperative diagnosis states the diagnosis of squamous cell carcinoma of the back. The patient first presented to the physician office because of an abnormal growth on the back. What is the first-listed diagnosis?

A.	Abnormal skin growth
B.	Keratosis
C.	Squamous cell carcinoma of the back
D.	Skin lesion

9. Which coding guideline is different for outpatient services than inpatient services?

A.	Reporting of possible or probable conditions
B.	Reporting of codes to their highest level of specificity
C.	Reporting of External Cause codes
D.	“Code also” notes apply only to outpatient services

10. The chief is part of the review of systems.

True

False

11. In the following scenario, identify the present on admission (POA) status for the diagnosis of postoperative wound infection. A patient was admitted for open reduction and internal fixation of a femur fracture. The patient developed a post-op wound infection.

A.	Y
B.	N
C.	W
D.	E

Answer 1

1. True - a geographic adjustment factor is used by Medicare and Medicaid to create a payment structure that is appropriate according to the geographical area .

2. False - ROS is review of system , in which information is gathered regarding different organ systems in the body to find any dysfunction and disease .

3. True - pathophysiology is the scientific study of disease or abnormal process. It is built on a strong foundation of medical terminology , anatomy and physiology . It is made of two parts pathology (medical discipline ) and physiology( biologic discipline) .

4.False - Revenue cycle is defined as the entire of medical billing process from beginning to end .