1. Read All Questions Carefully: Make sure you understand each question.
2. Time Management: You have a specific amount of time to complete the exam.
Keep an eye on the clock and pace yourself.
3. Allowed Materials: Only use materials that are explicitly allowed. Unauthorized
materials can lead to disqualification.
4. ANS Format: Follow the required format for your ANS. For example, multiple-
choice questions might need you to select the best ANS, while essay questions
require detailed responses.
5. Academic Integrity: Adhere to the university's honor code. Any form of cheating or
plagiarism is strictly prohibited.
6. Technical Requirements: Ensure your computer and internet connection are
stable. For online exams, you might need a webcam and microphone for proctoring
purposes.
7. Submission: Submit your ANS before the time expires. Late submissions might
not be accepted.
,1. Which of the following is the primary purpose of medical
coding?
a) Organizing patient records
b) Facilitating billing and reimbursement
c) Writing medical history
d) Updating clinical guidelines
Correct ANS: b
Rationale: Medical coding is essential for billing and
insurance reimbursement, translating healthcare services and
diagnoses into standardized codes.
,3. In which section of a medical record would you typically find
a patient's lab results?
a) History and Physical
b) Progress Notes
c) Laboratory Reports
d) Medication Administration Record
Correct ANS: c
Rationale: Laboratory Reports specifically contain lab
results, making them distinct and easy to locate.
4. What coding system is primarily used for inpatient hospital
coding?
a) CPT
b) ICD-10-CM
c) DRG
d) HCPCS Level II
Correct ANS: c
Rationale: Diagnosis-Related Groups (DRGs) are used to
categorize hospital cases to facilitate reimbursement.
, 5. Which of the following is NOT a required element in a
patient's health record under CMS regulations?
a) Patient identification
b) Comprehensive health history
c) Personal opinions on treatment
d) Evidence of informed consent
Correct ANS: c
Rationale: Personal opinions on treatment are not required
and do not hold standardized medical value.
6. What is the main purpose of the encounter form in a
healthcare setting?
a) Patient scheduling
b) Patient health education
c) Collection of billing information
d) Documentation of clinical findings
Correct ANS: c
Rationale: Encounter forms serve primarily to collect billing
information and coding data for services rendered.
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