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CRC CHAPTER 1 THE BUSINESS OF MEDICINE QUESTIONS WITH ANSWERS.
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CRC CHAPTER 1 THE BUSINESS OF MEDICINE QUESTIONS WITH ANSWERS.
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CRC CHAPTER 1 THE BUSINESS OFMEDICINE QUESTIONS WITH
ANSWERS.
ANS: B
Rationale: The coding profession has evolved significantly over the past several decades into a career
path with unlimited possibilities. Many professionals who have learned coding have also gone on to
roles as consultants, educators or medical auditors. There are endless possibilities in an ever changing
field. ANS - 1. Many coding professionals go on to find work as:
a. Accountants
b. Consultants
c. Medical Assistants
d. Financial Planners
ANS: D
Rationale: Every time a patient receives health care, a record is maintained of the observations, medical
or surgical interventions and treatment outcomes. Administrative data, such as financial records, should
not be included in the medical record or provided in response to a subpoena or request for health
records. ANS - 2. Which type of information is NOT maintained in a medical record?
a. Observations
b. Medical or surgical interventions
c. Treatment outcomes
d. Financial records
ANS: C
Rationale: EHR stands for electronic health record ANS - 4. EHR stands for:
a. Extended health record
b. Electronic health response
,c. Electronic health record
d. Established health record
ANS: B
Rationale: Physician Assistants are licensed to practice medicine with physician supervision. A PA
program takes approximately 26 1/2 months after completion of a Bachelor' degree. ANS - 5. What
type of provider goes through approximately 26 1/2 months of education, after completion of a
bachelor's degree, and is licensed to practice medicine with the oversight of a physician?
a. Nurse Practitioner (NP)
b. Physician Assistant (PA)
c. Physical Therapist
d. Intern
ANS: A
Rationale: Professionals who specialize in coding are called medical coders or coding specialists ANS - 3.
Professionals who specialize in coding are called:
a. Coding specialists
b. Information technologists
c. Medical Assistants
d. Scribes
ANS: B
Rationale: Medicare Part B helps to cover medically necessary provider services, outpatient care and
other medical services (including some preventive services) not covered under Medicare Part A.
Medicare Part B is an optional benefit for which the patient pays a monthly premium, an annual
deductible, and generally has a 20% co-insurance except for preventive services covered under the
healthcare law. ANS - 6. The Medicare program is made up of several parts. Which part covers provider
fees without the use of a private insurer?
a. Part A
b. Part B
c. Part C
, d. Part D
ANS: C
Rationale: Accurate and thorough diagnosis coding is important for Medicare Advantage (Part C) claims
because reimbursement is impacted by the patient's health status. The Centers for Medicare & Medicaid
Services-hierarchical condition category (CMS-HCC) risk adjustment model provides adjusted payments
based on a patient's diseases and demographic factors. If a coder does not include all pertinent
diagnoses and comorbidities, there may be loss of additional reimbursement to which the provider is
entitled ANS - 7. The Medicare program is made up of several parts. Which part is affected by the
Centers for Medicare & Medicaid Services - Hierarchical Condition Categories (CMS-HCC)?
a. Part A
b. Part B
c. Part C
d. Part D
ANS: C
Rationale: Centers for Medicare & Medicaid Services - Hierarchal Condition Category ANS - 8. What
does CMS-HCC stand for?
a. County Mandated Services - Heightened Control Center
b. Country Mandated Services - Hospital Correct Coding Initiative
c. Centers for Medicare & Medicaid Services - Hierarchal Condition Category
d. Centers for Medicare & Medicaid Services - Hospital Correct Coding Initiative
ANS: C
Rationale: Operative report coding tips include reviewing the documentation in the detail of the
procedure to further clarify or define both procedures and diagnoses. ANS - 9. When coding an
operative report, what action would NOT be recommended?
a. Starting with the procedure listed.
b. Reading the body of the report.
c. Coding from the header without reading the body of the report.
d. Highlighting unfamiliar words.
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