Even though physicians will continue to use CPT to report procedures performed in their offices, they will still be affected by ICD-10-PCS documentation requirements. Why is this?
a. Because CMS will compare the physician office documentation to their hospital documentation to make sure it is consistent.
b. CMS mandates hospitals to have clinical documentation improvement programs that have strict ICD-10-PCS documentation requirements.
c. Because hospitals will be using PCS codes to report inpatient procedures these same physicians perform.
d. Payers, especially managed care plans, expect the new documentation requirements to be met before they will approve payment for claims.
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Q. 2) When coding anemia in cancer, which of the following is NOT true?
a. ICD-9-CM directs coders to sequence the codes according to the reason for the encounter.
b. ICD-10-CM guidelines direct coders to sequence always the neoplasm first.
c. In ICD-9-CM, anemia is sequenced first when it is the primary reason for the encounter.
d. ICD-10-CM guidelines direct coders to sequence always the anemia first.
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Q. 3) What does GEMs stand for?
a. Generally equal mappings
b. General equation machinations
c. General equivalence mappings
d. General equalization maps
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Q. 4) In 2009, CMS issued a final rule that:
a. eliminated the HIPAA transaction standards
b. updated the HIPAA transaction standards.
c. changed the implementation date to October 1, 2014.
d. CMS did not issue the final rule; the CDC issued the final rule in question.
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Q. 5) ICD-10-PCS contains a number of new procedural terms. What impact does this have on physicians?
a. It will have a huge impact. Doctors will have to learn and use all the new terms.
b. There will be no real impact because they are not expected to document using these terms.
c. Physicians will have to learn the new terms and take an exam on the new terms before they can document in the electronic health records.
d. Charts will be considered incomplete and will be returned to the physicians for updating. This will cause the delinquency rates to skyrocket.
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Q. 6) The United States has been using ICD-10-CM since January 1, 1999 to:
a. code and classify mortality data.
b. code and classify cancer treatment data.
c. compare surgical procedure coding in both ICD-9-CM and ICD-10-CM.
d. the United States has not used ICD-10-CM for any type of reporting as yet.
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Q. 7) ICD-10-CM requires coders to determine the weeks of gestation for pregnant women. Which of the following is TRUE in regards to the impact this might have on diagnosis abstracting?
a. It will require querying the physician if the documentation is not specific enough.
b. Is has no real impact on the coders, other than the fact that they will need
to find and code the information.
c. Coders will have to develop a new methodology.
d. Both b and c.
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Q. 8) Which of the following is NOT a new coding concept in ICD-10-CM?
a. Underdosing of medication is new in ICD-10-CM.
b. There are ICD-10-CM codes to classify blood type.
c. ICD-10-CM codes for diabetes are blended with the codes for manifestations/ complications of diabetes.
d. There are no combination codes in ICD-10-CM.
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Q. 9) Coding burns using ICD-10-CM will be different from coding burns using ICD-9-CM. Why?
a. There are no difference between ICD-9-CM and ICD-10-CM when coding burns.
b. ICD-10-CM makes a distinction between burns and corrosions. Burns are classified by heat source, electricity, and radiation. Corrosions are burns due to chemicals.
c. ICD-10-CM has no codes to show the extent of the body surface involved.
d. None of the above.
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Q. 10) Which of the following is TRUE about ICD-10-CM?
a. It is used worldwide.
b. It is used in place of CPT for all outpatient encounters.
c. It is used only by physicians.
d. It replaces ICD-9-CM Volume 3.
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