WGU D521 INTRODUCTION TO MEDICAL CODING WGU PA

D521 INTRODUCTION TO MEDICAL CODING WGU PA

Leave the first rating Students also studied Terms in this set (89) Western Governors UniversityD 521 Save Key Concepts in Medical Billing and...15 terms Sarah_Brown2949 Preview CAPM - Quiz #2 Teacher 17 terms tl2194Preview Project management foundations 86 terms Princemichaell Preview Softwa 31 terms My Injuries are grouped by the anatomic site.Which characteristic of ICD-10-CM represents a difference from ICD-9-CM?Decimals are used to separate each character.Code characters are included to indicate the condition's duration.Only E and V are used as alpha characters in valid codes.Injuries are grouped by the anatomic site.No eponyms are included.How is ICD-10-PCS different from ICD-9-CM?Diagnostic concepts are included for each code.No eponyms are included.Codes are organized based on the underlying cause of illness.Each code begins with an O or an I.There is a focus on describing procedure objectives. What is a characteristic of ICD-10-PCS as compared to ICD-9-CM?Codes are organized based on the underlying cause of illness.Procedures are indicated based on success or failure.Codes focus on devices rather than parts of the body.There is a focus on describing procedure objectives.Capitated paymentsWhich method is categorized as episode-of-care reimbursement?Capitated payments Traditional fee-for-service payments Per-service payment rates Itemized payments Medicare ASC payment ratesWhich method is categorized as episode-of-care reimbursement?Per-procedure payments Traditional fee-for-service payments Self-payment plans Medicare ASC payment rates

MorbidityWhich term matches the following definition: a diseased condition or the occurrence of disease in a population?Principal diagnosis Morbidity Mortality Comorbidity Payments received by hospitals may not be equal to the actual cost of providing services.Which statement represents a characteristic of the acute care prospective payment system of Medicare?Guidelines for payments are determined by a set list of demographic-related groups.Payments are based on expected treatment outcomes.Hospitals treating a high percentage of low-income patients receive lower levels of payments.Payments received by hospitals may not be equal to the actual cost of providing services.There are many combination codes for commonly associated conditions.Which characteristic of ICD-10-CM represents a difference from ICD-9-CM?Only E and V are used as alpha characters in valid codes.There are many combination codes for commonly associated conditions.Diseases are grouped by the cause of the condition.Code characters are included to indicate the condition's duration.Square brackets, [ ]What is used to specify explanatory phrases, according to diagnosis coding conventions?Curly braces { } Square brackets, [ ] Parentheses, ( ) Corner brackets, < > Colons, :Which punctuation is used to specify words for category assignment in diagnosis coding?Square brackets, [ ] Quotation marks, " "

Colons, :

Parentheses, ( ) Only use a code with fewer than seven characters if it is not further subdivided.What is a general guideline for diagnosis coding with ICD-10-CM?Use a code with fewer characters for diagnoses that have a lower level of certainty.A code should be created for each sign or symptom of the primary condition.Each valid code has seven characters, with a decimal after the third character.Only use a code with fewer than seven characters if it is not further subdivided.Sequence a complication code first if admission is for treatment of the complication.What is a guideline for sequencing for inpatients?When admission is for rehab, use the primary symptom as the principal diagnosis.Follow the definition for principal diagnosis only when the treatment plan is carried out.If a complication is the reason for admission, sequence the complication code second.Sequence a complication code first if admission is for treatment of the complication.

Alternative wordingsWhat are square brackets, [ ], used for in coding diagnoses with ICD-10-CM?Suggested treatments High-risk related conditions Potential causes Alternative wordings When multiple conditions meet the definition of a principal diagnosis, sequence any of them first.What is a guideline for sequencing for inpatients?When multiple conditions meet the definition of a principal diagnosis, sequence any of them first.Do not code diagnoses that are documented in an uncertain manner.Symptoms are coded if they are integral to the principal condition.Follow the definition for principal diagnosis only when the treatment plan is carried out.LocationWhich category is assessed when gathering the history of present illness (HPI)?Location Prevention Residence Treatment TimingWhat is one of the primary categories addressed in the history of present illness

(HPI)?

Demographics Treatment Prevention Timing SiteWhat should a complete diagnostic statement always include?Related conditions Risks Treatment Site Transcription errorsWhich common problem in the diagnosis coding process explains why computers cannot conduct the entirety of the process?A lack of patient contact A change of symptoms Abnormal vital signs Transcription errors Body SystemWhat does the second character in an ICD-10-PCS code indicate?Body system Root operation Section Body part ApproachWhat does the fifth character in an ICD-10-PCS code indicate?Device Qualifier Approach Body system

SixthWhich character in an ICD-10-PCS code indicates the device?First Third Sixth Seventh Medical and surgicalWhich section is indicated by the character 0 in an ICD-10-PCS code?Imaging Radiation therapy Medical and surgical Administration Removing solids, fluids, or gases from a body part Which root operation grouping for the medical and surgical section contains extirpation?Moving or putting back some or all of a body part Removing solids, fluids, or gases from a body part Removing some or all of a body part Altering the diameter or route of a tubular body part Moving or putting back some or all of a body part Which root operation grouping for the medical and surgical section contains transplantation?Removing solids, fluids, or gases from a body part Moving or putting back some or all of a body part Cutting or separating a body part Removing some or all of a body part ReattachmentWhich root operation in ICD-10-PCS coding is categorized as moving or putting back some or all of a body part?Bypass Reattachment Extirpation Dilation OcclusionWhich root operation in ICD-10-PCS coding is categorized as altering the diameter or route of a tubular body part?Occlusion Resection Extirpation Excision Altering the diameter or route of a tubular body part What is the group to which bypass belongs as a root operation for the medical and surgical section of PCS?Removing solids, fluids, or gases from a body part Moving or putting back some or all of a body part Altering the diameter or route of a tubular body part Removing some or all of a body part Pathology and laboratoryWhich main section is part of the Current Procedural Terminology (CPT) classification structure?Mental health and wellness Administration and placement Osteopathic and chiropractic Pathology and laboratory