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Solutions Manual For Essentials of Health Information Management Principles and Practices Principles and Practices 5 th
Edition By Mary Jo Bowie (All Chapters 1-10, 100% Original Verified, A+ Grade) All Chapters Arranged
Reverse: 10-1
This is The Original Solutions Manual For 5 th Edition, All other Files in The Market are Fake/Old/Wrong Edition. 1 / 4
Solution and Answer Guide,:Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 10: Intoduction to Coding and Reimbursement
Solution and Answer Guide BOWIE, ESSENTIALS OF HEALTH INFORMATION MANAGEMENT, 5E, 9780357624258, Chapter 10: Introduction to Coding and Reimbursement
TABLE OF CONTENTS
Exercises........................................................................................................................1 Exercise 10-1 Clinical Classification Systems.........................................................................................1 Exercise 10-2 Third-Party Payers............................................................................................................2 End of Chapter Review Solutions.................................................................................3 Multiple Choice:......................................................................................................................................3 True/False:...............................................................................................................................................4 Fill-in-the-Blank:.....................................................................................................................................5 Short Answer:..........................................................................................................................................8
EXERCISES
EXERCISE 10-1 CLINICAL CLASSIFICATION SYSTEMS
Fill-in-the-Blank 1.A public or private entity that processes or facilitates the processing of health information received from another entity from a(n) ________ format into a standard format is known as a(n) ________.
Answer: nonstandard, clearinghouse
2.The ________ was developed during the latter part of the sixteenth century and is considered the first classification system.
Answer: London Bills of Mortality
3.Published in 1965, the ________ uses a four-axis system of terms and codes for use by pathologists interested in storage and retrieval of medical data.
Answer: Systematized Nomenclature of Pathology
4.The Diagnostic and Statistical Manual of Mental Disorders is published by the ________ as a standard classification of mental disorders.
Answer: American Psychiatric Association
5.CPT is the abbreviation for ________.
Answer: Current Procedural Terminology
1 © 2023 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 2 / 4
Solution and Answer Guide,:Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 10: Intoduction to Coding and Reimbursement
True/False 6.The National Drug Codes are managed by the American Medical Association and serve as a universal product identifier for human drugs.
Answer: F
7.The CDT is published by the American Dental Association and classifies dental procedures and services.
Answer: T
8.The Centers for Medicare and Medicaid Services manage HCPCS Level II national codes that classify medical equipment, injectable drugs, transportation services, and other services.
Answer: T
9.CPT was last published in 1981 by the AMA to name and describe diseases and conditions in the practice of medicine.
Answer: F
10.ICD-10 uses 3-digit alphanumeric category codes as compared to the 3-digit numeric category codes used in ICD-9.
Answer: T
EXERCISE 10-2 THIRD-PARTY PAYERS
True/False 1.Medicare (Title XVIII of the Social Security Act of 1965) provides health care coverage to adults aged 65 and over and persons with disabilities.
Answer: T
2.Worker’s compensation is a federally mandated insurance program that reimburses health care cost and lost wages if an employee suffers a work related disease or injury.
Answer: F
3.Medicare Part B reimburses claims for physicians’ services.
Answer: T
4.Blue Cross initially covered just physicians’ services.
Answer: F
5.Commercial plans include private health insurance and employer-based group health insurance.
Answer: T
6.Employer-based group health insurance is often provided as an employee benefit in which the employer typically pays 80 percent of insurance premiums.
Answer: T
7.Utilization management is the process of reviewing medical care for appropriateness, necessity, and quality.
Answer: T
2 © 2023 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 3 / 4
Solution and Answer Guide,:Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 10: Intoduction to Coding and Reimbursement
8.Medicare provides health care services and support to members of the uniformed services during military operations.
Answer: F
9.The Federal Employee Health Benefits Program is a voluntary health care program that covers federal employees, retirees, and their dependents and survivors.
Answer: T
10.TRICARE is the military health plan that covers only active duty members of the uniformed services and their families.
Answer: F
END OF CHAPTER REVIEW SOLUTIONS
MULTIPLE CHOICE:
1.The organization that reviews and revises ICD is a.ADA.b.AMA.c.CMS.d.WHO.
Answer: d
2.In 1980, DSM-III was expanded to include a multi-axial classification containing ________ axes.a.three b.four b.five c.six
Answer: c
3.The AMA publishes this coding system that classifies procedures and services performed by physicians.a.CMIT b.CDT c.CPT d.CMT Answer c 4.Retail pharmacies use ________ to report pharmacy transactions.a.CPT b.HCPCS c.ICD-9 d.NDC
Answer: d
5.Which was developed to help health professionals and researchers retrieve and integrate electronic biomedical information from a variety of sources?a.DSM-III b.ICD-9 3 © 2023 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
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