FREE AND STUDY GAMES ABOUT MOD 150 UNIT 3 REVIE

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FREE AND STUDY GAMES ABOUT MOD 150 UNIT 3 REVIE

EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -81 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: The hospital insurance claim form must always be reviewed by the

Answer:

insurance billing editor Question 2: One criterion that needs to be met to certify severity of illness (SI) in an admission is

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active, uncontrolled bleeding Question 3: An unethical practice of upcoding a patient's DRG category for a more severe diagnosis to increase reimbursement is called ---

Answer:

DRG creep Question 4: There is more chance for advancement working in a hospital facility than in a private physician's office

Answer:

True

Question 5: When a managed care patient is admitted for a nonemergency to a hospital without a managed care contract, the managed care program needs to be notified by the hospital within 48 hours

Answer:

False

Question 6: How many categories are located in the Mediastinum subheading

Answer:

4 Question 7: ---- is a malignant disease of the bone marrow in which excessive white blood cells are produced

Answer:

Leukemia

Question 8: The mediastinum is located between the lungs

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True Question 9: The abbreviation of the phrase that indicates when claims are submitted electronically is ---

Answer:

EDI Question 10: This bone marrow is collected from the patient and later transplanted or reinfused back into the patient from whom it came

Answer:

autologenic

Question 11: Elective surgeries are deferrable

Answer:

True

Question 12: The DRG-based system changed hospital reimbursement from a fee-for-service to a lump sum, fixed-fee payment based on the --- rather than on time or services rendered.

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diagnosis Question 13: The diaphragm is a wall of muscle that separates the thoracic and abdonimal cavities

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True Question 14: The --- coding system is used to list procedural codes for Medicare patients on hospital insurance claims that are not in the CPT book

Answer:

HCPCS Question 15: The rule stating that when a patient receives outpatient services within 72 hoursof admission, then all outpatient services are combined with inpatient services and become part of the diagnostic-related group rate for admission, is called the

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72 hour rule Question 16: What is it called when the diaphragm is out of normal position and has moved up farther into the thoracic cavity

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eventration Question 17: Biopsy of a lymph node by fine needle aspiration without image guidance

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10021 Question 18: The purpose of the DRG-based system is to hold down rising health care costs

Answer:

True

Question 19: The stem cell harvesting in 38205 is the collection of stem cells from the bone marrow

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False Question 20: Classifications of surgical and nonsurgical procedures and miscellaneous therapeutic and diagnostice procedures are found in

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ICD-9-CM Volume 3 Question 21: When a patient who has managed care contract is admitted to a hospital for an emergency, the managed care program needs to be notified within

Answer:

48 hours Question 22: On the UB-04 claim form, 1553 listed as the hour of admission indicates that the patient was admitted at ---

Answer:

3:53 pm

Question 23: The physician's office uses ICD-9-CM Volumes 1,2 and 3 to code diagnoses and procedures

Answer:

False

Question 24: The mediastinum category code range is

Answer:

39000-39499

Question 25: The --- is the clinical resume for final progress note

Answer:

discharge summary