Random 1
When filing records in a new file cabinet, it is recommended that you place files in _______
place files in the bottom drawers first
What does the P in SOAP stand for?
plans for further studies, treatment, or management
Under the birthday rule, if the parents divorce and retain their plans, the parent with _____ is primary.
custody
Health Insurance Portability and Accountability Act (HIPAA) requires all medical records, signed consent forms, authorization forms, and any other HIPAA-related documents to be retained for _____ years.
six
International Classification of Diseases (ICD) codes are descriptive of the:
presenting disease or condition.
When making a correction to the progress note in an electronic medical record, you should use ______
use the edit feature
Most filing systems are based directly or indirectly on a(n) _____ arrangement.
alphabetical
The patient chart belongs to the:
medical practice.
The International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) remained in use in the United States until September 30th of what year?
2015
Who publishes Current Procedural Terminology (CPT)?
American Medical Association (AMA)
In a(n) _____ plan, patients can see specialists without having to obtain referrals from another physician
Indemnity-type insurance
The term ____ refers to the discovery of the maximum amount of money that a carrier will pay for primary surgery, consultation services, and so on.
predetermination
A _____ is used to inform third-party payers that circumstances for a particular code have been altered.
modifier
When the patient’s paper chart is opened flat, which of the following is typically found on the right side?
progress notes
Assigning a procedure code that does not match patient documentation for the purpose or increasing reimbursement is known as:
upcoding
Because a primary care physician (PCP) in a health maintenance organization (HMO) makes referrals and approves additional care if needed, they are known as the
gatekeeper
Once a patient is ready to leave the hospital, ____ is used to ensure that the patient is being discharged to the most appropriate setting.
discharge planning
Health insurance offered by private companies to persons eligible for Medicare benefits and specifically designed to supplement such benefits is called:
Medigap
Physicians who treat patients under workers’ compensation plans are usually required to register with the state Workers’ Compensation Board:
on an annual basis.
Where in the Current Procedural Terminology (CPT) manual would you find information about modifiers?
Appendix A
Healthcare Common Procedural Coding System (HCPCS) Level I codes are known as:
Current Procedural Terminology (CPT).
The main rule to remember of the International Classification of Diseases (ICD) coding rules, which says that the reason for the patient visit (encounter) is coded first is known as the:
reason rule.
Which type of health maintenance organization (HMO) is composed of providers who practice in their own individual offices and retain their own staff and operations?
independent practice association
Which level of the Healthcare Common Procedural Coding System (HCPCS) includes codes that identify products, supplies, and services not included in Current Procedural Terminology (CPT)?
Level II
When coding, the primary reason for the office visit is listed first, and other reasons are listed in what order?
order of importance