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Multiple Choice Quiz
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1
Medical coders select correct diagnosis codes from which of the following sources:
A)International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
B)Current Procedural Terminology (CPT), Level I
C)HCPCS Level II
D)Designated Record Set (DRS)
2
To be covered by medical insurance, treatments and procedures:
A)Must be cosmetic
B)Must be medically necessary
C)Must be performed at the convenience of the patient
D)Can be experimental if recommended by a physician
3
In a large facility setting such as a hospital, which department would most likely be responsible for and employ medical coders:
A)Health information management (HIM) department
B)Social services department
C)Patient financial services department
D)Human resources department
4
Services received at hospital-owned ambulatory surgical centers (ASC) are:
A)Emergency
B)Inpatient
C)Surgery
D)Outpatient
5
Patients who have scheduled visits to physician practices receive which kind of service?
A)Ambulatory
B)Outpatient
C)Inpatient
D)Emergency
6
If a service is not documented in a patient's medical record (chart):
A)It cannot be coded and cannot be billed
B)The medical coder can go back to the provider and ask for documentation after the fact
C)The provider can instruct the coder to write the documentation in the chart
D)It can still be billed to a private health plan, but not to a government health plan such as Medicare
7
Documentation of a complete history and physical (H & P) does not include:
A)Chief complaint
B)History and physical examination
C)Treatment plan
D)Operative reports
8
The Health Insurance Portability and Accountability Act (HIPAA) of 1996 requires the confidentiality of information referred to as "PHI" which stands for:
A)Protected health information
B)Private health information
C)Patient health information
D)Professional health information
9
Health care organizations required to follow HIPAA regulations are called:
A)HIPAA-mandated entities
B)Information-controlled entities
C)Covered entities
D)Non-exempt entities
10
Which of the following requires a signed authorization by the patient?
A)Physicians exchanging clinical information for diagnostic purposes
B)Information released to a health plan for payment
C)Information discussed with hospital staff for pre-operative purposes
D)Release of information on treatment of drug abuse





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