AHIC Healthcare Terminologies and Vocabulary Standards 1 — Questions and Answers
Question 1: What does SNOMED CT stand for?
- Systematized Nomenclature of Medicine — Clinical Terms (Correct answer)
- Standard Nomenclature of Medical — Clinical Terminology
- Systematized Network of Medical — Clinical Taxonomy
- Standard Nomenclature of Medicine — Clinical Terms
Correct answer: Systematized Nomenclature of Medicine — Clinical Terms
SNOMED CT stands for Systematized Nomenclature of Medicine — Clinical Terms, the most comprehensive multilingual clinical healthcare terminology in the world.
Question 2: Which terminology system is primarily used for inpatient diagnosis and procedure coding for billing and reimbursement in the United States?
- CPT
- LOINC
- ICD-10-CM/PCS (Correct answer)
- SNOMED CT
Correct answer: ICD-10-CM/PCS
ICD-10-CM (diagnosis) and ICD-10-PCS (inpatient procedures) are mandated by CMS for hospital billing and reimbursement in the United States.
Question 3: LOINC codes are primarily used to identify which type of clinical data?
- Medications and drug interactions
- Laboratory tests and clinical observations (Correct answer)
- Surgical procedures and CPT billing
- Diagnoses and problem lists
Correct answer: Laboratory tests and clinical observations
LOINC (Logical Observation Identifiers Names and Codes) is the standard for identifying laboratory tests, clinical observations, and measurements.
Question 4: RxNorm is a clinical drug terminology that provides what key function?
- Assigns billing codes for pharmaceutical claims
- Provides normalized names and unique identifiers for clinical drugs (Correct answer)
- Categorizes drugs by therapeutic class for formulary management
- Encodes drug allergy and adverse event reactions
Correct answer: Provides normalized names and unique identifiers for clinical drugs
RxNorm provides normalized names and unique identifiers (RxCUI) for clinical drugs, enabling interoperability across drug information systems.
Question 5: Which organization is responsible for maintaining and publishing the International Classification of Diseases (ICD)?
- Centers for Medicare & Medicaid Services (CMS)
- American Medical Association (AMA)
- World Health Organization (WHO) (Correct answer)
- National Library of Medicine (NLM)
Correct answer: World Health Organization (WHO)
The World Health Organization (WHO) owns and publishes ICD, while the US creates national clinical modifications (ICD-10-CM/PCS) for domestic use.
Question 6: The Unified Medical Language System (UMLS) serves what primary purpose in health informatics?
- Providing a single standardized coding system for all clinical data
- Linking multiple biomedical vocabularies and standards to enable interoperability (Correct answer)
- Replacing legacy terminology systems with a unified standard
- Governing the use of clinical terminologies in EHR certification
Correct answer: Linking multiple biomedical vocabularies and standards to enable interoperability
The UMLS, maintained by NLM, integrates and distributes key biomedical vocabularies, enabling software to map across different terminology systems.
Question 7: CPT (Current Procedural Terminology) codes are maintained by which organization?
- Centers for Disease Control and Prevention (CDC)
- American Medical Association (AMA) (Correct answer)
- Centers for Medicare & Medicaid Services (CMS)
- American Health Information Management Association (AHIMA)
Correct answer: American Medical Association (AMA)
CPT codes are owned and maintained by the American Medical Association (AMA) and are used primarily for outpatient procedure billing.
AHIC Healthcare Terminologies and Vocabulary Standards 1
What does SNOMED CT stand for?