CEHRS Medical Coding in EHR 5

Question 1

Which organization maintains and updates the CPT code set annually?

Accepted Answer

American Medical Association (AMA)

Answer

The AMA owns and publishes CPT codes, updating them annually to reflect changes in medical practice and technology.

Question 2

What is the significance of the 'present on admission' (POA) indicator in hospital coding?

Accepted Answer

It identifies whether a condition existed at the time of inpatient admission, affecting hospital-acquired condition reporting

Answer

The POA indicator helps distinguish conditions that were present at admission from those that developed during the hospital stay, affecting hospital-acquired condition penalties.

Question 3

A provider documents 'GERD with esophagitis.' How should an EHR-based coder approach this in ICD-10-CM?

Accepted Answer

Use the combination code K21.0 (GERD with esophagitis)

Answer

ICD-10-CM provides combination code K21.0 for GERD with esophagitis, which should be used instead of two separate codes.

Question 4

Which federal law established significant penalties for submitting false claims to Medicare and Medicaid?

Accepted Answer

False Claims Act (FCA)

Answer

The False Claims Act imposes civil penalties and treble damages on entities that knowingly submit fraudulent claims to federal healthcare programs.

Question 5

In medical coding, what does 'specificity' refer to?

Accepted Answer

Coding to the highest level of detail supported by documentation

Answer

Coding to the highest level of specificity means selecting the most detailed code available that is supported by the physician's documentation.

(CEHRS) Certified Electronic Health Records Specialist Practice Test

(CEHRS) Certified Electronic Health Records Specialist Practice Test

CEHRS Medical Coding in EHR 5