CMRT CMRT Coding & Classification Systems 1

Question 1

Which coding system is used in the US to code inpatient hospital diagnoses and procedures for reimbursement under Medicare?

Accepted Answer

ICD-10-CM/PCS

Answer

ICD-10-CM is used for diagnosis coding while ICD-10-PCS is used for inpatient procedure coding under Medicare's MS-DRG system.

Question 2

What does CPT stand for, and who maintains it?

Accepted Answer

Current Procedural Terminology, maintained by the AMA

Answer

CPT (Current Procedural Terminology) is a medical code set maintained by the American Medical Association used for physician services.

Question 3

In ICD-10-CM, what does a 7th character extension typically indicate?

Accepted Answer

Encounter type such as initial, subsequent, or sequela

Answer

The 7th character in ICD-10-CM codes for injuries and certain other conditions specifies whether it is the initial encounter, subsequent encounter, or sequela.

Question 4

Which classification system is used to group inpatient hospital cases into categories for Medicare reimbursement?

Accepted Answer

MS-DRG (Medicare Severity Diagnosis Related Groups)

Answer

MS-DRGs group inpatient cases with similar diagnoses and procedures into payment categories under Medicare's Inpatient Prospective Payment System.

Question 5

What is the correct sequencing principle for coding diagnoses in the inpatient setting?

Accepted Answer

Principal diagnosis is the condition established after study to be chiefly responsible for the admission

Answer

The Uniform Hospital Discharge Data Set (UHDDS) defines principal diagnosis as the condition established after study to be chiefly responsible for the hospital admission.

(CMRT) Certified Medical Records Technician Practice Test

(CMRT) Certified Medical Records Technician Practice Test

CMRT CMRT Coding & Classification Systems 1