CRCR Charge Capture and Coding 2

Question 1

Which coding system is primarily used for reporting inpatient hospital diagnoses in the United States?

Accepted Answer

ICD-10-CM

Answer

ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) is used to code diagnoses for inpatient and outpatient encounters in the US.

Question 2

A patient is admitted for a hip fracture and also has diabetes mellitus type 2 that is monitored during the stay. How should the diabetes be coded?

Accepted Answer

Code it as an additional diagnosis (comorbidity)

Answer

Conditions that coexist at admission and affect patient care or length of stay are coded as additional diagnoses per UHDDS guidelines.

Question 3

What is the purpose of a charge description master (CDM)?

Accepted Answer

To serve as the facility's database linking services to charges and billing codes

Answer

The CDM (chargemaster) is a comprehensive list of all services, supplies, and procedures with associated charges, revenue codes, and HCPCS/CPT codes.

Question 4

Which entity publishes and maintains CPT codes?

Accepted Answer

American Medical Association (AMA)

Answer

The AMA owns and annually updates the Current Procedural Terminology (CPT) code set used for reporting medical procedures and services.

Question 5

A coder assigns a code for a service that was documented but not ordered by the physician. This is an example of:

Accepted Answer

Phantom billing

Answer

Phantom billing (billing for services not rendered or not ordered) is a form of healthcare fraud.

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR Charge Capture and Coding 2