Assignment:
Research Paper:
Research either HIPPA, HITECH, or ARRA laws. Explain how they are applicable to your chosen profession in the healthcare community. You only pick one of the laws. My profession is Medical Billing and Coding. Include the purpose of these laws and the penalties if they are not followed. Your response should be at least one page in length, excluding title and reference pages. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations. You must access the CSU online library resources to find a peer-reviewed journal.
For the assessment answer the following questions:
1. Under CPT's definition, after a consultation, who takes responsibility for the patient's care?
a. The attending physician
b. The consulting physician
c. The nurse practitioner
d. The specialist
2. ICD-10-CM was mandated under the HIPPA _____.
a. Security Rule
b. billing rule
c. transactions and code sets
d. Privacy Rule
3. Under CPT's definition, after a referral, who takes responsibility for the patient's care?
a. The physician who referred the patient
b. The physician to whom the patient is referred
c. The emergency room physician
d. The physician who admits the patient to the hospital
4. Category I codes in HCPCS are:
a. the CPT codes.
b. used only locally.
c. alphanumeric.
d. none of these answers are correct.
5. Which is the correct process for selecting CPT codes?
a. Locate the probable code, determine the procedures and services it covers and determine the need for modifiers.
b. Determine the procedures and services to report, identify the correct codes, and determine the need for modifiers.
c. Determine the correct codes and modifiers, and then place them in the proper order from primary to secondary procedures.
d. Flip through the index until you find a code that matches your procedure.
6. When a diagnosis is not established at the first visit and follow up visits are required before determining a primary diagnosis, what should the coder do?
a. Code the signs and symptoms
b. Code the working diagnosis
c. Code the inconclusive diagnosis
d. Code the sequelae
7. HCPCS Category II codes have:
a. two characters
b. three characters
c. four characters
d. five characters
8. If you are coding in the outpatient setting, the chief complaint is:
a. listed as the primary diagnosis
b. listed as the secondary diagnosis
c. documented in the patient's words
d. documented with medical terminology
9. HCPCS Category II codes begin with:
a. an alphabetic character
b. a numeric character
c. either an alphabetic character or numeric character
d. neither an alphabetic character nor a numeric character
10. To correctly code a situation where the encounter is for circumstances other than a disease or injury you would use a(n):
a. E code
b. M code
c. V code
d. Z code
11. When there is a seventh character extension in some categories, it is used to describe what?
a. sequence of the visit
b. dummy placeholder
c. poisoning occurrence
d. category code
12. The primary diagnosis in ICD-10-CM coding is listed:
a. first
b. second
c. after the coexisting condition
d. before the signs and symptoms
13. The Tabular List provides a coding structure based on the concept of:
a. specificity
b. sequelae
c. laterality
d. coding certainty
14. In CPT, what do Category III codes report?
a. services to track performance measurement
b. emerging technology, services and procedures
c. durable medical equipment
d. temporary code