3.02 HS II Health Informatics

____ is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations.

• Current Procedural Terminology (CPT)

• International Classification of Diseases (ICD)

• Current Pathology Terminology (CPT)

A patient underwent an excision of a malignant lesion on his/her trunk. What is the main term for the CPT code?

• excision

• lesion

• trunk

• malignant

Alex collects patients' personal and insurance information when they enter the emergency room. He is a/an:

• admissions clerk

• transcriptionist

• medical records technician

• registered nurse

The respiratory therapist performed chest physiotherapy on a patient one week after the patient's CABG. What type of CPT code would be assigned by the health insurance specialist?

• medical charges

• supplies used

• a diagnosis

• a procedure

The NP treated a patient for fever, cough, and general malaise. After reviewing a patient's record, the health insurance specialist assigns an ICD-10 code to the:

• charges

• diagnosis

• procedures

• supplies

______ is a system used by physicians and other healthcare providers to classify and code all diagnoses, symptoms and procedures recorded in conjunction with hospital care in the United States.

• The Current Procedural Terminology (CPT) code

• The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)

• The International Category of Diseases, Tenth Revision, CLinical Modification (ICD-10-CM)

A patient was admitted to the hospital with shortness of breath and a lung infection. The respiratory therapist provided an inhalation treatment. What would be the ICD-10 code?

• cholelithiasis

• appendicitis

• pneumonia

• pleural effusion

A patient's diagnosis is a grade two sprain of the anterior cruciate ligament. What is the main term for the ICD-10 code?

• anterior

• ligament

• grade two

• sprain

Leeanna is responsible for making all of the appointments for a large physicians' group. This is an example of which health informatics career responsibility?

• manage health information systems

• analyze information

• abstract and code information

• document information

Heather determines information needed by insurance companies for reimbursement. She is a/an:

• admissions clerk

• health insurance specialist

• medical records technician

• transcriptionist