CODING SYSTEMS 2
UNIT ASSESMENT
Read the chapter on Coding systems and answer the following questions.
Read the PDF file – Coding Systems
Questions
1. Which type of RAC review combines data analysis and submission of medical
records to the RAC?
a. Automated
b. Semi-automated
c. Complex
d. Onsite
2. Which of the following systems was created for reporting procedures and
services performed by physicians in clinical practice?
a. ICD- 9 –CM
b. CPT
c. ICD-10-PCS
d. HCPCS Level 11
3. The International Classification of Diseases (ICD) is maintained by the
American Medical Association.
T/F
False
4. Describe the importance of the RAC prepayment review demonstration
project. ( 50 words)
The RAC prepayment demonstration project is crucial as it allows
CMS to define error claims prior to paying such claims. It ensures
there is accuracy and maximizes transparency as well as effective
implementation of recovery audit program (Casto & Forrestal, 2013).
Furthermore, RAC is important as it reviews vulnerabilities which is
approved by the recovery audit validation contractor.
5. Which of the following is not a common cause of improper payments?
a. Physician orders not present in the medical record
b. Implementation of a documentation improvement program
c. Medical necessity is not supported in the medical record
d. Incorrect coding
6. The RAC appeals process has --5--- levels
a. 2
b. 3
c. 4
d. 5
7. Common forms of fraud and abuse include all of the following except:
a. Upcoding
b. Unbundling
c. Refiling claims after denails

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Coding Systems - Multiple Choice Question

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