ICD-10-CM EXAM QUESTIONS AND ANSWERS 2022

ICD-10-CM EXAM QUESTIONS AND ANSWERS 2022

What edition of the Federal Register would hospital facilities be especially interested in?

• July
• November or December
• October
• January - Answer- C. October

What edition of the Federal Register would outpatient facilities be especially interested in?

• November or December
• October
• January
• July - Answer- A. November or December

What is the largest third-party payer?

• American government
• Department of Health and Human Services
• Social Security Administration
• Food and Drug Administration - Answer- A. American government

What government organization is responsible for administering the Medicare program?

• National Center for Health Statistics
• National Institute of Health
• Centers for Medicare and Medicaid Services
• Social Security Administration - Answer- C. Centers for Medicare and Medicaid

Services What are the three items that the Medicare beneficiaries are responsible to pay before Medicare will begin to pay for services?

• deductibles, drug costs, personal care items
• personal care items
• premiums
• deductibles, premiums, and coinsurance - Answer- D. deductibles, premiums, and

coinsurance What is the group of providers who formed a network and agreed to provide enrollees a discounted rate?

A. PPO

B. EPO

C. MCO

• HMO - Answer- A. PPO

A provider has ______ months from the date of service to submit a claim for services. 1 / 3

• none of the above
• 24
• 12
• 16 - Answer- C. 12

These are activities involving transfer of health care information.

• transactions
• transmissions
• notices
• submittals - Answer- A. transactions

Medicare beneficiaries are automatically eligible for Part:

• C
• D
• A
• B - Answer- C. A

Part B services are reported with:

A. HCPCS

B. ICD-10-CM

• all of the above
• CPT - Answer- C. all of the above

Part ____of Medicare is also known as Medicare Advantage.

• C
• A
• D
• B - Answer- A. C

Services usually performed in an office setting are subject to payment discount if performed in an outpatient hospital setting.

• True
• False - Answer- A. True

Medicare funds are collected by:

• National Center for Health Statistics
• Department of the Treasury
• Social Security Administration
• U.S. Food and Drug Administration - Answer- C. Social Security Administration

Check the three goals of the Physician Payment Reform:

• Decrease Medicare expenditures
• Control costs of operative procedures
• Ensure quality health care at a reasonable cost
• Monitor hospital use
• Coordinate outpatient services 2 / 3

• Redistribute physician payments - Answer- 1. Decrease Medicare expenditures
• Ensure quality health care at a reasonable cost
• Redistribute physician payments

Check the three components of the Relative Value Unit.

• cost differential
• malpractice
• inflation rate
• work
• office space expense
• practice expense - Answer- 2. malpractice
• work
• practice expense

When two surgeons of different specialties perform a procedure as co-surgeons, Medicare pays ______% of the global fee, dividing the payment equally between the surgeons.

A. 150

• 50

C. 100

• 125 - Answer- D. 125

Check the three types of persons eligible for Medicare.

• permanent kidney failure
• 8 and under
• some disabilities
• diabetics
• uninsured
• 65 and over - Answer- 1. permanent kidney failure
• some disabilities
• 65 and over

The 10th revision of the ICD was issued in _____ by the WHO.

A. 1985

B. 1993

C. 1973

• 1983 - Answer- B. 1993

What 7th character indicates a subsequent encounter?

• A
• None of the above
• D
• S - Answer- C. D

This identifies when two conditions cannot occur together:

• Excludes1
• / 3