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Hello Cher. Im looking for help with a few Penn Foster Medical

Resolved Question:

Hello Cher. I'm looking for help with a few Penn Foster Medical Coding exams. I see you answered these before. Do you still have 100% of the answers for Exams: 381751RR, 381755RR; 381756RR? How much for each if you do. Thanks.
JD
Submitted: 11 months ago.
Category: Homework
Expert:  Cher replied 11 months ago.
Hello JD and thanks for requesting me.

I'll have to check to see if I have these, but keep in mind that Penn Foster changes their exams frequently (the questions, question order, multiple choices, exam numbers, etc.), so the ones I may have, may not be the ones you have, currently. If you can send the first few questions of one of the exams, it will make it easier.

Please give me a short while to check my files and let you know if I have these particular exams. Thanks!

Best regards,
Cher
Customer: replied 11 months ago.

Hi Cher,


You are right. Here are the questions for exam 1:


1. In the Tabular List, where would you find alternative terms and explanatory phrases?


A. In parentheses


B. After a colon


C. In square brackets


D. In double braces



2. Codes that have mandatory fifth digits are codes that


A. require the use of the digit "5" as the fifth character.


B. use the numbers 1 or 2 as the fifth digit.


C. require four supporting codes.


D. always require a fifth digit to fully describe them.



3. A patient presents in the office with diarrhea. Physician documents gastroenteritis. What is the first listed diagnosis?


A. Gastroenteritis


B. Diarrhea


C. Both have equal precedence. Code either one first.


D. E&M code for office visit


4.


Which of the following is not one of the most common forms of Medicare fraud?


A.


Billing for services provided


B.


Misrepresenting a diagnosis to justify a payment


C.


Routine waiver of copayment


D.


Billing for services not furnished


5.


What convention in the Alphabetic Index tells you to look elsewhere before assigning a code?


A.


Cross-reference term


B.


Summary


C.


Abbreviation


D.


Note


6.


An established patient is seen for amenorrhea and galactorrhea, to rule out pituitary tumor. Identify the


first listed


diagnosis(es).


A.


Pituitary tumor


B.


Amenorrhea


C.


Galactorrhea


D.


Amenorrhea and galactorrhea


7.


What are the correct code(s) for acute and chronic laryngitis?


A.


464.00


B.


476.0


C.


464.00, 476.0


D.


476.0, 464.00


8.


What category can not be assigned with any other delivery code in the 630–676 range?


A.


V27


B.


670


C.


655


D.


650


9.


What volume of the ICD-9-CM is used by hospitals to report inpatient procedures?


A.


Volume 2


B.


Volume 1


C.


Volume 3


D.


Volume 1, Supplement


10.


An established patient is seen for redness, blurriness and sensitivity to light in her right eye. The


documentation states the diagnosis is iritis. Using the ICD-10 guidelines, which would be the



first-listed


diagnosis for this patient encounter?


A.


Iritis of the right eye


B.


Sensitivity to light


C.


Blurred vision


D.


Eye irritation


11.


The abbreviation NOS is used


A.


to indicate that another code may describe the condition more completely or specifically.


B.


to provide assurance that the code is correct by listing various terms that are covered by the code.


C.


when the medical record doesn't provide enough information to permit assignment of a more specific code.


D.


when a separate code for a specific condition isn't provided in the classification system.


12.


The correct ICD-10 reporting block that would contain acute cholecystitis with cholelithiasis with


obstruction is


A.


K90–K94.


B.


K80–K87.


C.


K00–K14.


D.


K65–K68.


13.


A patient is diagnosed with controlled Type 2 Diabetes on insulin without complication. Assign the


correct code.


A.


250.02


B.


250.90


C.


250.00


D.


250.01


14.


Identify the correct code for status asthmaticus.


A.


493.2


B.


493.90


C.


493.91


D.


493.20


15.


What are the correct codes for dehydration due to pneumonia?


A.


276.1, 491


B.


486, 276.50


C.


486, 786.2


D.


486, 276.51


16.


Identify the correct code for family history of breast cancer, female.


A.


V10.3


B.


V43.82


C.


V45.82


D.


V16.3


17.


What is the main term for "fractured clavicle"?


A.


Fractured


B.


Osteo


C.


Clavicle


D.


Skeletal


18.


E codes are used to report


A.


external causes of injury and poisoning.


B.


extra descriptors for coding.


C.


extenuating circumstances surrounding an injury.


D.


exercise method after injury.


19.


When a correct substance is properly administered but has an adverse effect, this is called


A.


an accident.


B.


undetermined.


C.


poisoning.


D.


therapeutic use.


20.


Patient is admitted for radiation therapy for metastatic bone cancer, primary unknown. Patient develops


severe vomiting secondary to the course of radiation and is kept an extra day for stabilization. Assign the


appropriate codes.


A.


V58.0, 787.03, 198.05, 199.1


B.


V58.0, 787.03, 198.05, 199.1, E879.2


C.


170.9, V58, 787.03, 198.05, 199.1, E879.2


D.


787.03, 198.05, 199.1, E879.2


21.


Which chapter in the ICD-10 contains codes for the perinatal period?


A.


V


B.


N


C.


A


D.


P


22.


Which of the following is true about the ICD-10-CM?


A.


There's additional information relevant to inpatient encounters.


B.


There are limited injury codes.


C.


An eighth character was added.


D.


There are combination diagnosis/symptom codes.


23.


When coding late effects, the code for the _______ is usually sequenced first.


A.


modifier


B.


complication


C.


original cause


D.


residual condition


24.


Single braces are used in the Tabular List to


A.


connect terms on both sides of the braces.


B.


connect a series of terms on the left with one term on the right.


C.


indicate fifth digits required with a code.


D.


include nonessential modifiers and alternative codes.


25.


What does the acronym ICD-9-CM mean?


A.


International Classification of Diseases, 9th Edition, Coding Manual


B.


International Coding Definitions, 9th Version, Coding Manual


C.


International Classification of Diseases, 9th Revision, Clinical Modification


D.


International Classification of Diagnoses, 9th Edition, Coding Modification


26.


If a QIO provider renders a covered service that costs $100 and bills Medicare for the services and


Medicare allows $58, the provider would bill _______ to the patient.


A.


$100


B.


$58


C.


$42


D.


$0


27.


Identify the correct diagnosis code for benign essential hypertension.


A.


401.9


B.


401.1


C.


402.10


D.


401.0


28.


A physician has certified that a patient is terminally ill and is expected to live six months or less. The


patient is receiving hospice care. Which part of Medicare will cover this service?


A.


Part D


B.


Part B


C.


Part A


D.


Part C


29.


What is the main term in the diagnosis "pituitary gland hypofunction"?


A.


Pituitary


B.


Gland


C.


Hypofunction


D.


Ablation


30.


What is the correct code for impending shock?


A.


785.52


B.


785.51


C.


No code is assigned.


D.


785.50


31.


_______ are used to indicate factors influencing health status and contact with health services.


A.


Cross-reference codes


B.


V codes


C.


E codes


D.


Manifestation codes


32.


Which of the following is the correct code for a threatened spontaneous abortion, unspecified episode


of care?


A.


640.01


B.


640.0


C.


640.00


D.


640.03


End of exam


33.


An established patient presents with chest pain. He has a history of previous myocardial infarction and


coronary artery bypass surgery. Using the ICD-10 guidelines, which would be the



first-listed diagnosis for


this patient encounter?


A.


Previous myocardial infarction


B.


Possible myocardial infarction


C.


Chest pain


D.


Status-post coronary artery bypass surgery


34.


For which of the following does Medicare Part A pay?


A.


Physician services and durable medical equipment


B.


Hospital/facility care and durable medical equipment


C.


Professional services and durable medical equipment


D.


Hospital/facility care


35.


In which edition of the Federal Register would hospital facilities be especially interested?


A.


November


B.


January


C.


July


D.


October

Expert:  Cher replied 11 months ago.
Hi again, JD and thanks for including questions from the exam.

I'm researching my files now to see if I have this one. Which number exam is this?

Thanks,
Cher
Customer: replied 11 months ago.

Its Exam # XXXXX

Expert:  Cher replied 11 months ago.
Thanks, JD.

I've found the exams I answered and am trying to see if the questions are the same. Thank you for your patience, as this might take a little while.

Do you have a deadline for these exams to be completed?

Regards,
Cher
Customer: replied 11 months ago.


Tomorrow by 3:00 PM.


 


Thanks

Expert:  Cher replied 11 months ago.
Hi again, JD and thanks for your reply.

What time zone are you in?

It would help to know, if you need this by 3PM tomorrow.

Thanks,
Cher
Customer: replied 11 months ago.

Hi Cher. Sorry about that. That would be Eastern standard. Also if this exam is satisfactory (95-100%), I would like to employ your services on the other 6 exams at the agreed upon price.Smile


Thanks,


 


JD

Expert:  Cher replied 11 months ago.
Hi again, JD.

I'm not sure if all the questions on your exam are the same as the one I have, so I will do my best and let's hope the outcome is great! : )

Best regards,
Cher
Expert:  Cher replied 11 months ago.
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Cher, Teacher
Category: Homework
Satisfied Customers: 18564
Experience: Teacher, Tutor--35+ yrs. Masters Degree. Senior Internet Researcher
Cher and 9 other Homework Specialists are ready to help you
Expert:  Cher replied 11 months ago.

.

Customer: replied 11 months ago.

Hello Cher,


How are you? I have been sick for a few days and still recovering...but feeling better. I am satisfied with the last exam and thank you for the quick help. I received an 80% which is good but I think I will bump the next help against my answers prior to submitting. Basically like you suggested.

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I have another exam I need help with if you are willing...


381755RR - CPT AND HCPCS BASICS; EVALUATION AND MANAGEMENT.


 


Thanks,


 


JD

Expert:  Cher replied 11 months ago.
Hi again, JD!

I'm fine and thanks for asking. I'm so sorry to hear you've been sick; as long as you're on the mend, that's good! : )

I'd be interested to know the questions that were incorrect on the last exam, if you are able to let me know.

Yes, it's always a good idea to double check your answers against mine, because you have the text and study guide.

If you can include the questions for the next exam, I can let you know if I will be able to help. Thanks, I'd appreciate it!

Get well wishes to you,
Cher
Customer: replied 11 months ago.

Hi Cher,


I'll look for those answers that I missed but in the mean time here are the exam questions I am now referring to:


 


1.


Where is specific coding information about each section located in the CPT?


A.


Introduction


B.


Index


C.


Procedural section


D.


Guidelines


2.


Code assignments in the Evaluation and Management section vary according to three factors. Which


factor below is



not one of these factors?


A.


Pre-existing condition


B.


Place of service


C.


Type of service


D.


Patient status


3.


To qualify for a given level of multi-specialty examination, how many content and documentation


requirements should be met?


A.


4


B.


2


C.


1


D.


3


4.


At times, the five-digit CPT code may not reflect completely the services or procedures provided. In this


situation, you would add a/an


A.


HCPCS code.


B.


modifier.


C.


Level II code.


D.


appendix.


5.


When a neonate or infant is not considered critically ill but still needs intensive observation and other


intensive care services, the initial and continuing intensive care services codes are


A.


99466–99467.


B.


99468–99476.


C.


99499, unlisted evaluation and management services.


D.


99477–99480.


6.


What CPT code is assigned to an ED service that has a detailed history and exam with a moderate level


of MDM?


A.


99291


B.


99283


C.


99284


D.


99220


7.


What type of code includes all the words that describe the procedure the code represents?


A.


Complete


B.


Isolated


C.


Developed


D.


Stand-alone


8.


The _______ is the universal health insurance form for submission of outpatient services.


A.


CMS-1400


B.


UB-04


C.


HCFA-1500


D.


CMS-1500


9.


J codes in the HCPCS Level II system are used to indicate


A.


medications and dosages.


B.


durable medical equipment.


C.


ambulance services.


D.


bandages.


10.


When a range of CPT codes are given in the index, this range is indicated by which symbol?


A.


Brackets


B.


Comma


C.


Colon


D.


Hyphen


11.


Mr. Smith presents to the Emergency Department at the local hospital for chest pain and is seen by the


ED physician on duty. The physician obtains an extended HPI, an extended ROS, and a pertinent PFSH.


What is the level of history?


A.


Detailed


B.


Expanded problem-focused


C.


Comprehensive


D.


Problem-focused


12.


How often are Category III codes released?


A.


Annually


B.


As often as necessary


C.


Every three years


D.


Twice a year


13.


An attending physician asks a specialist to see a patient about a specific problem and to advise him


regarding treatment. This situation is called a


A.


consultation.


B.


referral.


C.


transfer of care.


D.


confirmatory consultation.


14.


The words that follow a code number in the CPT manual are called the


A.


procedure/service descriptor.


B.


listing order.


C.


format descriptor.


D.


identified descriptor.


15.


Critical care codes are reported based on


A.


the three key components—history, exam, MDM.


B.


amount of documentation.


C.


procedures performed.


D.


time.


16.


In the index of the CPT manual, which punctuation mark between codes indicates a range of codes is


available?


A.


Semicolon


B.


Comma


C.


Period


D.


Hyphen


17.


A list of all CPT modifiers used to alter or modify codes may be found in which CPT Appendix?


A.


Appendix D


B.


Appendix A


C.


Appendix E


D.


Appendix C


18.


The physician must consider multiple diagnoses and management options. There is a moderate amount


of data to be reviewed and the risk of complications or death is moderate. What is the level of MDM?


A.


Straightforward


B.


High


C.


Moderate


D.


Low


19.


Modifier -59, distinct procedure service, is used to indicate that


A.


a subsequent surgery was planned or staged at the time of the first surgery.


B.


a patient was taken back to the operating room for surgical treatment of a complication resulting from a previous surgery.


C.


services that are usually bundled into one payment were provided as separate services.


D.


a service was repeated.


20.


A surgical assistant provides service (an extra set of hands) to the primary surgeon during a surgical


procedure. The assistant surgeon's services are reported using the same codes as the primary surgeon's, but


with modifier


A.


78.


B.


82.


C.


80.


D.


59.


21.


What year was CPT first developed and published?


A.


1970


B.


1967


C.


1966


D.


1983


22.


When a physician performs a preventive care service, the extent of the exam is determined by the


A.


patient's gender.


B.


patient's age.


C.


patient's gender and age.


D.


length of time elapsed since last exam.


23.


A procedure or service not found in the CPT manual can be coded as an unlisted procedure if no


category I or II exists to describe the procedure/service provided. Unlisted Service or Procedure codes end


in number


A.


21.


B.


99.


C.


78.


D.


22.


24.


Which category number or level codes represent services and procedures that have been approved by


the FDA and have been proven to have clinical effectiveness?


A.


Category II


B.


Category III


C.


Category IV


D.


Category I


25.


Which of the following types of examination is limited to an affected body area or organ system and


other related organ systems?


A.


Problem focused


B.


Expanded problem focused


C.


Comprehensive


D.


Detailed


26.


After the first eligible procedure is reimbursed at 100% of Medicare allowance, the remaining (up to


four) procedures are reimbursed at _______ percent.


A.


80


B.


60


C.


75


D.


50


27.


Modifier -58, staged or related procedure or service by the same physician during the postoperative


period, is used to indicate that


A.


a patient was taken back to the operating room for surgical treatment of a complication resulting from a previous surgery.


B.


a service was repeated.


C.


services that are usually bundled into one payment were provided as separate services.


D.


a subsequent surgery was planned at the time of the first surgery.


28.


Modifier -51, Multiple Procedure, is used on what type of services?


A.


E/M


B.


Anesthesia


C.


Radiology


D.


Surgery


29.


The physician performs an extended exam of the affected body areas and related organ systems. What


is the level of the examination?


A.


Problem-focused


B.


Comprehensive


C.


Expanded problem-focused


D.


Detailed


30.


In which CPT appendix would additions, deletions, and revisions be found?


A.


Appendix C


B.


Appendix B


C.


Appendix D


D.


Appendix A


31.


Which one of the following items must be included in a general multisystem examination of a


constitutional system?


A.


Palpation of lymph nodes


B.


Vital signs


C.


Inspection of teeth and gums


D.


Auscultation of the lungs


End of exam


32.


Who publishes CPT?


A.


AMA


B.


CMS


C.


HHS


D.


WHO


33.


How many main sections are in the CPT manual?


A.


6


B.


9


C.


10


D.


7


34.


Which modifier is used by an anesthesiologist to indicate a service for which general anesthesia was


used when normally the anesthesia would have been local or regional?


A.


23


B.


24


C.


26


D.


25


35.


Which of the following range of codes is located in the Evaluation and Management section of the CPT


manual?


A.


89000–89999


B.


99201–99450


C.


80600–88999


D.


90001–90699

Expert:  Cher replied 11 months ago.
Hi again, JD.

I'm not sure if I have the answers to all of these.

You had mentioned initially, that you saw I had answered these questions/exams in the past. Can you send me the link(s) from those questions? That might help me locate them in my files.

Thanks,
Cher

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