Quiz – Health Professionals & ICD-10 Coding

Quiz – Health Professionals & ICD-10 Coding

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Quiz – Health Professionals & ICD-10 Coding

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Question 1 of 15

1. Question
1. The purpose of ICD-10 coding is to define the universe of diseases, disorders, injuries and other related health conditions.
- True
- False
Question 2 of 15

2. Question
2. ICD-10 is used by less than 10 countries around the world
- True
- False
Question 3 of 15

3. Question
3. The benefit of ICD-10’s enhanced code set will allow for a more accurate story to be told about the condition(s) for which the patient is being treated.
- True
- False
Question 4 of 15

4. Question
4. Which of the following does not apply regarding the various uses for ICD-10?
- a. Observing reimbursements and resource allocation trends.
- b. Keeping track of safety and quality guidelines.
- c. Monitoring healthcare professionals adherence to a 40 hour work week.
- d. Counting of deaths as well as diseases, injuries & symptoms.
- e. Tracking reasons for patient encounters, factors that influence health status and external causes of disease.
Question 5 of 15

5. Question
5. Choose the correct statement that applies when considering the importance of ICD-10 in South Africa.
- a. Regulation 5(f) of the Medical Schemes Act 131 of 1998 prescribes that all claims must contain “the relevant diagnostic … code … that relates to the health service“.
- b. Implementation of the Medical Schemes Act 131 of 1998 saw the emergence of PMBs.
- c. Entitlement to PMBs is diagnoses-driven and is identified using ICD-10 coding.
- d. All of the above are correct.
Question 6 of 15

6. Question
6. Which statement below is correct regarding the introduction of ICD-11.
- a. ICD-11 released on 18 June 2018 to allow Member States to prepare for implementation, including translating ICD into their national languages.
- b. ICD-11 submissions to the 144th Executive Board Meeting in Jan 2019 and the Seventy-second World Health Assembly in May 2019.
- c. Following endorsement, Member States will start reporting using ICD-11 on 1 January 2022.
- d. All of the above.
Question 7 of 15

7. Question
7. Choose the words that are in the correct order to describe the structure of an ICD-10 code.
- a. Category, Etiology, Location, Laterality, Extension.
- b. Category, Extension, Etiology, Laterality, Location.
- c. Extension, Location, Laterality, Condition, Category.
- d. Etiology, Location, Laterality, Severity, Extension.
Question 8 of 15

8. Question
8. Which statement correctly describes the challenge that healthcare professionals face in terms of accuracy when capturing ICD-10 codes.
- a. Complexity due to the vast number of coding combinations that can be selected.
- b. The consultation environment offers a highly limited timeframe in which to make accurate coding selections.
- c. ICD-10 coding selection is not a primary focus for a practitioner during a consultation; which can be disruptive to the consultation process.
- d. Options a and c only.
- e. Options a, b, and c.
Question 9 of 15

9. Question
9. Choose the option below that represent the correct number of ICD-10 coding combinations possible.
- a. 2 x 5(5)
- b. 5.66 x 10(25)
- c. 1 000 000
- d. None of the above
Question 10 of 15

10. Question
10. Which type of practices showed the highest level of ICD-10 coding accuracy, based on AI analysis of their ICD-10 code fluency over 2017.
- a. Large medical practices.
- b. Single doctor practices.
- c. Large dispensing medical practices.
- d. Medium-sized medical practices.
Question 11 of 15

11. Question
11. Choose the statement below which represents the scenario where AI analysis was done on healthcare practitioners big data, and showed the highest levels of ICD-10 accuracy.
- a. Where a wide range of ICD-10 codes were used, and a high correlation with peers existed.
- b. Where a narrow range of ICD-10 codes were used, and a high correlation with peers existed.
- c. Where a narrow range of ICD-10 codes were used, and a low correlation with peers existed.
- d. None of the above.
Question 12 of 15

12. Question
12. A healthcare professional’s compliance and accuracy when capturing ICD-10 codes has a bearing on the healthcare profession in the following way:
- a. It has an impact on health trend statistics and the conclusions drawn when data analysis is completed locally and globally.
- b. It becomes their responsibility to help track reasons for patient encounters, factors that influence health status and external causes of disease.
- c. Medical professionals are obliged to follow a standard for reporting diseases and health conditions.
- d. All of the above.
Question 13 of 15

13. Question
13. As duty to a medical professional’s own concern, they are obliged to code as accurately as possible for the following reason:
- a. Using incorrect or incomplete sets of codes when constructing medical insurance claims could mean a loss in revenue.
- b. In the event a practice is audited, excessive inclusion of codes in medical claims could result in higher reimbursement from the medical aids and could result in fraud investigations.
- c. ICD practitioner profiling by funders could affect contract ratings.
- d. None of the above.
- e. Options a, b and c.
Question 14 of 15

14. Question
14. Accurate ICD-10 coding has the potential to assist with better patient outcomes in the following scenario:
- a. Analysis of ICD-10 data can predict the outcome of an individual patient.
- b. Shared data can facilitate an exchange with between colleagues in the industry, and aid in avoiding cases advancing unnecessarily.
- c. None of the above.
Question 15 of 15

15. Question
15. Which statement highlights the key challenge that technology companies face when designing software to support the ICD-10 coding process?
- a. Asking a medical practitioner to capture ICD-10 codes and/or metrics during a consultation is problematic as it Interrupts the associative flow.
- b. Asking a medical practitioner to capture ICD-10 codes and/or metrics during a consultation is problematic as it increases cognitive load.
- c. ICD-10 coding varies significantly per practice.
- d. All of the above.