D521-Introduction to Medical Coding Latest Update 2025-2026 Actual Exam 60 Questions with 100% Verified Correct Answers Guaranteed A+ Verified by Professor
advanced beneficiary notice (ABN) - CORRECT ANSWER: a waiver of liability for the patient to sign if the provider deems Medicare will not pay for a service
American Health Information Management Association (AHIMA) - CORRECT ANSWER:
a professional organization for health information management (HIM) professionals
American Hospital Association (AHA) - CORRECT ANSWER: Non profit group or
alliance of member hospitals and health care organizations that promote the interests of hospitals. It is an advocacy group for health care organizations, particularly hospitals
charge description master (CDM) - CORRECT ANSWER: a database of all billable
items, revenue codes, and CPT/HCPCS codes that describe a service provided within a hospital
claim adjudication - CORRECT ANSWER: the process used by payers to evaluate a
medical claim for reimbursement
claim denial - CORRECT ANSWER: the refusal of a payer to reimburse the healthcare provider for services billed
Common Diagnosis coding process errors - CORRECT ANSWER: Illegible physician
handwriting
Illogical physician diagnosis documentation 1 / 2
Lack of physician documentation
Transcription errors by typist or voice-recognition systems
Content of the rest of the patient's medical record does not support the diagnosis documented
Lack of specificity
Comorbidity - CORRECT ANSWER: a secondary condition that is present on admission and causes an increase in length of stay (LOS)
Complication - CORRECT ANSWER: a secondary condition that arises during
hospitalization and causes an increase in length of stay (LOS)
Current Procedural Terminology (CPT) - CORRECT ANSWER: coding system is
published and maintained by the American Medical Association (AMA). the standardized classification system for reporting medical procedures and services. It consists of five characters that report outpatient procedures, including anesthesia, surgery, radiology, pathology and laboratory, Evaluation and management, medicine services
Diagnosis - CORRECT ANSWER: identification of a disease by a licensed provider
discharged not final billed (DNFB) - CORRECT ANSWER: a measure of patient
accounts that are held up due to either coding delays or other issues that prevent claim submission
Episode-of-care reimbursement - CORRECT ANSWER: payments are made for all
services provided for a specific time period or illness
- / 2