Question 1

A medical records audit conducted by a representative of a private or government payer is a(n) ________ audit.

Accepted Answer

The answer of A medical records audit conducted by a...

Question 2

If the level of risk of mortality is very high, the medical decision making would be considered:

Accepted Answer

A)  minimal. 
B)  low. 
C)  moderate. 
D)  high. 
A)  minimal. 
B)  low. 
C)  moderate. 
D)  high.

Question 3

All of the following are types of ROS EXCEPT:

Accepted Answer

A)  problem pertinent. 
B)  extended. 
C)  comprehensive. 
D)  complete. 
A)  problem pertinent. 
B)  extended. 
C)  comprehensive. 
D)  complete.

Question 4

If a physician examines the system directly related to the problem plus two to nine additional systems, the ROS would be considered:

Accepted Answer

A)  problem pertinent. 
B)  extended. 
C)  complete. 
D)  none of the above. 
A)  problem pertinent. 
B)  extended. 
C)  complete. 
D)  none of the above.

Question 5

In documenting a medical examination, all of the following are recognized organ systems EXCEPT the:

Accepted Answer

A)  eyes. 
B)  ears, nose, mouth, and throat. 
C)  head, including face. 
D)  skin. 
A)  eyes. 
B)  ears, nose, mouth, and throat. 
C)  head, including face. 
D)  skin.

Question 6

An examination that involves one or more organ systems or body areas is called a:

Accepted Answer

A)  general multisystem exam. 
B)  general organ system exam. 
C)  single organ system exam. 
D)  multibody-area exam. 
A)  general multisystem exam. 
B)  general organ system exam. 
C)  single organ system exam. 
D)  multibody-area exam.

Question 7

Match the following
-The type of audit done before a claim is submitted to the insurance carrier for payment.

Accepted Answer

A)  downcoded 
B)  retrospective 
C)  internal 
D)  prospective 
E)  complete review of systems
F) upcoded
G) external
H) code edits
I) extended review of systems
J) problem-pertinent review of systems 
A)  downcoded 
B)  retrospective 
C)  internal 
D)  prospective 
E)  complete review of systems
F) upcoded
G) external
H) code edits
I) extended review of systems
J) problem-pertinent review of systems

Question 8

An internal audit would determine:

Accepted Answer

A)  the coder's skill and knowledge. 
B)  whether procedures were coded correctly. 
C)  if additional training is needed for office staff. 
D)  all of the above. 
A)  the coder's skill and knowledge. 
B)  whether procedures were coded correctly. 
C)  if additional training is needed for office staff. 
D)  all of the above.

Question 9

Match the following
-The type of ROS that inquires about the system directly related to the problem identified in the HPI plus all additional body systems.

Accepted Answer

A)  downcoded 
B)  retrospective 
C)  internal 
D)  prospective 
E)  complete review of systems
F) upcoded
G) external
H) code edits
I) extended review of systems
J) problem-pertinent review of systems 
A)  downcoded 
B)  retrospective 
C)  internal 
D)  prospective 
E)  complete review of systems
F) upcoded
G) external
H) code edits
I) extended review of systems
J) problem-pertinent review of systems

Question 10

When documentation supports a higher level of service than the code assigned, this practice is known as ________.

Accepted Answer

The answer of When documentation supports a higher level of...

Question 11

What are the elements considered in medical decision making?

Accepted Answer

Medical decision making considers the nu

Question 12

What are the key components for selecting E/M codes?

Accepted Answer

The key components for assigni

Question 13

Match the following
-The type of audit conducted within a practice to make sure the office is compliant.

Accepted Answer

A)  downcoded 
B)  retrospective 
C)  internal 
D)  prospective 
E)  complete review of systems
F) upcoded
G) external
H) code edits
I) extended review of systems
J) problem-pertinent review of systems 
A)  downcoded 
B)  retrospective 
C)  internal 
D)  prospective 
E)  complete review of systems
F) upcoded
G) external
H) code edits
I) extended review of systems
J) problem-pertinent review of systems

Question 14

If a medical office specialist does NOT agree with the payment determination made by an insurance company, the decision can be appealed.

Accepted Answer

A) True 
 B)False

Question 15

All third-party payers follow the same rules and policies for submitting a clean claim.

Accepted Answer

A) True 
 B)False

Question 16

If a medical office assistant is NOT sure about which E/M code to use, he or she should:

Accepted Answer

A)  not code the procedure. 
B)  use the lowest possible code level. 
C)  use an intermediate level code for the service. 
D)  ask for help. 
A)  not code the procedure. 
B)  use the lowest possible code level. 
C)  use an intermediate level code for the service. 
D)  ask for help.

Question 17

If a medical record note documents that the patient is status post-thyroid resection 10 years ago, this would be an example of the patient's:

Accepted Answer

A)  past history. 
B)  family history. 
C)  social history. 
D)  HPI. 
A)  past history. 
B)  family history. 
C)  social history. 
D)  HPI.

Question 18

If a physician documents that an exam included the measurement of a patient's blood pressure, the system examined would be the:

Accepted Answer

A)  cardiovascular system. 
B)  respiratory system. 
C)  neurological system. 
D)  musculoskeletal system. 
A)  cardiovascular system. 
B)  respiratory system. 
C)  neurological system. 
D)  musculoskeletal system.

Question 19

Physician offices should audit their medical records to:

Accepted Answer

A)  ensure compliance with HIPAA regulations. 
B)  determine the accuracy of the physician's documentation. 
C)  assess the completeness of the medical record. 
D)  all of the above. 
A)  ensure compliance with HIPAA regulations. 
B)  determine the accuracy of the physician's documentation. 
C)  assess the completeness of the medical record. 
D)  all of the above.

Question 20

An independent audit should be performed a minimum of:

Accepted Answer

A)  once a month. 
B)  once a quarter. 
C)  twice a year. 
D)  once a year. 
A)  once a month. 
B)  once a quarter. 
C)  twice a year. 
D)  once a year.

A medical records audit conducted by a representative of a private or government payer is a(n) ________ audit.

If the level of risk of mortality is very high, the medical decision making would be considered:

All of the following are types of ROS EXCEPT:

If a physician examines the system directly related to the problem plus two to nine additional systems, the ROS would be considered:

In documenting a medical examination, all of the following are recognized organ systems EXCEPT the:

An examination that involves one or more organ systems or body areas is called a:

Match the following -The type of audit done before a claim is submitted to the insurance carrier for payment.

An internal audit would determine:

Match the following -The type of ROS that inquires about the system directly related to the problem identified in the HPI plus all additional body systems.

When documentation supports a higher level of service than the code assigned, this practice is known as ________.

What are the elements considered in medical decision making?

What are the key components for selecting E/M codes?

Match the following -The type of audit conducted within a practice to make sure the office is compliant.

If a medical office specialist does NOT agree with the payment determination made by an insurance company, the decision can be appealed.

All third-party payers follow the same rules and policies for submitting a clean claim.

If a medical office assistant is NOT sure about which E/M code to use, he or she should:

If a medical record note documents that the patient is status post-thyroid resection 10 years ago, this would be an example of the patient's:

If a physician documents that an exam included the measurement of a patient's blood pressure, the system examined would be the:

Physician offices should audit their medical records to:

An independent audit should be performed a minimum of:

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Introduction to the Health Insurance Portability and Accountability Act Hipaa

ICD-10 Cm Medical Coding

Introduction to CPT and Place of Coding Services

Coding Procedures and Services

Hcpcs Coding and Compliance

Physician Medical Billing

Hospital Medical Billing

Medicare Medical Billing

Medicaid Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Workers Compensation

Filters

Exam 9: Auditing

A medical records audit conducted by a representative of a private or government payer is a(n) ________ audit.

If the level of risk of mortality is very high, the medical decision making would be considered:

All of the following are types of ROS EXCEPT:

If a physician examines the system directly related to the problem plus two to nine additional systems, the ROS would be considered:

In documenting a medical examination, all of the following are recognized organ systems EXCEPT the:

An examination that involves one or more organ systems or body areas is called a:

Match the following -The type of audit done before a claim is submitted to the insurance carrier for payment.

An internal audit would determine:

Match the following -The type of ROS that inquires about the system directly related to the problem identified in the HPI plus all additional body systems.

When documentation supports a higher level of service than the code assigned, this practice is known as ________.

What are the elements considered in medical decision making?

What are the key components for selecting E/M codes?

Match the following -The type of audit conducted within a practice to make sure the office is compliant.

If a medical office specialist does NOT agree with the payment determination made by an insurance company, the decision can be appealed.

All third-party payers follow the same rules and policies for submitting a clean claim.

If a medical office assistant is NOT sure about which E/M code to use, he or she should:

If a medical record note documents that the patient is status post-thyroid resection 10 years ago, this would be an example of the patient's:

If a physician documents that an exam included the measurement of a patient's blood pressure, the system examined would be the:

Physician offices should audit their medical records to:

An independent audit should be performed a minimum of:

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Introduction to the Health Insurance Portability and Accountability Act Hipaa

ICD-10 Cm Medical Coding

Introduction to CPT and Place of Coding Services

Coding Procedures and Services

Hcpcs Coding and Compliance

Physician Medical Billing

Hospital Medical Billing

Medicare Medical Billing

Medicaid Medical Billing

Tricare Medical Billing

Explanation of Benefits and Payment Adjudication

Refunds and Appeals

Workers Compensation

Filters