Question 1

A physician's review of laboratory reports and previous medical records would impact the level of medical ________.

Accepted Answer

The answer of A physician's review of laboratory reports and...

Question 2

If a physician documents that a patient had breast cancer 4 years ago, he or she would be documenting the patient's ________ history.

Accepted Answer

The answer of If a physician documents that a patient...

Question 3

If a physician who ordered a test personally reviews the results to supplement information from the physician who prepared the test report, the work would add to the level of the:

Accepted Answer

A)  number of diagnoses or management options. 
B)  amount and/or complexity of data to be reviewed. 
C)  risk of significant complications, morbidity, and/or mortality. 
D)  all of the above. 
A)  number of diagnoses or management options. 
B)  amount and/or complexity of data to be reviewed. 
C)  risk of significant complications, morbidity, and/or mortality. 
D)  all of the above.

Question 4

An example of an E/M code that requires three key components documented and a comprehensive history and comprehensive exam is:

Accepted Answer

A)  a new patient office visit. 
B)  an established patient office visit. 
C)  critical care services. 
D)  subsequent in-hospital care. 
A)  a new patient office visit. 
B)  an established patient office visit. 
C)  critical care services. 
D)  subsequent in-hospital care.

Question 5

Documentation of an extended HPI includes at least:

Accepted Answer

A)  one HPI element. 
B)  two HPI elements. 
C)  three HPI elements. 
D)  four HPI elements. 
A)  one HPI element. 
B)  two HPI elements. 
C)  three HPI elements. 
D)  four HPI elements.

Question 6

When documentation does NOT support the level of service provided, and a lower-level code should have been selected, this practice is known as ________.

Accepted Answer

The answer of When documentation does NOT support the level...

Question 7

If a CPT code stated on a claim form represents a lower level of service than is documented in the medical record, the procedure has been downcoded.

Accepted Answer

A) True 
 B)False

Question 8

In documentation of a medical exam, the terms musculoskeletal, respiratory, and gastrointestinal would refer to:

Accepted Answer

A)  body areas. 
B)  body organs. 
C)  organ systems. 
D)  tissue systems. 
A)  body areas. 
B)  body organs. 
C)  organ systems. 
D)  tissue systems.

Question 9

An expanded problem-focused history requires all of the following elements EXCEPT:

Accepted Answer

A)  chief complaint (C
C) . 
B)  history of present illness (HPI). 
C)  review of systems (ROS). 
D)  past, family, and social history (PFSH). 
A)  chief complaint (C
C) . 
B)  history of present illness (HPI). 
C)  review of systems (ROS). 
D)  past, family, and social history (PFSH).

Question 10

If a physician considers findings from discussions with family members in his or her medical decision making, documentation in the chart can simply state "additional history obtained from family" without providing additional detail.

Accepted Answer

A) True 
 B)False

Question 11

The most widely used Current Procedural Terminology (CPT) codes are:

Accepted Answer

A)  evaluation and management (E/M). 
B)  surgery. 
C)  radiology. 
D)  medicine. 
A)  evaluation and management (E/M). 
B)  surgery. 
C)  radiology. 
D)  medicine.

Question 12

An audit done within a medical practice to make sure it is compliant is an external audit.

Accepted Answer

A) True 
 B)False

Question 13

If Medicare determines that an E/M service exceeds the patient's documented need, Medicare could:

Accepted Answer

A)  unbundle the service. 
B)  upcode the service. 
C)  pay the service as billed. 
D)  deny payment. 
A)  unbundle the service. 
B)  upcode the service. 
C)  pay the service as billed. 
D)  deny payment.

Question 14

What is the purpose of an audit?

Accepted Answer

An audit is done to assess the completen

Question 15

Which of the following is a disadvantage of a prospective internal audit?

Accepted Answer

A)  It delays insurance payment. 
B)  It decreases the workload of the medical office specialist. 
C)  It ensures compliance. 
D)  It increases the risk of errors. 
A)  It delays insurance payment. 
B)  It decreases the workload of the medical office specialist. 
C)  It ensures compliance. 
D)  It increases the risk of errors.

Question 16

Types of audits for medical records include all of the following EXCEPT:

Accepted Answer

A)  accreditation audits. 
B)  certification audits. 
C)  external audits. 
D)  internal audits. 
A)  accreditation audits. 
B)  certification audits. 
C)  external audits. 
D)  internal audits.

Question 17

Medical necessity of E/M services is based on all of the following factors EXCEPT the:

Accepted Answer

A)  acuity and severity of the problems addressed. 
B)  complexity of documented comorbidities. 
C)  physical scope encompassed by the problems. 
D)  procedures performed to address the problem. 
A)  acuity and severity of the problems addressed. 
B)  complexity of documented comorbidities. 
C)  physical scope encompassed by the problems. 
D)  procedures performed to address the problem.

Question 18

Key components for selecting evaluation and management (E/M) codes include all of the following EXCEPT:

Accepted Answer

A)  complexity of the diagnosis. 
B)  complexity of the medical decision making. 
C)  extent of the history documented. 
D)  extent of the exam documented. 
A)  complexity of the diagnosis. 
B)  complexity of the medical decision making. 
C)  extent of the history documented. 
D)  extent of the exam documented.

Question 19

A medical office specialist can find clinical examples for documenting medical necessity in the:

Accepted Answer

A)  CPT Index. 
B)  CPT Appendix A. 
C)  CPT Appendix C. 
D)  CPT Guidelines. 
A)  CPT Index. 
B)  CPT Appendix A. 
C)  CPT Appendix C. 
D)  CPT Guidelines.

Question 20

In what ways are medical necessity for evaluation and management services expressed?

Accepted Answer

Medical necessity for E/M serv

A physician's review of laboratory reports and previous medical records would impact the level of medical ________.

If a physician documents that a patient had breast cancer 4 years ago, he or she would be documenting the patient's ________ history.

If a physician who ordered a test personally reviews the results to supplement information from the physician who prepared the test report, the work would add to the level of the:

An example of an E/M code that requires three key components documented and a comprehensive history and comprehensive exam is:

Documentation of an extended HPI includes at least:

When documentation does NOT support the level of service provided, and a lower-level code should have been selected, this practice is known as ________.

If a CPT code stated on a claim form represents a lower level of service than is documented in the medical record, the procedure has been downcoded.

In documentation of a medical exam, the terms musculoskeletal, respiratory, and gastrointestinal would refer to:

An expanded problem-focused history requires all of the following elements EXCEPT:

If a physician considers findings from discussions with family members in his or her medical decision making, documentation in the chart can simply state "additional history obtained from family" without providing additional detail.

The most widely used Current Procedural Terminology (CPT) codes are:

An audit done within a medical practice to make sure it is compliant is an external audit.

If Medicare determines that an E/M service exceeds the patient's documented need, Medicare could:

What is the purpose of an audit?

Which of the following is a disadvantage of a prospective internal audit?

Types of audits for medical records include all of the following EXCEPT:

Medical necessity of E/M services is based on all of the following factors EXCEPT the:

Key components for selecting evaluation and management (E/M) codes include all of the following EXCEPT:

A medical office specialist can find clinical examples for documenting medical necessity in the:

In what ways are medical necessity for evaluation and management services expressed?

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 physician's review of laboratory reports and previous medical records would impact the level of medical ________.

If a physician documents that a patient had breast cancer 4 years ago, he or she would be documenting the patient's ________ history.

If a physician who ordered a test personally reviews the results to supplement information from the physician who prepared the test report, the work would add to the level of the:

An example of an E/M code that requires three key components documented and a comprehensive history and comprehensive exam is:

Documentation of an extended HPI includes at least:

When documentation does NOT support the level of service provided, and a lower-level code should have been selected, this practice is known as ________.

If a CPT code stated on a claim form represents a lower level of service than is documented in the medical record, the procedure has been downcoded.

In documentation of a medical exam, the terms musculoskeletal, respiratory, and gastrointestinal would refer to:

An expanded problem-focused history requires all of the following elements EXCEPT:

If a physician considers findings from discussions with family members in his or her medical decision making, documentation in the chart can simply state "additional history obtained from family" without providing additional detail.

The most widely used Current Procedural Terminology (CPT) codes are:

An audit done within a medical practice to make sure it is compliant is an external audit.

If Medicare determines that an E/M service exceeds the patient's documented need, Medicare could:

What is the purpose of an audit?

Which of the following is a disadvantage of a prospective internal audit?

Types of audits for medical records include all of the following EXCEPT:

Medical necessity of E/M services is based on all of the following factors EXCEPT the:

Key components for selecting evaluation and management (E/M) codes include all of the following EXCEPT:

A medical office specialist can find clinical examples for documenting medical necessity in the:

In what ways are medical necessity for evaluation and management services expressed?

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