Question 1

The ICD-CM 10th revision will utilize alphanumeric codes that will consist of up to how many characters?

Accepted Answer

A)  Five 
B)  Six 
C)  Seven 
D)  Eight 
A)  Five 
B)  Six 
C)  Seven 
D)  Eight C

Question 2

On completion of the processing of the claim,the insurance company sends what to the insured person?

Accepted Answer

A)  POS 
B)  Claim remittance 
C)  EOB 
D)  1490 form 
A)  POS 
B)  Claim remittance 
C)  EOB 
D)  1490 form C

Question 3

Which of the following volumes is the alphabetic index of ICD-9-CM?

Accepted Answer

A)  Volume I 
B)  Volume II 
C)  Volume III 
D)  Volume IV 
A)  Volume I 
B)  Volume II 
C)  Volume III 
D)  Volume IV B

Question 4

Which of the following ICD-9-CM volumes is recommended as the first reference when coding diagnoses?

Accepted Answer

A)  Volume I 
B)  Volume II 
C)  Volume III 
D)  Volume IV 
A)  Volume I 
B)  Volume II 
C)  Volume III 
D)  Volume IV

Question 5

Which of the following are diagnosis codes used primarily with cancer registries?

Accepted Answer

A)  V codes 
B)  E codes 
C)  DRG codes 
D)  M codes 
A)  V codes 
B)  E codes 
C)  DRG codes 
D)  M codes

Question 6

Which section of the CPT book includes coding of immunizations and chemotherapy?

Accepted Answer

A)  Medicine 
B)  Surgery 
C)  Pathology 
D)  Laboratory 
A)  Medicine 
B)  Surgery 
C)  Pathology 
D)  Laboratory

Question 7

Which of the following should be used to check for patient eligibility?

Accepted Answer

A)  Point-of-service device 
B)  Claims register 
C)  Universal claim form 
D)  Explanation of benefits 
A)  Point-of-service device 
B)  Claims register 
C)  Universal claim form 
D)  Explanation of benefits

Question 8

Which of the following applies to codes used as supplements to the basic CPT system and are required when reporting services and procedures to Medicare and Medicaid patients?

Accepted Answer

A)  HCPCS 
B)  M codes 
C)  E&M codes 
D)  DRGs 
A)  HCPCS 
B)  M codes 
C)  E&M codes 
D)  DRGs

Question 9

Which of the following is a convention used when there is not enough information to find a more specific code?

Accepted Answer

A)  NEC 
B)  NOS 
C)  V codes 
D)  E codes 
A)  NEC 
B)  NOS 
C)  V codes 
D)  E codes

Question 10

Which of the following is recommended to do first when a claim is not paid within 4-6 weeks?

Accepted Answer

A)  Allow the carrier 30 days more to pay the claim. 
B)  Check the carrier's regulations for payment. 
C)  Call the insurance carrier and ask about the delay. 
D)  Resubmit the claim. 
A)  Allow the carrier 30 days more to pay the claim. 
B)  Check the carrier's regulations for payment. 
C)  Call the insurance carrier and ask about the delay. 
D)  Resubmit the claim.

Question 11

Which of the following is the claim form used for filing inpatient admissions claims?

Accepted Answer

A)  CMS 1500 
B)  UB-04 
C)  CMS 1490 
D)  HCFA 1500 
A)  CMS 1500 
B)  UB-04 
C)  CMS 1490 
D)  HCFA 1500

Question 12

The new CMS-1500 form is distinguishable from the old form in that the 1500 symbol and date are located where?

Accepted Answer

A)  Top right margin 
B)  Bottom right margin 
C)  Bottom left margin 
D)  Top left margin 
A)  Top right margin 
B)  Bottom right margin 
C)  Bottom left margin 
D)  Top left margin

Question 13

Which of the following information is NOT included in coding?

Accepted Answer

A)  Visit complexity 
B)  Diagnosis for visit 
C)  Specific procedures 
D)  Counseling 
A)  Visit complexity 
B)  Diagnosis for visit 
C)  Specific procedures 
D)  Counseling

Question 14

Separating the components of a procedure and reporting them as billable codes with charges in order to increase reimbursement rates is known as what?

Accepted Answer

A)  Upcoding 
B)  Unbundling 
C)  Bundling 
D)  Downcoding 
A)  Upcoding 
B)  Unbundling 
C)  Bundling 
D)  Downcoding

Question 15

Which of the following is NOT included in the insurance carrier's role?

Accepted Answer

A)  Check to see that there are no pre-existing condition restrictions. 
B)  Ensure that the provider has a contract with the carrier. 
C)  Ensure that coverage was in force at the time of treatment. 
D)  Collect a co-payment from the physician. 
E)  Ensure that amounts meet usual and customary standards. 
A)  Check to see that there are no pre-existing condition restrictions. 
B)  Ensure that the provider has a contract with the carrier. 
C)  Ensure that coverage was in force at the time of treatment. 
D)  Collect a co-payment from the physician. 
E)  Ensure that amounts meet usual and customary standards.

Question 16

What is necessary in order to authorize release of medical information to an insurance carrier?

Accepted Answer

A)  A verbal agreement between the patient and the doctor is necessary. 
B)  A medical release from the patient is needed. 
C)  A handshake between the patient and the doctor is all that is necessary. 
D)  Authorization is never required to release medical information. 
E)  Physicians never have to share medical information. 
A)  A verbal agreement between the patient and the doctor is necessary. 
B)  A medical release from the patient is needed. 
C)  A handshake between the patient and the doctor is all that is necessary. 
D)  Authorization is never required to release medical information. 
E)  Physicians never have to share medical information.

Question 17

Which of the following is completed using data from the patient's electronic health record in most offices today?

Accepted Answer

A)  CMS 1490 
B)  UB92 
C)  CMS 1500 
D)  HCFA form 
A)  CMS 1490 
B)  UB92 
C)  CMS 1500 
D)  HCFA form

Question 18

Why is it important for the medical assistant to understand medical insurance coding?

Accepted Answer

A)  Needed to transfer all information 
B)  Assists explanations to patients 
C)  Helps the patient file claims 
D)  Serves as basis for the information on the claim form 
A)  Needed to transfer all information 
B)  Assists explanations to patients 
C)  Helps the patient file claims 
D)  Serves as basis for the information on the claim form

Question 19

Use the following scenario to answer the questions below:
Patrick fell from a tree, hurt his arm, and his face was cut. His mother took him to the physician's office where a greenstick fracture of the wrist was put in a splint. A laceration was repaired on his cheek. He was given a tetanus injection.
-How many diagnosis codes will the preceding scenario require?

Accepted Answer

A)  One 
B)  Two 
C)  Three 
D)  Four 
E)  Five 
A)  One 
B)  Two 
C)  Three 
D)  Four 
E)  Five

Question 20

Which of the following is a record of claims sent to the insurance carrier?

Accepted Answer

A)  Point-of-service device 
B)  Claims register 
C)  Universal claim form 
D)  Explanation of benefits 
A)  Point-of-service device 
B)  Claims register 
C)  Universal claim form 
D)  Explanation of benefits

Exam 18: Medical Insurance Coding

The ICD-CM 10th revision will utilize alphanumeric codes that will consist of up to how many characters?

On completion of the processing of the claim,the insurance company sends what to the insured person?

Which of the following volumes is the alphabetic index of ICD-9-CM?

Which of the following ICD-9-CM volumes is recommended as the first reference when coding diagnoses?

Which of the following are diagnosis codes used primarily with cancer registries?

Which section of the CPT book includes coding of immunizations and chemotherapy?

Which of the following should be used to check for patient eligibility?

Which of the following applies to codes used as supplements to the basic CPT system and are required when reporting services and procedures to Medicare and Medicaid patients?

Which of the following is a convention used when there is not enough information to find a more specific code?

Which of the following is recommended to do first when a claim is not paid within 4-6 weeks?

Which of the following is the claim form used for filing inpatient admissions claims?

The new CMS-1500 form is distinguishable from the old form in that the 1500 symbol and date are located where?

Which of the following information is NOT included in coding?

Separating the components of a procedure and reporting them as billable codes with charges in order to increase reimbursement rates is known as what?

Which of the following is NOT included in the insurance carrier's role?

What is necessary in order to authorize release of medical information to an insurance carrier?

Which of the following is completed using data from the patient's electronic health record in most offices today?

Why is it important for the medical assistant to understand medical insurance coding?

Which of the following is a record of claims sent to the insurance carrier?

The Medical Assisting Profession

Health Care Settings and the Health Care Team

History of Medicine

Coping Skills for the Medical Assistant

Therapeutic Communication Skills

The Therapeutic Approach to the Patient With Life-Threatening Illness

Legal Considerations

Ethical Considerations

Emergency Procedures and First AID

Creating the Facility Environment

Computers in the Ambulatory Care Setting

Telecommunications

Patient Scheduling

Medical Records Management

Written Communications

Medical Documents

Medical Insurance

Daily Financial Practices

Billing and Collections

Accounting Practices

The Medical Assistant As Clinic Manager

The Medical Assistant As Human Resources Manager

Preparing for Medical Assisting Credentials

Employment Strategies

Filters