Question 1

Which section of the CPT book includes coding of lacerations?

Accepted Answer

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

Question 2

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 A

Question 3

Which of the following organizations developed ICD-10-CM in 1992?

Accepted Answer

A) American Medical Association 
B) Centers for Medicare and Medicaid Services 
C) World Health Organization 
D) Health Care Financing Administration 
A) American Medical Association 
B) Centers for Medicare and Medicaid Services 
C) World Health Organization 
D) Health Care Financing Administration C

Question 4

The HCPCS code range for mental health services is:

Accepted Answer

A) H0001-H2037 
B) M codes 
C) D codes 
D) P2028-P9615 
A) H0001-H2037 
B) M codes 
C) D codes 
D) P2028-P9615

Question 5

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 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 6

Which of the following occurs when the insurance carrier is deliberately billed a higher rate service than what was performed to order for the provider to obtain greater reimbursements?

Accepted Answer

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

Question 7

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

Question 8

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

Question 9

Which of the following is NOT affected by coding accuracy?

Accepted Answer

A) Ruling out a diagnosis 
B) Physician reimbursement 
C) Resubmissions 
D) Medical records 
A) Ruling out a diagnosis 
B) Physician reimbursement 
C) Resubmissions 
D) Medical records

Question 10

Which of the following are codes applied to an injury or poisoning?

Accepted Answer

A) Modifiers 
B) V codes 
C) S00-T88 
D) P00-P96 
A) Modifiers 
B) V codes 
C) S00-T88 
D) P00-P96

Question 11

Which of the following is NOT included in the recommended procedure for researching CPT code numbers using the index?

Accepted Answer

A) Search for the service or procedure in the alphabetic index. 
B) Find a suggested number or range of numbers. 
C) Search for the suggested number range in the tabular list. 
D) Choose the correct code number for description. 
E) Choose a modifier for all diagnoses and procedures. 
A) Search for the service or procedure in the alphabetic index. 
B) Find a suggested number or range of numbers. 
C) Search for the suggested number range in the tabular list. 
D) Choose the correct code number for description. 
E) Choose a modifier for all diagnoses and procedures.

Question 12

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 13

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 14

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 15

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 16

The ICD-10-PCS codes have how many alphanumeric characters?

Accepted Answer

A) 3 
B) 7 
C) 4 
D) 9 
A) 3 
B) 7 
C) 4 
D) 9

Question 17

Which of the following applies to the coding book used for specifying services and procedures performed in the medical office?

Accepted Answer

A) ICD-9-CM 
B) RBRVS 
C) CPT 
D) EOB 
A) ICD-9-CM 
B) RBRVS 
C) CPT 
D) EOB

Question 18

Which of the following is NOT a section of the CPT coding system?

Accepted Answer

A) Evaluation and Management 
B) Anesthesiology 
C) Medicine 
D) Psychiatry 
A) Evaluation and Management 
B) Anesthesiology 
C) Medicine 
D) Psychiatry

Question 19

Who is responsible for maintaining the procedure codes for the ICD-10-CM?

Accepted Answer

A) CMS 
B) WHO 
C) AMA 
D) FDA 
A) CMS 
B) WHO 
C) AMA 
D) FDA

Question 20

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

Exam 17: Medical Coding

Which section of the CPT book includes coding of lacerations?

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

Which of the following organizations developed ICD-10-CM in 1992?

The HCPCS code range for mental health services is:

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 patients?

Which of the following occurs when the insurance carrier is deliberately billed a higher rate service than what was performed to order for the provider to obtain greater reimbursements?

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

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

Which of the following is NOT affected by coding accuracy?

Which of the following are codes applied to an injury or poisoning?

Which of the following is NOT included in the recommended procedure for researching CPT code numbers using the index?

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

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

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

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

The ICD-10-PCS codes have how many alphanumeric characters?

Which of the following applies to the coding book used for specifying services and procedures performed in the medical office?

Which of the following is NOT a section of the CPT coding system?

Who is responsible for maintaining the procedure codes for the ICD-10-CM?

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

The Medical Assisting Profession

Health Care Settings and the Health Care Team

Coping Skills for the Medical Assistant

Therapeutic Communication Skills

The Therapeutic Approach to the Patient With a Life-Threatening Illness

Legal Considerations

Ethical Considerations

Emergency Procedures and First Aid

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Regulatory Guidelines for Safety and Quality in the Medical Laboratory

Introduction to the Medical Laboratory

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