Question 1

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 2

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 3

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 4

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 5

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 6

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

Question 7

Which of the following best describes the purpose of a physician's fee profile?

Accepted Answer

A) To analyze office fees 
B) To reflect charges for services and reimbursement rates 
C) To prevent downcoding 
D) To subrogate monies 
A) To analyze office fees 
B) To reflect charges for services and reimbursement rates 
C) To prevent downcoding 
D) To subrogate monies

Question 8

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 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

How many major sections are in the Current Procedural Terminology reference book?

Accepted Answer

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

Question 11

How many procedure codes would apply to the preceding scenario?

Accepted Answer

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

Exam 17: Medical Coding

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

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

How many diagnosis codes will the preceding scenario require?

Which of the following information is NOT included in coding?

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 is a record of claims sent to the insurance carrier?

Which of the following best describes the purpose of a physician's fee profile?

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 a convention used when there is not enough information to find a more specific code?

How many major sections are in the Current Procedural Terminology reference book?

How many procedure codes would apply to the preceding scenario?

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

Creating the Facility Environment

Computers in the Medical Clinic

Telecommunications

Patient Scheduling

Medical Records Management

Written Communications

Medical Documents

Medical Insurance

Daily Financial Practices

Billing and Collections

Accounting Practices

Infection Control and Medical Asepsis

The Patient History and Documentation

Vital Signs and Measurements

The Physical Examination

Obstetrics and Gynecology

Pediatrics

Male Reproductive System

Gerontology

Examinations and Procedures of Body Systems

Assisting With Minor Surgery

Diagnostic Imaging

Rehabilitation and Therapeutic Modalities

Nutrition in Health and Disease

Basic Pharmacology

Calculation of Medication Dosage and Medication Administration

Cardiac Procedures

Regulatory Guidelines for Safety and Quality in the Medical Laboratory

Introduction to the Medical Laboratory

Phlebotomy: Venipuncture and Capillary Puncture

Hematology

Urinalysis

Basic Microbiology

Speciality Laboratory Tests

The Medical Assistant As Clinic Manager

The Medical Assistant As Human Resources Manager

Preparing for Medical Assisting Credentials

Employment Strategies

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