Question 1

An inventory of body systems obtained by asking the patient a series of questions is called a(n) __________ .

Accepted Answer

The answer of An inventory of body systems obtained by...

Question 2

An internal audit will NOT be able to help a practice discover lost revenue.

Accepted Answer

A) True 
 B)False

Question 3

An independent audit should be performed a minimum of:
A)once a month.
B)once a quarter.
C)twice a year.
D)once a year.

Accepted Answer

The answer of An independent audit should be performed a...

Question 4

In documenting a medical examination, all of the following are recognized organ systems EXCEPT the:
A)eyes.
B)ears, nose, mouth, and throat.
C)head, including face.
D)skin.

Accepted Answer

head, incl

Question 5

In general, medical decision making with respect to a diagnosed problem is harder than that for an identified but undiagnosed problem.

Accepted Answer

A) True 
 B)False

Question 6

List the body areas recognized by the CPT book for reporting the level of exams.

Accepted Answer

Body areas include head, neck,

Question 7

What is the purpose of an audit tool?

Accepted Answer

An audit tool is a paper or el

Question 8

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 9

A prospective audit would typically be done on claims that require an attachment or more information.

Accepted Answer

A) True 
 B)False

Question 10

If a patient presents with an acute or chronic illness that poses a threat to life or body function and requires emergency surgery, the level of risk involved with the medical decision making would be considered:
A)minimal.
B)low.
C)moderate.
D)high.

Accepted Answer

The answer of If a patient presents with an acute...

Question 11

An audit done by a practice before submitting a claim to an insurance company would be referred to as a(n) __________ audit.

Accepted Answer

The answer of An audit done by a practice before...

Question 12

What are the elements considered in medical decision making?

Accepted Answer

Medical decision making considers the nu

Question 13

The most extensive type of history is:
A)problem focused.
B)expanded problem focused.
C)comprehensive.
D)detailed.

Accepted Answer

The answer of The most extensive type of history is:
A)problem...

Question 14

If a patient states that the pain he or she is experiencing is burning, the element he or she would be describing is the:
A)associated signs and symptoms.
B)severity.
C)context.
D)quality.

Accepted Answer

The answer of If a patient states that the pain...

Question 15

An examination that involves one or more organ systems or body areas is called a:
A)general multisystem exam.
B)general organ system exam.
C)single organ system exam.
D)multibody-area exam.

Accepted Answer

general mu

Question 16

If a chart note documents that the patient has smoked two packs of cigarettes every day for the past 10 years, it would be an example of the patient's:
A)past history.
B)family history.
C)social history.
D)history of present illness (HPI).

Accepted Answer

The answer of If a chart note documents that the...

Question 17

If a patient states that the pain he or she is experiencing is in the right arm, the element he or she would be describing is the:
A)location.
B)severity.
C)context.
D)quality.

Accepted Answer

The answer of If a patient states that the pain...

Question 18

If a physician examines the system directly related to the problem plus two to nine additional systems, the review of systems (ROS) would be considered:
A)problem pertinent.
B)extended.
C)complete.
D)none of the above.

Accepted Answer

The answer of If a physician examines the system directly...

Question 19

An audit tool utilizes number counts in different categories to determine if the correct evaluation and management (E/M) code was used in billing an insurance carrier.

Accepted Answer

A) True 
 B)False

Question 20

Match between columns
                        Premises: The term used when a code reports a procedure that is less involved than that documented in the patient chart.
The type of audit conducted by an insurance carrier to make sure a practice is compliant.
The type of audit conducted within a practice to make sure the office is compliant.
The type of audit done before a claim is submitted to the insurance carrier for payment.
The type of review of systems (ROS) that inquires about the system directly related to the problem identified in the history of present illness (HPI) plus all additional body systems.
The type of review of systems (ROS) that inquires about the system directly related to the problem identified in the history of present illness (HPI).
Software function used by payers to screen for incorrect or improperly reported procedure codes.
The term used when a code reports a procedure that is more involved than that documented in the patient chart.
The type of review of systems (ROS) that inquires about the system directly related to the problem identified in the history of present illness (HPI) and two to nine additional systems.
The type of audit performed after payment is received from an insurance carrier.

Accepted Answer

The Answer of code edits and retrospective and internal and is...

An inventory of body systems obtained by asking the patient a series of questions is called a(n) __________ .

An internal audit will NOT be able to help a practice discover lost revenue.

An independent audit should be performed a minimum of: A)once a month. B)once a quarter. C)twice a year. D)once a year.

In documenting a medical examination, all of the following are recognized organ systems EXCEPT the: A)eyes. B)ears, nose, mouth, and throat. C)head, including face. D)skin.

In general, medical decision making with respect to a diagnosed problem is harder than that for an identified but undiagnosed problem.

List the body areas recognized by the CPT book for reporting the level of exams.

What is the purpose of an audit tool?

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.

A prospective audit would typically be done on claims that require an attachment or more information.

If a patient presents with an acute or chronic illness that poses a threat to life or body function and requires emergency surgery, the level of risk involved with the medical decision making would be considered: A)minimal. B)low. C)moderate. D)high.

An audit done by a practice before submitting a claim to an insurance company would be referred to as a(n) __________ audit.

What are the elements considered in medical decision making?

The most extensive type of history is: A)problem focused. B)expanded problem focused. C)comprehensive. D)detailed.

If a patient states that the pain he or she is experiencing is burning, the element he or she would be describing is the: A)associated signs and symptoms. B)severity. C)context. D)quality.

An examination that involves one or more organ systems or body areas is called a: A)general multisystem exam. B)general organ system exam. C)single organ system exam. D)multibody-area exam.

If a chart note documents that the patient has smoked two packs of cigarettes every day for the past 10 years, it would be an example of the patient's: A)past history. B)family history. C)social history. D)history of present illness (HPI).

If a patient states that the pain he or she is experiencing is in the right arm, the element he or she would be describing is the: A)location. B)severity. C)context. D)quality.

If a physician examines the system directly related to the problem plus two to nine additional systems, the review of systems (ROS) would be considered: A)problem pertinent. B)extended. C)complete. D)none of the above.

An audit tool utilizes number counts in different categories to determine if the correct evaluation and management (E/M) code was used in billing an insurance carrier.

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Hipaa: Health Insurance Portability and Accountability Act of 1996

ICD-9-CM Medical Coding

ICD-10-CM Medical Coding

Introduction to Cpt and Place of Service Coding

Coding Procedures and Services

Hcpcs and Coding 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

Electronic Medical Claims Processing

Filters

Exam 10: Auditing

An inventory of body systems obtained by asking the patient a series of questions is called a(n) __________ .

An internal audit will NOT be able to help a practice discover lost revenue.

An independent audit should be performed a minimum of: A)once a month. B)once a quarter. C)twice a year. D)once a year.

In documenting a medical examination, all of the following are recognized organ systems EXCEPT the: A)eyes. B)ears, nose, mouth, and throat. C)head, including face. D)skin.

In general, medical decision making with respect to a diagnosed problem is harder than that for an identified but undiagnosed problem.

List the body areas recognized by the CPT book for reporting the level of exams.

What is the purpose of an audit tool?

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.

A prospective audit would typically be done on claims that require an attachment or more information.

If a patient presents with an acute or chronic illness that poses a threat to life or body function and requires emergency surgery, the level of risk involved with the medical decision making would be considered: A)minimal. B)low. C)moderate. D)high.

An audit done by a practice before submitting a claim to an insurance company would be referred to as a(n) __________ audit.

What are the elements considered in medical decision making?

The most extensive type of history is: A)problem focused. B)expanded problem focused. C)comprehensive. D)detailed.

If a patient states that the pain he or she is experiencing is burning, the element he or she would be describing is the: A)associated signs and symptoms. B)severity. C)context. D)quality.

An examination that involves one or more organ systems or body areas is called a: A)general multisystem exam. B)general organ system exam. C)single organ system exam. D)multibody-area exam.

If a chart note documents that the patient has smoked two packs of cigarettes every day for the past 10 years, it would be an example of the patient's: A)past history. B)family history. C)social history. D)history of present illness (HPI).

If a patient states that the pain he or she is experiencing is in the right arm, the element he or she would be describing is the: A)location. B)severity. C)context. D)quality.

If a physician examines the system directly related to the problem plus two to nine additional systems, the review of systems (ROS) would be considered: A)problem pertinent. B)extended. C)complete. D)none of the above.

An audit tool utilizes number counts in different categories to determine if the correct evaluation and management (E/M) code was used in billing an insurance carrier.

Introduction to Professional Billing and Coding Careers

Understanding Managed Care: Insurance Plans

Understanding Managed Care: Medical Contracts and Ethics

Hipaa: Health Insurance Portability and Accountability Act of 1996

ICD-9-CM Medical Coding

ICD-10-CM Medical Coding

Introduction to Cpt and Place of Service Coding

Coding Procedures and Services

Hcpcs and Coding 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

Electronic Medical Claims Processing

Filters