Download Medical Billing and Coding Final Exam with precise detailed solutions and more Exams Medicine in PDF only on Docsity!
Medical |! Billing |! and |! Coding |! Final |!
Exam |! with |! precise |! detailed |!
solutions
Which |! of |! the |! following |! is |! a |! reason |! for |! why |! the |! field |! of |! medical |! billing |! and |! coding |! is |! in |! high |! demand? |! - |! Correct |! answer |! ✔An |! aging |! population |! will |! use |! more |! healthcare |! services |! to |! manage |! a |! multitude |! of |! chronic |! diseases. What |! is |! the |! process |! of |! reporting |! diagnoses |! and |! procedures/services |! as |! numeric |! and |! alphanumeric |! characters |! on |! the |! insurance |! claim? |! - |! Correct |! answer |! ✔Medical |! coding What |! is |! the |! two-way, |! real |! time |! video |! visit |! between |! the |! patient |! and |! the |! physician |! at |! a |! distant |! site? |! - |! Correct |! answer |! ✔Telehealth What |! is |! the |! amount |! for |! which |! the |! patient |! is |! financially |! responsible |! before |! an |! insurance |! policy |! provides |! payment? |! - |! Correct |! answer |! ✔Deductible What |! type |! of |! health |! insurance |! is |! provided |! through |! your |! employer |! or |! purchased |! directly |! from |! an |! insurance |! company? |! - |! Correct |! answer |! ✔Commercial
What |! is |! the |! missing |! word |! in |! the |! following |! phrase: |! "If |! it |! wasn't |! __________, |! it |! wasn't |! done." |! - |! Correct |! answer |! ✔Documented What |! section |! of |! the |! SOAP |! note |! containers |! the |! chief |! complaint |! and |! the |! patient's |! description |! of |! the |! presenting |! problem? |! - |! Correct |! answer |! ✔Subjective What |! is |! health |! information |! in |! a |! digital |! format |! that |! is |! created |! and |! shared |! by |! providers |! across |! more |! Thant |! one |! healthcare |! setting? |! - |! Correct |! answer |! ✔Electronic |! Health |! Record |! (EHR) What |! is |! the |! reimbursement |! method |! where |! one |! payment |! covers |! all |! services |! during |! an |! episode |! of |! care? |! - |! Correct |! answer |! ✔Bundled |! payment What |! is |! a |! written |! order |! from |! you |! primary |! care |! provider |! for |! you |! to |! see |! a |! specialist |! or |! get |! certain |! medical |! services? |! - |! Correct |! answer |! ✔Referral What |! health |! plans |! are |! designed |! to |! put |! more |! responsibility |! on |! the |! employee |! for |! their |! healthcare |! spending? |! - |! Correct |! answer |! ✔Consumer-directed |! health |! plans In |! a |! physician |! practice, |! revenue |! cycle |! management |! is |! also |! called |! what? |! - |! Correct |! answer |! ✔Accounts |! receivable What |! is |! the |! computer |! to |! computer |! transfer |! of |! data |! between |! providers |! and |! third-party |! payers? |! - |! Correct |! answer |! ✔Electronic |! Data |! Interchange |! (EDI)
Which |! of |! the |! following |! s |! true |! concerning |! the |! release |! of |! patient |! information? |! - |! Correct |! answer |! ✔Original |! records |! should |! never |! be |! released. What |! is |! the |! main |! term |! for |! primary |! pancreatic |! neoplasm |! of |! the |! head |! of |! the |! pancreas? |! - |! Correct |! answer |! ✔Neoplasm ICD |! coding |! changes, |! additions |! and |! deletions |! are |! effective |! on |! what |! date |! every |! year? |! - |! Correct |! answer |! ✔October |! 1 The |! patient |! was |! evaluated |! in |! the |! emergency |! room |! for |! anterior |! chest |! wall |! pain, |! suspect |! unstable |! angina. |! What |! is |! the |! ICD-10-CM |! code? |! - |! Correct |! answer |! ✔R07. The |! patient |! was |! seen |! in |! follow |! up |! for |! hypertension |! and |! chronic |! kidney |! disease, |! stage |! 5. |! What |! is |! the |! ICD-10-CM |! code? |! - |! Correct |! answer |! ✔I12.0, |! N18. The |! patient |! was |! seen |! for |! pre-operative |! cardiovascular |! examination |! undergoing |! cholecystectomy. |! What |! is |! the |! correct |! ICD-10-CM |! code? |! - |! Correct |! answer |! ✔Z01. The |! patient's |! diagnosis |! is |! idiopathic |! scoliosis |! of |! the |! cervicothoracic |! region. |! What |! is |! the |! correct |! ICD-10-CM |! code? |! - |! Correct |! answer |! ✔M41.
In |! which |! main |! section |! of |! the |! CPT |! codebook |! would |! you |! find |! the |! code |! for |! a |! cholecystectomy? |! - |! Correct |! answer |! ✔Surgery The |! patient |! requested |! removal |! of |! 20 |! skin |! tags. |! What |! is |! the |! CPT |! code? |! - |! Correct |! answer |! ✔11200, |! 11201 The |! hand |! surgeon |! performed |! a |! neuroplasty |! of |! the |! ulnar |! nerve |! of |! the |! left |! wrist. |! What |! is |! the |! CPT |! code? |! - |! Correct |! answer |! ✔64719-LT The |! surgeon |! performed |! debridement |! of |! an |! open |! leg |! wound. |! Two |! days |! later |! the |! surgeon |! performed |! a |! more |! extensive |! debridement |! of |! the |! same |! wound. |! What |! modifier |! is |! reported |! with |! the |! second |! service? |! - |! Correct |! answer |! ✔ 58 The |! patient |! with |! a |! history |! of |! osteopenia |! was |! referred |! for |! a |! DXA |! scan |! of |! the |! axial |! skeleton. |! What |! is |! the |! correct |! CPT |! code, |! professional |! component |! only? |! - |! Correct |! answer |! ✔77080- The |! patient |! was |! seen |! in |! the |! outpatient |! physical |! therapy |! department |! for |! 15 |! minutes |! of |! ultrasound |! therapy |! for |! bursitis |! of |! the |! hip. |! What |! is |! the |! correct |! CPT |! code? |! - |! Correct |! answer |! ✔ 97035 A |! visit |! in |! the |! E/M |! involved |! an |! expanded |! problem |! focused |! history |! and |! physical |! exam |! with |! decision |! making |! of |! moderate |! complexity. |! What |! is |! the |! correct |! CPT |! code? |! - |! Correct |! answer |! ✔ 99283
Where |! are |! the |! names, |! dosages, |! and |! all |! reasons |! for |! all |! drugs |! that |! patient |! currently |! takes |! documented |! in |! a |! medical |! record? |! - |! Correct |! answer |! ✔Medication |! list What |! is |! a |! written |! request |! to |! a |! physician |! to |! clarify |! or |! complete |! the |! information |! in |! clinical |! documentation |! to |! ensure |! accurate |! health |! records? |! - |! Correct |! answer |! ✔Physician |! query A |! test |! that |! screens |! for |! antibodies |! in |! the |! cloud |! would |! be |! reported |! on |! what |! medical |! report? |! - |! Correct |! answer |! ✔Laboratory |! report Which |! of |! the |! following |! is |! one |! reason |! why |! clinical |! documentation |! improvement |! (CDI) |! efforts |! are |! necessary? |! - |! Correct |! answer |! ✔It |! provides |! an |! opportunity |! for |! physicians |! to |! demonstrate |! the |! quality |! of |! care |! that |! was |! provided. The |! patient |! was |! referred |! for |! a |! bone |! scan |! to |! check |! for |! metastatic |! disease. |! Which |! diagnosis |! would |! support |! medical |! necessity |! for |! this |! procedure? |! - |! Correct |! answer |! ✔Breast |! cancer What |! is |! the |! physical |! location |! where |! healthcare |! services |! are |! provided |! to |! patients? |! - |! Correct |! answer |! ✔Place |! of |! service What |! is |! the |! standard |! unique |! health |! identifier |! that |! is |! mandated |! by |! HIPAA |! for |! each |! healthcare |! provider |! and |! used |! for |! claims |! processing, |! patient |! eligibility |! inquiries, |! claims |! inquiries, |! patient |! referrals, |! and |! generation |! of |! remittance |! advices? |! - |! Correct |! answer |! ✔National |! Provider |! Identifier |! (NPI)
What |! is |! the |! term |! for |! two |! or |! more |! physicians |! who |! share |! space, |! equipment, |! supplies, |! and |! personnel |! and |! may |! represent |! a |! single |! specialty |! or |! multiple |! specialities? |! - |! Correct |! answer |! ✔Group |! practice What |! is |! health |! insurance |! issued |! by |! private |! companies? |! - |! Correct |! answer |! ✔Commercial Which |! of |! the |! following |! allows |! employees |! to |! continue |! healthcare |! coverage |! beyond |! the |! benefit |! termination |! date? |! - |! Correct |! answer |! ✔Consolidated |! Omnibus |! Budget |! Reconciliation |! Act |! (COBRA) What |! is |! defined |! as |! the |! amount |! commonly |! charged |! for |! a |! particular |! medical |! service |! by |! providers |! with |! a |! certain |! geographic |! area? |! - |! Correct |! answer |! ✔usual, |! customary, |! and |! reasonable |! (UCR) Where |! are |! BCBS |! claims |! submitted |! for |! processing? |! - |! Correct |! answer |! ✔The |! local |! BCBS |! plan |! where |! the |! services |! were |! provided What |! is |! a |! review |! by |! BCBS |! that |! grants |! prior |! approval |! for |! reimbursement |! of |! a |! healthcare |! service? |! - |! Correct |! answer |! ✔Preauthorization Which |! of |! the |! following |! is |! an |! example |! of |! an |! out |! of |! pocket |! cost? |! - |! Correct |! answer |! ✔Deductible
Which |! of |! the |! following |! was |! created |! to |! protect |! employees |! against |! injuries |! from |! hazards |! in |! the |! workplace? |! - |! Correct |! answer |! ✔OSHA Medicare |! beneficiaries |! who |! are |! referred |! to |! as |! dual |! eligible |! same |! entities |! to |! which |! of |! the |! following? |! - |! Correct |! answer |! ✔Medicare |! and |! Medicaid Which |! of |! the |! following |! is |! always |! the |! payer |! of |! last |! resort |! when |! the |! patient |! has |! multiple |! third |! party |! payer |! coverage? |! - |! Correct |! answer |! ✔Medicaid Individual |! states |! administer |! the |! children's |! health |! insurance |! program |! (CHIP) |! with |! matching |! funds |! provided |! from? |! - |! Correct |! answer |! ✔The |! federal |! government What |! is |! usually |! required |! after |! attaining |! a |! certification? |! - |! Correct |! answer |! ✔continuing |! education |! units |! (CEUs) What |! is |! considered |! mandatory |! when |! preparing |! for |! a |! certification |! exam? |! - |! Correct |! answer |! ✔Reviewing |! the |! certification |! study |! guide |! from |! cover |! to |! cover For |! a |! certification |! exam, |! where |! can |! you |! find |! the |! eligibility |! requirements |! and |! exam |! specifications? |! - |! Correct |! answer |! ✔The |! organization's |! website
