EXAM QUESTIONS & ANSWERS WITH DETAILED RATIONALES |
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CPT codes are - correct answer -5 digits
An organization which provides a wide range of services for a specified group at a fixed periodic
payment is termed an - correct answer -HMO
TBSA refers to: - correct answer -Total body surface area
There are two types of CPT codes, stand alone and: - correct answer -Indented Codes
Services in which opinions of specialists are requested, are called: - correct answer -
Consultations
Examples of HCPCS Level II codes are: - correct answer -Supplies, orthotics, prosthetics, DME,
equipment, and ambulance services
Everything that you see, hear, or read about a patients condition must remain: - correct answer
-Confidential
Because of the new Medicare regulations insurance companies are predominantly using what
type of claims? - correct answer -Electronic
A "combining form" meaning joint is: - correct answer -Arthro/o
,If an error is made in a patients chart, what should be done before adding the correct
information nearby? - correct answer -Draw a single line through the error
When sequencing codes for multiple burns, list: - correct answer -Third degree first
Another name for a release of information form is a: - correct answer -Consent
Which of the following is not a type of wound? - correct answer -Excision
The opposite of ventral is: - correct answer -Dorsal
In a Medicare billing dispute, the amount of controversy must be at least: - correct answer -
$100
A suffix indicating the surgical creation of an opening is: - correct answer -Ostomy
The usual abbreviation for complete blood count is: - correct answer -CBC
Which of the following abbreviations might charted if a patient has a bladder infection: - correct
answer -UTI
All of the following are included in the Medicare EPSDT program for welfare children except: -
correct answer -Remedial Education
Intentional misrepresentation of facts in order to deceive or mislead others is: - correct answer
-Fraud
,Self-Employed insurance billing specialists can deduct all but which one of the following
expenses from income taxes: - correct answer -Theatre Tickets
The medical term for high blood pressure: - correct answer -Hypertension
An individual who promises to pay the medical bill by signing an agreement to pay form is the: -
correct answer -Guarantor
A report mentioning such words as cranium, maxilla, and mandible would be referring to: -
correct answer -Head
The following subsections of Evaluation and Management services except: - correct answer -
Concurrent Care
In the Medicare program a clean claim means that: - correct answer -D. The claim has no
deficiencies, does not further investigation, and that it passes all electronic edits
HCT is the medical abbreviation for: - correct answer -Hematocrit
The subsequent injury fund was established for problems that arise when a: - correct answer -
Previously injured person is injured at work again
Tricare offers 3 types of plans: - correct answer -Standard, Extra & Prime
Workers Compensation can be found in: - correct answer -All US States
A 66 year old retired school teacher presenting for a first visit at a medical office would most
likely be covered by: - correct answer -Medicare
, When a claim is returned for incorrect or missing information, the correct action for a medical
biller to take would be to:
A. Add or correct the information & resubmit the claim
B. Send an appeal letter
C. Schedule a hearing before an administrative law judge
D. Resend duplicate claim - correct answer -Add or correct the information & resubmit the
claim
One insurance plan jointly sponsored by federal & state government is:
A. Medicare
B. Medicaid
C. Tricare
D. Blue Cross/Blue Shield - correct answer -Medicaid
If a person is enlisted in the military service and killed in the line of duty, future medical benefits
for his/her family would be covered under:
A. Tricare
B. Social Security
C. ChampVA
D. Workers' Compensation - correct answer -CHAMPVA
A patients medical record should be faxed only if:
A. It is convenient for both the sender & the recipient
B. The patient asks for it to be delivered via fax
C. There is an emergent need for the information stated by the physician