ANSWERS; A+ GUARANTEED.
Which of the following is the correct procedure for keeping a Workers' Compensation patient's
financial and health records when the same physician is also seeing the patient as a private
patient? correct answers Separate financial and health records must be used.
The patient returned to the operative suite 10 days postoperative for an I&D due to a
postoperative infection. The final lab results discover the organism is pseudomonas mallei.
Which of the following is the appropriate ICD-10-CM coding? correct answers T81.4XXA,
A24.0
When a document is changed in an EHR, the original documentation is correct answers hidden.
A patient has two health insurance policies - a group insurance plan through her full-time
employer and another group insurance plan through her husband's employer. Which of the
following policies should be billed as primary? correct answers her policy
When filing an electronic insurance claim, the insurance and coding specialist processes which
of the following forms? correct answers CMS-1500
A 57-year-old patient with severe systemic disease is having surgery to remove an integumentary
mass from his neck. Which of the following is the correct CPT® code assignment for the
anesthesia service? correct answers 00300-P3
The provider is paid the same rate per patient whether or not they provide services and no matter
which services were provided. This payment is known as correct answers capitation.
Which of the following information should be used to capture charges from an encounter form?
correct answers services rendered and reason for visit
Which of the following forms should be transmitted to obtain reimbursement following a
physician's office visit for a patient with active Medicaid coverage? correct answers CMS-1500
The insurance and coding specialist calls a carrier to verify a patient's insurance and the
representative states that the patient's insurance was canceled three months ago. Which of the
following should the insurance and coding specialist do first? correct answers Ask the patient for
another form of insurance coverage.
The patient's diagnosis is vesicoureteral reflux with nephropathy (without hydroureter) and
chronic obstructive pyelonephritis due to E-coli infection. Which of the following ICD-10-CM
codes should be assigned? correct answers N13.729, N11.1, B96.2
Developing an insurance claim begins correct answers when the patient calls to schedule an
appointment.
, A physician uses cryotherapy for correction of trichiasis. Which of the following CPT® codes
should be assigned? correct answers 67825
Which of the following protects federal healthcare programs from fraud and abuse by healthcare
providers who solicit referrals? correct answers Anti-Kickback Statute
A patient was seen in the office. Charges were recorded and submitted to the patient's insurance,
and an EOB was received by the office with a payment of $70.89. These transactions should be
recorded in the correct answers patient ledger.
Which of the following is the correct CPT® code assignment for mediastinal and region
lymphadenectomy with a RT video-assisted thoracic (VATS) lobectomy? correct answers
32663-RT, 32674
A patient presents to office with RUQ abdominal pain. The physician sends the patient for HIDA
scan to assess for possible cholelithiasis. Which of the following is the correct ICD-10-CM code
assignment? correct answers R10.11
Which of the following information is necessary to post payments from the RA/EOB? (Select the
three (3) correct answers.) correct answers billed CPT® codes, patient's name, date of service
A patient is seen in the office for a candidal paronychia nail abscess was incised and drained.
Which of the following is the correct CPT® code assignment for physician services only? correct
answers 10060
Patient presents to office with cough, chest tightness, and sore throat. The physician assessment
is URI. Which of the following is the correct ICD-10-CM code assignment? correct answers
J06.9
How often should the encounter form CPT® codes be updated? correct answers annually
Encounter forms should be audited to ensure the correct answers diagnosis is in proper ICD-10-
CM format.
The insurance and coding specialist is billing the insurance company of a 66-year-old woman
who has Medicare and is covered under her husband's private insurance. Which of the following
should be billed first? correct answers the husband's insurance
When following up on a denied claim, an insurance and coding specialist should have which of
the following information available when speaking with the insurance company? (Select the
three (3) correct answers). correct answers date of service, physician's NPI, patient's insurance
ID number
A patient has a home health aide come to his home to clean and dress a burn on his lower leg.
The aide uses a special absorptive, adhesive sterile dressing to cover 20 sq. in. area. She also
covers 15 sq. in. area with a self-adhesive sterile gauze pad. Which of the following is the correct
HCPCS code assignment? correct answers A6204, A6219