MA 300 Study Outline #1 Exam
Questions With Correct Answers
Who created the first comprehensive disease classification system in the United
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States in 1869? - CORRECT ANSWER✔✔-the American Medical Association (AMA)
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as the American Nomenclature of Disease.
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What are the main reasons to use procedure coding? - CORRECT ANSWER✔✔-1.
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To justify medical services to insurance companies by correlating procedures to
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diagnosis
2. To collect statistics about the outcome and effectiveness of treatments
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3. To help physicians and hospitals set fees based on the amount of time and skill
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required to provide a specific service
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How often are level I codes updated? - CORRECT ANSWER✔✔-Updated Annually
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Who updates and publishes the CPT manual? - CORRECT ANSWER✔✔-American
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Medical Association (AMA) | |
HCPCS level II codes include what services that are not in the PT system and may
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not be covered by insurance? - CORRECT ANSWER✔✔-procedures, injections, and
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durable medical equipment covered by Medicare Part B
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,How often should updated code books be purchased? - CORRECT ANSWER✔✔-
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every year. |
CPT manual contains codes which are usually how many digits long? - CORRECT
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ANSWER✔✔-5-digits
What is a modifier? - CORRECT ANSWER✔✔-is an addition to a procedure code
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that indicates unusual circumstances related to the procedure, such as a more
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extensive procedure or two procedures performed in the same session
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How many digits are in a Modifier? - CORRECT ANSWER✔✔-2
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What pieces of information may be significant when choosing the correct code
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for a procedure? - CORRECT ANSWER✔✔-• Location
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• Size of lesion or repair
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• Method of performing the procedure, test, or surgery
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• Number of minutes allotted for a treatment (e.g., acupuncture)
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• Complexity of the procedure or service
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What are the two types of CPT codes? - CORRECT ANSWER✔✔-Stand-alone &
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Indented
If a patient comes in for an exam and has an electrocardiogram done, per the
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physician's orders, is this billed under the examination or separately, under its
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own code? - CORRECT ANSWER✔✔-The code 93005 would be used if the ECG
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tracing is made in one office, but insurance should not be billed for the
| | | | | | | | | | | | | |
, interpretation because it will be done by another physician and billed from
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another office |
What type of services and providers would find their appropriate codes in the
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E/M section? - CORRECT ANSWER✔✔-primary care practitioners and specialists.
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Define established patient. - CORRECT ANSWER✔✔-one who has been seen in
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the previous 3 years
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Define new patient. - CORRECT ANSWER✔✔-one who has not had services
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performed by any provider in the medical office in the previous 3 years
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Define inpatient. - CORRECT ANSWER✔✔-a patient who has been formally
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admitted to a health care facility' | | | | |
Define outpatient - CORRECT ANSWER✔✔-one who has not been admitted to a
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health care facility | |
What is problem-focused history? - CORRECT ANSWER✔✔-is one that addresses
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the chief complaint, with a brief history of the illness or problem.
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It would be used for a straightforward problem, such as a sore throat.
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What is expanded problem-focused history? - CORRECT ANSWER✔✔-addresses
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the chief complaint, a brief history of the present illness or problem, and a review
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of systems that have to do with the chief complaint.
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Questions With Correct Answers
Who created the first comprehensive disease classification system in the United
| | | | | | | | | | |
States in 1869? - CORRECT ANSWER✔✔-the American Medical Association (AMA)
| | | | | | | | |
as the American Nomenclature of Disease.
| | | | | |
What are the main reasons to use procedure coding? - CORRECT ANSWER✔✔-1.
| | | | | | | | | | | |
To justify medical services to insurance companies by correlating procedures to
| | | | | | | | | | |
diagnosis
2. To collect statistics about the outcome and effectiveness of treatments
| | | | | | | | | |
3. To help physicians and hospitals set fees based on the amount of time and skill
| | | | | | | | | | | | | | | |
required to provide a specific service
| | | | |
How often are level I codes updated? - CORRECT ANSWER✔✔-Updated Annually
| | | | | | | | | |
Who updates and publishes the CPT manual? - CORRECT ANSWER✔✔-American
| | | | | | | | | |
Medical Association (AMA) | |
HCPCS level II codes include what services that are not in the PT system and may
| | | | | | | | | | | | | | | |
not be covered by insurance? - CORRECT ANSWER✔✔-procedures, injections, and
| | | | | | | | |
durable medical equipment covered by Medicare Part B
| | | | | | | |
,How often should updated code books be purchased? - CORRECT ANSWER✔✔-
| | | | | | | | | |
every year. |
CPT manual contains codes which are usually how many digits long? - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-5-digits
What is a modifier? - CORRECT ANSWER✔✔-is an addition to a procedure code
| | | | | | | | | | | | |
that indicates unusual circumstances related to the procedure, such as a more
| | | | | | | | | | | |
extensive procedure or two procedures performed in the same session
| | | | | | | | |
How many digits are in a Modifier? - CORRECT ANSWER✔✔-2
| | | | | | | | |
What pieces of information may be significant when choosing the correct code
| | | | | | | | | | | |
for a procedure? - CORRECT ANSWER✔✔-• Location
| | | | | |
• Size of lesion or repair
| | | | |
• Method of performing the procedure, test, or surgery
| | | | | | | |
• Number of minutes allotted for a treatment (e.g., acupuncture)
| | | | | | | | |
• Complexity of the procedure or service
| | | | | |
What are the two types of CPT codes? - CORRECT ANSWER✔✔-Stand-alone &
| | | | | | | | | | | |
Indented
If a patient comes in for an exam and has an electrocardiogram done, per the
| | | | | | | | | | | | | | |
physician's orders, is this billed under the examination or separately, under its
| | | | | | | | | | | |
own code? - CORRECT ANSWER✔✔-The code 93005 would be used if the ECG
| | | | | | | | | | | | |
tracing is made in one office, but insurance should not be billed for the
| | | | | | | | | | | | | |
, interpretation because it will be done by another physician and billed from
| | | | | | | | | | | |
another office |
What type of services and providers would find their appropriate codes in the
| | | | | | | | | | | | |
E/M section? - CORRECT ANSWER✔✔-primary care practitioners and specialists.
| | | | | | | |
Define established patient. - CORRECT ANSWER✔✔-one who has been seen in
| | | | | | | | | | |
the previous 3 years
| | |
Define new patient. - CORRECT ANSWER✔✔-one who has not had services
| | | | | | | | | | |
performed by any provider in the medical office in the previous 3 years
| | | | | | | | | | | |
Define inpatient. - CORRECT ANSWER✔✔-a patient who has been formally
| | | | | | | | | |
admitted to a health care facility' | | | | |
Define outpatient - CORRECT ANSWER✔✔-one who has not been admitted to a
| | | | | | | | | | | |
health care facility | |
What is problem-focused history? - CORRECT ANSWER✔✔-is one that addresses
| | | | | | | | | |
the chief complaint, with a brief history of the illness or problem.
| | | | | | | | | | | |
It would be used for a straightforward problem, such as a sore throat.
| | | | | | | | | | | |
What is expanded problem-focused history? - CORRECT ANSWER✔✔-addresses
| | | | | | | |
the chief complaint, a brief history of the present illness or problem, and a review
| | | | | | | | | | | | | |
of systems that have to do with the chief complaint.
| | | | | | | | | | |
