BILLING AND CODING FINAL EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS

BILLING AND CODING FINAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS
AA2claimsA2assistanceA2professionalA2(CAP)A2actsA2asA2anA2informalA2representativeA2ofA2
patientsA2andA2helpsA2patientsA2interpretA2insuranceA2contracts.A2-A2Ans--False

WhichA2levelA2ofA2educationA2isA2generallyA2requiredA2forA2oneA2whoA2seeksA2employmen
tA2asA2anA2insuranceA2coder?A2-A2Ans--
c)A2CompletionA2ofA2anA2accreditedA2programA2forA2codingA2certification

TheA2amountA2ofA2moneyA2anA2insuranceA2billingA2specialistA2earnsA2isA2dependentA2onA2
whichA2factors?A2-A2Ans--
d)A2AllA2ofA2theA2above:A2knowledge,A2experience,A2sizeA2ofA2employingA2institution

MedicalA2etiquetteA2refersA2to...A2-A2Ans--a)A2considerationA2forA2others

AA2billingA2specialistA2isA2entrustedA2with....A2-A2Ans--
d)A2AllA2ofA2theA2above:A2holdingA2patients'A2medicalA2informationA2inA2confidence,A2collec
tingA2monies,A2beingA2aA2reliableA2resourceA2forA2coworkers

StandardsA2ofA2conductA2byA2whichA2anA2insuranceA2billingA2specialistA2determinesA2theA2
proprietyA2ofA2hisA2orA2herA2behaviorA2inA2aA2relationshipA2areA2knowA2asA2medicalA2_____
.A2-A2Ans--ethics

ItA2isA2_____A2toA2reportA2incorrectA2informationA2toA2privateA2insuranceA2carriersA2becaus
eA2thisA2canA2possibleA2damageA2theA2individualA2andA2theA2integrityA2ofA2theA2database.A
2-A2Ans--unethical


TheA2OfficeA2ofA2CivilA2RightA2enforces...A2-A2Ans--privacyA2andA2securityA2rules.

PrivilegedA2informationA2isA2relatedA2toA2theA2treatmentA2andA2progressA2ofA2patients.A2-
A2Ans--True


TheA2focusA2onA2theA2healthA2careA2practiceA2settingA2andA2reducingA2administrativeA2cos
tsA2andA2burdensA2areA2theA2goalsA2of...A2-A2Ans--
HIPAAA2TitleA2IIA2AdministrativeA2Simplification

WhichA23A2measuresA2shouldA2beA2takenA2byA2aA2coderA2whoA2hasA2knowledgeA2ofA2fraud
A2orA2abuse?A2-A2Ans--
NotifyA2theA2providerA2verballyA2andA2inA2writing;A2documentA2theA2falseA2statementA2orA2r
epresentation;A2don'tA2discussA2theA2problemA2withA2anyoneA2whoA2isA2notA2involved

, TheA2contractA2isA2aA2worker'sA2compA2caseA2existsA2betweenA2the...A2-A2Ans--
physicianA2andA2insuranceA2company

InA2healthA2insurance,A2theA2insuredA2isA2alsoA2knownA2asA2-A2Ans--
subscriber,A2orA2member,A2orA2policyholder,A2orA2recipient.

IfA2aA2childA2hasA2healthA2insuranceA2coverageA2fromA22A2parents,A2accordingA2toA2theA2bi
rthdayA2law...A2-A2Ans--
theA2healthA2planA2ofA2theA2personA2whoseA2birthdayA2(monthA2andA2day,A2notA2year)A2fall
sA2earlierA2inA2theA2calendarA2yearA2paysA2first.A2IfA2sameA2b-
day,A2personA2whoseA2policyA2hasA2beenA2inA2effectA2longest.

ConditionsA2thatA2existedA2andA2wereA2treatedA2beforeA2theA2healthA2insuranceA2policyA2w
asA2issuedA2areA2called...A2-A2Ans--pre-existingA2conditions

TheA2actA2createdA2toA2protectA2workersA2andA2theirA2familiesA2soA2thatA2theyA2canA2getA2a
ndA2maintainA2healthA2insuranceA2ifA2theyA2changeA2orA2loseA2theirA2jobsA2isA2calledA2theA2
-A2Ans--HIPAA

AssignmentA2ofA2benefitsA2is...A2-A2Ans--
theA2transferA2ofA2one'sA2legalA2rightA2toA2collectA2anA2amountA2payableA2underA2anA2insur
anceA2contract.

TheA2SOAPA2inA2patientA2medicalA2recordA2chartingA2mayA2beA2difinedA2asA2-A2Ans--
b)A2subjective,A2objective,A2assessment,A2paln

HowA2shouldA2anA2entryA2inA2aA2patient'sA2electronicA2medicalA2recordA2beA2corrected?A2-
A2Ans--
a)A2inputA2aA2noteA2ofA2whichA2sectionA2isA2inA2errorA2andA2enterA2correctA2dataA2withA2det
ailsA2ofA2whyA2theA2correctionA2isA2necessaryA2andA2authenticateA2withA2electronicA2signat
ure,A2date,A2andA2time.

TheA2officialA2AmericanA2HospitalA2AssociationA2policyA2statesA2thatA2abbreviationsA2shou
ldA2beA2totallyA2eliminatedA2fromA2theA2moreA2vitalA2sectionA2ofA2theA2record,A2suchA2asA2t
he...A2-A2Ans--
d)A2allA2ofA2theA2above:A2finalA2dx,A2operativeA2notes,A2dischargeA2summaries

AA2newA2patientA2isA2oneA2whoA2-A2Ans--
b)A2hasA2notA2receivedA2anyA2professionalA2servicesA2fromA2aA2physicianA2orA2anotherA2p
hysicanA2ofA2theA2sameA2specialtyA2whoA2belongsA2toA2theA2groupA2practiceA2withinA2theA2
pastA23A2yrs.

AnA2establishedA2patientA2isA2oneA2whoA2-A2Ans--
hasA2previouslyA2receivedA2professionalA2servicesA2fromA2aA2physicianA2orA2anotherA2phy
sicianA2ofA2theA2sameA2specialtyA2whoA2belongsA2toA2theA2groupA2practiceA2withinA2theA2p
astA23A2yrs.