CPCU 540 EXAM 2023 PRACTICE
QUESTIONS AND COMPLETE
VERIFIED SOLUTIONS 5 COPIES
◉ Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS. Answer: a. CPT,
HCPCS Level II and ICD-10-CM
◉ In what year was HITECH enacted as part of the American Recovery
and Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007. Answer: b. 2009
◉ Voluntary compliance programs also provide benefits by not only
helping to prevent erroneous or ____, but also by showing that the
provider practice is making additional good faith efforts to submit
claims appropriately.
,a. Over utilized codes
b. Duplicative claims
c. Fraudulent claims
d. Mistaken principals. Answer: c. Fraudulent claims
◉ Which CMS product describes whether specific medical items,
services, treatment procedures or technologies are considered medically
necessary under Medicare?
a. Medicare Claims Processing Manual
b. National Coverage Determinations Manual
c. Relative Value Files
d. Medicare Physician Fee Schedule Final Rule. Answer: b. National
Coverage Determinations Manual
◉ Which condition results from an injury to the head? The symptoms
include headache, dizziness and vomiting.
a. Meningitis
b. Concussion
c. Epilepsy
d. Parkinson's disease. Answer: b. Concussion
,◉ In order, starting with the innermost layer, what are the four walls of
the digestive tract?
a. Mucosa, submucosa, muscle, serosa
b. Serosa, mucosa, submucosa, muscle
c. Mucosa, submucosa, serosa, muscle
d. Muscle, submucosa, mucosa, serosa. Answer: a. Mucosa, submucosa,
muscle, serosa
◉ Which one of the following best describes psoriasis?
a. A chronic condition characterized by red, dry, elevated lesions,
covered by silvery scales
b. An inflammatory condition characterized by redness pustular and
vesicular lesions, crusts, and scales
c. An allergic reaction characterized by wheals and generally
accompanied by pruritus
d. A contagious infection of skin generally caused by staphylococcus
bacterium. Answer: a. A chronic condition characterized by red, dry,
elevated lesions, covered by silvery scales
◉ A form of milk produced the first few days after giving birth is:
a. Prolactin
b. Colostrum
, c. Lactose
d. Chorion. Answer: b. Colostrum
◉ A condition where the thyroid is overactive is called:
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis. Answer: a. Thyrotoxicosis
◉ What do the instructions and conventions of the classification take
precedence over?
a. CPT
b. Documentation
c. Official Coding Guidelines
d. Nothing. They are only used in the event of no other instruction..
Answer: c. Official Coding Guidelines
◉ What is the sequencing order when coding a sequela (late effect)?
a. They symptom is coded first followed by the residual condition and
the late effect code
QUESTIONS AND COMPLETE
VERIFIED SOLUTIONS 5 COPIES
◉ Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS. Answer: a. CPT,
HCPCS Level II and ICD-10-CM
◉ In what year was HITECH enacted as part of the American Recovery
and Reinvestment Act?
a. 2010
b. 2009
c. 2000
d. 2007. Answer: b. 2009
◉ Voluntary compliance programs also provide benefits by not only
helping to prevent erroneous or ____, but also by showing that the
provider practice is making additional good faith efforts to submit
claims appropriately.
,a. Over utilized codes
b. Duplicative claims
c. Fraudulent claims
d. Mistaken principals. Answer: c. Fraudulent claims
◉ Which CMS product describes whether specific medical items,
services, treatment procedures or technologies are considered medically
necessary under Medicare?
a. Medicare Claims Processing Manual
b. National Coverage Determinations Manual
c. Relative Value Files
d. Medicare Physician Fee Schedule Final Rule. Answer: b. National
Coverage Determinations Manual
◉ Which condition results from an injury to the head? The symptoms
include headache, dizziness and vomiting.
a. Meningitis
b. Concussion
c. Epilepsy
d. Parkinson's disease. Answer: b. Concussion
,◉ In order, starting with the innermost layer, what are the four walls of
the digestive tract?
a. Mucosa, submucosa, muscle, serosa
b. Serosa, mucosa, submucosa, muscle
c. Mucosa, submucosa, serosa, muscle
d. Muscle, submucosa, mucosa, serosa. Answer: a. Mucosa, submucosa,
muscle, serosa
◉ Which one of the following best describes psoriasis?
a. A chronic condition characterized by red, dry, elevated lesions,
covered by silvery scales
b. An inflammatory condition characterized by redness pustular and
vesicular lesions, crusts, and scales
c. An allergic reaction characterized by wheals and generally
accompanied by pruritus
d. A contagious infection of skin generally caused by staphylococcus
bacterium. Answer: a. A chronic condition characterized by red, dry,
elevated lesions, covered by silvery scales
◉ A form of milk produced the first few days after giving birth is:
a. Prolactin
b. Colostrum
, c. Lactose
d. Chorion. Answer: b. Colostrum
◉ A condition where the thyroid is overactive is called:
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis. Answer: a. Thyrotoxicosis
◉ What do the instructions and conventions of the classification take
precedence over?
a. CPT
b. Documentation
c. Official Coding Guidelines
d. Nothing. They are only used in the event of no other instruction..
Answer: c. Official Coding Guidelines
◉ What is the sequencing order when coding a sequela (late effect)?
a. They symptom is coded first followed by the residual condition and
the late effect code
