MEDICAL CODING AND BILLING CERTIFICATION EXAM
2024 ACTUAL EXAM COMPLETE 200 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) / ALREADY GRADED A+
Which coverage provides wage replacement and medical benefits? - ANSWER:
Workers' compensation
ICD coding guidelines indicate that a code should be assigned to the highest number
of characters available based on the physician's diagnostic statement, meaning
__________. - ANSWER: Highest level of specificity
If a patient's encounter form indicated cystitis, what does this mean? - ANSWER:
Inflammation of the bladder
Which represents a gap, or the amount of money that a Medicare patient has to pay
out of pocket for prescription drugs? - ANSWER: Donut hole
When a patient with an HMO is referred to a specialist, a referral letter is sent
addressed to the physician in what format? - ANSWER: David Johnson, M.D
Which are codes that can be used for performance measurement? - ANSWER:
Category II codes
If a definitive diagnosis is not documented or is stated as rule out in the office visit
progress note, what is coded for the claim? - ANSWER: The patient's symptoms
Where is a UB04 or HIPAA847I claim used? - ANSWER: Hospital
Which HIPAA provision is aimed at preventing fraud and abuse? - ANSWER: Title II
What is the correct abbreviation for diagnosis and may be seen on the encounter
form or superbill? - ANSWER: DX
What type of letter is sent to a patient if the physician chooses to no longer care for
the patient? - ANSWER: Dismissal
Which reimbursement payment method is based on a group of physicians within a
geographic area? - ANSWER: UCR
Which is a surgical procedure where an opening is made into the skull? - ANSWER:
Craniotomy
Which coding convention or note indicates that more than one code is required to
fully document the patient's condition? - ANSWER: Code also
, Which medical plan is for active military personnel and their dependents? - ANSWER:
TRICARE
What is a residual condition, or a condition that remains or results from an acute
illness? - ANSWER: Sequla
Determining primary and secondary payer for a patient with two insurance
coverages, is a process of coordination of __________. - ANSWER: Benefits
A financial arrangement made to reimburse a monthly amount until a debt is paid in
full is called what? - ANSWER: Payment plan
Which suffix is defined as rupture? - ANSWER: "-rrhexis"
When a 7-character diagnosis code contains an X, what is the X? - ANSWER:
Placeholder
If a child is covered by both married parents' insurance policies, what rule might be
used by some insurance plans to determine primary payer? - ANSWER: Birthday rule
If a claim is rejected, which could be a reason? - ANSWER: All of the above -
Submitted after time limit, Incorrect patient information, Incorrect code linkage
Which codes begin with a letter and are always followed by four numerical digits? -
ANSWER: HCPCS
Whenever communicating with a patient, courtesy is expected even with the most
informal correspondence, which is __________. - ANSWER: Email
Which is the length of time records are kept? - ANSWER: Retention
Who is responsible for non-covered healthcare charges? - ANSWER: Guarantor
Which is correct about he first character of an ICD-10-CM code? - ANSWER: Always a
letter
Which type of managed care plan has the least flexibility? - ANSWER: HMO
When does the revenue cycle end? - ANSWER: When payment was mad for the
service
Which is an external approach to collections? - ANSWER: Using a collections agency
When a patient describes the development of an illness from its onset and
symptoms when seen by a physician, which is being documented? - ANSWER:
History of present illness
2024 ACTUAL EXAM COMPLETE 200 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) / ALREADY GRADED A+
Which coverage provides wage replacement and medical benefits? - ANSWER:
Workers' compensation
ICD coding guidelines indicate that a code should be assigned to the highest number
of characters available based on the physician's diagnostic statement, meaning
__________. - ANSWER: Highest level of specificity
If a patient's encounter form indicated cystitis, what does this mean? - ANSWER:
Inflammation of the bladder
Which represents a gap, or the amount of money that a Medicare patient has to pay
out of pocket for prescription drugs? - ANSWER: Donut hole
When a patient with an HMO is referred to a specialist, a referral letter is sent
addressed to the physician in what format? - ANSWER: David Johnson, M.D
Which are codes that can be used for performance measurement? - ANSWER:
Category II codes
If a definitive diagnosis is not documented or is stated as rule out in the office visit
progress note, what is coded for the claim? - ANSWER: The patient's symptoms
Where is a UB04 or HIPAA847I claim used? - ANSWER: Hospital
Which HIPAA provision is aimed at preventing fraud and abuse? - ANSWER: Title II
What is the correct abbreviation for diagnosis and may be seen on the encounter
form or superbill? - ANSWER: DX
What type of letter is sent to a patient if the physician chooses to no longer care for
the patient? - ANSWER: Dismissal
Which reimbursement payment method is based on a group of physicians within a
geographic area? - ANSWER: UCR
Which is a surgical procedure where an opening is made into the skull? - ANSWER:
Craniotomy
Which coding convention or note indicates that more than one code is required to
fully document the patient's condition? - ANSWER: Code also
, Which medical plan is for active military personnel and their dependents? - ANSWER:
TRICARE
What is a residual condition, or a condition that remains or results from an acute
illness? - ANSWER: Sequla
Determining primary and secondary payer for a patient with two insurance
coverages, is a process of coordination of __________. - ANSWER: Benefits
A financial arrangement made to reimburse a monthly amount until a debt is paid in
full is called what? - ANSWER: Payment plan
Which suffix is defined as rupture? - ANSWER: "-rrhexis"
When a 7-character diagnosis code contains an X, what is the X? - ANSWER:
Placeholder
If a child is covered by both married parents' insurance policies, what rule might be
used by some insurance plans to determine primary payer? - ANSWER: Birthday rule
If a claim is rejected, which could be a reason? - ANSWER: All of the above -
Submitted after time limit, Incorrect patient information, Incorrect code linkage
Which codes begin with a letter and are always followed by four numerical digits? -
ANSWER: HCPCS
Whenever communicating with a patient, courtesy is expected even with the most
informal correspondence, which is __________. - ANSWER: Email
Which is the length of time records are kept? - ANSWER: Retention
Who is responsible for non-covered healthcare charges? - ANSWER: Guarantor
Which is correct about he first character of an ICD-10-CM code? - ANSWER: Always a
letter
Which type of managed care plan has the least flexibility? - ANSWER: HMO
When does the revenue cycle end? - ANSWER: When payment was mad for the
service
Which is an external approach to collections? - ANSWER: Using a collections agency
When a patient describes the development of an illness from its onset and
symptoms when seen by a physician, which is being documented? - ANSWER:
History of present illness
