Medical Coding and Billing Exam Questions and
Answers Already Passed
Mr. Smith presents to the Emergency Department at the local hospital for chest pain and is
seen by the ED physician on duty. The physician obtains an extended HPI, an extended ROS,
and a pertinent PFSH. What is the level of history?
detailed
These elements would be part of the ____ history: employment, education, use of drugs.
social
What CPT code is assigned to an ED service that has a detailed history and exam with a
moderate level of MDM?
99284
The examination is the ____ portion of the E/M service.
objective
The physician must consider multiple diagnoses and management options. There is a
moderate amount of data to be reviewed and the risk of complications or death is moderate.
What is the level of MDM?
moderate
The total number of levels of redetermination that exist in the Medicare program is
five
There is standardization of format for the explanation of benefit document for all private
insurance carriers.
FALSE
, Guidelines for claims submission, such as which services are covered, and reimbursement
rates is dictated by
the insurance company
If an insurance claim has been lost by the insurance carrier, the procedure(s) to follow is to
ask if there is a backlog of claims at the insurance office
When billing secondary insurances, which of the following is NOT true: the sec ins is billed at
the same time the primary insurance is, Blocks9a-d of the CMS 1500 claim form must be
completed, Block 30 of the CMS 1500 claim form must be completed, If the MAC
automatically forwards the claim to the secondary insurance there is no need to bill the
secondary insurace.
The secondary insurance is billed at the same time the primary insurance is
The patient's health insurance card specifies all benefits and coverages.
FALSE
A submitted claim that does not follow specific third-party payer instructions or contains a
technical error is referred to as
rejected
The process for filing appeals is the same for all insurance carriers and should be performed
in writing
FALSE
If an insured is in disagreement with the insurer for settlement of a claim, a suit must begin
within
3 years
the status of electronic insurance claims may be accessed quickly online health insurance
physician web portals
Answers Already Passed
Mr. Smith presents to the Emergency Department at the local hospital for chest pain and is
seen by the ED physician on duty. The physician obtains an extended HPI, an extended ROS,
and a pertinent PFSH. What is the level of history?
detailed
These elements would be part of the ____ history: employment, education, use of drugs.
social
What CPT code is assigned to an ED service that has a detailed history and exam with a
moderate level of MDM?
99284
The examination is the ____ portion of the E/M service.
objective
The physician must consider multiple diagnoses and management options. There is a
moderate amount of data to be reviewed and the risk of complications or death is moderate.
What is the level of MDM?
moderate
The total number of levels of redetermination that exist in the Medicare program is
five
There is standardization of format for the explanation of benefit document for all private
insurance carriers.
FALSE
, Guidelines for claims submission, such as which services are covered, and reimbursement
rates is dictated by
the insurance company
If an insurance claim has been lost by the insurance carrier, the procedure(s) to follow is to
ask if there is a backlog of claims at the insurance office
When billing secondary insurances, which of the following is NOT true: the sec ins is billed at
the same time the primary insurance is, Blocks9a-d of the CMS 1500 claim form must be
completed, Block 30 of the CMS 1500 claim form must be completed, If the MAC
automatically forwards the claim to the secondary insurance there is no need to bill the
secondary insurace.
The secondary insurance is billed at the same time the primary insurance is
The patient's health insurance card specifies all benefits and coverages.
FALSE
A submitted claim that does not follow specific third-party payer instructions or contains a
technical error is referred to as
rejected
The process for filing appeals is the same for all insurance carriers and should be performed
in writing
FALSE
If an insured is in disagreement with the insurer for settlement of a claim, a suit must begin
within
3 years
the status of electronic insurance claims may be accessed quickly online health insurance
physician web portals
