(Guaranteed Success)
Many coding professionals go on to find work as: - answer Consultant
A medical record contains information on all but what areas? - answer Financial records
Technicians who specialize in coding are called: - answer Coding specialists
EHR stands for: - answer Electronic health record
What type of provider goes through approximately 26.5 months of education and is licensed to
practice medicine with the oversight of a physician? - answer Physician Assistant (PA)
The Medicare program is made up of several parts. Which part is most significant to coders
working in physician offices and covers physician fees without the use of a private insurer? -
answer Part B
The Medicare program is made up of several parts. Which part is affected by the Centers for
Medicare and Medicaid Services' - hierarchal condition categories (CMS-HCC)? - answer Part C
What does CMS-HCC stand for? - answer Centers for Medicare and Medicaid Services -
Hierarchal Condition Category
When coding an operative report, what action would NOT be recommended? - answer Coding
from the header without reading the body of the report
, Outpatient coders focus on learning which coding manuals? - answer CPT, HCPCS Level II, and
ICD-9-CM Volumes 1 and 2
If an NCD doesn't exist for a particular service/procedure performed on a Medicare patient,
who determines coverage? - answer Medicare Administrative Contractor (MAC)
The __ describes whether specific medical items, services, treatment procedures, or
technologies are considered medically necessary under Medicare. - answer National Coverage
Determinations Manual
National Coverage Determinations serve what purpose? - answer To spell out CMS policies on
when Medicare will pay for items or services
MAC stands for what? - answer Medicare Administrative Contractor
Local Coverage Determinations are administered by __? - answer Each regional MAC
LCD's only have jurisdiction in their __ area. - answer Regional
ABN stands for - answer Advance Beneficiary Notice
When are providers responsible for obtaining an ABN for a service not considered medically
necessary? - answer Prior to providing a service or item to a beneficiary
HIPAA stands for - answer Health Insurance Portability and Accountability Act
HIPAA was made into law in what year? - answer 1996