Billing & Coding Practice Exam
questions n answers graded A+
Informed consent is required in writing after explanation of a procedure, with time to ask
questions, while implied consent is assumed. - correct answer ✔✔Describe the difference
between informed and implied consent.
Documentation is the record of clinical observation and care a patient receives at a health care
facility. - correct answer ✔✔What is documentation?
given to an outside person or organization. - correct answer ✔✔Disclosure refers to the way
health information is
Consent is used only when the permission is for treatment, payment, or health care operations,
and authorization allows facility to verbally disclose or send health information to other
organizations. - correct answer ✔✔What is the difference between consent and authorization?
False - correct answer ✔✔True or False: Physicians have the option to decide whether to
explain privacy rules to their patients.
Reviewing claims for accuracy and completeness. - correct answer ✔✔Auditing refers to
True - correct answer ✔✔True or False: Fraud is intentional misrepresentation of information
for the purposes of receiving higher payments, while abuse happens unintentionally, often
because of poor business practices.
Assigning a code that will deliberately result in a higher payment. - correct answer ✔✔Define
upcoding
,Health Insurance Portability and Accountability Act. - correct answer ✔✔What does HIPAA
stand for?
Physicians can't refer patients to practitioners with whom they have a financial relationship. -
correct answer ✔✔The Stark Law states that
Fighting Fraud - correct answer ✔✔The Office of the Inspector General is responsible for
American Recovery and Reinvestment Act. - correct answer ✔✔What does ARRA stand for?
Health Information Technology of Economic and Clinical Health. - correct answer ✔✔What does
HITECH stand for?
Providers explain medical or diagnostic procedures, surgical interventions, and the benefits and
risks involved, giving patients an opportunity to ask questions before medical intervention is
provided. - correct answer ✔✔Informed Consent
A patient presents for treatment, such as extending an arm to allow a venipuncture to be
performed. - correct answer ✔✔Implied Consent
Protected Health Information. - correct answer ✔✔What does PHI stand for?
Agency that converts claims into a standardized electronic format, looks for errors, and formats
them according to HIPPA and insurance standards. - correct answer ✔✔Clearinghouse
Documents that identify the person or provide enough information so that the person could be
identified. - correct answer ✔✔Individually Identifiable
, Information that does not identify an individual because unique and personal characteristics
have been removed. - correct answer ✔✔de-identified information
A patient's permission evidenced by signature. - correct answer ✔✔Consent
Permission granted by the patient or the patient's representative to release information for
reasons other than treatment, payment, or health care operations. - correct answer
✔✔Authorization
Payment for services rendered from a third-party payer. - correct answer ✔✔Reimbursement
Making false statements of representations of material facts to obtain some benefit or payment
for which no entitlement would otherwise exist. - correct answer ✔✔Fraud
ancillary services/procedures - correct answer ✔✔What are HCPCS used for?
physicians' procedures - correct answer ✔✔What are CPT-4 used for?
dental terminology - correct answer ✔✔What are CDT used for?
diagnosis and hospital impatient procedures - correct answer ✔✔What are ICD-9 used for?
as of October 1, 2015 - correct answer ✔✔ICD-10
National Drug Codes - correct answer ✔✔NDC
Using multiple codes that describe different components of a treatment instead of using a single
code that describes all steps of a procedure - correct answer ✔✔Unbundling
questions n answers graded A+
Informed consent is required in writing after explanation of a procedure, with time to ask
questions, while implied consent is assumed. - correct answer ✔✔Describe the difference
between informed and implied consent.
Documentation is the record of clinical observation and care a patient receives at a health care
facility. - correct answer ✔✔What is documentation?
given to an outside person or organization. - correct answer ✔✔Disclosure refers to the way
health information is
Consent is used only when the permission is for treatment, payment, or health care operations,
and authorization allows facility to verbally disclose or send health information to other
organizations. - correct answer ✔✔What is the difference between consent and authorization?
False - correct answer ✔✔True or False: Physicians have the option to decide whether to
explain privacy rules to their patients.
Reviewing claims for accuracy and completeness. - correct answer ✔✔Auditing refers to
True - correct answer ✔✔True or False: Fraud is intentional misrepresentation of information
for the purposes of receiving higher payments, while abuse happens unintentionally, often
because of poor business practices.
Assigning a code that will deliberately result in a higher payment. - correct answer ✔✔Define
upcoding
,Health Insurance Portability and Accountability Act. - correct answer ✔✔What does HIPAA
stand for?
Physicians can't refer patients to practitioners with whom they have a financial relationship. -
correct answer ✔✔The Stark Law states that
Fighting Fraud - correct answer ✔✔The Office of the Inspector General is responsible for
American Recovery and Reinvestment Act. - correct answer ✔✔What does ARRA stand for?
Health Information Technology of Economic and Clinical Health. - correct answer ✔✔What does
HITECH stand for?
Providers explain medical or diagnostic procedures, surgical interventions, and the benefits and
risks involved, giving patients an opportunity to ask questions before medical intervention is
provided. - correct answer ✔✔Informed Consent
A patient presents for treatment, such as extending an arm to allow a venipuncture to be
performed. - correct answer ✔✔Implied Consent
Protected Health Information. - correct answer ✔✔What does PHI stand for?
Agency that converts claims into a standardized electronic format, looks for errors, and formats
them according to HIPPA and insurance standards. - correct answer ✔✔Clearinghouse
Documents that identify the person or provide enough information so that the person could be
identified. - correct answer ✔✔Individually Identifiable
, Information that does not identify an individual because unique and personal characteristics
have been removed. - correct answer ✔✔de-identified information
A patient's permission evidenced by signature. - correct answer ✔✔Consent
Permission granted by the patient or the patient's representative to release information for
reasons other than treatment, payment, or health care operations. - correct answer
✔✔Authorization
Payment for services rendered from a third-party payer. - correct answer ✔✔Reimbursement
Making false statements of representations of material facts to obtain some benefit or payment
for which no entitlement would otherwise exist. - correct answer ✔✔Fraud
ancillary services/procedures - correct answer ✔✔What are HCPCS used for?
physicians' procedures - correct answer ✔✔What are CPT-4 used for?
dental terminology - correct answer ✔✔What are CDT used for?
diagnosis and hospital impatient procedures - correct answer ✔✔What are ICD-9 used for?
as of October 1, 2015 - correct answer ✔✔ICD-10
National Drug Codes - correct answer ✔✔NDC
Using multiple codes that describe different components of a treatment instead of using a single
code that describes all steps of a procedure - correct answer ✔✔Unbundling
