Medical billing and coding Final
Exam||Latest Exam With Verified
Correct Answers||Graded A+
Which of the following is a reason for why the field of medical billing and coding is in
high demand? -CORRECT ANSWER An aging population will use more healthcare
services to manage a multitude of chronic diseases.
What is the process of reporting diagnoses and procedures/services as numeric and
alphanumeric characters on the insurance claim? -CORRECT ANSWER Medical
coding
What is the two-way, real time video visit between the patient and the physician at a
distant site? -CORRECT ANSWER Telehealth
What is the amount for which the patient is financially responsible before an insurance
policy provides payment? -CORRECT ANSWER Deductible
What type of health insurance is provided through your employer or purchased directly
from an insurance company? -CORRECT ANSWER Commercial
What is the missing word in the following phrase:
"If it wasn't ___________, it wasn't done." -CORRECT ANSWER Documented
What section of the SOAP note contains the chief complaint and the patient's
description of the presenting problem? -CORRECT ANSWER Subjective
What is health information in a digital format that is created and shared by providers
across more than one healthcare setting? -CORRECT ANSWER Electronic health
record (EHR)
What is the reimbursement method where one payment covers all services during an
episode of care? -CORRECT ANSWER Bundled payment
What is a written order from your primary care provider for you to see a specialist or get
certain medical services? -CORRECT ANSWER Referral
What health plans are designed to put more responsibility on the employee for their
healthcare spending? -CORRECT ANSWER Consumer-directed health plans
In a physician practice, revenue cycle management is also called what? -CORRECT
ANSWER Accounts receivable
, What is the computer-to-computer transfer of data between providers and third-party
payers? -CORRECT ANSWER Electronic data interchange (EDI)
What type of claim was never entered into the computer system of the insurance
company because it failed to meet specific data requirements? -CORRECT ANSWER
Rejected claim
What is the maximum amount that an insurer will reimburse for a covered service or
procedure? -CORRECT ANSWER Allowable charge
What is price transparency in healthcare? -CORRECT ANSWER Patients are informed
about what charges to expect.
What is the term for an individual who has not reached the age of majority (usually 18)
but is no longer under the care and control of parents? -CORRECT ANSWER
Emancipated minor
What is any information that can link a specific individual to medical records? -
CORRECT ANSWER Protected Health Information (PHI)
Which of the following is an example of consent? -CORRECT ANSWER The patient
allows insurance benefits to be paid directly to the provider.
The HIPAA Security Rule provides standards for health information maintained or
transmitted in what format? -CORRECT ANSWER electronic
Which of the following is an example of fraud? -CORRECT ANSWER Falsifying patient
records to justify the medical necessity of services.
Which of the following is true concerning the release of patient information? -CORRECT
ANSWER Original records should never be released.
What is the "main term" for primary pancreatic neoplasm of the head of the pancreas? -
CORRECT ANSWER Neoplasm
The ICD-10-CM code book is updated annually on what date? -CORRECT ANSWER
October 1
The patient was evaluated in the emergency room for anterior chest wall pain,
suspected unstable angina. What is the correct ICD-10-CM code? -CORRECT
ANSWER R07.89
The patient was seen in follow-up for hypertension and chronic kidney disease, stage 5.
What is/are the correct ICD-10-CM code(s)? -CORRECT ANSWER I12.0 N18.5
Exam||Latest Exam With Verified
Correct Answers||Graded A+
Which of the following is a reason for why the field of medical billing and coding is in
high demand? -CORRECT ANSWER An aging population will use more healthcare
services to manage a multitude of chronic diseases.
What is the process of reporting diagnoses and procedures/services as numeric and
alphanumeric characters on the insurance claim? -CORRECT ANSWER Medical
coding
What is the two-way, real time video visit between the patient and the physician at a
distant site? -CORRECT ANSWER Telehealth
What is the amount for which the patient is financially responsible before an insurance
policy provides payment? -CORRECT ANSWER Deductible
What type of health insurance is provided through your employer or purchased directly
from an insurance company? -CORRECT ANSWER Commercial
What is the missing word in the following phrase:
"If it wasn't ___________, it wasn't done." -CORRECT ANSWER Documented
What section of the SOAP note contains the chief complaint and the patient's
description of the presenting problem? -CORRECT ANSWER Subjective
What is health information in a digital format that is created and shared by providers
across more than one healthcare setting? -CORRECT ANSWER Electronic health
record (EHR)
What is the reimbursement method where one payment covers all services during an
episode of care? -CORRECT ANSWER Bundled payment
What is a written order from your primary care provider for you to see a specialist or get
certain medical services? -CORRECT ANSWER Referral
What health plans are designed to put more responsibility on the employee for their
healthcare spending? -CORRECT ANSWER Consumer-directed health plans
In a physician practice, revenue cycle management is also called what? -CORRECT
ANSWER Accounts receivable
, What is the computer-to-computer transfer of data between providers and third-party
payers? -CORRECT ANSWER Electronic data interchange (EDI)
What type of claim was never entered into the computer system of the insurance
company because it failed to meet specific data requirements? -CORRECT ANSWER
Rejected claim
What is the maximum amount that an insurer will reimburse for a covered service or
procedure? -CORRECT ANSWER Allowable charge
What is price transparency in healthcare? -CORRECT ANSWER Patients are informed
about what charges to expect.
What is the term for an individual who has not reached the age of majority (usually 18)
but is no longer under the care and control of parents? -CORRECT ANSWER
Emancipated minor
What is any information that can link a specific individual to medical records? -
CORRECT ANSWER Protected Health Information (PHI)
Which of the following is an example of consent? -CORRECT ANSWER The patient
allows insurance benefits to be paid directly to the provider.
The HIPAA Security Rule provides standards for health information maintained or
transmitted in what format? -CORRECT ANSWER electronic
Which of the following is an example of fraud? -CORRECT ANSWER Falsifying patient
records to justify the medical necessity of services.
Which of the following is true concerning the release of patient information? -CORRECT
ANSWER Original records should never be released.
What is the "main term" for primary pancreatic neoplasm of the head of the pancreas? -
CORRECT ANSWER Neoplasm
The ICD-10-CM code book is updated annually on what date? -CORRECT ANSWER
October 1
The patient was evaluated in the emergency room for anterior chest wall pain,
suspected unstable angina. What is the correct ICD-10-CM code? -CORRECT
ANSWER R07.89
The patient was seen in follow-up for hypertension and chronic kidney disease, stage 5.
What is/are the correct ICD-10-CM code(s)? -CORRECT ANSWER I12.0 N18.5
