NEWEST ACTUAL EXAM QUESTIONS AND
ANSWERS
1. What form is used to submit a provider's charge to the insurance carrier?
a. UB-04
b. Provider reimbursement form
c. CMS-1500
d. ABN
ANS c. CMS-1500
2. Which coding manuals do outpatient coders focus on learning?
a. CPT, HCPCS Level II and ICD-10-CM
b. CPT and ICD-10-CM
c. ICD-10-CM and ICD-10-PCS
d. CPT, HCPCS Level II, ICD-10-CM, ICD-10-PCS
ANS a. CPT, HCPCS Level II and ICD-10-CM
3. In what year was HITECH enacted as part of the American Recovery and
Reinvestment Act?
,a. 2010
b. 2009
c. 2000
d. 2007
ANS b. 2009
4. Voluntary compliance programs also provide benefits by
not only helping to prevent erroneous or , but also by showing that the provider
practice is making additional good faith efforts to submit claims appropriately.
a. Over utilized codes
b. Duplicative claims
c. Fraudulent claims
d. Mistaken principals
ANS c. Fraudulent claims
5. Which CMS product describes whether specific medical items, services, treat-
ment procedures or technologies are considered medically necessary under Medicare?
a. Medicare Claims Processing Manual
b. National Coverage Determinations Manual
c. Relative Value Files
d. Medicare Physician Fee Schedule Final Rule
ANS b. National Coverage Determinations Manual
,6. Which condition results from an injury to the head? The symptoms include
headache, dizziness and vomiting.
a. Meningitis
b. Concussion
c. Epilepsy
d. Parkinson's disease
ANS b. Concussion
7. In order, starting with the innermost layer, what are the four walls of the
digestive tract?
a. Mucosa, submucosa, muscle, serosa
b. Serosa, mucosa, submucosa, muscle
c. Mucosa, submucosa, serosa, muscle
d. Muscle, submucosa, mucosa, serosa
ANS a. Mucosa, submucosa, muscle, serosa
8. Which one of the following best describes psoriasis?
a. A chronic condition characterized by red, dry, elevated lesions, covered by
silvery scales
b. An inflammatory condition characterized by redness pustular and vesicular lesions,
, crusts, and scales
c. An allergic reaction characterized by wheals and generally accompanied by
pruritus
d. A contagious infection of skin generally caused by staphylococcus bacteri- um
ANS a. A chronic condition characterized by red, dry, elevated lesions, covered by silvery scales
9. A form of milk produced the first few days after giving birth is
a. Prolactin
b. Colostrum
c. Lactose
d. Chorion
ANS b. Colostrum
10. A condition where the thyroid is overactive is called
a. Thyrotoxicosis
b. Panhypopituitarism
c. Ketosis
d. Thyroiditis
ANS a. Thyrotoxicosis