Medical Billing and Coding Practice Examination

Which of the following entities is responsible for implementing the various provisions of HIPPA in healthcare? - Answer CMS Which of the following is not a key component in selecting a level of E/M services? - Answer Date Which of the following is incorrect in reference to add-on codes? - Answer They are performed in addition to a primary procedure A physician who specializes in the study of the nervous system is called an? - Answer Neurologist While reviewing delinquent accounts you come across on that has been previously billed but never paid by the insurance company. Your next step is ? - Answer Revue the previous submission for errors and resubmit if necessary The suffix meaning "surgical repair" - Answer Plasty A triangle placed in front of a code in the CPT manual means ? - Answer The description of the code has been changed In which section of the cpt manual would you find the codes for x-ray procedure? - Answer Radiology Medical ethics are? - Answer standards of conduct In a state that has workers compensation a patient being treated by physicians for a work related fracture is found to have a non work related poison ivy rash. Which of the following is not an option for physicians? - Answer Treat the patient for the rash and bill worker's compensation insurance A number assigned for billing of supplies and equipment is ? - Answer durable medical equipment number Which of the following is the correct format to enter a patient's birthday on the CMS-1500 form? - Answer MM/DD/YYYY The payment to the physician for a fixed sum, per month , regardless of the service rendered, I'd described as ? - Answer Capitation An Otorhinolaryngologist specializes in diagnosis and treatment of ? - Answer Disorders of ear , nose and throat Incorrect payments from an insurance company should be ? - Answer Investigated and appealed A claim for services not medically necessary is an example of? - Answer abuse When a non-member physician treats an HMO patient, the service rendered is termed: - Answer Out of plan or out of network Which cpt modifier would you attach to a consultation code when the services performed is required by a third-party or government regulatory body ? - Answer -32 Mandated Services A patient developed rashes after taking a properly prescribed medication. the E code to indicate how rashes happened is referenced from which E code column in the Table of Drug and Chemicals? - Answer Therapeutic Which of the following is the fixed amount patients pay each time they receive health care services? - Answer Co-payment New codes are represented by ? - Answer A solid black circle Under the RBRVS method of reimbursment, "Conversion Factor" is? - Answer A dollar amount Blocks 14-33 of the CMS-1500 form refer primarily to the - Answer Provider and services Which of the following is not bundled into reimbursement for a surgical code ? - Answer Post-operative visit for complication