Final Exam Medical Billing and Coding Already Graded A+

Final Exam Medical Billing and Coding Already Graded A+ An aging population will use more healthcare services to manage a multitude of chronic diseases. Which of the following is a reason for why the field of medical billing and coding is in high demand? Medical coding What is the process of reporting diagnoses and procedures/services as numeric and alphanumeric characters on the insurance claim? Telehealth What is the two-way, real time video visit between the patient and the physician at a distant site? Deductible What is the amount for which the patient is financially responsible before an insurance policy provides payment? Commercial What type of health insurance is provided through your employer or purchased directly from an insurance company? Documented What is the missing word in the following phrase: "If it wasn't __________, it wasn't done." Subjective What section of the SOAP note containers the chief complaint and the patient's description of the presenting problem? Electronic Health Record (EHR) What is health information in a digital format that is created and shared by providers across more Thant one healthcare setting? Bundled payment What is the reimbursement method where one payment covers all services during an episode of care? Referral What is a written order from you primary care provider for you to see a specialist or get certain medical services? Consumer-directed health plans What health plans are designed to put more responsibility on the employee for their healthcare spending? Accounts receivable In a physician practice, revenue cycle management is also called what? Electronic Data Interchange (EDI) What is the computer to computer transfer of data between providers and third-party payers? Rejected claim What type of claim was never entered in to the computer system of the insurance company because it failed to meet specific data requirements? Allowable charge What is the maximum amount that an insurer will reimburse for a covered service or procedure? Patients are informed about what charges to expect. What is the price transparency in healthcare? Emancipated minor 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? Protected Health Information (PHI) What is any information that can link a specific individual to medical records? The patient allows insurance benefits to be paid directly to the provider. Which of the following is an example of consent? Electronic The HIPAA security rule provides standards for health information maintained or transmitted in what format? Falsifying patient records to justify the medical necessity of services. Which of the following is an example of fraud? Original records should never be released. Which of the following s true concerning the release of patient information? Neoplasm What is the main term for primary pancreatic neoplasm of the head of the pancreas? October 1 ICD coding changes, additions and deletions are effective on what date every year? R07.89 The patient was evaluated in the emergency room for anterior chest wall pain, suspect unstable angina. What is the ICD-10-CM code? I12.0, N18.5 The patient was seen in follow up for hypertension and chronic kidney disease, stage 5. What is the ICD-10-CM code? Z01.810 The patient was seen for pre-operative cardiovascular examination undergoing cholecystectomy. What is the correct ICD-10-CM code? M41.23 The patient's diagnosis is idiopathic scoliosis of the cervicothoracic region. What is the correct ICD-10-CM code? Surgery In which main section of the CPT codebook would you find the code for a cholecystectomy? 11200, 11201 The patient requested removal of 20 skin tags. What is the CPT code? 64719-LT The hand surgeon performed a neuroplasty of the ulnar nerve of the left wrist. What is the CPT code? 58 The surgeon performed debridement of an open leg wound. Two days later the surgeon performed a more extensive debridement of the same wound. What modifier is reported with the