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Medical Billing & Coding Final Exam Study Guide with Complete Solutions

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Medical Billing & Coding Final Exam Study Guide with Complete Solutions

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Medical Billing & Coding Final Exam
Study Guide with Complete Solutions
"see" - ANSWER-The coder must look up the term that follows the word _________ in
the index.

"u" - ANSWER-The complete alphabet except for the letter "______" is used.

"X" - ANSWER-Character "______" is inserted in a code to fill a blank space.

1 - ANSWER-Excludes ____ is used when two conditions could not exist together.

2 - ANSWER-______ codes are requires for vaccinations.

2 - ANSWER-Excludes ____ means a patient could have been conditions at the same
time.

3 to 7 - ANSWER-ICD-10-CM s a ______ to ______ character alphaneumeric
representation of a disease or condition.

3-4 - ANSWER-A maximum of _________ modifiers can be assigned to a CPT code.

3, 4, 5, 6, 7 - ANSWER-The smallest division of a code has either _______, _________,
__________, ________, or ________ alphanumeric characters.

5, numeric - ANSWER-CPT codes are __________ -digit ______________ codes.

52 - ANSWER-_________ is the two-digit modifier that indicates that one or more
special circumstance applies to the service or procedure the physician performed.

60 - ANSWER-A Medicare benefit period begins the day a patient is admitted to the
hospital and ends when that patient has not been hospitalized or placed in a skilled
nursing facility for a period of ________ continuous days after discharge.

65, Military - ANSWER-TRICARE for Life enrollees who are aged ______ and older can
receive healthcare at a ____________ treatment facility

7 - ANSWER-The seventh character must always be in position ______ and you use a
placeholder character ("x") to fill the empty space.

80-20 - ANSWER-With an _____ - _____ coinsurance, your patient will be responsible
for 20% off the allowable charge; or 20% of $100, which is $20.

, 90 - ANSWER-Change your password every _______ days or as directed by facility
policy.

A - ANSWER-The CPT's Appendix ____ explains the proper use of each modifier.

A, B - ANSWER-Medicare part _____ is hospital insurance and Part ____ helps pay for
a wide range of procedures and supplies.

accident - ANSWER-The main term in the diagnostic statement "cerebrovascular
accident" is ______________________.

add on - ANSWER-A plus sign (+) is used for ________ ________ codes that are used
to describe procedures done in addition to a "main" procedure.

addition - ANSWER-Add-on codes describe procedures done in ____________ to the
main procedure.

additional - ANSWER-The order of codes must be the same in the Alphabetic Index
when the instruction "use ____________________________ code" is noted.

After - ANSWER-In a typical medical practice, claims are transmitted within a few
business days ____________ the date of service.

alphabetical index - ANSWER-The ICD-10-CM index to Disease and Injuries is known
as the __________________ ______________.

alphabetical, tabular - ANSWER-When coding, the coder first locates the
description/code in the _______________ index and then verifies the proposed code
selection by turning to the ______________ index and studying the entries.

annually - ANSWER-The CPT manual is updated ______________, and new codes are
used for services beginning January 1 of each New Year.

Assignment, Benefits - ANSWER-Patients are generally asked to sign an
_____________ of _____________statement, in which the provider agrees to prepare
healthcare claims for patients, receive payments directly from the payers, and accept a
payer's allowed charge.

assistance, insurance - ANSWER-Medicaid is a health cost _________________
program designed for low-income, blind, or disabled patients. It is not an
______________ program.

Automatic - ANSWER-Although eligibility for Medicare Part B is automatic for people
entitled to Medicare Part B coverage is not ______________________.

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