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Exam (elaborations)

MEDICAL BILLING AND CODING EXAM QUESTIONS WITH CORRECT ANSWERS

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MEDICAL BILLING AND CODING EXAM QUESTIONS WITH CORRECT ANSWERS

Institution
MEDICAL CODING
Course
MEDICAL CODING









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Institution
MEDICAL CODING
Course
MEDICAL CODING

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Uploaded on
March 25, 2025
Number of pages
12
Written in
2024/2025
Type
Exam (elaborations)
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MEDICAL BILLING AND CODING EXAM
QUESTIONS WITH CORRECT
ANSWERS
Discovery - Answer-a way of collecting written or oral testimony, documents, and
other evidence to use at trial

deposition - Answer-the taking of oral testimony under oath before the trail

court reporter - Answer-a person who records testimony for use in litigation

impeach a witness - Answer-to challenge the credibility of a witness

trial - Answer-finds or determines the facts and applies the law to the facts

jury trial - Answer-the factfinder, and the judge explains the law to the jury and
supervises the presentation of evidence. The jury hears the evidence of a case and
decides whether there's enough evidence to make a judgement

bench trial - Answer-no jury-the judge serves as the fact finder, weighs the evidence,
and decides how the law applies to it

burden of proof - Answer-what the plaintiffs are obligated to prove

preponderance of evidence - Answer-in a civil case such as medical malpractice.
The plaintiff must prove it's more likely than not that the defendant committed
malpractice and there was damage as a result

Direct examination - Answer-questioning the witness by the attorney for the party
who called the witness

cross-examination - Answer-questioning of the witness by anyone other than the
party who called th witness

hearsay - Answer-a statement originally made outside of the court that's repeated in
the courtroom and offered as the truth

speculation - Answer-when a witness gives an improper opinion that stating what he
or she saw, heard, felt, touched, or smelled

expert opinion testimony - Answer-is an exception to the idea that witnesses should
report observations rather than speculations or opinions

appeal - Answer-the question is whether an error of law was made at the trial court
level

, arbitration - Answer-parties present evidence to an impartial person who makes a
binding decision on the parties

nediation - Answer-a neutral third person helps the parties in a dispute reach a
settlement agreement

facilitative mediation - Answer-the mediator guides the mediation process, but does
not express opinions on the merits of each party;s position

evaluative mediation - Answer-the mediator gives opinions about the merits of the
case, pointing out weaknesses in the position of the parties, and may predict what a
judge or jury likely would do

negligence - Answer-failure to exercise the degree of care that a reasonable person
would exercise under the same circumstances

malpractice - Answer-professional negligence

Principle diagnosis - Answer-primary condition that led to the patient being admitted
to the hospital

Secondary diagnosis - Answer-complications that may affect the patients course of
treatment or prolong the stay

Medicaid - Answer-largest source of funding for health insurance for low income
families.Funded by the government

Tricare - Answer-health insurance that provides civilian benefits to those who have
served or currently serving in the military

PPO - Answer-Preferred Provider Organization

ACA - Answer-Affordable Care Act

Independent Payment Advisory Board (IPAB) - Answer-an established center for
Medi/Medi and IPAB to help reduce cost,eliminate waste,improve healthcare for
seniors

Accountable care organizations (ACOs) - Answer-ensuring that patients get the right
care at the right time, avoiding unnecessary duplication of services and preventing
medical errors, help to reduce costs

Law - Answer-a rule of action or conduct bounded by a controlling authority

Scope of practice - Answer-procedures, actions, and processes that are permitted
within a healthcare discipline

Protocols - Answer-a set of rules that explain how a task or procedure should be
completed

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