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Exam (elaborations)

Medical Billing And Coding Certificate Exam With 100% Correct And Verified Answers 2025

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Medical Billing And Coding Certificate Exam With 100% Correct And Verified Answers 2025

Institution
Medical Billing And Coding Certificate
Course
Medical Billing and Coding Certificate










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Written for

Institution
Medical Billing and Coding Certificate
Course
Medical Billing and Coding Certificate

Document information

Uploaded on
June 8, 2025
Number of pages
23
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

  • medical billing and coding certificate exam with 1
  • history levels element 2 of history and examinat
  • chief complaint element 1 of history
  • medical decision making complexity levels element

Content preview

Medical Billing And Coding Certificate Exam
With 100% Correct And Verified Answers
2025
ChiefiComplainti(elementi1iofihistory)i-
iCorrectiAnswer-Historyiofipresentiillness,i

Reviewisymptom,i
Past,iFamily,iandiSocialihistory

HistoryiLevelsi(Elementi2iofihistory)iandiExaminatio
niLevelsi(Elementi3iofiHistory)i-iCorrectiAnswer-
Problemifocused,i
expandediproblemifocused,i
detailed,
iComprehensive



MedicaliDecisioniMakingiComplexityiLevelsi(elemen
ti4iofihistory)i-iCorrectiAnswer-Straightforward,i
Low,i
Moderate,i
High

straightforwardi-iCorrectiAnswer-Minimalidiagnosis
Minimalirisk
Minimalicomplexityiofidata

Lowi-iCorrectiAnswer-Limitedidiagnosis
Limited/lowiriskitoipatient
Limitedidata

Moderatei-iCorrectiAnswer-Multipleidiagnosis
Moderateiriskitoipatient
Moderateiamountiandicomplexityiofidata

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,highi-iCorrectiAnswer-Extensiveidiagnosis
highiriskitoipatient
extensiveiamountiandicomplexityiofidata

truncatedicodingi(erroriinicoding)i-iCorrectiAnswer-
usingidiagnosisicodesithatiareinotiasispecificiasipossi
ble

assumptionicodingi(fraudulenticoding)i-
iCorrectiAnswer-

reportingiitemsiofiservicesithatiareinotiactuallyidocu
mented

errorsiofitheicodingiprocessi-iCorrectiAnswer--
alteringidocumentationiafteriservicesiareireported
-codingiwithoutidocumentation
-
reportingiservicesiprovidedibyiunlicensedioriunquali
fiediclinicalipersonnel
-
codingiaiunilateraliserviceitwiceiinsteadiofichoosingit
heibilateral
-
notisatisfyingitheiconditionioficoverageiforiaiparticul
ariservice
-
codesithatireportimoreithanioneidiagnosisiwithioneic
odeiisiaicombinationicode

Unbundlingicodesi-iCorrectiAnswer-
whenimultipleicodesiareiuseditoicodeiaiprocedureiwh
eniaisingleicodeishouldibeiused



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, Upcodingi-iCorrectiAnswer-
usingiaiproceduralicodeithatiprovidesiaihigherireimb
ursementirateithanitheicorrecticode

Downcodingi-iCorrectiAnswer-
theidocumentidoesinotijustifyitheileveliofiservice

Mosticommonibillingierrorsi-iCorrectiAnswer-
Billinginon-coverediservices
Billingioverilimitiservices
Upcoding
Downcoding
Billingiwithoutisignatures
Usingioutdatedicodes

ExternaliAudits
InternaliAudits
Retrospectiveiauditsi-iCorrectiAnswer-
TypesiofiAuditsidoneitoiavoidibillingiandicodingierror
s

ExternaliAuditsi-iCorrectiAnswer-
aiprivateipayeriorigovernmentiinvestigator'sireviewiof
iselectedirecordsiofiaipracticeiforicompliance



InternaliAuditsi-iCorrectiAnswer-self-
auditiconductedibyiaistaffimemberioriconsultant

RetrospectiveiAuditsi-iCorrectiAnswer-
conductediafteritheiclaimihasibeenisenditheiremittan
ceiadviceihasibeenireceived




iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii Vendarsol
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